Random inspection report
Care homes for older people
Name: Address: Mother Redcaps Nursing Home Lincoln Drive Egremont Promenade Wallasey Wirral CH45 7PL three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Paul Kenyon Date: 1 2 1 1 2 0 0 9 Information about the care home
Name of care home: Address: Mother Redcaps Nursing Home Lincoln Drive Egremont Promenade Wallasey Wirral CH45 7PL 01516395886 01516301730 janetnixon56@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mary George Limited care home 51 Number of places (if applicable): Under 65 Over 65 0 39 0 dementia old age, not falling within any other category physical disability Conditions of registration: 12 0 2 The registered person may provide the following category/ies of service only: Care home with nursing - Code N to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, (maximum number of places: 39) Physical disability - Code PD (maximum number of places: 2) Dementia - Code DE (maximum number of places: 12) The maximum number of service users who can be accomodated is: 51 Date of last inspection Care Homes for Older People Page 2 of 9 Brief description of the care home This care home is a three-storey purpose built nursing home, situated on Egremont Promenade overlooking the river Mersey, and offers nursing care for 51 older persons. A lounge/dining room is provided on each floor with televisions, videos, piano, and music centres available. The home is double glazed throughout and ramp access is available at the front entrance. A lift serves all floors. All accommodation offered is in single rooms and the majority have the benefit of en-suite facilities. A selection of bathrooms, showers and toilets are provided on each floor and assisted bathing facilities are available. The small front and side gardens are well maintained and car parking is provided at the front of the building. Fees range from local social service rates to #481. Care Homes for Older People Page 3 of 9 What we found:
The purpose of this visit was to respond to complaints made in respect of staffing levels within the service as well as the way the service had managed a safeguarding referral in respect of a member of staff working in the service. The complaints about staffing levels had included details of how the care provided had been adversely affected by this. We conducted two visits to the service. The purpose of the second visit was to gain more evidence in respect of staffing rotas and to talk with staff in order to gain their experiences. The first visit to the service was unannounced. We looked at the management of a safeguarding issue that had been raised. We found that the issues did not constitute a referral under Local Authority procedures since it did not involve actions that would constitute abuse rather it raised the need for the member of staff to receive further training and supervision in the way the person interacted with the people who use the service. Evidence was provided to us to suggest that appropriate action had been taken and that the person continued to receive supervision from their manager. No further concerns have since been raised in respect of this person. We looked at staffing rotas and management returns completed by the manager over September and October 2009. At the time of the visits, the service were supporting 41 people and it was anticipated that this was to increase that week given that the service had receive further referrals. For October 2009, rotas suggested that staffing levels in the morning achieved a ratio of one member of staff to five individuals. This changed to ratios of one member of staff to seven individual in the afternoon and at night one member of staff to every ten individuals. Rotas suggested that these levels had been achieved throughout October 2009. The same rotas suggested that for every morning there were seven members of staff on duty with this changing to six people in the afternoon. We looked at management returns for September 2009. These are documents completed by the Acting Manager indicating staffing levels within the service for each week of the month. These indicated that hours provided to each person per week varied from 30.9 hours of care provided to each person up to 34.75 hours during that month. While the service does complete a monthly assessment of the dependency levels of each person recorded within their care plan, this system does not provide an overall view of the dependency levels of people. The collating of information on a monthly basis must be done so that planning responses in staffing levels to changes in need can be achieved to best meet the needs of individuals living at Mother Redcaps. This must also be done in order to ensure that the differing needs of the people (i.e. dementia care, nursing needs, social care needs) using the service is taken into account. We interviewed staff members specifically about staffing levels within the service. In all cases staff considered that there had been recent occasions where staffing levels had not been maintained and as a result they considered that they had been unable to provide a good quality standard of care to the people who use the service. An example was given that on one recent but unspecified date, three care staff had been on duty covering the
Care Homes for Older People Page 4 of 9 entire service. We had not been made aware of this alleged event. As a result the whistle blowing procedure must be reinforced to staff and if shortfalls in staff do occur, the service must also inform us if and when such shortfalls occur. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 18 21 The service must ensure that 30/11/2009 the whistle blowing procedure is reinforced to the staff team. so that the wellbeing of the people who use the service is promoted 2 27 18 The service must gain an 30/11/2009 overall indication of the dependency levels of the people who use the service on a monthly basis so that planning of responses to staff levels can be made. to ensure that peoples needs are met. 3 27 37 The service must ensure that 28/11/2009 when shortfalls in staffing occur, the Care Quality Commission is notified without delay so that the wellbeing of the people who use the service is promoted Care Homes for Older People Page 7 of 9 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
