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Inspection on 13/10/08 for Northleach Court Care Centre

Also see our care home review for Northleach Court Care Centre for more information

This inspection was carried out on 13th October 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Several randomly selected hot water outlets temperatures were checked and found to be with in the recommended safe limits. The accident records were examined for September 2008 up until the day of the inspection and it was found that two people received emergency first aid from staff during choking episodes and both people recovered immediately.

What the care home could do better:

The home only had 2 hoists that were working during the inspection and nearly half of the people in the home require hoisting. Following the inspection the Registered Provider said that the home had 3 hoists that were working. No records could be found of auditing of hoist slings to help identify if they are damaged and should not be used. Two people selected at random who use bed rails did not have a bed rail risk assessment. Hand written risk assessments were in place for other assessed risks but they did not contain enough details about how the risk should be managed safely. One person was found to have a very thin mattress on a metal base on their bed which could potentially place them at risk of pressure sores. Following the inspection the Registered Provider said that another mattress was placed on this person`s bed during the visit, however this was not witnessed. Staff who assess people for the use of moving and handling equipment must receive training to undertake this task.

Inspecting for better lives Random inspection report Care homes for older people Name: Address: Northleach Court Care Centre High Street Northleach Cheltenham Glos GL54 3PQ The quality rating for this care home is: The rating was made on: one star adequate service 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Sharon Hayward-Wright Date: 1 3 1 0 2 0 0 8 Information about the care home Name of care home: Address: Northleach Court Care Centre High Street Northleach Cheltenham Glos GL54 3PQ 08453455746 01451861179 gillian.hughes@blanchworth.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mrs Sally Anne Manby Roberts,Mr Jeremy Walsh care home 60 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia 0 Over 65 60 Conditions of registration: Temporary variation to client categories OP (Old Age) for 1 (one) named service user. The Home will revert to the original client categories when this service user no longer resides at the home. To accommodate one named service user under 65 years of age with Dementia Date of last inspection Brief description of the care home Northleach Court is situated close to the centre of Northleach, which is about 12 miles from Cheltenham and 10 miles from Cirencester. The Home is a registered Care Home with nursing and has 60 beds with a category of dementia care for predominately older people. Accommodation is on two floors; on the ground floor there are a number of communal rooms including a conservatory, dining areas and lounges. The home has grounds comprising of a number of enclosed courtyard areas and small lawns. People Care Homes for Older People Page 2 of 8 are able to ask the home for a copy of their Statement of Purpose and Service Users Guide. Care Homes for Older People Page 3 of 8 What we found: I was accompanied on this inspection by Alison Fry from the Health and Safety Executive. We looked at the systems the home has in place for the use of bed rails and to make sure staff are using the appropriate guidance. So that people who use the service are not being put at risk by there use. Moving and handling equipment was looked at and evidence of maintenance and safety checks undertaken on this equipment. Risk assessments for the use of bed rails and moving and handling equipment were also examined for some people. Training for staff in relation to moving and handling and how staff assess people for moving and handling equipment was discussed. Alison Fry looked at how the home reduces the risks of Legionella. 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 4 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action 1 7 15 Care plans must reflect the 04/06/2008 current care needs of people who use the service. This will make sure that staff have the information available to them for consistency in care and to make sure they know how to meet the needs of people who use the service. This requirement was not followed up at this inspection. The home needs to address the odours in the rooms identified and given to the manager, to make sure people live in an odour free and pleasant environment. This requirement was not followed up at this inspection. 30/04/2008 2 26 16(k) 3 30 13 (4c) The home must make sure 04/06/2008 that as part of promoting the safety of people who use the service some staff are trained in first aid. This requirement was not followed up at this inspection. The home must appoint a 01/09/2008 suitably qualified and competent person to manage the home and apply to us Page 5 of 8 4 31 8&9 Care Homes for Older People (The Commission) to be considered for registration. This will help to make sure that the home is run in the best interests of the people who use the service. This requirement was not followed up at this inspection. 5 36 18(2a) The home must demonstrate 30/04/2008 that all staff are being supervised. This is to make sure the needs of people who use the service are being met and they are not being put at unnecessary risk. This requirement was not followed up at this inspection. Care Homes for Older People Page 6 of 8 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, Care Homes 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 8 15 People who have bed rails 15/12/2008 must have a risk assessment in place for there use. To provide staff with information about how to safely manage this assessed need. 2 30 18 Staff that assess people for moving and handling equipment must receive training. To safe guard the safety and well being of people 31/12/2008 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 1 2 22 22 The home should provide more hoists. The home should audit hoist slings to make sure they are in good condition and safe to use. Care Homes for Older People Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. 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