This inspection was carried out on 25th June 2009.
CQC found this care home to be providing an Good 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: Nydsley Residential Home Mill Lane Pately Bridge North Yorkshire HG3 5BA two star good 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: Jean Pegg Date: 2 5 0 6 2 0 0 9 Information about the care home
Name of care home: Address: Nydsley Residential Home Mill Lane Pately Bridge North Yorkshire HG3 5BA 01423712060 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) : Mr Frank Leonard Hall,Mrs Elizabeth Anne Hall care home 14 Number of places (if applicable): Under 65 Over 65 14 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 Nydsley Residential Home is a care home, which looks after fourteen older people. The house is a large detached property, which has been extended to provide four additional bedrooms. It is set in its own grounds. There is a lounge, a dining room, a conservatory and five bedrooms on the ground floor. In total there are ten single bedrooms, eight with en-suite facilities, and two double bedrooms. Accommodation is spread over three floors. A stair lift is available to take people from the ground floor up to the first floor. The third floor, where there is one bedroom and a small visitors lounge, is reached using stairs. There is a well-tended garden and a conservatory, which provide views of the local
Care Homes for Older People Page 2 of 10 Brief description of the care home countryside. There is a car park for staff and visitors. The home is located close to the local services and amenities of Pateley Bridge. There is an information pack and service user guide, which informs people about the home. On 4th June 2008 the fees ranged from £350 to £370 per week. Services such as hairdressing and chiropody are available, but an additional charge is made. Copies of inspection reports are available in the home. Care Homes for Older People Page 3 of 10 What we found:
This home was last inspected 4 June 2008. It was rated as Good. We completed an Annual Service Review in June 2009. As part of this review we sent surveys to the people who live and work at the home. Due to some of the comments that we received on those surveys plus the fact that the Care Quality Commission had not received any regulation 37 notifications from the home, we decided that a random inspection visit was required. This inspection visit was carried out on 25 June 2009 by two inspectors as the service was due to pass from one inspector to the other as from 1 July 2009. We discussed the concerns that were raised from the service user surveys that we had received and that had been included in the Annual Service Review report, completed in June 2009. We asked the manager about access to medical help, prescriptions and health care. The manager explained that the home had a good relationship with the local doctor and that he would visit if requested. The manager told us that no one had been denied prescriptions but that some residents asked for items that they did not need for example elastic stockings and cream for rashes. The manager also told us that a private chiropodist visited on a regular basis and that the chiropody service provided by the National Health Service, visited every three months. We were told that everyone was asked if they wanted to visit the chiropodist. We talked about the frequency of bathing as we had received the comment more baths as one a week is inadequate for the elderly. The manager confirmed that people only get bathed once a week but said that more frequent baths could be offered. We looked at the care plan of one person that we spoke to in the lounge. We were disappointed with the quality of recording in the care plan and that it did not seem to accurately reflect the needs of the person or the recent incidents they had been involved in. We also noticed that the care plans had not been reviewed regularly and that there were no risk assessments in place to inform staff as to how to care for that person appropriately. We asked about the social activities that people are offered. The manager told us that they had another musician visiting the home and someone who led an exercise class. We saw this class being taken in the dining room. We asked about individual activities and the manager told us that some people like to read or do crosswords but that they wanted to try and get more people out for a walk into the village. The manager also told us that they were thinking about buying some skittles for people to play with. We asked about the choices people were offered at meal times. We were told that no alternative menu was offered for lunchtime but that they were aware of individual likes and dislikes and would offer an alternative based on this knowledge. We were given the example of someone who does not like salmon so they are then offered a pork chop. We were told that people were offered a choice at tea time. Care Homes for Older People Page 4 of 10 We asked to see a copy of the response that was made to a complainant in August 2008. We told the manager that we had not received a copy of this response and the manager showed us a copy of the letter that had been sent. We noticed that the address used to contact the Care Quality Commission was incorrect. We gave the manager the correct address to send a copy of the response to. We discussed the comments made in the surveys about the environment of the home. The manager told us that they were unable to have a specialist ramp fitted for public access and that none of the people who live at the home or who visit the home are wheelchair users. We were told that everyone could walk out of the building using the steps. We looked at the floor tiles in the entrance and found that some were loose. The manager said that these would be made secure. We asked about having blinds put into the conservatory and the manager told us this was something that they had been thinking about doing anyway. We asked to see evidence of staff training in first aid. We were shown copies of training certificates that showed that the training had expired in May 2008. We asked that this training be updated as soon as possible. We were also shown staff recruitment files that had copies of applications forms, references and criminal record bureau checks in place. We asked to see copies of the regulation 37 notifications that the home is required to send into the Care Quality Commission to notify us of any deaths, illness and other events. The manager could only show us two that had been recorded in 2003. We reminded the manager of the instances when these notifications should be sent to us and asked that they start to do this straight away. We checked the accident reports against some incidents that had been written up in the main diary. We noticed that not all accidents had been reported properly. We reminded the manager that accident reports and regulation 37 notifications must be completed when accidents occur. What the care home does well: What they could do better:
People should be asked about their preferred frequency and timing of baths. This preference should be recorded in their care plan and followed so that people can have as many baths as they want. People should have detailed care plans that accurately reflect their health and social care
Care Homes for Older People Page 5 of 10 needs and how they should be met. These care plans should be supported by good risk assessments that clearly state how that person will be protected and what care and support staff should provide. Care plans should be reviewed regularly to make sure that they are still relevant and any changes should be recorded. The manager must make sure that regulation 37 notifications about death, illness and other events are sent to the Care Quality Commission without delay. Accident reports must be completed for all accidents that occur in the care home. There must be a qualified First aider on duty in the home at all times. 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 6 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 30 18 (c) (i) 13 (5) The registered person is required to make sure that staff have the necessary training to enable them to care for people safely. Such as moving and handling; adult protection and NVQ level 2 and above. 01/10/2008 Care Homes for Older People Page 7 of 10 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 7 12 Where people are potentially 31/08/2009 at risk of harm, a risk management strategy must be put into place for staff to follow. This will ensure that staff know what to do to keep people safe. 2 7 15 Care plans must detail how a 31/08/2009 persons health, care and social needs are to be met. This ensures that staff know how to provide care to people in accordance with their needs, wishes and preferences. 3 7 15 Care plans must be reviewed 31/08/2009 regularly and any changes to a persons care needs must be recorded. This ensures that the care plan remains accurate and up to date for staff to follow. 4 18 17 A record of any accident in the care home should be 29/06/2009 Care Homes for Older People Page 8 of 10 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 made. This will help to observe any trends and make improvements. 5 37 37 Notifications of death, illness 29/06/2009 and other events must be sent to the Care Quality Commission without delay. This will ensure complaince with the Care Homes Regulations 2001. 6 38 13 There must be at least one person trained in 1st aid in the home at all times. This will make sure that pepole who live at the home receive appropriate treatment following an accident. 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 31/08/2009 1 7 People should be have their preferences for the frequency and timing for bathing recorded on their care plan. Care Homes for Older People Page 9 of 10 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 10 of 10 - 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!
