Random inspection report
Care homes for older people
Name: Address: Nyton House Nyton Road Westergate Chichester West Sussex PO20 3UL zero star poor service 06/04/2009 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: Suni Chotai Date: 2 3 0 6 2 0 0 9 Information about the care home
Name of care home: Address: Nyton House Nyton Road Westergate Chichester West Sussex PO20 3UL 01243543228 01243543039 daviscarehomes.nyton@virgin.net 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) : Mrs Mary Davis,Mr Philip Norman Davis care home 23 Number of places (if applicable): Under 65 Over 65 0 23 dementia old age, not falling within any other category Conditions of registration: 23 0 The maximum number of service users to be accommodated is 23. The registered person may provide the following category/ies of service only: Care home only - (PC) 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 (OP) Dementia (DE) - maximum number 1. Date of last inspection Brief description of the care home Nyton House is a care establishment registered to provide accommodation for up to twenty-three service users in the category OP (old age not falling in any other category) and one named person in the category DE (E) over sixty five years of age.
Care Homes for Older People Page 2 of 10 0 6 0 4 2 0 0 9 Brief description of the care home The establishment is situated in the village of Westergate. Local bus routes are near by. Accommodation is provided on ground, first and second floor level. A vertical lift services each floor. All rooms are generally for single occupancy however there are five rooms that can be used as doubles providing the occupancy levels do not exceed twenty-three. The service is privately owned. The proprietors are Mr and Mrs Davis. The current fees range from #450 to #850. (#850 is for a double room) Care Homes for Older People Page 3 of 10 What we found:
We visited the home on 23 June 2009 to check compliance with a notice served around medication concerns. You were required by 17 June 2009 to; Have a system in place that records the date and quantity of all medication received into the Home, which ensures that the same are signed and dated by the person responsible for checking in the new medication. Ensure your records clearly identify, risk assess and manage those service users who are self medicating, including maintaining records of when, who and what medication was passed to the service user to self administer. Have a system in place that accurately records all medication that is administered, the dosage, the times [if variable] refusal or unable to take medication and the signature of the person administering the medication. Ensure there are written instructions provided to care staff that inform them of the protocol for administering all as required medication and medication that is for symptom relief such as pain relief medication. Have a system in place that ensures the medication is administered as prescribed and that there is a safe practice for the changing of prescribed dosages and instructions for medication. This must include the date, two signatures and evidence of who gave the instruction (for example the G.P.) We found that the notice has been met. There is a new medicine supplier who has supplied two trolleys for use in the home. Medicine received is recorded on the medicine administration record chart. This is signed and initialed. People who are self medicating have a care plan which includes a risk assessment and a procedure. The consent form will be signed when a relative is present. Relatives have been invited to a meeting for this purpose. A few gaps were noted on the MAR chart however steps have been taken in the right direction to have true and accurate records around medicine use. There was training for staff on medication in early June. There were written instructions in the care plan on the use of medicines to be used only when needed so that there is guidance for staff. Where the dosage directions were changed, evidence was seen either in the care notes or on a new label giving information of who authorized this change. What the care home does well: What they could do better:
The service must ensure that true and accurate records are kept of medicines administered. The service must embed the improvements implemented into the daily
Care Homes for Older People Page 4 of 10 practice of the methods used in the home. 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 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 8 13 (1)(b) Individuals who have been 15/07/2008 identified with potential risks to their pressure areas or with actual skin breakdown must have a risk assessment in place, be reviewed by the GP and the care plan updated to include how the risks are to be reduced and specify how wound care needs are to be met. Where it has been identified 15/07/2008 that people who use the service are at risk from falls, a risk assessment must be put in place to lessen those risks. 13 (6) The registered manager must ensure staff receive training in safeguarding adults. Staff must receive training in safeguarding adults in order to protect the individuals living at the home. 07/07/2009 2 8 13 (4) (b)(c) 3 18 13 4 18 17 17 1(a) Schedule 3 The registered persons must keep a record of all issues that are reported under safe guarding adults and any action that is taken. 01/05/2009 Care Homes for Older People Page 6 of 10 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 Records must be kept to show what action the home is taking to protect the individuals that live at the home. 5 18 13 13(6) The registered provider and registered manager must support staff with the whistle blowing procedure of the home. For staff to feel safe in reporting their concerns of issues that affect the well being and safety of individuals who live at the home. 6 29 19 Sch 2 (5)(6)(7) 15/07/2008 A thorough recruitment of staff must include references, CRB and POVA First checks to protect people who use the service. 13 (4)(5) (6) 18 (c) The 06/07/2009 registered persons must ensure that staff receive training that meets individual needs such as pressure area care, stroke, diabetes and dementia. To ensure that the needs of individuals who use the service are met, safely. 8 30 13 13 (4)(5) (6) 18 (c) The registered persons must ensure that staff receive mandatory training in order to support people who use 06/07/2009 01/05/2009 7 30 13 Care Homes for Older People Page 7 of 10 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 the service. This includes first aid, manual handling, food hygiene and COSHH. To ensure that the needs of individuals who use the service are met, safely. 9 38 37 01/05/2009 37 (1)(2) The registered persons must notify the Care Quality Comission regarding anything that affects the well being of individuals at the home under Regulation 37, within expected timescales. The CQC must be informed of all occurrences that affect the well being of individuals that use the service. Care Homes for Older People Page 8 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 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 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!
