Inspecting for better lives Random inspection report
Care homes for adults (18-65 years)
Name: Address: Onkar Care Home 15 Portman Street Leicester Leicestershire LE4 6NZ The quality rating for this care home is: The rating was made on: zero star poor 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: Ruth Wood Date: 0 3 1 2 2 0 0 8 Information about the care home
Name of care home: Address: Onkar Care Home 15 Portman Street Leicester Leicestershire LE4 6NZ 01162516443 01162246952 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Harjap Singh Riyat care home 10 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability mental disorder, excluding learning disability or dementia physical disability 10 10 3 Over 65 0 0 0 Conditions of registration: Service user numbers: No one falling within category LD may be admitted into Onkar Care Home where there are 10 persons of category LD already accommodated within this home. Service user numbers: No one falling within category PD may be admitted into Onkar Care Home where there are 3 persons of category PD already accommodated within this home. Service user category: No person falling within category PD may be admitted to Onkar care home unless that person also falls within category LD - ie dual disability. To specify suitable facilities: The service users admitted to Onkar Care Home who fall within category PD may only be accommodated on the ground floor. Service user numbers: No one falling within category MD may be admitted into Onkar Care Home where there are 10 persons of category MD already accommodated within Care Homes for Adults (18-65 years)
Page 2 of 11 this home. Service user category: No person falling within category MD may be admitted to Onkar care home unless that person also falls within category LD - ie dual disability. No person to be admitted to Onkar Care Home in categories LD, PD or MD when 10 persons in total of these categories/combined categories are already accommodated in this home. Date of last inspection Brief description of the care home Onkar Care Home is registered to provide care for 10 adults with learning disabilities, all of whom may have additional mental health problems and three of whom may have a physical disability. The home is located in a residential area with easy access to public transport and the city of Leicester. The property consists of two floors and has ten single bedrooms all with en-suite facilities. There are a variety of aids and adaptations throughout the home based on residents assessed care needs. At the time of the inspection, fees ranged from approximately #329 to #751 per week. Care Homes for Adults (18-65 years) Page 3 of 11 What we found:
This inspection took place on Wednesday 3rd December 2008 between 9:40am and 12 noon. The purpose of the inspection was to monitor the response to certain requirements made at the Key Inspection of the service on 2nd October 2008. All peoples support plans are being updated and the acting manager is seeking to use the principles of person centred planning when doing this. The plans seen were written from the persons perspective and contained information about how they wish to live their life and be supported. Work is ongoing to update all plans and to implement a system for their regular review. The manager and staff also intend to attend training in person centred planning. Work is still required to improve the way risk is managed and documented in the home. Currently more than one area of risk is identified on an assessment and this is confusing. The steps that staff should take to manage the risk are also not clearly identified. We discussed ways risk assessment documentation could be improved and simplified with the manager and her deputy, to ensure that staff are clear of the actions they should take and that peoples needs are met consistently. A specific requirement was made at the key inspection that an assessment and support plan be put in place for a person with pressure area care needs. Some documentation is in place and records are being kept as to how and when the person is moved and when they receive personal care. A specific assessment on their pressure area care needs has not been completed and not all steps actually being taken to maintain skin integrity are outlined. Again this must be clearly documented to ensure that all staff meet the persons needs consistently. It was recommended that the acting manager seek advice from the District Nursing Team before putting the assessment and plan into place. Training in this area should also be made available to the staff team. All staff records were checked to see that all required recruitment information was in place. Criminal Records Bureau checks and checks against the Protection of Vulnerable Adults Register had been made for all staff before they started work in the home. A start date was recorded for all staff and two references were in place for all staff, except one. The acting manager said she would follow this up. New staff have been employed since the key inspection and four staff are undertaking formal induction training. Agency staff have been used in the home until the staff complement was sufficient to enable staff to have adequate time off duty while still ensuring sufficient staff cover for the home. There are three people (the acting manager being one of these) on duty between 8am and 9pm and one person on waking night duty, with an additional staff member sleeping in. The acting manager said that a cleaner was starting work at the home next week and it was hoped that this would free additional time for support staff to work directly with people living in the home. Staff at the home have undertaken a variety of training to help them to support people more effectively, such as Moving and Handling, First Aid, Safe Administration of Care Homes for Adults (18-65 years) Page 4 of 11 Medication and Food Hygiene. Two staff have completed Safeguarding Adults training provided by the City Council and remaining staff are to complete this training in December. Plans are also in place for staff to complete training in Managing Aggressive and Challenging Behaviour, good practice in mental health and health facilitation. The acting manager has also made enquiries for information and training to improve staffs understanding of diabetes. Since the last Random Inspection of service on 08th October 2008 Leicestershire Fire Service have visited the home and are satisfied with the fire safety arrangements in place. All areas of the home seen were clean, tidy and fresh smelling. The manager was also in the process of putting specific measures in place in relation to infection control, such as the use of alcohol washes for visitors and staff. A record is now being kept of all food served in the home and guidance is in place for staff, with regards to two people who have particular dietary needs. Further guidance could be sought from the Leicestershire Nutrition Service as to the diets of these two people and an individual record made of what they have eaten. What the care home does well: What they could do better:
Issues identified at this inspection are that additional work is needed on risk assessments to ensure that staff are clear as to the action needed to reduce and manage identified risks. Care Homes for Adults (18-65 years) Page 5 of 11 Additional guidance should be sought from an appropriate professional to inform the pressure area care assessment and support plan for the identified service user. Staff should also receive training in this area of care. The manager is putting in place certain measures to manage infection control within the home; we recommend that she seeks the advice of an appropriate professional in this area. The registered provider still needs to inform us, in writing, about the current arrangements in place for the ongoing management of the home. Remaining requirements from the key inspection will be monitored at the next key inspection. 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 Adults (18-65 years) Page 6 of 11 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 1 4 The statement of purpose must accurately reflect the facilities and services provided at Onkar Care Home. To enable people considering living at the home to make an informed decision about whether the service can meet their needs. 31/12/2008 2 2 14 The registered person shall ensure that the assessment of a persons needs is kept under review and revised when it is necessary to do so. To ensure that peoples changing needs continue to be met. 30/12/2008 3 19 12 The registered person must ensure that the identified persons pressure area care needs are appropriately assessed and met. This is to ensure the persons ongoing health and welfare. 15/11/2008 4 20 13 Secure storage must be put in place for controlled drugs to meet the requirements of the Misuse of Drugs and Misuse of Drugs (Safe Custody) (Amendment) Regulations 2007. 31/01/2009 Care Homes for Adults (18-65 years) Page 7 of 11 This is to ensure safe storage of controlled medication 5 23 13 The registered person must ensure that staff receive appropriate training in safeguarding vulnerable adults. This is to ensure that people living in the home are not placed at risk of abuse. 6 24 23 The registered person must ensure that outstanding repairs to the fabric of the building are completed in a timely fashion. This is to ensure that people live in a safe and comfortable environment. 7 32 18 The Registered Person must 31/12/2008 ensure that staff responsible for the care and welfare of people living in the home, receive training relevant to the needs of the people living in the home with regards to their mental health and learning disability. This is to ensure that staff can meet the needs of the people living in the home 8 34 17 The registered person must 15/11/2008 ensure that all people employed at the home have fully completed an application form and that two written references have been obtained in support of their application. This is to ensure that only suitable people work at the home. 9 38 39 The registered person must 31/10/2008 31/12/2008 31/12/2008 Care Homes for Adults (18-65 years) Page 8 of 11 inform the Commission if any person other that the registered person manages the care home. This is to ensure that the Commission is aware of who to contact about the day to day running of the home. Care Homes for Adults (18-65 years) Page 9 of 11 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 9 13 Risk assessments must clearly outline the identified risk and the action that staff and others should take to manage the risk This is to ensure that as far as is reasonably possible unnecessary risks to the health or safety of people living in the home are identified and so far as possible eliminated. 31/01/2009 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 19 19 Staff should receive appropriate training in pressure area care. Additional guidance should be sought from an appropriate professional, to inform the pressure area care assessment and support plan for the identified service user. Additional guidance should be sought from an appropriate professional about the services infection control policy and practice. 3 30 Care Homes for Adults (18-65 years) Page 10 of 11 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 Adults (18-65 years) 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. Care Homes for Adults (18-65 years) Page 11 of 11 - 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!
