This inspection was carried out on 27th May 2009.
CQC found this care home to be providing an Excellent 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for adults (18-65 years)
Name: Address: Percy Hedley Foundation Chipchase House & Ferndene Station Road Forest Hall Newcastle Upon Tyne NE12 9NQ 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: Elaine Charlton Date: 2 7 0 5 2 0 0 9 Information about the care home
Name of care home: Address: Percy Hedley Foundation Chipchase House & Ferndene Station Road Forest Hall Newcastle Upon Tyne NE12 9NQ 01912381300 01912701290 sarahmccormick@percyhedley.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Percy Hedley Foundation Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 50 Number of places (if applicable): Under 65 Over 65 0 physical disability Conditions of registration: 50 The maximum number of service users who can be accommodated is: 50 The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Physical disability Code PD, maximum number of places: 50 Date of last inspection Brief description of the care home The Percy Hedley Foundation is a registered charity caring for people with cerebral palsy and related physical disabilities. The Foundation also runs a school where there are boarding facilities for children. Both share the same management and
Care Homes for Adults (18-65 years) Page 2 of 11 Brief description of the care home administrative team. Accommodation at the home is made up of 34 single bedrooms and a three bed roomed self-contained flat, housing two people, in the main building. Four single selfcontained bed-sits and 10 self-contained bungalows are located separately in the grounds of the home. The bungalows are found within a covered street known as Ferndene. There is a dining room on the ground floor of the main building attached to the main kitchen. Meals are prepared here for people who do not wish to make their own. At the entrance to the home there is a day centre that many people who live at Chipchase and Ferndene use. It has a separate lounge/dining area, and includes a bar that people from both residential and day care services use. Chipchase House is in a quiet residential area of Forest Hall close to a metro station and bus routes. Nursing care is not provided but staff are trained to carry out some delegated nursing tasks. Fees start at £691.69 per week, and increase dependant on individual need. The home has a Residents Handbook that gives information about the support and care anyone living at Chipchase or Ferndene can expect. Copies of inspection reports are available in the home. Care Homes for Adults (18-65 years) Page 3 of 11 What we found:
We carried out this unannounced random inspection to follow up on concerns identified during the key inspection on the 7 April 2009. During the inspection we spoke to the acting manager, the responsible person and ten residents. We found that whilst residents reviews are being carried out these are not quickly written up and it is difficult to see whether new information has been passed on to staff as care plans have not been updated. We saw notes in residents files and people told us that they are not always sure who they should speak to and who would listen to them. Residents feel there are not enough staff on duty, particularly at the weekend, to meet everyones needs and give people the chance to go out. Evaluations of care plans are still not being carried out and recorded on a regular basis so it is difficult to know if a residents care and support needs have been looked at and any identified changes made. It had been noted in one residents April evaluation that they were concerned they would not get the pureed fruit they needed if their care plan co-ordinator was not on duty. For the same resident there was a record that said they had not been given their night time medication on the 30 April 2009, because they were suffering with sickness. The records did not say how this decision had been made or whether the advice of a health care professional had been sought. We also saw an incident record that detailed a member of staff finding medication on the small dining room floor. The record said that the medication had been destroyed because staff did not know who it belonged to. There was no evidence that any efforts had been made to check who may not have had their medication. Over the lunch period when medication was being given out in the dining room, although staff used hand gel between dispensing medicines to residents, we saw tablets being poured from a medicine pot, into a staff members hand and then put directly into a residents mouth with the persons other hand. We saw medication also being dispensed directly from a nomad box, but again this was done using the staff members hands and put into the residents hands. No pot was used. There were other incident reports affecting different residents that had not been brought to the attention of the manager. These detailed the theft of a residents wallet that was later found in another residents back pack; several residents being left on the toilet for long periods of time because staff forgot them; discoloured urine and poor skin integrity around a stoma site that did not appear to have been followed up with any health care professional input. For another resident their daily occurence sheet detailed sore and mattery eyes but
Care Homes for Adults (18-65 years) Page 4 of 11 again there was no information about whether medical advice had been sought. Events and incidents affecting the well being of people living in the home are not being reported to the Care Quality Commission under Regulation 37 as they are required to be. Extra staff training has been organised covering the areas of bereavement, IT, team leading, supervision, numeracy and literacy. As well as residents raising concerns, we saw the notes of a meeting the acting manager held with a member of the staff team bringing issues to her attention about staff behaviour towards residents, lack of supervision and confidence in the staff team. The minutes of a recent staff meeting detailed discussion on training, staff behaviour and the use of computer systems like Facebook. Just after lunch the call bell in a downstairs female toilet was heard ringing for nearly five minutes before a member of staff responded. The acting manager and responsible person shared with the inspector the action plan they were preparing in response to the key inspection report. Some of the issues identified in this report were being addressed through this. What the care home does well: What they could do better:
Make sure that residents reviews are carried out and recorded properly and that any necessary changes are made to care plans so that staff know what they should be doing to help a person. Make sure that evaluations of care plans are carried out and recorded at the required intervals so that everyone is sure residents are getting the correct care and support, in a way that meets their needs and wishes. Ensure that staff properly follow the Foundations policies, procedures and best practice when dispensing medication. Make sure that residents get the support of health care professionals as and when they need and that records are kept up to date to record this involvement and any outcome or change to care regimes. Care Homes for Adults (18-65 years) Page 5 of 11 Report incidents,accidents and events to the Care Quality Commission as required under Regulation 37 of the Care Homes Regulations 2001. Promote a better staff understanding of privacy, dignity and respect of residents living in the home, responding to their need for assistance promptly and not to get distracted mid-task. 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 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 6 15 Service user plans must be 07/10/2009 brought up to date reflecting the persons needs and wishes. This will make sure that staff know how residents wish to be cared for and what they need assistance with. 2 30 23 The laundry floor should be treated or replaced. This will provide an impervious surface that is easy to clean and promotes good infection control. 07/09/2009 3 33 18 Staffing levels must be reviewed to make sure that there are sufficient staff on duty at all times. This will mean that people in the home are kept safe and well and there are enough staff to provide the care and support they need. 07/07/2009 4 35 18 Training needs of staff must be reviewed to make sure that they have received all their mandatory training. This will help to support staff to do their job and keep 07/09/2009 Care Homes for Adults (18-65 years) Page 7 of 11 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 people who live in the home safe and well. 5 36 18 Staff must receive regular recorded supervision. This will give them the support they need to do their job and a chance to raise any issues they may have. 6 41 17 Care plans and records 07/08/2009 relating to the health, safety and wellbeing of residents must be fully complete, dated and signed. This will help to show that people who live in the home are being given the care and support they need and kept safe and well. 7 42 17 Accident records must be 07/06/2009 regularly completed and include evidence of follow up actions. This will enable proper monitoring of accidents in the home helping to keep the people who live there safe and well. 8 42 23 Fire safety checks must be carried out and recorded regularly. This will mean that the safety of staff and residents is promoted. 07/06/2009 07/12/2009 Care Homes for Adults (18-65 years) Page 8 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, 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 3 12 Staff must receive extra training and support to provide residents with the care and support they need. This will help them to understand their role and to provide the care and support to residents with respect and sensitivity. 27/06/2009 2 5 15 Residents care plan evaluations and reviews must be carried out and recorded regularly. This will mean that staff have access to the most up to date information about the care and support people need. 27/06/2009 3 19 12 Residents must see health care professionals as and when they need. This will help to keep people who live in the home safe and well. 27/06/2009 4 20 12 Staff must follow the 27/06/2009
Page 9 of 11 Care Homes for Adults (18-65 years) 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 organisations policy and best practice guidance when dispensing medication. This will mean that people who live in the home get their medication when they should helping to keep them well. 5 42 37 Events and incidents that affect the health and well being of people who live in the home must be reported to CQC. This will help to keep people who live in the home safe and well. 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 27/06/2009 Care Homes for Adults (18-65 years) Page 10 of 11 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 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: 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 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!
