Inspection on 31/07/09 for St Michael's

This inspection was carried out on 31st July 2009.

CQC found this care home to be providing an Poor service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

St Michael's 13/10/09

St Michael's 19/06/09

St Michael's 20/04/09

St Michael's 31/10/07

St Michael's 15/12/06

St Michael's 14/02/06

St Michael's 14/06/05

Extracts from inspection reports are licensed from CQC, this page was updated on 25/11/2009.

Random inspection report Care homes for adults (18-65 years) Name: Address: Priory Gate 129-131 Wingfield Road Stoke Plymouth Devon PL3 4ER zero star poor service 24/04/2009 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: Antonia Reynolds Date: 3 1 0 7 2 0 0 9 Information about the care home Name of care home: Address: Priory Gate 129-131 Wingfield Road Stoke Plymouth Devon PL3 4ER 01752564944 01752563400 Telephone number: Fax number: Email address: Provider web address: www.healthcare-trust.com Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Stoke HealthCare Ltd care home 37 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: 37 The maximum number of service users who can be accommodated is 37. The registered person may provide the following category of service only: Care home providing personal care only- Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Mental disorder, excluding learning disability or dementia- Code MD Date of last inspection Brief description of the care home Priory Gate is a care home providing personal care and accommodation for a maximum of thirty-seven people, over the age of 18, with mental health needs. At the time of the last key inspection there were only ten people living in one half of the home that accommodates sixteen people in total. Therefore this description only applies to half of the home as the other half was unoccupied at the time of inspection. The home is Care Homes for Adults (18-65 years) Page 2 of 12 1 9 0 6 2 0 0 9 Brief description of the care home privately owned by Stoke Healthcare Ltd and the directors also own other care homes in the south west of England. In April 2009 the fee levels started from approximately 750 pounds per week but vary depending on the individual needs of each person. The home consists of a large detached three-storey building situated in its own grounds and close to Stoke village in Plymouth. It is within walking distance of local shops and close to bus services into central Plymouth and the railway station. The home has a people carrier for the use of the people who live in the home. All sixteen bedrooms in the occupied half of the home are single and located on each floor. Five of these have en suite showers and toilets. Bathing/showering and toilet facilities are available on each floor, close to the bedrooms and communal rooms. There are large lounge and dining rooms on the ground floor. Attached to the dining room is a conservatory and a designated smoking room. This half of the home is wheelchair accessible on the ground floor only although people may use the shaft lift in the other half of the home if required. Parking space is available inside the grounds and on the street outside the house. Information about the home and copies of inspection reports can be obtained from the manager. Care Homes for Adults (18-65 years) Page 3 of 12 What we found: This inspection was unannounced and consisted of a visit to the home by one inspector at 8.15am on Friday, 31st July 2009. Throughout this report the term we will be used as the report is written on behalf of the Care Quality Commission. The reason for the visit was because we had been informed that no-one was living in the home and we confirmed this was the situation. Following the visit we spoke on the telephone to the homes administrator and to one of the directors of the company that owns the home. They both confirmed that no-one was living in the home at the time of inspection. 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 Adults (18-65 years) Page 4 of 12 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 2 14 No person must be admitted 19/06/2009 to the home without a detailed assessment of their needs being carried out. The Registered Person must confirm in writing to the person that having regard to the assessment the care home is suitable for the purpose of meeting their needs in respect of health and welfare. This is to ensure that people are only admitted to the home if the faciliites, services and skills of the staff team can meet their needs. The assessment should also determine compatibility with the other people living in the home. 2 6 15 Each person in the home 19/06/2009 must have a detailed, legible, care and support plan clearly showing how all their needs in respect of health and welfare are to be met. This is so that peoples needs are identified and met in a consistent way by the staff team. 3 9 13 Where a person is assessed 19/06/2009 Page 5 of 12 Care Homes for Adults (18-65 years) 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 as presenting risks to themselves or others, these risks must be thoroughly assessed and risk management strategies put into place and documented. This is so that staff know what to do to keep people safe from self-harm, selfneglect, and prevent abuse or harm to others. 4 10 17 The records relating to the care of people living in the home must be kept securely at all times. This is so that people know that information about them is handled properly and that confidentiality is respected. 5 19 12 Arrangments must be put 19/06/2009 into place, through training staff or other means, to ensure that staff have an accurate and up-to-date knowledge of peoples mental health needs and how to manage any risks associated with those needs. This is so that people living in the home receive the support they need from skilled and competent staff. 6 20 13 Arrangements must be put in 19/06/2009 place for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. Page 6 of 12 19/06/2009 Care Homes for Adults (18-65 years) 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 This is so that people are administered the correct amount of medication at the correct times. 7 22 22 All complaints and concerns 19/06/2009 raised by people who live in the home must be listened to and acted upon. If people are not able to make verbal complaints then staff should be knowledgeable about the way different people may communicate a complaint and act on it. This is so that people living in the home feel confident that all complaints and concerns will be taken seriously and addressed. 8 23 13 Arrangements must be 19/06/2009 made, by training staff or by other measures, to prevent people who live in the home being harmed or suffering abuse or being place at risk of harm or abuse. This is so that people feel safe living in the home and can rely on staff to protect them from others. 9 34 19 Two written references must 01/12/2008 be obtained for all staff members including, where applicable, a reference relating to the persons last period of employment, which involved work with children or vulnerable adults, of not Page 7 of 12 Care Homes for Adults (18-65 years) 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 less than three months duration. 10 34 19 No person must be employed 19/06/2009 in the care home before all the required checks and references have been received and are satisfactory. These include two written references including one where the person has worked in a care capacity with adults or children where appropriate, a check against the Protection of Vulnerable Adults list, a Criminal Records Bureau check, a police check from the country of origin if the person is not a British national and a full employment history. If a person is employed in the home prior to receiving a satisfactory check from the Criminal Records Bureau, this person must be supervised by a designated staff member at times, and must not escort people who live in the home away from the premises. Where people have been convicted of a criminal offence, they must be interviewed in relation to that offence and an assessment carried out to decide their suitability to work with vulnerable people. This is to ensure that suitable people are employed Care Homes for Adults (18-65 years) Page 8 of 12 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 and protect the people who live in the home from risk of harm. 11 35 18 All staff must receive training 19/06/2009 appropriate to the work they are to perform including structured induction training. This is to ensure that at all times suitably qualified, competent and experienced staff are working in the home to maintain and protect the health and welfare of the people who live there. 12 41 17 Documentation relating to 19/06/2009 people who live in the home must be kept secure and be available for inspection at all times. This is to make sure that personal information about people is kept safely and available for inspection at any time. 13 42 37 The Care Quality Commission 19/06/2009 must be informed, in writing, without delay, of any serious injury to a person living in the home and any event in the care home which adversely affects the wellbeing or safety of any of the people living there. This is to ensure that appropriate action is taken when these incidents occur and that proper records are being kept. Care Homes for Adults (18-65 years) Page 9 of 12 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 14 42 13 Documentary evidence must 19/06/2009 be kept in the home to show that fire safety equipment is serviced, checked and tested on a regular basis. This is to make sure the fire safety equipment is in good working order and is located in the correct positions. 15 42 13 Documentation must be sent 19/06/2009 to the Care Quality Commission to verify that gas and electrical systems are regularly serviced and inspected. This is to ensure that the home is protecting the health and safety of the people who live there. 16 43 39 Where the registered 19/06/2009 provider is an organisation, the Care Quality Commission must be informed, in writing, of any changes to the organisations address. This is to make sure that we are able to contact the organisation at the correct address. Care Homes for Adults (18-65 years) Page 10 of 12 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 Adults (18-65 years) Page 11 of 12 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 12 of 12 - 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. 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