Random inspection report
Care homes for older people
Name: Address: Queen`s Court 1 Dedworth Road Windsor Berkshire SL4 5AZ one star adequate service 19/03/2009 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: Helen Dickens Date: 2 3 0 6 2 0 0 9 Information about the care home
Name of care home: Address: Queen`s Court 1 Dedworth Road Windsor Berkshire SL4 5AZ 01753838450 01753838451 Roseanne.Ince@ccht.org.uk 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) : Central & Cecil Housing Trust care home 62 Number of places (if applicable): Under 65 Over 65 62 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users to be accommodated is 62. The registered person may provide the following category/ies of service only: Care home with nursing - (N) 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). Date of last inspection Brief description of the care home Queens Court opened in December 2007 (and was officially opened by the Queen in February 2008), and is managed by Central and Cecil Housing Trust. It is purpose built and registered to take up to 62 older residents. The home is on three floors which are all self contained with their own dining and lounge areas, and bathing facilities. All rooms are single with en-suite facilities. The top floor is for elderly frail residents who 1 9 0 3 2 0 0 9 Care Homes for Older People Page 2 of 8 Brief description of the care home do not currently need nursing care. There is parking on site and the home is within walking distance of local facilities in the Dedworth area of Windsor. Care Homes for Older People Page 3 of 8 What we found:
This unannounced Random Inspection visit was made to Queens Court to check compliance with Requirements made at the previous inspection, and this visit lasted for three hours. The inspection was carried out by Mrs. Helen Dickens, Regulatory Inspector, and Mrs. Rosemarie James, Local Area Manager for Windsor and Maidenhead. The Registered Manager, Ms. Roseanne Ince, represented the establishment. We looked at evidence relating to care plans, staff training, and quality assurance processes, as these had been noted as shortfalls at the previous inspection in March 2009. A Statutory Requirement Notice was subsequently issued to the providers of the service in relation to their care planning arrangements. During this visit in June 2009 two care plans were sampled. One was for a new resident, and the other for someone who had been living at the home during the last inspection, but whose care plan had demonstrated a number of shortfalls. Care planning arrangements have been reviewed since the last inspection. Staff have all had refresher training on using the software systems that are used for care planning. Staff have also had new guidance on the information and level of detail needed in care plans. A system for ensuring all residents have a care plan reflecting their needs and preferences has been started, and the two care plans sampled had an improved level of detail on care needs and how these needs would be met. The home has also put in place a system to ensure that care planning records are reviewed regularly and are properly dated and signed. The new training matrix was examined and showed clearly which staff had completed which training courses. Four training records were followed up. The first, for a new member of staff who had been at the home for a matter of weeks, showed that they had already done six of the nine mandatory training courses. The second file, for a trained nurse, showed they had completed all their mandatory training courses, plus some additional training. The third and fourth records were for agency workers. Whilst their records showed the full list of mandatory training courses, they did not have dates when the training courses had been completed. It also appeared that their membership of the professional register of nurses had expired and the manager was asked to follow this up as a matter of urgency, and confirm to the Commission when this had been done. What the care home does well:
There has been a great deal of work done to improve care plans since the last inspection. Those sampled contained much more detail on residents needs and preferences and there was evidence that a system was in place to ensure regular review, and that all records are signed and dated. The training matrix, reflecting at a glance which training courses staff have completed, is now finished and the manager should be congratulated both for the work involved in
Care Homes for Older People Page 4 of 8 collating the information, and the clear and precise format. The home has improved the quality assurance processes including regular planned audits, and follow up actions where shortfalls are identified. 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 Older People Page 5 of 8 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 7 12(2) Care plans must be reviewed 12/07/2008 to ensure they contain all the necessary detail about care needs, including how residents would like their support to be delivered. Care Homes for Older People Page 6 of 8 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 15 All service users must have a 30/09/2009 care plan in place which fully reflects their needs, and provides clear guidance to staff about how to support them. To ensure service users needs can be fully met. 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 29 More robust arrangements should be in place for checking the recruitment and training records of any agency staff used at this home. Care Homes for Older People Page 7 of 8 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 8 of 8 - 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!
