This inspection was carried out on 30th March 2010.
CQC found this care home to be providing an Poor 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: Royd Hill Nursing Home Royd Hill Nursing Home Sutton Lane Sutton in Craven Keighley West Yorkshire BD20 7AJ zero star poor service 08/12/2009 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: Bridgit Stockton Date: 3 0 0 3 2 0 1 0 Information about the care home
Name of care home: Address: Royd Hill Nursing Home Royd Hill Nursing Home Sutton Lane Sutton in Craven Keighley West Yorkshire BD20 7AJ 01535633499 01535636668 roydhill1@googlemail.com www.roydhill.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Royd Hill Nursing Homes Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 46 Number of places (if applicable): Under 65 Over 65 0 0 46 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 46 10 0 The maximum number of service users who can be accommodated is: 46 The registered person may provide the following category of service only: Care home with nursing - Code 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 - Code OP; Dementia - Code DE; Mental Disorder, excluding learning disability or dementia - Code MD (maximum places 10)
Care Homes for Older People Page 2 of 11 Date of last inspection Brief description of the care home 2 6 0 1 2 0 1 0 Royd Hill is a care home providing nursing care for up to 46 service users who have general nursing care needs, dementia and mental illness and those who are terminally ill. The original building, which is in stone, circa 1900 was a Mill owners dwelling and an extension was built on about fifteen years ago. The accommodation is on three floors, including the basement and there is a vertical lift to facilitate level transfer to all of them and a stair lift from the ground to first floor is also provided. The home is located in Sutton-in-Craven and is situated in well-laid out private grounds with ample parking facilities for visitors and staff. The fees charged on the 26th February 2009 was from three hundred and ninety two pounds seventy four pence to five hundred and eighteen pounds twenty pence. Care Homes for Older People Page 3 of 11 What we found:
This random inspection took place on the 30th March 2010. We did this visit to check on what progress had been made at the home and to assure ourselves that people were being looked after safely. We did this inspection using our powers to seize documents that we may use as evidence if we need to take any further action such as prosecution if the home does not do what we ask of them. We also gathered other information by talking with the people who live at Royd Hill, their relatives and the staff who were on duty at the time of the inspections. In addition we also looked at some other documents and observed how staff support and care for people. The home remains in administration and is being managed by a company called Goldcare Future Management. On the day of inspection a new manager was undergoing an induction to the home and was due to start work on the 1st April 2010. What the care home does well: What they could do better:
People are being placed at risk of harm because as yet the fire alarm has not been properly checked to make sure it is safe and in good working order. During the inspection the fire alarm was activated. It could not be heard in some areas of the home, therefore some residents visitors and staff were unaware that the fire alarm was sounding. This means that in the event of a fire some people would not hear the alarm and would be unaware of a dangerous situation. In addition the manager was unable to confirm to us if the homes electrical hard wiring was safe. During our inspection an electrician was at the home. The home manager said that he had reported that in his opinion no one was in any imminent danger but work needed to be carried out on the electrical system at the home in order that he could confirm it was safe. We were told that a further opinion from another electrician was being sought. We have asked for both of these things to be checked out at our inspection of the service in December 2009 and in January 2010. We were not assured that peoples safety was not being compromised. We left an immediate requirement asking what action they were going to take, to demonstrate that the home was a safe place for people to live in. Care Homes for Older People Page 4 of 11 Although care plans are improving they do need further development and the manager needs to assure herself that the care plans that are in place are appropriate to the care people are receiving. Worryingly a plan that was inspected during this inspection had been compiled by a trained nurse, it lacked detail and did not reflect the care the person was receiving. A care assistant was asked to re write the plan as it was considered by the management that they wrote better plans. Currently the home only employs two permanent members of nursing staff. The manager told us that they are currently recruiting for two more trained nurses. The continuity of peoples care is paramount as is the leadership on a shift by competent and skilled nurses. There are no doors or privacy curtains on the communal toilets that lead off from the corridors. During the inspection a person was seen using the toilet facilities and was unable to have any privacy. There were other residents, staff and visitors in the home at this time walking up and down the corridor. This is unacceptable. Doors or privacy screens must be provided so peoples dignity and privacy is protected. There are still outstanding requirements from the previous inspections of December 2009 and January 2010 partial due to the home being in administration. However investment is required in the building to ensure the safety of the people who live there. We will be taking further action and issue statutory notices if we feel peoples safety is being compromised. 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 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 7 14 Care plans must be written in sufficient detail to ensure that the care that is been given is appropriate and can be evaluated for its effectiveness. To ensure people are not put at unnecessary risk of harm. This is now being dealt with under enforcement procedures, using regulation 15 An extended timescale of 28th March 2010 has now been given to meet this requirement Medication, including external preparations, must be safely administered as instructed and sufficient stocks maintained To enable continuity of treatment. Time scale not met An extended timescale of 28th March 2010 has now been given to meet this requirement 2 9 13 3 9 13 Medication, including external preparations, must be safely administered as instructed and sufficient 25/01/2010 Care Homes for Older People Page 6 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 stocks maintained To enable continuity of treatment. Time scale not met An extended timescale of 28th March 2010 has now been given to meet this requirement 4 19 13 The registered provider must make sure that all parts of the home are safe and kept warm and that hot water is available in peoples bedrooms. This makes sure that peoples health is not put at risk. This is now being dealt with under enforcement procedures. An extended timescale of 28th March 2010 has now been given to meet this requirement The registered person must review the staffing rota to make sure that there are enough staff with the neccesary skills to look after people properly. This makes sure that peoples care needs are met at all times. This is now being dealt with under enforcement procedures using regulation 12. An extended timescale of
Care Homes for Older People Page 7 of 11 5 27 18 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 28th March 2010 has now been given to meet this requirement 6 27 18 Staffing numbers and skill mix of staff must be appropriate to the assessed needs of the service users, the size, layout and purpose of the home, at all times. In order that peoples assessed needs can be met safely. This is now being dealt with under enforcement procedures using regulation 12. An extended timescale of 28th March 2010 has now been given to meet this requirement All staff should be appropriately trained to help them to maintain the health, safety and well being of people living in the home and themselves. This must include training about the specialist needs of people such as dementia care. To ensure that staff are qualified and competent for the job they are doing. Time scale not met An extended timescale of 28th March 2010 has now been given to meet this requirement 8 38 13 A valid certificate needs to be available for inspection at
Page 8 of 11 7 30 18 Care Homes for Older People 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 home to confirm that the electrical hard wiring at the home is safe. This will make sure that people live in a safe home. IMMEDIATE REQIREMENT NOTICE ISSUED AT THIS INSPECTION 9 38 13 Valid certificates need to be available for inspection at the home to confirm that the fire alarm is in good working order, and fit for purpose . This will make sure that people are living at the home are kept safe. Valid safety certificates must be produced to demonstrate that equipment used in the home is safe. This is so people who live and work at the home are kept safe. Time scale not met An extended timescale of 28th March 2010 has now been given to meet this requirement 10 38 13 Care Homes for Older People 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 1 19 13 In the absence of a valid 01/04/2010 certificate you are required to supply the Commission writing on how you are going to make sure that the electrical wiring in the home is safe to use. This will assure us that you are taking seriously peoples safety. 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 10 12 When people access 30/04/2010 communal toilets their privacy and dignity must be maintained. Toilets should be fitted with doors or privacy screens. In order that peoples privacy and dignity is maintained and protected. 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 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People 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!
