This inspection was carried out on 4th November 2008.
CSCI found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report,
but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.
Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Rushall Care Centre 204 Lichfield Road Rushall Walsall West Midlands WS4 1SA The quality rating for this care home is: The rating was made on: two star good 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: Amanda Hennessy Date: 0 4 1 1 2 0 0 8 Information about the care home
Name of care home: Address: Rushall Care Centre 204 Lichfield Road Rushall Walsall West Midlands WS4 1SA 01922635328 01922642393 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Exceler Healthcare Services Limited care home 39 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 39 Conditions of registration: 39 Frail elderly over the age of 60 of which 5 may be terminally ill, where the terminal illness commenced prior to admission Date of last inspection Brief description of the care home Rushall Care Centre is a care home providing nursing and personal care for up to thirty-nine older people. The home is a purpose built, three storey building. The home has two double bedrooms the remainder of bedrooms are single occupancy. There are two communal lounges and a separate dining room. There is a passenger lift giving access to all three floors. Laundry and catering services are provided within the home. A small secure garden is at the rear of the home.The home is located in Rushall, close to all local amenities. There is a main bus route to Walsall town centre; limited car Care Homes for Older People
Page 2 of 9 parking is available at the home. As no information is provided in this report in relation to fees the reader is advised to contact the service for this information. Care Homes for Older People Page 3 of 9 What we found:
We visited the home to follow up concerns highlighted by our previous visit on the 5th September 2008. The previous full inspection of this service was undertaken on 5th September 2007. The home has been without a permanent manager for some time. The is now being managed on a temporary basis by Mrs Karen Wright, who has considerable experience in care home management. Karen will continue to manage the home until a suitable permanent manager can be appointed and will continue to mentor this person and support them for as long as required. Karen has identified a comprehensive action plan to address shortfalls that have been identified. We were able to identify some shortfalls in some areas such as care planning, food choices, medication and the availability of equipment such as special chairs and suitable weighing scales. We found that the majority of issues highlighted are being addressed and Mrs Wright immediately ensured that other things such as the provision of suitable scales and people receiving medication that was no longer required was addressed. The Acting Manager has already revised some care plans. Those care plans that have already been revised reflected peoples individual needs, choices and capabilities- this is called person centred care. A programme to update and review all other care plans has been identified and will be completed within six weeks. One person whose records we looked at was diabetic. Their care records gave good information how their diabetes should be managed. There was a note that their blood sugar should be monitored weekly which it had been. Care records detailed what actions were needed if they have high or low blood sugars, but despite these instructions staff had not followed these instructions when the persons blood sugar was high. We found that people are not always weighed regularly. We did discuss this with the the Acting Manager who immediately ordered an attachment to the hoist which will enable people with mobility and sitting difficulties (who are usually the most vulnerable people) to be weighed whilst they are being hoisted. Mrs Wright told us that new equipment has already been ordered this includes special chairs for people who are unable to sit in the existing chairs, new hoists, additional crash mats, additional profiling beds as well as a programme to replace the existing floor covering with new carpets for the majority of the home. The corridors have already been redecorated and new flooring was due to be being laid in the main hall the day after our visit. We found two people who were having medicines that they no longer needed. The Acting Manager arranged to discuss these people with their Doctor who was visiting and these medicines were stopped. We feel that as a precaution all peoples medicines should be reviewed to check that they are only having medicines that they have a clinical need for. Care Homes for Older People Page 4 of 9 People had told Social Workers that they do not have a choice of meals. Kitchen staff told us that a choice is always available and they would always cook something else if people wanted something different such as jacket potatoes and omelettes. The menu shows that there is always two choices available. We looked at the summary of meals cooked and found that frequently only one meal choice had been cooked. One example of this was that once a month the meal choice was either gammon or corned beef hash, the soft meal was identified as gammon yet in the three months of records seen (August, September and October 2008) only gammon had been cooked. 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 Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Older People Page 6 of 9 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 8 12 Staff must ensure that appropriate actions are undertaken if there are concerns about peoples blood sugar levels. This will give assurance that peoples health and well being is being promoted and safeguarded. 03/12/2008 2 31 8 There must be a registered 28/02/2009 manager as identified by the Care Standards Act 2000 Section 11 (1). The home will have a competent manager who has been asessed as being an appropriate and fit person to manage the home. 3 38 13 The type of hoist and the size of sling needed should be recorded within the moving and handling risk assessment. This will ensure that required information is available to ensure that people will be moved both safely and appropriately. 03/12/2008 Care Homes for Older People Page 7 of 9 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 8 9 People should be weighed regularly as identified by their clinical need. People should have all the medicines reviewed to ensure that they are having only those medicines that they have a clinical need for. People should be able to exercise a choice of meals available to them. 3 15 Care Homes for Older People Page 8 of 9 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 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: 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 © (2008) 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 Older People Page 9 of 9 - 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!
