Random inspection report
Care homes for older people
Name: Address: Selly Wood House Nursing Home 161 Selly Wood Road Bournville Birmingham West Midlands B30 1TJ one star adequate service 12/10/2009 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: Sarah Bennett Date: 1 7 1 2 2 0 0 9 Information about the care home
Name of care home: Address: Selly Wood House Nursing Home 161 Selly Wood Road Bournville Birmingham West Midlands B30 1TJ 01214723721 01214140731 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Bournville Village Trust Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 44 Number of places (if applicable): Under 65 Over 65 0 44 dementia old age, not falling within any other category Conditions of registration: 44 0 44 beds of which 24 are for nursing care and 20 for residential care. The maximum number of service users who can be accommodated is: 44 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: Dementia (DE) 44 Old age, not falling within any other category (OP) 44 Date of last inspection 1 2 1 0 2 0 0 9 Care Homes for Older People Page 2 of 8 Brief description of the care home Selly Wood House provides nursing and residential care for up to 44 persons of 65 years of age or more. The home is owned by Bournville Village Trust and is situated on the Trust land within the suburb of Selly Oak, South Birmingham. The building is set in a pleasant quiet residential area and has sufficient off road parking to accommodate eight vehicles. The main communal rooms are situated on the ground floor. Bedrooms are located on all three floors with both upper floors providing small lounges for people to use. Care can be provided for persons with limited mobility and wheelchair users. There is a shaft lift for access to each floor, assisted bathing facilities located on all floors, mobile hoists and a call bell system. All bedrooms are single occupancy, seven of which include en-suite facilities. Toilets are situated directly adjacent to each bedroom. The home has a garden that may be accessed from the front of the premises or the ground floor lounge. There is a small parade of shops nearby and bus and rail services are within fairly close proximity. Information about the services and facilities was available on entering the home to enable anyone visiting to make an informed decision about moving in. Separate information was available about the fees on request and fees are reviewed annually. The scale of charges at the home ranged from £472 - £640.68 per week, which includes the nursing element that is paid by the Primary Care Trust. The fee information included in this report applied at the time of inspection and the reader may wish to obtain up to date information from the care service. Care Homes for Older People Page 3 of 8 What we found:
The focus of this inspection undertaken by the Care Quality Commission (CQC) is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. This random inspection was undertaken by one inspector over three hours. There were 41 people living at the home and they did not know that we would be visiting. The reason for this visit was to review the homes progress in meeting the requirements made at the key inspection on 12th October 2009. This was in relation to providing additional staff where needed, supporting people and assessing them appropriately to minimise the risks to their health and safety. It also related to fire alarm and water temperature testing. We looked at two peoples records, looked around the building, talked to staff and reviewed fire and water temperature checking records. Requirements at the key inspection relating to medication were not reviewed at this visit. A pharmacy inspector will be visiting to review this. These are our findings: We found that additional staffing was being provided where needed, to ensure the safety and well being of the people living there. We found that following our last visit risk assessments had been reviewed and updated so that staff had the information they needed to support people appropriately. Care plans had also been reviewed and updated where needed. However, one persons stated that they were to be reviewed again in November 2009, but this had not been done. This could result in peoples current needs not being met. Care plans included more detail and were more centred on the individual than when we last visited. Records showed that where appropriate people were referred to health professionals for further advice and generally staff had followed their recommendations. However, a health professional had recommended that staff check the blood sugar level of one person monthly, but there was no record that this had been done since October 2009. This could impact on the persons health and well being. We found that the fire alarm was being tested regularly to make sure it is working and would alert people to a fire if needed. We found that the temperature of the water was now being tested in all rooms regularly. Some temperatures were a little higher than the recommended safe temperature to reduce the risk of people being scalded. However, records did not show that action had been taken to reduce these. Staff spoken to, who are responsible for testing these, said action had been taken. The manager said that the boiler system was being replaced as part of the refurbishment programme that was starting in January 2010. This should help to ensure that the temperature of the water is regulated to reduce the risks of people being scalded. Care Homes for Older People Page 4 of 8 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 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 9 13 All people must be given their medication as prescribed. To ensure their health and well being. 13/10/2009 2 9 13 Staff must record accurately when they give people their medication. To ensure they receive their medication as prescribed. 23/11/2009 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 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 7 Care plans should be reviewed regularly to ensure they are updated and show staff how to meet the persons current needs. Staff should follow the advice of health professionals and record where they have monitored peoples health to ensure their well being. Records should show what action is taken to reduce the risk of people being scalded by hot water. 2 8 3 38 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!