Random inspection report
Care homes for older people
Name: Address: Shakespeare House 19 Shakespeare Road Bedford Bedfordshire MK40 2DZ one star adequate service 02/06/2009 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: Sally Snelson Date: 1 7 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Shakespeare House 19 Shakespeare Road Bedford Bedfordshire MK40 2DZ 01234359224 F/P01234359224 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Louisa Bedeau Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Sada Camiah,Mrs Vijama Camiah care home 18 Number of places (if applicable): Under 65 Over 65 18 18 18 dementia old age, not falling within any other category physical disability Conditions of registration: Date of last inspection Brief description of the care home 0 0 0 0 2 0 6 2 0 0 9 Shakespeare House is registered to provide care for eighteen people who are 65 years of age or over who may also have physical disabilities and/or dementia. Mr and Mrs Camiah have owned the home for a number of years and participated in the operation of the home as financial manager and care practice advisor. Care Homes for Older People Page 2 of 8 Brief description of the care home The home is located on a busy road in Bedford within walking distance of the towns amenities including bus and train links. The physical environment had been suitably adapted internally to meet the needs of frail older people. Accommodation is arranged over three floors with seventeen bedrooms, one of which could be used for double occupancy. Access is provided to the upper floors via a shaft lift. The communal dining room and lounge were located on the ground floor. A range of adapted bathrooms and toilets are located for convenient access throughout the building. Current fee rates at the time of this inspection are £457.00 to £475.00 per week. Care Homes for Older People Page 3 of 8 What we found:
This inspection was a random inspection to ensure that the requirements made at the last Key Inspection in June 2009 had been met. In June 2009 the manager was new in post and was identifying, through audit, areas that needed to be improved. At this time we left four requirements. The short inspection was undertaken on 17th May 2010 using the revised methodology in place during the registration transition period. As a result we focused on the management of the service. We found that all the requirements we had left at the previous inspection had been met. The manager had done this by producing a clear action plan and working through all the areas on it. She told us that she now felt in control and that the staff team were starting to support the necessary changes she had implemented. She had almost addressed everything on her action plan, which she had prioritised according to need. We looked at two care plans and these had instructions for staff to follow to provide the necessary care. The plans were linked to risk assessments and had been reviewed every month. More detail as to exactly how the care should be provided would ensure that staff approached care giving in a consistent way. We looked at two staff files and these were well kept and had all the necessary information and checks in them. The manager had a good understanding of recruitment practises to ensure people were kept safe. The manager had a training matrix on the wall in her office and consequently she was easily able to identify any additional training that staff needed, and when training should be updated. What the care home does well:
People living at the home had the opportunity to go out and take part in a range of activities. On the day of the inspection one service user, accompanied by a member of staff, was having lunch with her family in a nearby hotel to celebrate her birthday. Our visits spanned lunchtime and people had a choice of homemade chicken and mushroom pie and vegetables, or egg and chips. People told us that they enjoyed the food. One person said, everyone is so kind, nothing is too much. We received two completed questionnaires from people using the service and both were very positive about the care provided telling us that everything was done well at the home and nothing that could be done better. Staff told us during inspection and as part of the questionnaires they completed prior to our visit, that they had seen a change in practises under the new manager. One staff member wrote. our new manager is fair and treats all staff the same. She is a jolly person which brings alot of bounce into the home which makes it a happy place to work. Care Homes for Older People Page 4 of 8 Staff had told us that at times they felt under pressure because of the housekeeping duties that they were responsible for along with their care duties. However during inspection we met a new member of staff who was employed as a housekeeper. Previous requirements have been met and we have made no further requirements as a result of this visit. 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 £ No R 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 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 produced in more detail and in a person centred way. 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. © 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 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!
