Random inspection report
Care homes for older people
Name: Address: Shandon House 20 Crescent Road Birkdale Southport Merseyside PR8 4SR one star adequate service 06/05/2009 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: Daniel Hamilton Date: 3 0 0 9 2 0 0 9 Information about the care home
Name of care home: Address: Shandon House 20 Crescent Road Birkdale Southport Merseyside PR8 4SR 01704564801 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) SBS Care Homes Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 20 Number of places (if applicable): Under 65 Over 65 20 old age, not falling within any other category Conditions of registration: 0 The registered person may provide the following categories of service only. Care home only - code PC, 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 The maximum number of service users who can be accommodated is: 20 Date of last inspection Brief description of the care home Shandon House is a care home that is currently registered to provide personal care and support for up to 20 older people. 0 6 0 5 2 0 0 9 Care Homes for Older People Page 2 of 8 Brief description of the care home The home is a large detached property situated close to the town centre of Birkdale village and is within easy reach of Southport town centre and all its amenities. Local services such as shops, a post office, bank and public transport are in close proximity to the home. All the 20 bedrooms are for single occupancy and thirteen have en-suite toilets. The home has a pleasant garden and communal areas including a lounge, dining room and conservatory to the side of the building. The building has three floors which are accessible by a passenger lift and the main and side entrance are equipped with ramps to provide disabled access. A small area is provided for off-road parking. The care home fees range from £379.90 to £410.00 per week. Care Homes for Older People Page 3 of 8 What we found:
This random inspection was undertaken on 30th September 2009 and lasted approximately 3.5 hours. The purpose of the random inspection was to review progress and monitor compliance following a key inspection on 6th May 2009, during which some breaches in the Care Home Regulations 2001 were noted. Outcome Area - Choice of Home. The files of two permanent residents which were checked at the last inspection and found not to contain an assessment of need were checked again during the visit. An assessment of need had been completed for only one resident. The acting manager made arrangements to complete one outstanding assessment during the visit. Furthermore, the files of four people who had previously used the service for respite care and which did not have an assessment of need on file at the time of the last key inspection were checked. Only two of the files were available to view and these did not contain an assessment. The acting manager reported that none of the people had returned to Shandon House for respite care and that an assessment would be completed prior to admission, should they wish to use the service again. Examination of the admission register confirmed the people had not returned to Shandon House for respite care since the last visit. Assessment records pertaining to two people who had recently moved into Shandon House for periods of respite care were also viewed. Both files contained a pre-admission assessment of need however assessments viewed were brief and vague and some sections had not been completed. These issues were brought to the attention of the acting manager. Discussion with the acting manager and examination of records revealed that the manager had completed care plans and risk assessments for all of the permanent residents however five residents did not have an assessment of need on file. Outcome Area - Health and Personal Care. The files of two people who had moved into Shandon House for periods of respite care since the last inspection were viewed. Each file was found to contain a care plan that was linked to areas of assessed need and risk assessment documentation for a range of areas including: moving and handling; pressure sore assessment; falls and person centred risks. Evidence was also available to confirm care plans had been kept under monthly review. Advice was given to the manager on how to improve the evaluation and review process. Outcome Area - Staffing. Recruitment records for three staff who had commenced employment since the last inspection were viewed during the visit and found to contain evidence of references, protection of vulnerable adults / criminal record bureau checks and other records
Care Homes for Older People Page 4 of 8 required under the Care Home Regulations 2001. Two staff files did not contain a photograph and this should be addressed. The content of one reference was discussed with the acting manager. Advice was given to consider undertaking an additional protection of vulnerable adult check and to review the outcome of a criminal record bureau check once received, to safeguard the welfare of the people using the service. Examination of additional staff recruitment records confirmed action had been taken by the acting manager to address shortfalls noted at the last inspection for staff who remained in employment at Shandon House. Since the last inspection the acting manager had developed a training matrix and a training file had also been established for each member of staff together with a record of training completed and documentary evidence. Furthermore, evidence of the Skills for Care - Common Induction Standards was on file for new staff in the form of progress logs. The acting manager was reminded that new staff should complete induction training within the first twelve weeks of their employment to ensure compliance with national training targets. Outcome Area - Management and Administration. Since the last inspection the acting manager had taken appropriate steps to ensure the Care Quality Commission was informed on significant notificable events in accordance with Regulation 37 of the Care Home Regulations 2001. 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 £ 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 1 1 3 Assessments of need should be completed for residents living at Shandon House. This will enable the service to identify needs and demonstrate it is able to meet the needs of people living at Shandon House. 29/10/2009 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 3 Assessments of need should be updated to ensure they are holistic and clearly identify each resident needs. This will help staff to understand the needs of the people they care for. Action should be taken to ensure all outstanding staff personnel files contain a photograph to ensure compliance with the Care Home Regulations 2001. 2 29 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!
