Inspection on 20/11/09 for Shirebrook House

This inspection was carried out on 20th November 2009.

CQC found this care home to be providing an Poor service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Shirebrook House 17/08/09

Shirebrook House 02/12/08

Shirebrook House 18/06/08

Shirebrook House 01/12/07

Shirebrook House 02/03/07

Similar services:

Hillside

Applegarth

122 Scorer Street

St Marys Nursing Home

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2010.

Thematic inspection report Care homes for adults (18-65 years) Name: Address: Shirebrook House 19 Station Road Borrowash Derbyshire DE72 3LG zero star poor service 17/08/2009 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 thematic inspection of this care home. A thematic 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: Nancy Bradley Date: 2 0 1 1 2 0 0 9 Information about the care home Name of care home: Address: Shirebrook House 19 Station Road Borrowash Derbyshire DE72 3LG 01332725734 01142691133 shirebrookhouse@shirebrookcaregroup.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Shirebrook Care Limited care home 10 Number of places (if applicable): Under 65 Over 65 0 0 0 learning disability physical disability sensory impairment Conditions of registration: 10 10 10 The maximum number of service users who can be accommodated is 10 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: Learning disability - Code LD Physical disability Code PD Sensory Impairment - Code SI Date of last inspection Brief description of the care home The Care home is situated in the village of Borrowash, which lies on the Derbyshire and Nottingham boarder and owned by the Shirebrook Care Limited, which is a privately owned company. The home provides residential care for ten adults, whose primary needs include sensory impairment, learning and physical disabilities. The Care Homes for Adults (18-65 years) Page 2 of 11 1 7 0 8 2 0 0 9 Brief description of the care home building is a detached house situated on a residential housing estate in Borrowash close to local amenities. The accommodation is spacious and has been adapted to meet the needs of the people who will live there. Facilities for service users are located on the ground and first floor; the staff and sleeping in room is located on the second floor. The home has ten single bedrooms with en-suite facilities; all rooms except for two rooms have shower facilities. The dining and lounge areas, kitchen, laundry and conservatory are on the ground floor. A `walk in shower room and a bathroom with a bath and tracking hoist are located on the ground floor; the three bedrooms on the first floor have en-suite shower facilities. Information on fees was not available Care Homes for Adults (18-65 years) Page 3 of 11 What we found: 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 Adults (18-65 years) Page 4 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 16 16 The Registered Person must ensure that people have a healthy balanced and nutritious diet at all times. This must include weekdays and weekends. This is to ensure peoples well-being and to ensure their individual preferences are catered for. 30/09/2009 2 17 16 The Registered Provider must 30/09/2009 maintain a record of food temperatures under Food Hygiene regulations. This is to ensure all meals served meet the required standard. 3 20 13 Medicines must be 30/09/2009 administered as prescribed, unless otherwise directed by a healthcare professional. This to ensure people receives their correct medication. 4 20 13 Only staff who are authorised 30/09/2009 and whose competency has been assessed and documented must be permitted to administer medicines. Care Homes for Adults (18-65 years) Page 5 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 This is to ensure people are fully protected. 5 20 13 Sufficient numbers of staff 30/09/2009 who are competent in all aspects of medicines administration (as determined by the needs of people living in the home) must be on duty at all times. This is to ensure people receive their medication at the prescribed times or as when required. 6 22 22 All complaints made must be 30/09/2009 investigated within the agreed timescales and the complainant informed or the out come. This is to ensure peoples views are listened to and acted upon. 7 22 18 All staff must receive training 30/09/2009 on safeguarding prior to them commencing rota duties. This is to ensure staff have a clear understanding on safeguarding vulnerable people. 8 33 19 The Registered Provider must 30/10/2009 ensure there is a sufficient number of staff, skills mix and gender balance to ensure the full activities and operation of the home is carried out effectively. Page 6 of 11 Care Homes for Adults (18-65 years) 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 This is to ensure people are fully supported by a sufficient, competent and qualified staff. 9 35 18 All new staff must receive structured induction training before they commence rota duties. This is to ensure staff have the appropriate skills to care for people. 10 35 18 All staff must receive 30/10/2009 additional training to assist in their personal; development and to meet the individual needs of the people they care for. This is to ensure staff have the appropriate skills to care for people. 11 36 18 The home must complete any disciplinary actions which are outstanding and inform the Care Quality Commission of its findings. This is to ensure only suitable people are employed to work at the home. 12 36 18 All staff must receive recieve 30/10/2009 formal supervision in line the National Minimum Standard 36.4. This is to ensure staff are fuly supported. 30/10/2009 30/10/2009 Care Homes for Adults (18-65 years) Page 7 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 13 37 9 The home must have an experienced, qualified and registered manager in place before the home is in full operation. This is to ensure the effective running of the home. 31/12/2009 14 39 24 The Registered Provider must 30/12/2009 undertake formal quality assurance and quality monitoring of its service. This is ensure the development of the home and to ensure the home meets its aims and objectives. 15 39 26 The Registered Provider must 30/09/2009 undertake a visit to the home at least once a month and prepare a written report and ensure a copy is supplied to the Care Quality Commission.. This is to ensure the home is running effectively. 16 42 23 The Registered Provider must 30/09/2009 ensure that regular fire drills and fire checks are carried out and recorded in the homes fire log. This is to ensure the safety and welfare of the people who live at the home. 17 43 13 The Registered Provider must 30/10/2009 ensure that there is a qualified first aider on duty Page 8 of 11 Care Homes for Adults (18-65 years) 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 at all times and this person is clearly identified as such on the rota. This is to ensure the safety and welfare of the people who live at the home. Care Homes for Adults (18-65 years) 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 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 Care Homes for Adults (18-65 years) 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 Adults (18-65 years) 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. 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