This inspection was carried out on 27th July 2009.
CQC found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 11 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: South Church (Gloria) Nursing Home Limited 21 Auckland Road South Church Bishop Auckland Co Durham DL14 6SP two star good service 18/09/2008 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: Tom Moody Date: 2 7 0 7 2 0 0 9 Information about the care home
Name of care home: Address: South Church (Gloria) Nursing Home Limited 21 Auckland Road South Church Bishop Auckland Co Durham DL14 6SP 01388604055 01388451268 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) : Gloria Healthcare Limited care home 38 Number of places (if applicable): Under 65 Over 65 38 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 38 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 category: Old age, not falling within any other category, Code OP, maximum number of places 38 Date of last inspection Brief description of the care home South Church Care Home provides both nursing and residential care to service users. The home has twenty-nine single bedrooms and four double rooms. There are no ensuite facilities; toilets and bathrooms are provided throughout the home, some are equipped with specialist equipment to provide additional support during personal care. The home is set over two floors; there is a dining area and lounge on each floor. There
Care Homes for Older People Page 2 of 10 1 8 0 9 2 0 0 8 Brief description of the care home is a patio garden area to the upper floor of the home and a large car park on the ground floor. Care Homes for Older People Page 3 of 10 What we found:
An unannounced random visit was made by T Moody, Regulatiory Inspector and J EschleBell, Local Area Manager, on 27 July 2009. The purpose of the visit was to ensure that the National Minimum Standards were being maintained in the home, following it move into receivership. During the visit inspectors looked at the fabric of the building, reviewed records, and spoke to service users and staff. 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 4 of 10 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 7 15 The individual plan of care 18/12/2008 for each service user must be kept under review. And include information as to how individual social needs are to be met. This will ensure that staff are taking into consideration all aspects of a persons individual care. 2 38 23 A record must be kept that confirms that all staff are taking part in regular fire drills and fire instruction. This will confirm that staff are receiving regular fire safety training. 18/10/2008 3 38 23 All staff must take part in at least one fire drill and receive one period of fire instruction. With a written record being presented to the commission to confirm that this has taken place. This will ensure that staff are clear as to what actions they will take in the event of a fire or the alarm sounding. This must be achieved by 25/09/2008 31/10/2008 Care Homes for Older People Page 5 of 10 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 7 15 The service users care plans should ensure all of their physical, mental and social care needs are properly addressed. Service users care plans should eb accurate to nsure their needs can be met. 30/09/2009 2 9 13 medicines should be stored securely and procedures should be followed by staff when giving and recording medication. Medicines should be stored and given in a safe menner to ensure the safety of service users. 31/08/2009 3 10 11 Locks on toilet and bathroom 31/08/2009 doors should work to ensure the privacy and dignity of people using these facilities Toilets and bathrooms should be capable of being locked to preserve the dignity and privacy of persons in the home. Care Homes for Older People Page 6 of 10 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 4 19 13 The lining of the cleaning 31/08/2009 cupboard should be identified and if this presents an asbestos hazard should be dealt with by and appropriate specialist. All parts of the home should be, so far as resoanably practicle, free from hazard to the safety of service users. 5 19 13 All cupboards containing 31/08/2009 cleaning materials and other potentially dagerous chemicals should be kept secure. All parts of the home should be, so far as resoanably practicle, free from hazard to the safety of service users. 6 19 13 The steel radiator guards in 31/08/2009 use in the home, fire extinguishers, and any other fittings must be properly secured to the walls. All parts of the home should be, so far as resoanably practicle, free from hazard to the safety of service users. 7 19 13 Leaks in shower rooms 30/09/2009 toilets and other areas should be repaired to ensure there is no further deterioration in the fabric of the building, and no eletrocution risk from water entering light fittings. All parts of the home should Care Homes for Older People Page 7 of 10 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 be, so far as resoanably practicle, free from hazard to the safety of service users. 8 22 16 A call sytem and effective alarm should be provided in each room. an effective call system should be available to service users to ensure theri safety and well being. 9 25 23 The machanical ventilators in 31/08/2009 the home were clogged with dust, ineffective and had the potential to overheat. these fittings should be cleaned and made servicable to provide effective ventiallation. Suitable ventialation must be provided in all parts of the home to ensure the well being of service users. 10 26 13 Effective disposal machines must be availabe in each sluice. To ensure effective infection control and prevent hazards to staff and service users, effective disposal methods must be available to deal with for sanitary waste. 11 26 13 Suitable hand washing 31/08/2009 facilities must be available in the sluice areas. To prevent the spread of infection and bio hazard,
Care Homes for Older People Page 8 of 10 31/08/2009 30/09/2009 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 suitable hand washing facilities should be available in sluice rooms and staff should use these facilities correctly. 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 Older People Page 9 of 10 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 10 of 10 - 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!
