Random inspection report
Care homes for older people
Name: Address: Spratslade House Belgrave Avenue Dresden Stoke-on-trent Staffordshire ST3 4EA zero star poor service 18/02/2009 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: Amanda Hennessy Date: 2 7 0 5 2 0 0 9 Information about the care home
Name of care home: Address: Spratslade House Belgrave Avenue Dresden Stoke-on-trent Staffordshire ST3 4EA 01782311531 01782311532 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) : Pearlcare (Spratslade) Ltd care home 30 Number of places (if applicable): Under 65 Over 65 0 30 dementia old age, not falling within any other category Conditions of registration: 10 0 The maximum number of service users who can be accommodated is: 30 The registered person may provide the following category 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: Dementia (DE) 10, Old age, not falling within any other category (OP) 30 Date of last inspection Brief description of the care home Spratslade House is located in Stoke On Trent, Staffordshire. The home is accessible via public transport, and is close to local amenities. The large detached property provides residential accommodation for up to 30 older people. The homes can also accommodate people with dementia needs and or have a physical disability. Corridors
Care Homes for Older People Page 2 of 8 1 8 0 2 2 0 0 9 Brief description of the care home and door frames are of a suitable width to accommodate people who use wheelchairs. Ramp access is also provided. The two-storey property offers 30 single occupancy bedrooms, 28 of which are equipped with an en suite facility. Bedrooms are located on both the ground and first floor. The installation of two passenger lifts allows access to all facilities within the home. Bathrooms and toilets are situated on both the ground and first floor and are found close to bedrooms and communal areas. All bathrooms are equipped with an assisted bath to promote the independence of people who have restricted mobility. The home is divided into units, having a small kitchen adjacent to each, allowing people access to drinks and light snacks. Three lounges are provided on the ground floor that are pleasantly decorated and equipped with essential furnishings and items to allow relaxation, and to enable people to socialise with other people living in the home.There are sufficient dining areas within the home.There is a pleasant and safe garden area. Sufficient parking is available at the front of the property. As no information about fees is included in this report the reader is advised to contact the home direct for this information. Care Homes for Older People Page 3 of 8 What we found:
This inspection was undertaken to assess the homes compliance with two statutory requirement notices and requirements made at the previous inspection undertaken on 18th February 2009. The home had a statutory requirement notice in relation to the safe use of bedrails. The home does not have anyone who now needs bedrails. A training package for risk assessment is now available for staff. There has been some improvement in risk assessments although we did advise that moving and handling risk assessments are more detailed and include details how people should be moved or lifted in a variety of situations such as: in and out of bed, into the bath and into and out of a chair as well as if they are able to walk and if so how much assistance they need. The service had a statutory requirement notice requiring the service to inform us of all incidents that affect the health, safety and well being of people who live at the home. We found that they have also met this statutory requirement notice. The service has greatly improved the way it stores and manages medicines. All medicines are now stored in a new medicine room which contains the new portable medicine trolley, controlled drugs cupboard and medication fridge. Staff regularly check the temperature of the room and the medicine fridge giving greater assurance that they are kept within guideline temperatures for the safety of people who need those medicines. Controlled drugs are kept more securely although there is a need for greater safety to reflect recent changes in legislation. There are also appropriate records of all controlled medicines that are given in the home. A medicine trolley is now available. There is a record of all medicines that have been received into the home and which have been administered. Staff are also regularly auditing medicines that are in the home which they have been enabled to do by improved records of the receipt and administration of medicines. There are proposals in place to improve care plans to more fully represent all peoples needs, choices and capabilities. We saw how the new care plans will be constructed which will be more user friendly for staff and enable them to make care plans more detailed. We did discuss with staff ways that they should ensure that care plans reflect all peoples needs and are reviewed when needs change. There is a current review of the sufficiency of staffing levels, which includes an evaluation of care given by night staff. We discussed a concern about the sufficiency of three staff on duty between 18:00hrs and 21.00hrs and two staff on duty between 21:00hrs and 07:00. What the care home does well: What they could do better:
The service has made many improvements since the previous inspection. We found that
Care Homes for Older People Page 4 of 8 there is ongoing development of care planning, risk assessments and an ongoing review of the sufficiency of staff within the home. Changes the home has made since the previous inspection give greater assurance that people will have the care that they want and need. 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 29 19 All required checks must be received and be satisfactory before new staff start working at the home. This will provide assurance that people living at the home will be protected from unsuitable people working at the home. 10/03/2009 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 2 7 9 Care plans should be person centred including all peoples needs, choices and capabilities. Two staff should confirm the accuracy of hand written medication entries. 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!
