This inspection was carried out on 30th October 2008.
CSCI 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.
Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Spratslade House Belgrave Avenue Dresden Stoke-on-trent Staffordshire ST3 4EA The quality rating for this care home is: The rating was made on: two star good service 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: 3 0 1 0 2 0 0 8 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: Pearlcare (Spratslade) Ltd care home 30 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability 0 0 0 0 Over 65 10 4 30 3 Conditions of registration: 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 registration category also enables the home to provide a service for individuals with dementia needs and also people who have a physical disability. Corridors and door frames are of a suitable width to accommodate people who use wheelchairs. Ramp access is also Care Homes for Older People Page 2 of 9 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 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 9 What we found:
This visit to the home followed concern in relation to a fall sustained by a person living at the home. Staff and records confirmed that the person went up and down the stairs on numerous occasions and frequently more that once a day. Staff told us that frequently no sooner did they bring this person downstairs a relative would tell them that she had gone up the stairs again. The person had been moved to a downstairs room at relatives request as it was felt that they would be safer downstairs. The manager told us that it had made little difference and the person continued to go up and down the stairs. Care plans identified limited information about the care needs of the person and risk assessments though identifying the risk of the stairs gave insufficient actions to minimise the risk of the stairs and potential falls. For example the moving and handling risk assessment identified; still trying to climb up and down the stairs (with her zimmer frame now) care staff fully aware of this behaviour and remain vigilant to try and stop and discourage this behaviour. The home did make the required notifications to the Health and Safety Executive and the Commission for Social Care Inspection. Information supplied to the Commission for Social Care Inspection however did not provide sufficient information to judge the seriousness of the incident. We did find other incidents that the home should have notified us of and this was highlighted to the Home Manager during our visit. We asked the Manager to ensure that the reports are sent to us retrospectively. The organisations clinical manager confirmed that she would ensure that all guidance about the requirement to inform us of all incidents that affect peoples health and wellbeing is available to the manager. The staircase that the person fell on was outside the lounge used by people with dementia. There was no provision to protect people from going onto this staircase such as additional staff, sensor that alarms when someone approaches the stairs or a safety gate. There are two other staircases in the home; one has restricted access with a key pad to it, the other has no safeguards in place although the manager said that there are usually more people around in this area. We found that staffing levels at the home are five staff on duty between 8am and 6pm, although one member of staff comes on duty for 7am to assist the night staff. Three care staff on duty between 6pm and 9pm and two care staff on duty between 9pm and 8am. The home had twenty-seven people living there at the time of our visit. We were told that records are made of all accidents. The Manager told us that accident records are analysed each month. We looked at these records but they only gave a number of accidents and the name of person who had the accident and injuries they had sustained. We advised that a monthly analysis be started to identify any trends in people having accidents and the time of day that they occurred in an attempt to reduce any risk. Care Homes for Older People Page 4 of 9 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 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 30 18 ( c) (i) The manager must ensure 16/06/2007 that any staff undertaking cooking in the home have Food Hygiene training to make sure that people who use your service receive food that has been safely prepared. Care Homes for Older People Page 6 of 9 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, Care Homes 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 8 12 Care plans must detail peoples needs,choices and capabilities. 30/11/2008 Detailed care records will provide instructions for staff how needs should be met and will give assurance that the home is making proper provision for the health and welfare of people living at the home 2 19 13 The environment of the home must be suitable and safe for people living there. There is a need to review staffing to ensure that it is sufficient to meet peoples needs and also keep them safe. 30/11/2008 The environment must be safe to minimise the risk of accident. 3 27 12 Staffing at the home must be 30/11/2008 sufficient to meet peoples needs and also keep them safe. Care Homes for Older People Page 7 of 9 Sufficient staffing will give assurance that proper provision has been made for the health and welfare of people who live at the home. 4 37 37 The home must inform the Commission for Social Care Inspection of all incidents that affect the health safety and wellbeing of people who live at the home. This will greater assurance that all required actions are undertaken to keep people safe and protect their health and well being 5 38 13 Risk assessments must detail 30/11/2008 the risk and actions to be undertaken to minimise the risk. This will give greater assurance that unnessary risks are identified and so far as possible eliminated. 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 30/11/2008 1 38 An analysis of all accidents should be undertaken. Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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 © (2008) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!
