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Inspection on 16/03/09 for St Georges Hall & Lodge

Also see our care home review for St Georges Hall & Lodge for more information

This inspection was carried out on 16th March 2009.

CSCI 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

At the previous inspection the soak aways from the en suite showers facilities in some bedrooms were not working properly and people were having to walk through standing water. All of the flooring in the showers of the en-suite facilities have now been assessed. It has been decided by the registered provider that to keep people safe all of the showers in the en-suite facilities are not to be used, until such times as when the drainage system can be repaired. All people who use the service and their relatives are to be informed of this decision and the statement of purpose and service user`s guide are to be amended so new people have the correct information about what facilities are provided at the home. The home has been thoroughly cleaned. The specialist carpet cleaner has been repaired and the home was fresh and clean with no unpleasant odours. The grounds of the home have been tidied and a suitable ramp for easier access to the garden area has been fitted to the conservatory doorway. People now have access to call bells and they were seen to be close to hand for people to summon help should they need it. Specialist equipment such as airflow mattresses have been checked to see if they are working properly and some have been replaced. Arrangements have now been put into place to make sure that people are safeguarded against potential financial abuse.

What the care home could do better:

Disappointingly there has been insufficient progress made in meeting with the statutory requirements that were issued at the key inspection. People are still not properly reassessed prior to them being readmitted to the home, and care plans are not written in sufficient detail to allow staff to care and support people properly. Medication received, stored and administered by the staff at the home is not always carried out properly putting people at risk of harm. Although there appeared to be sufficient staff on duty the basic care needs of some people were not met. Agency staff are not given a proper induction to the home, this coupled with poor deployment of staff and lack of effective management from the registered manager indicates that people are being put at risk. Due to the lack of compliance in meeting some of these requirements, statutory notice`s have been issued to the registered manager and the registered provider of the service.

Random inspection report Care homes for older people Name: Address: St Georges Hall & Lodge Middleton St George Hospital Site Middleton St George Darlington Co. Durham DL2 1TS zero star poor service 21/04/2009 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: Bridgit Stockton Date: 1 0 0 3 2 0 0 9 Information about the care home Name of care home: Address: St Georges Hall & Lodge Middleton St George Hospital Site Middleton St George Darlington Co. Durham DL2 1TS 08456032558 01325335487 stgeorgeshall@try-care.co.uk www.orchardcarehomes.com 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) : Orchard Care Homes.Com Limited care home 83 Number of places (if applicable): Under 65 Over 65 0 21 dementia old age, not falling within any other category Conditions of registration: 62 0 The maximum number of service users who can be accommodated is: 83 The registered person may provide the following cateory 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 categories: Dementia Code DE, maxuimum number of places: 62 Old age, not falling within any other category - Code OP, maximum number of places: 21 Date of last inspection Brief description of the care home St Georges Hall and Lodge is a residential care home with nursing, newly built in 2006. The layout of the building is split into three units that run with distinct staff teams but share some facilities such as the kitchen, laundry and garden areas. There Care Homes for Older People Page 2 of 8 Brief description of the care home are 83 individual rooms each with en suite bathroom . All rooms are equipped with TV and DVD player. The home also has assisted bathing facilities in communal bathrooms. There are several communal lounges and dining areas. There is a landscaped garden at the rear of the building for people to use and an outside summerhouse for people who smoke to shelter from the elements. The home itself is no smoking. The home is situated near the Durham Tees Valley airport site and is not in easy reach of community facilities such as shops, banks, leisure facilities and pubs. However there is a hotel nearby. Care Homes for Older People Page 3 of 8 What we found: The purpose of this inspection was to assess the progress that had been made in meeting with the statutory requirements that had been made at the previous key inspection of the home. The methods we used to gather information included visits to the home, conversations with the people who live there, their relatives, healthcare professionals and the staff. We looked in detail at the care and records of people, examined other records and looked around the home. Due to some serious concerns regarding the administration and safe handling of peoples medication within the home we were also accompanied by a pharmacy inspector on this occasion. 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 8 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 7 15(1)12(2) The registered manager 30/04/2008 must ensure that the service user/representative is involved in the development of the care plan, and that they record the care plan in a style that is accessible to the service user/representative, and that it is signed by them. The registered manager 30/04/2008 must ensure that a full complement of staff are employed in effective number that meet the needs of the service users and this number is kept under review regarding: the changing needs of the service users; and the increased numbers moving into the home. The registered manager 30/04/2008 must ensure that the management systems in the home are effective and that when they are proved to be ineffective they are reviewed and addressed to improve the service delivered. 2 27 18(1) 3 33 24(1) 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 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. 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