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Inspection on 19/05/10 for St Helens Care Home

Also see our care home review for St Helens Care Home for more information

This inspection was carried out on 19th May 2010.

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

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

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

A random inspection visit completed 5 August 2009 showed that the home had addressed the requirements made in the previous key inspection report. The care plans we looked at in the dementia care unit were quite comprehensive. They clearly identified the needs of individuals and how they would be met. Medication was generally stored and managed appropriately in the home but improvements were needed as to how medication is dispensed for those who take social leave. There was evidence of activities taking place in the home and information about forth coming activities on the notice boards. Complaints are responded to and adult protection issues have been addressed and training provided to staff. Appropriate checks are completed on staff to make sure they are suitable, before they are allowed to work at the home. For example checks with the nursing and midwifery council, criminal record bureau checks and references from previous employers. 76% of care staff have a national vocational qualification in care at level 2 or above. A manager has been appointed to manage the home. She commenced employment atthe home 23 March 2010.

What the care home could do better:

Four requirements and seven recommendations have been made following this visit. We looked at a sample of care plans in the younger adults unit and found that for some people that there had been a failure to prepare plans that accurately recorded individual needs or how they would be met. For one person the care plans that had been prepared provided conflicting information for staff to follow. This means that there could have been inconsistencies in the delivery of care. We found examples of a failure to provide the proper care and treatment for two service users. This involved the care of catheters and the provision of assisted technology. For example a sensor mat. When examining some service user care plans and medication records we found that there had been a failure to identify potential risks and prepare plans that would reduce or eliminate those risks. Our concerns related to the recording of allergies to medication, dispensing of medication for people on social leave and general risk assessments for people when they are on social leave or out of the home independently. The dining experience for people on the dementia unit was not good during our first visit. An improvement was noted during our second visit where a more relaxed meal time was observed. During our first visit we observed that the environment was not good. The furnishings in the home were showing signs of aging and the carpets were stained. Radiators were in need of painting and the gardens were over grown. Some of these issues had been addressed before our second visit to the home and we were told that it had been agreed that new furniture and carpets would be purchased. The staff training statistics that we saw indicated that more training is needed for mandatory topics for example moving and handling, infection control and general health and safety. There was a staff supervision planner in place and most people had received at least one supervision session since January 2010. Some people have received two supervision sessions. It is good practice for staff to receive at least six supervision sessions a year. The management filing systems need to improve as there were problems locating evidence of routine maintenance checks and service contracts. A copy of the risk assessment that had been requested by the Fire officer could not be found. The manager completed this risk assessment before our second visit to the home.

Random inspection report Care homes for older people Name: Address: St Helens Care Home 6 Manor Road St Helens Auckland Bishop Auckland Durham DL14 9DL two star good service 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: Jean Pegg Date: 2 7 0 5 2 0 1 0 Information about the care home Name of care home: Address: St Helens Care Home 6 Manor Road St Helens Auckland Bishop Auckland Durham DL14 9DL 01388606093 01388607962 homemanager.sthelens@activecarepartnerships. co.uk www.schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Janet Helen Wright Type of registration: Number of places registered: Conditions of registration: Category(ies) : Southern Cross Healthcare Services Ltd care home 48 Number of places (if applicable): Under 65 Over 65 0 0 0 0 past or present alcohol dependence dementia mental disorder, excluding learning disability or dementia physical disability Conditions of registration: 5 29 19 4 The maximum number of service users who can be accommodated is: 48 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 categories: Past or Present alcohol dependence - Code A, Mental Disorder, excluding learning disability or Care Homes for Older People Page 2 of 9 dementia - Code MD, Physical Disability - Code PD, Dementia - Code DE Date of last inspection Brief description of the care home St Helens is a forty-eight bedded home that provides 24hr care for older people with dementia. It also provides care for younger people who have mental health needs. The accommodation is purpose built and consists of three units. Upstairs provides nursing and residential care for older people with mental health needs, mainly dementia, and on the ground floor there is one unit which provides nursing care for nineteen younger people with enduring mental health problems. Each unit consists of a lounge, dining room, bathroom and toilet facilities. There is a passenger lift to the first floor. All bedrooms are single occupancy. There is a spacious garden and a car parking facility is provided adjacent to the home. The home is situated in St Helens West Auckland near Bishop Auckland. It is close to local shops, pubs, and places of worship. The weekly fees payable range from £457.81- £933. Please contact the manager for exact details. Care Homes for Older People Page 3 of 9 What we found: The last key inspection visit for this service was completed 20 January 2009 when a quality rating of good was awarded. A quality rating can only be awarded or changed following a key inspection visit. This was an unannounced random inspection visit for this service. The visit took place over two days, 19 and 27 May 2010. Two inspectors completed the inspection visits. Before the visit took place we looked at the information we had received about the service since the last inspection visit. This information included notifications sent to us from the service, how the service had dealt with any complaints or concerns and any changes that had been made to the management of the service. During the visit we talked to people who use the service and people who worked in the service. We observed care practices in the home and looked at documents and records held by the home that related to how peoples needs were being met. We also looked at records relating to the management of the home. We walked around the building to make sure that it was clean, safe and comfortable. At the end of our visit we spoke to the person in charge about what we had found. A number of requirements have been made that the home must take action on. What the care home does well: A random inspection visit completed 5 August 2009 showed that the home had addressed the requirements made in the previous key inspection report. The care plans we looked at in the dementia care unit were quite comprehensive. They clearly identified the needs of individuals and how they would be met. Medication was generally stored and managed appropriately in the home but improvements were needed as to how medication is dispensed for those who take social leave. There was evidence of activities taking place in the home and information about forth coming activities on the notice boards. Complaints are responded to and adult protection issues have been addressed and training provided to staff. Appropriate checks are completed on staff to make sure they are suitable, before they are allowed to work at the home. For example checks with the nursing and midwifery council, criminal record bureau checks and references from previous employers. 76 of care staff have a national vocational qualification in care at level 2 or above. A manager has been appointed to manage the home. She commenced employment at Care Homes for Older People Page 4 of 9 the home 23 March 2010. 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 £ No R 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 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, 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 Put in place effective arrangements that ensure accurate care plans are prepared that specify how a service users needs are to be met. To ensure that service users receive appropriate care in a consistent and timely way. 22/07/2010 2 7 13 Put in place effective 22/07/2010 systems that ensure unnecessary risks to the health and safety of service users are identified and plans are prepared that identify how those risks will be reduced or eliminated. To prevent service users from being harmed through unnecessary risk. 3 8 12 Put into place effective systems that ensure that service users receive proper care and treatment to meet their identified needs. To ensure that their health 22/07/2010 Care Homes for Older People Page 7 of 9 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 and welfare needs are met. 4 9 13 Put in place effective 22/07/2010 systems to ensure that medication is safely dispensed for service users who take social leave or who self medicate. To ensure medication is administered safely. 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 8 Requests for equipment and assisted technology should be followed up to ensure that service users do not experience any unnecessary delay in receiving the appropriate care they need. Care plans relating to the care of catheters should be detailed and include date of changing and who is responsible for the care of the catheter. A record of batch numbers should also be kept. Known allergies should be recorded on individual service user Medication Administration Records. Furnishings should be replaced as and when they become worn so that service users can continue to live in a nice environment. There should be a regular programme of staff training in place. Staff should receive at least six supervision sessions in a year. Records of maintenance and service contracts should be readily accessible. 2 8 3 4 9 19 5 6 7 30 36 38 Care Homes for Older People Page 8 of 9 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. 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