This inspection was carried out on 10th June 2009.
CQC found this care home to be providing an Adequate 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for adults (18-65 years)
Name: Address: St Mark`s Road Care Home - Block B 26 St Mark`s Road Derby DE21 6AH one star adequate service 06/10/2008 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: Claire Williams Date: 1 0 0 6 2 0 0 9 Information about the care home
Name of care home: Address: St Mark`s Road Care Home - Block B 26 St Mark`s Road Derby DE21 6AH 01332294466 01332242449 26stmarksroad@robinia.co.uk www.robinia.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Yolande Dionne Yates Type of registration: Number of places registered: Conditions of registration: Category(ies) : The Robinia Group PLC care home 8 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: Date of last inspection Brief description of the care home 8 0 6 1 0 2 0 0 8 Robinia Care Group is the registered provider for 26 St Marks Road. The home is located on the same site as another home owned by this organisation. The home was purpose built to a high standard in 2005, to provide personal care and accommodation for up to 8 people in the category of learning disability, aged between 18 and 65 years of age. The home is situated in Chaddesden, just outside Derby City centre, and is close to local amenities. A car park is available at the front of the premises and a garden at the rear. The home provides a spacious environment with all rooms being single with en-suite shower facilities. The home has a vehicle to help promote activities outside of the home. Care Homes for Adults (18-65 years) Page 2 of 8 What we found:
The main purpose of this visit was to check the progress made on addressing the requirements made at the last inspection on 6th October 2008. A pharmacy inspector accompanied us on this visit and they looked closely at the medication practices in this service. We also looked at staff training records, complaints, staffing levels, and the leadership within the service. We looked at the record of complaints and this indicated that one issue had been received since our last visit. The complaint was anonymous and was made by a member of the public, therefore a reply could not be sent. The records demonstrated that the issue was responded to, but only a brief overview was recorded of the action taken, and the complaint was not signed off. There was no evidence to support that staff have undertaken training in how to receive, and record complaints, to ensure they are responded to appropriately. An updated training matrix which reflected the training undertaken and outstanding for the current staff team was provided to us. This record demonstrated that the 5 people who had not received training in team teach had training planned. This will ensure they have the appropriate skills to manage behaviours that can be challenging. We also found that the 5 people who had not had training in how to safeguard people from harm, were booked onto the next training session, or they were due to attend induction training which included this element. There was no evidence to support that any of the 14 staff had received training in Moving and handling techniques. All of the people currently living in this service have a physical disability and therefore they require support in order to be transfered from their wheelchair. Staff have to use equipment in order to provide this support, and there is no evidence they have received training in the techniques that must be used to ensure both they and the people being supported are safe. We did receive evidence following our visit to support that training has now been arranged for 6th and 7th July. There was 5 staff on duty during our visit and observations indicated that this was the minimum required to ensure peoples needs could be met. Discussions with the staff and manager indicated that when the staffing levels are below this level people have to wait for their support due to their dependency needs. Each person currently living in this service need one staff member to support them in all aspects of daily living, and in order to access the community. Two staff are required when supporting personal care tasks and when undertaking Moving and Handling tasks. Therefore this is an improvement as only four staff members were working at the time of our last visit. We looked at the homes arrangements for storing and recording medicines, and how peoples medical needs were met. We found that the home does not have a cupboard for storing controlled drugs, should these be prescribed for a person living in the home. We were told that the refrigerator that is available for storing medicines has no lock or thermometer for recording the fridge temperature over a 24 hour period. Other medicines were safely stored, and we saw that tablets supplied by the pharmacy in their original manufacturers packs were counted twice a day. We looked at medication charts for the current month. We found one discrepancy between the number of tablets received and
Care Homes for Adults (18-65 years) Page 3 of 8 the number of tablets administered to complete the course of treatment. Records of the receipt and administration of medicines were completed. We watched medicines being given at lunchtime and saw that national guidance was followed. We were told that staff on duty at night are not trained to administer medicines. We found that written information on how to care for people with a particular medical need (epilepsy) was available, but that this information did not describe each persons specific, individual needs. We were also told that only three members of staff have been trained to respond to this medical need, and that there are times when none of these staff are on duty. 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 Adults (18-65 years) Page 4 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 32 18 Staff must receiving training appropriate to the needs of the people who use the service. To ensure that staff have the skills and knowledge to meet the needs and preferences of the people who use the service. 31/01/2009 Care Homes for Adults (18-65 years) Page 5 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 1 20 13 There must be a member of 10/07/2009 staff on duty at all times who is trained to administer medicines and to respond to peoples medical needs. This is to ensure the health and safety of people living in the home 2 20 13 A cabinet that complies with 10/07/2009 the Misuse of Drugs (safe custody) regulations must be obtained and correctly installed. This is to ensure that any controlled drugs prescribed for people in the home can be safely and legally stored. 3 22 22 Staff must have training on how to respond to receiving and recording a complaint. This is to ensure that all staff are competent in this task, and complete the required records. 03/08/2009 4 35 35 Training must be arranged 24/07/2009
Page 6 of 8 Care Homes for Adults (18-65 years) 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 completed in Moving and handling for the 14 staff who work in this service. This is to ensure they can support people in these tasks 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 20 The medical needs of people should be assessed on an individual basis before preparing risk assessments and action plans. The refrigerator used to store medicines should be locked and the fridge temperature should be monitored with a maximum,minimum thermometer. The complaint record should be completed in as much detail as possible and signed off. This is to ensure it demonstrates what action was taken and how it took for the complaint to be responded to and the outcome. 2 20 3 22 Care Homes for Adults (18-65 years) 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 Adults (18-65 years) 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 Adults (18-65 years) 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!
