This inspection was carried out on 16th 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 9 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: St Marthas Care Centre 55-63 Victoria Road Stechford Birmingham West Midlands B33 8AL 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: Jill Brown Date: 1 6 1 0 2 0 0 8 Information about the care home
Name of care home: Address: St Marthas Care Centre 55-63 Victoria Road Stechford Birmingham West Midlands B33 8AL 01217897926 01217835547 stmarthas@schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Southern Cross BC OpCo Ltd care home 70 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category 70 0 Over 65 0 70 Conditions of registration: 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 category Old Age, not falling within any other category: Code OP 70 Dementia: Code DE 70 The maximum number of service users who can be accommodated is 70. Date of last inspection Brief description of the care home St Marthas provides care and accommodation for older people in three buildings, Ash House and Cedar House and in additiona Beech House that also provides nursing care on the same site. The home has been established for a number of years however was acquired by Southern Cross Healthcare in November 2007. St Marthas accommodation is provided over three levels in each house. Ash House provides accommodation for 25 Care Homes for Older People
Page 2 of 10 people. There are 3 double bedrooms and the remainder are single occupancy. Cedar House provides accommodation for 13 people. There are 2 double bedrooms and the remainder are single occupancy. Some of the rooms on the upper level require residents to be able to manage some steps. A passenger lift is available to the first floor and there is a stair lift to the second floor. Beech house has 16 single and 10 shared rooms. These houses of St Marthas share a spacious, well maintained patio/garden area. St Marthas is about a fifteen-minute walk from the Bordesley Green Road, where there is a main bus route into Birmingham City Centre and a railway station is nearby. Limited off road parking is available. The current scale of charges are available on request and depends on the care needed. Please note that any nursing home determination is added to the fees. Care Homes for Older People Page 3 of 10 What we found:
We visited this home in response to concerns raised about the events leading to an admission of a person to hospital. We were also told of some concerns in regard to the cleanliness of the home and people living in the home and issues of staff attitudes. We found that the manager was keen to give us relevant information that prompted the admission to the hospital however we found some gaps in documentation including, information about who was on duty and the records of the maintenance of the equipment in use at the home. We noted that staff had not followed the homes own procedures for signing in when they came on duty and this had happened for a number of days including the days of concern. There was no record kept of allocation of people that required assistance kept although this was the practice. The manager stated that this was now being put in to place. We looked at the details of the persons admission and checked the information held on a number of people living in the home that required assistance from a hoist. We found that people had appropriate lifting equipment to meet their needs. Although hoist and lifting equipment was checked documentary evidence wasnt available and documents provided later were not clear about what part of the St Marthas site they related to. We noted that in two situations that concerns had been raised either in review or as separate incidents and that these were not logged in the homes complaints book. This means that the organisation cannot effectively monitor trends and review the management of the care of people. One incident demonstrated a poor attitude to the person they were caring for. We found that on the occasion that had been raised as a concern, there was evidence that the person was in pain, and that medical attention had not been gained in a timely way. We noted that the person had been ill and records of that event were delayed and did not prompt actions to monitor the persons well being. We found that the care planning was generally well ordered however reviews did not necessarily take into account all the information relating to the persons wellbeing since the last review. We have instructed the manager to undertake an investigation into the incident and inform both us, social services and the relatives of the outcome of their investigations. We looked at some peoples rooms to check the cleanliness, we observed how peoples hygiene needs had been met and were appropriately dressed. The rooms that were looked were clean and appropriately furnished. What the care home does well:
The manager was keen to work with us and provided with all information available to her and had copies available for us before we visited. Care Homes for Older People Page 4 of 10 The areas looked at in the home were clean and fresh. People in the home looked as if they had their personal hygiene needs attended to. 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 10 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 29 19 Sch 2 Satisfactory references must 19/06/2008 be obtained prior to staff commencing work at the home to ensure the safety of people living in the home. Care Homes for Older People Page 6 of 10 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 2 5 All people living in the home 21/11/2008 must have a contract outlining the terms and conditions of their stay. This is to ensure that people and their representatives are aware of their rights and agree to the terms of their stay. Not inspected 2 7 15 Care plans must be audited. This is to ensure that they cover every area of need. Not inspected 21/11/2008 3 8 17 Monitoring records must be 21/11/2008 completed at the time when needed such as being turned being given fluid. This is to ensure that people can be assured that care needed has been given. Not looked at this inspection 4 8 12 Where people are unwell, this should be recorded as soon as possible after this is discovered and a plan made to ensure that reqular monitoring undertaken. 30/11/2008 Care Homes for Older People Page 7 of 10 This is ensure that people are monitored and any deterioration in their condition is quickly attended to. 5 8 12 People that are experiencing 30/11/2008 new pain must have access to prompt medical attention. This is to ensure that a diagnosis can be given and treatment started. 6 16 22 A log of all complaints and concerns raised must be kept. This is to ensure that the home can ensure that shortfalls can be put right and to try and ensure that the same shortfall is not repeated. 7 29 19 Satisfactory references must 21/11/2008 be obtained prior to staff commencing work at the home. Gaps in employment history must be investigated and a record maintained. this is to ensure the safety of people living in the home. Not looked at this inspection 8 30 30 Staff should receive training in dementia This is to ensure that staff can meet the needs of the people living in the home. Not inspected 9 37 17 Records that evidence the 30/11/2008 staffing of the home for any given date must be available for inspection 21/11/2008 30/11/2008 Care Homes for Older People Page 8 of 10 This is to ensure that a true picture is given of the service provided and to ensure the safety of people living in thehome 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 28 Reviews of care plans should reflect what has happened since the last review. The home must develop a plan to ensure that 50 of care staff have an NVQ2 in care or the equivalent, this was not looked at this inspection Care Homes for Older People Page 9 of 10 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 © (2009) 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 10 of 10 - 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!
