Inspection on 27/07/10 for St Marthas Care Centre

This inspection was carried out on 27th July 2010.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

St Marthas Care Centre 23/03/10

St Marthas Care Centre 02/04/09

St Marthas Care Centre 08/01/09

St Marthas Care Centre 16/10/08

St Marthas Care Centre 15/05/08

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/06/2011.

Random inspection report Care homes for older people Name: Address: St Marthas Care Centre 55-63 Victoria Road Stechford Birmingham West Midlands B33 8AL one star adequate service 23/03/2010 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: Sarah Bennett Date: 2 7 0 7 2 0 1 0 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 www.southerncrosshealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Southern Cross BC OpCo Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 70 Number of places (if applicable): Under 65 Over 65 0 70 dementia old age, not falling within any other category Conditions of registration: 70 0 The maximum number of service users who can be accommodated is 70. 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 Date of last inspection 2 3 0 3 2 0 1 0 Care Homes for Older People Page 2 of 11 Brief description of the care home St Marthas provides care and accommodation for older people in three buildings, Ash House, Cedar House and Beech House. Beech House provides nursing care. 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 people. There are 2 double bedrooms and the remainder are single occupancy. Cedar House provides accommodation for 13 people. Some of the rooms on the upper level require people 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 provides accommodation for 26 people. The houses 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. Stechford railway station is nearby. Limited off road parking is available. The reader is advised to contact the home for updated information about how much it costs to live there. Care Homes for Older People Page 3 of 11 What we found: The focus of inspections undertaken by the Care Quality Commission (CQC) is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. The last key inspection of this service was completed on the 23rd March 2010. This random visit was undertaken by two inspectors over seven hours. We only visited Beech House. There were 23 people living there. The home did not know that we would be visiting that day. The reason for this visit was as a result of concerns raised by nurses from the Primary Care Trust (PCT) and social workers about the safety and welfare of the people living in Beech House. There is currently a suspension by social services service contracts on new people being admitted to Beech House. During this visit we looked at three care files in detail. We spoke to the people living there, the manager, the quality manager and the staff on duty. Due to their care needs some people were unable to tell us what it is like to live there. To help us find this out we used the Short Observational Framework for Inspection (SOFI) tool. This involved observing four people in one lounge in Beech House for one and a half hours and how staff and other people interacted with them. These are our findings: The manager said that since our last visit the deputy manager had left and until recently this post had not been filled. A member of staff had now moved from another home within the organisation to cover this role. The manager had been expected to cover shifts to fill the nurse vacancies, so has not had time to concentrate on management tasks. The quality manager said that there were now thirteen incidents of a safeguarding nature at the home. These were being investigated by the police or social services. Some staff had been suspended pending investigation, due to allegations made. This also impacted on the running of the home and resulted in the use of agency staff to cover the home. A nurse from another home within the organisation had been moved to the home to help cover and provide some consistency of care. We observed one person asking several staff to take them to the toilet. Some staff ignored their request, other staff said they would take them after they had done something else. The person asked for half an hour, during this time they were moved from the dining room to the lounge. After half an hour they were taken out of the lounge and staff said they were taking them to the toilet. Their elimination records did not record that they were taken to the toilet at this time. Their care plan stated, Staff need to take X to the toilet when they ask to avoid mishaps, which can be upsetting for X. This had an impact on their well being and they said, I dont feel well, need the toilet. Two people told us that after lunch they can wait 45 minutes to be taken to the toilet, as staff are putting other people back to bed for a rest. One person said this affects their visit from Care Homes for Older People Page 4 of 11 their husband, as they are often taken to the toilet as he arrives. We saw two peoples records that stated that staff had taken them to the toilet during the morning. At the times that staff had stated on the records we observed both people to be sitting in the lounge. Neither people had interaction from staff or were offered to be taken to the toilet. We discussed this with the manager who said that action would be taken to ensure that staff do not falsify records. One persons care plan stated that they were at risk of malnutrition and that staff needed to assist them to eat. Supplements had been prescribed for the person to reduce the risk of them being malnourished. We saw staff put a supplement drink next to them just before lunch, which they drank, so may not have had an appetite for their meal. Their care plan stated they like to sit in the dining room for their lunch. We observed that they were not offered this but were left to sit in the lounge. They had no assistance from staff to eat their meal and only ate two spoonfuls. They were not offered any pudding. Staff told us that the person will not eat if they are not encouraged and assisted by staff. They also told us that the person likes puddings. During lunch we observed people who were eating their meal in the lounge.There was a lack of organisation in the lounge. One person did not want sauce on their fish so staff took it back to get them fish without sauce. This took about 15 minutes. While they were waiting another member of staff gave them a pudding. They told staff that they had not had their dinner yet but staff left the pudding in front of them. Another person said they did not want ice cream with their apple crumble but wanted custard. Staff said there was no custard and offered them a yogurt. They did not want this, as they wanted a warm pudding. They did not have any pudding at all. Different staff brought in things for different people and seemed confused about who had eaten what. Some people were able to say what they had but others were unable to, which resulted in them not getting the food they need. One person does not speak English as their first language. Staff said it is difficult to communicate with the person. Some pictures were available to help them to communicate but these were small and the phrases next to them were in English. One member of staff was using the Internet to try and translate words into the persons first language. They were working hard to try and assist the person to communicate. One person told several staff over a period of an hour that they were very warm. Some staff were observed to ignore what the person was saying. The person was wearing a dress and a cardigan. Two windows were open in the lounge. There was a fan but this was not on. One staff tried to cool the person down by rubbing a wet tissue on their forehead and this seemed to help. After an hour the person said, Im so hot, I can hardly breathe. One member of staff then helped the person to take their cardigan off and they were taken out for a walk in the garden. The quality manager said that an air conditioning unit is available in Beech House, which could be put in the lounge to help people to be comfortable. Some people living there are from different cultural backgrounds. One care plan sampled did not show that the person was offered food that reflected their culture. Staff told us that on Saturday chicken curry is available and this person likes this. Staff said that this was provided for people from a range of different cultural backgrounds and so may not meet individual needs. One staff member said that they thought the food was very bland Care Homes for Older People Page 5 of 11 for one person and this may be why they do not eat much. This person is at risk of malnutrition. At our last visit we saw that people were being moved about the home in chairs with no foot rests on. This could place them at risk of injury. The manager said that foot rests for these chairs had now been delivered and were to be fitted later that week. Staff said that they do not have enough time to spend time talking to people. They said that there are not enough staff to meet peoples needs. Staff said they were unhappy working at the home and felt that they did not want to work there, as they felt they were unable to meet individuals needs. We recommended at the last inspection that staffing levels should be monitored and regularly reviewed to ensure they meet the needs of the people who live there. Since our last visit we have been assured by senior managers that this is done and sufficient staff are employed. This should continue to be reviewed and staffing levels altered if necessary to meet peoples needs. 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 6 of 11 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 7 of 11 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 12 Staff must follow individuals 31/08/2010 care plans to ensure their needs are met. To ensure the health and well being of the people living there. 2 8 12 Staff must accurately record the support they give to individuals. To ensure that individuals needs are met. 13/08/2010 3 15 12 People must be supported to 31/08/2010 have the nutrition they need. To ensure their health and well being. 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 1 People should have clear information about how much it costs to live at the home. Not assessed at this inspection. Page 8 of 11 Care Homes for Older People 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 2 3 Assessments should clearly state what support the person needs to ensure that their needs are met. Not assessed at this inspection. Arrangements should be made to ensure that care plans are clear so that staff can read them and know how to support the people living there. Outstanding from the last inspection. Staff should be aware of what the medicines prescribed for the people living there are for, together with the common side effects of the medicines. Not assessed at this inspection. People should be offered the opportunity to have foods that reflect their cultural background so to help them have a meaningful lifestyle that respects their wishes. Care plans should state how peoples cultural needs are to be met in relation to their lifestyle, social and religious activities. This should ensure that individuals can have a lifestyle that is meaningful to them. Not assessed at this inspection. Menus should be varied so that people have a varied and nutritious diet that meets their individual needs. Not assessed at this inspection. People should be provided with adapted cutlery and crockery so that they can eat their meals independently and their dignity is respected. Not assessed at this inspection. Staff should provide the people living there with information about their choices at mealtimes and what they are eating, so as to respect their choices and dignity. Not assessed at this inspection. Records should show how complaints are investigated to ensure that peoples views are listened to and acted on. Not assessed at this inspection. Staff should have training in the Mental Capacity Act and Deprivation of Liberty Safeguards. This will ensure they are aware of how this legislation may affect the people living there. Not assessed at this inspection. 3 7 4 9 5 13 6 13 7 15 8 15 9 15 10 16 11 18 Care Homes for Older People Page 9 of 11 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 12 19 The mixer should be replaced to ensure that the risks of cross infection are reduced. Not assessed at this inspection. Carpets should be cleaned or replaced where needed to ensure that people live in a homely and comfortable environment. Not assessed at this inspection. Staffing levels should be monitored and regularly reviewed to ensure they meet the needs of the people who live there. Outstanding from the last inspection. Recruitment practices should ensure that suitable staff are employed to work with the people living there to ensure they are safeguarded from harm. Not assessed at this inspection. A representative of the provider must visit the home monthly and write a report of their visit. This will help to ensure the home is meeting the standards and regulations and the home is being run in the best interests of the people living there. Not assessed at this inspection. Staff moving and handling practice should reflect what they have been told in their training to ensure their safety and that of the people living there. Not assessed at this inspection. 13 19 14 27 15 29 16 33 17 38 Care Homes for Older People Page 10 of 11 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. 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