This inspection was carried out on 18th September 2008.
CSCI found this care home to be providing an Poor 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 3 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 Marys Care Home The Old Vicarage Main Street Blidworth Nottinghamshire NG21 0HQ The quality rating for this care home is: The rating was made on: zero star poor 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: Karmon Hawley Date: 1 9 0 9 2 0 0 8 Information about the care home
Name of care home: Address: St Marys Care Home The Old Vicarage Main Street Blidworth Nottinghamshire NG21 0HQ 01623 795231 01623 795231 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable): Type of registration: Number of places registered: Broadoak Group of Care Homes Vacant care home 23 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia dementia old age, not falling within any other category 1 0 0 Over 65 0 23 22 Conditions of registration: The Home is registered to provide personal care for service users of both sexes Whose primary needs fall witin the following categories Old age, not falling with in any other category (OP) (23) Dementia - Over 65 years of Age (DE[E]) (23) Date of last inspection Brief description of the care home St Marys Care home provides personal care and accommodation for 23 older people. At the time of inspection 19 residents were accommodated at the home. St Marys Care home is owned by the Broadoak Group that is a company which provides care for older people in Nottinghamshire and some of the surrounding Care Homes for Older People
Page 2 of 12 counties. St Marys is a large converted vicarage situated on the main road in the village of Blidworth Nottinghamshire, fairly close to local amenities. All the bedrooms are furnished in a similar style and well appointed, many of these are well personalised. Six of the bedrooms have en-suite facilities. Most of the rooms have views over the rolling countryside. The lounge areas are situated on the ground floor of the home both lounge areas overlook the garden areas. Car parking is available. Care Homes for Older People Page 3 of 12 What we found:
The purpose of this visit was to check compliance with the requirements set at the last key inspection that took place on 19th June 2008. Plans of care and risk assessments examined showed us that some information remains out of date and is inaccurate in regard to people’s needs and the support that they require. There are no specific plans of care or risk assessments to outline the support that people need in respect of diabetes mellitus or dementia care and behaviour that is challenging. Never the less there are no entries of ill health or concerns within daily records examined. Discussions with staff showed us that they are able to discuss how they support people whose behaviour may be challenging and how they would diffuse difficult situations. However on discussing diabetes mellitus, only two members of staff out of three are able to discuss the signs and symptoms that may indicate ill health or emergency and the action that they would take should this occur to ensure people’s health and wellbeing is maintained. People using the service told us that staff help them, as they like to be helped and that their needs are met. Throughout the visit we observed staff being respectful to people using the service and upholding people’s dignity. People using the service told us, ‘the staff are kind and respectful, they care for me in a way that I like,’ and ‘most staff are very good, and look after me well.’ A ‘residents meeting’ has been held to ascertain the views and opinions of people using the service in regards to the activities on offer. One person using the service confirmed that they had attended the ‘residents meeting’ and that this had given them the opportunity to discuss activities that they would like. With the exception of this there is no further evidence to demonstrate development in regard to the quality assurance systems. Since the previous visit a person has delivered a Mr Motivator session and a video afternoon has been held. On speaking with two people using the service they told us, ‘I wasnt looking forward to Mr Motivator as I have been to these types of things before and they havent been very good, however I was very surprised, it was really good and they did get everyone motivated, I cant wait until they come again,’ ‘things have improved since Gail came, we have more things to do, sometimes it still gets a little boring but it is much better and we do have plans for the future. There is no evidence available to demonstrate that a previous complaint in relation to a missing personal item has been investigated or resolved. The area manager was unable to produce evidence at the time of the visit to show us that measures had been taken to resolve the issue. The complainant told us that this complaint has not yet been resolved despite numerous attempts and correspondence. Care Homes for Older People
Page 4 of 12 Staff spoken with are able to tell us how they would deal with a complaint should one be received so that it may be resolved. One person using the service told us, ‘I can always speak with Gail if I have a problem, and she listens and tries to sort things out.’ Despite staff undertaking further training in safeguarding adults and being able to discuss their roles and responsibilities, during the visit a person using the service made an allegation that they had experienced abuse from a member of staff. Two members of staff spoken with confirmed that they were aware that this had taken place, however this had not been documented within this person’s plan of care to show us if any action had been taken to address this issue. Staff files examined showed us that in six files not all the documentation required by law is in place to ensure that people using the service are protected from unsuitable people being employed. The acting manager told us that attempts had been taken to obtain this documentation and additional references had been sent for, however acknowledged that some had been overlooked. A member of staff spoken with told us that they had not received a copy of their criminal record bureau check as yet, however the area manager told us that she had received a copy. The duty rota showed us that these members of staff are still working at the care home and that they are not working under direct supervision. The acting manager and one member of staff confirmed this and throughout the visit, staff were seen to be working on their own whilst supporting people using the service. Staff records examined demonstrate that staff have undertaken additional training in safeguarding adults, fire safety and insulin administration and further training is in the process of being arranged for other compulsory training needs. Staff spoken with said that they felt supported in their training and development needs and that courses are on offer to them. Two members of staff spoken with confirmed that they had attended recent training in safeguarding adults and fire safety. Within one plan of care examined an incident had occurred which resulted in a person using the service receiving an injury. It stated that staff had been disciplined and that they were to be retained in manual handling. On examining the staff files, this has not taken place. We saw that the acting manager is making some changes to the way that the care home is run and managed, she has arranged further training for staff and has held a meeting for people using the service to enable them to express their views and opinions in regard to improvements that they would like. People using the service spoken with said that the acting manager was approachable and that she has already made some changes that are for the better. The finances of people using the service examined showed us that all the accounts correspond with the accounting sheet and that two members of staff sign for all transactions. Receipts are available for transactions however these are not stored with the accounting sheets, which makes it difficult to cross-reference these with transactions that have taken place. A new policy is in place in regard to taking money out of accounts; staff now leave a note stating that they have taken money to make purchases for people so that staff are aware of this. 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. 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 7 15(2)(b) Care plans must be kept up 25/07/2008 to date and reflect the change in needs of residents to maintain their safety. Risk management plans must 19/06/2008 be in place for all highlighted risks to ensure that people using the service are fully protected. This is an outstanding requirement and enforcement action is now being considered to ensure compliance. Care plans for complex needs 25/07/2009 such as diabetes mellitus and dementia care needs must be in place to ensure that peoples individual needs are met. To demonstrate that 19/06/2008 complaints are being dealt with appropriately and effectively, a written record of complaints received by the service must be available for the Commission for Social Care Inspection on request. This is an outstanding requirement and enforcement action is now being considered to ensure compliance.
Page 7 of 12 2 7 13(4,c) 3 7 15(1) 4 16 22(8) Care Homes for Older People 5 18 13(6) Measures must be put into 19/06/2008 place to ensure that service users are protected from the risk of harm or abuse to ensure that they are fully protected. This is an outstanding requirement and enforcement action is now being considered to ensure compliance. All the necessary 19/06/2008 documentation must be obtained before a person is employed by the home to ensure that service users are fully protected. This is an outstanding requirement and enforcement action is now being considered to ensure compliance. Systems must be put into 19/06/2008 place to ensure that all staff have undertaken compulsory training to ensure that they have the necessary knowledge and skills to meet service users needs. This is an outstanding requirement and enforcement action is now being considered to ensure compliance. The registered person shall 19/06/2008 give notice to the Commission the name of the person appointed as the acting manager and the intention to register this person as the registered manager, to ensure that service users live in a home that is well run and managed. This is an outstanding requirement and enforcement action is now
Page 8 of 12 6 29 19(1,b,i) schedule 2 7 30 18(1,c) 8 31 8(2) Care Homes for Older People being considered to ensure compliance. 9 33 24(1) Systems must be in place to 19/06/2008 ensure that service users have a formal method of ensuring that their views and opinions are listened to and taken into consideration in the running of the service. This is an outstanding requirement and enforcement action is now being considered to ensure compliance. Care Homes for Older People Page 9 of 12 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 18 13 You must ensure following 23/10/2008 training in safeguarding adults that staff carry out the required practices. This will ensure that people using the service are protected from the risk of abuse or harm. 2 18 13 You must alert the 23/10/2008 safeguarding adults team of the allegation of abuse made to us during the visit. This will ensure that this is investigated by a person that is not linked with the service and will ensure that people using the service are protected from the risk of abuse or harm. 3 19 18 Following untowards incidents staff must receive additional training when the need has been identified. This will ensure that staff have the required knowledge and skill to meet peoples needs and care for them safely. 23/10/2008 Care Homes for Older People Page 10 of 12 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 35 Receipts for all transactions of peoples personal money are kept with the accounting sheets to enable cross reference. Care Homes for Older People Page 11 of 12 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 © (2008) 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 12 of 12 - 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!
