This inspection was carried out on 10th February 2009.
CSCI found this care home to be providing an Adequate 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.
Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: St Quentin Nursing Home Sandy Lane Newcastle Staffordshire ST5 0LZ one star adequate 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 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: Amanda Hennessy Date: 1 1 0 2 2 0 0 9 Information about the care home
Name of care home: Address: St Quentin Nursing Home Sandy Lane Newcastle Staffordshire ST5 0LZ 01782662911 01782620255 st.q@virgin.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : St. Quentin Residential Homes Limited care home 33 Number of places (if applicable): Under 65 Over 65 0 33 0 dementia old age, not falling within any other category physical disability Conditions of registration: 2 DE(E) 33 PD over 60 years Date of last inspection Brief description of the care home 2 0 4 3 0 1 0 2 0 0 8 St Quentin Nursing Home provides accommodation for up to 33 older people who may require 24 hour nursing care. The home is a large detached property that has been extended to provide comfortable accommodation on two floors. A passenger lift provides access between the floors. There are two lounges and a dining room situated on the ground floor. The home is set in approximately one acre of very pleasant gardens, a mile or so from the wide range of community facilities provided in the town Care Homes for Older People
Page 2 of 9 Brief description of the care home of Newcastle-under-Lyme. There are adequate parking facilities. As no information is included in this report in relation to fees charged by the home, readers of this report are advised to contact the service directly for this information. Care Homes for Older People Page 3 of 9 What we found:
We visited the home following allegations of abusive practices and unexplained injuries to people living at the home. Concerns were raised both by the home and other organisations. We found that there has been ongoing bruising to several people living at the home. Some people have sustained black eyes on more than one occasion and another person has had frequent episodes of bruising described as extensive by staff. Bruising that people have had has not been routinely recorded in the homes accident or incident book. The incidents of bruising were also not reported to either us or as safeguarding incidents to the Local Council as they should be. The home has suspended one member of staff following concerns about their practice. Other members of staff instigated in abusive practices are still working at the home under what is the manager and Proprietor have described as supervised practice and as recommended to them by their employment adviser. All staff we spoke to had a reasonable knowledge of what constitutes abuse. All said that they would highlight any concerns they had about people under their care. We did however find that less than half of the staff we spoke to did not recognise that bruising may be a sign of abuse. We found that the home records of the persons day did not provide sufficient information about their day and their general condition. There is a need for an improved record of the persons condition and any concerns about them, for example we found one person had been severely constipated although there was no actions undertaken for a three days and they did not have an enema for their constipation for another nine days. We also found that there were incomplete and inconsistently completed entries for the bruising that people had. We found that the home had care records and risk assessments which staff have not been complying with. We were told that staff regularly lift people on their own despite their risk assessments identifyingat they need two staff to move them, this puts both the person and the member of staff at risk of injury. The Manager told us that this was commonplace particularly on night duty : the trained nurse usually turns the little ones on her own. We also found that some of the people whose care records we looked at had not been weighed since 23/10/08. The same people had previous weight loss but there was no record of any actions or referrals to other Health professionals had been undertaken. The Manager did assure us that appropriate referrals had been undertaken to either their Doctor or Dietician. What the care home does well:
This was a targeted inspection to look at allegations of abuse at the home and staff knowledge of what constitutes abuse. The reader is advised to refer to the report of the previous key inspection undertaken on 4th June 2008. The home was identified as one star following its last key inspection, a one star rating means that people who live Care Homes for Older People
Page 4 of 9 at the home have adequate quality outcomes. The homes rating can only be changed at a full inspection. 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 8 12 The home must ensure that 10/03/2009 care records detail all actions to be undertaken to reflect peoples needs, choices and capabilities. This will ensure that required actions are undertaken to keep people safe and meet their needs. 2 18 13 The home must make 23/02/2009 referral to the protection of vulnerable adults list and the nursing and midwifery council in relation to the allegations of abuse that have been made. This will give assurance that people at the home are being protected from people who are unsuitable to work with vulnerable people. 3 37 37 The home must make all 10/03/2009 referrals to highlight incidents that affect the health and well being of people who live at the home. 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 This will ensure and give assurance that all required actions are being undertaken to promote the well being of people living at the home and keep them safe. 4 38 17 There must be a record of all 10/03/2009 accidents and incidents that take place within the home. This will provide assurance that actions will be undertaken to minimise the risk of possible reoccurance of incidents. 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 Daily records should give a full account of the care that the person has had and their general condition and when there are changes to their care needs. People should be weighed regularly as identified by their clinical need. When there are any concerns about their weight there should be a record of what actions have been undertaken. There should be regular audit of accidents and incidents to determine any trends in the occurence of accidents and incidents. 2 8 3 38 Care Homes for Older People Page 8 of 9 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: 03000 616161 or Textphone: or 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) 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 9 of 9 - 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!
