This inspection was carried out on 30th October 2008.
CSCI found this care home to be providing an Adequate service.
The inspector found no outstanding requirements from the previous inspection report,
but made 2 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 The quality rating for this care home is: The rating was made on: one star adequate 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: Amanda Hennessy Date: 3 0 1 0 2 0 0 8 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: St. Quentin Residential Homes Limited care home 33 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability 2 0 4 Over 65 0 33 0 Conditions of registration: 2 DE(E) 33 PD over 60 years Date of last inspection Brief description of the care home St Quentin Nursing Home is registered for 33 people who 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 aim of St Quentin Nursing Home is to provide a high standard of nursing care provided by an experienced and competent team of staff. The home is set in approximately one acre Care Homes for Older People
Page 2 of 8 of very pleasant gardens, a mile or so from the wide range of community facilities provided in the town 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 8 What we found:
We visited the home to look at the care records of two people who had sustained fractures whilst receiving personal care by staff. People had appropriate care plans giving staff instructions on how their needs should be met. A moving and handling risk assessment was available for both people whose care records we looked at. The moving and handling risk assessment gave information how staff should move the person in a variety of situations such as up the bed, from bed to chair and into the bath. One person needed to be hoisted yet there was no information on the type of hoist and size of sling that should be used.The moving and handling risk assessment did not give information on either persons limitations of mobility or general movement. One incident occurred when just one member of staff was washing and dressing the person, although care records identified a need for two members of staff to provide care. The other incident occurred when two care staff were moving the person out of bed. Care records did specify a need for two people to move the person. There are appropriate records of both accidents and incidents. The home had provided required information to us. Referral had been made to the Health and Safety Executive for one incident only, although referral should have been made for both incidents. No referral had been made to the local authority Safeguarding as should have been. We also found that care records were generally detailed and provided information about the care that had been given. We did find one inaccurate entry that showed incorrectly that the person had been taken to the toilet before the incident, although this was not the situation. We spoke to the staff who made the entry, they confirmed that this person had not been taken to the toilet before the incident . We advised staff to ensure that only factual information is recorded. We found that the home are investigating both incidents and staff statements in relation to the incidents are available. A conclusion of the investigations will be made by the home when the Safeguarding investigation has been concluded. The homes Manager, proprietor and a member of night staff are all moving and handling trainers. The three senior members of staff have had required training and updates to enable them to train and assess staff practice in moving and handling. Staff files that we looked at had regularly had moving and handling training. What the care home does well: What they could do better:
The home was advised to include additional information in peoples moving and Care Homes for Older People
Page 4 of 8 handling risk assessments. Problems that people have moving, the type of hoist and type and size of the sling that is to be used should all be recorded. If this information is available it will give greater assurance that people are moved both appropriately and safely. Referrals must be undertaken to the Local Authority of all incidents and accidents that are represented under safeguarding procedures. This means that an outside agency investigation may be undertaken to review the incident and actions can be undertaken to give assurance that people are kept safe at the home. Records need to be inaccurate and reflect the care given to enable a true and accurate picture of the care that people receive. 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 8 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Older People Page 6 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, 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 Referral should be made by 30/11/2008 the home of all safeguarding incidents. That required actions are undertaken to keep people safe. 2 38 13 The moving and handling risk 30/11/2008 assessment must include information about moving difficulties of the person and also when a hoist is required to move them the type of hoist and type and size of the sling that should be used All required information is available to ensure that people will be moved appropriately and 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 Care Homes for Older People Page 7 of 8 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 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!
