Inspection on 13/05/10 for Stabilisation Services Passmores House
Also see our care home review for Stabilisation Services Passmores House for more information
This inspection was carried out on 13th May 2010.
CQC found this care home to be providing an Poor service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
Random inspection report
Care homes for adults (18-65 years)
Name: Address: Stabilisation Services Passmores House Third Avenue Harlow Essex CM18 6YL new service which has yet to be given a quality rating 02/06/2009 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: Carolyn Delaney Date: 1 3 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Stabilisation Services Passmores House Third Avenue Harlow Essex CM18 6YL 01992553173 01992509729 enquiries@valehouse.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Vale House Stabilisation Services Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 14 Number of places (if applicable): Under 65 Over 65 0 0 past or present alcohol dependence past or present drug dependence Conditions of registration: 14 14 The maximum number of service users who can be accommodated is: 14 The registered person may provide the following categories of service: care home with nursing - Code N to service users of the following gender: either. Whos primary care needs on admission to the home are within the following categories: Past or present Alcohol dependence - Code A. Past or present drug dependence Code D Date of last inspection Brief description of the care home Stabilisation Services Passmores House is a care home, which provides accommodation and nursing support for detoxification and rehabilitation treatment for up to a maximum of fourteen adults who have or have had alcohol or substance and
Care Homes for Adults (18-65 years) Page 2 of 8 0 2 0 6 2 0 0 9 Brief description of the care home drug misues problems. The home is situated on the outskirts of Harlow town. Each person is provided with single accommodation and residents have access to communal areas dining room, lounge, treatment room for alternative therapies and a garden. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
This report is in respect of a random inspection carried out for this service. We carry out a random inspection where we want to look at specific outcome or outcome groups. A random inspection will not affect the quality rating made at the previous key inspection. As it is a focused inspection and not all outcome areas are assessed other issues may come to light when we net carry out our next key inspection. We visited Stabilisation Services Passmores House on 13th May 2010 to carry out a random inspection. We carried out this inspection in line with our methodology for monitoring services, which we have judged to have a 0 star poor quality rating. We carried out the inspection specifically at how staff were recruited to work in the home as we had raised concerns that staff had been employed to work in the home without the appropriate checks in respect of their fitness. Six members of staff had been employed to work in the home without Criminal Records Bureau disclosures having been obtained. We also looked at at staffing levels and qualifications of staff working in the home as we had received an anonymous complaint that untrained staff were being employed to support residents. We looked at staff files for all staff working in the home and cross referenced this with information on staff duty rotas for the four weeks preceding and including the week of the inspection. We saw that all staff rostered to work had satisfactory Criminal Records Bureau disclosures and that where staff did not have these in place they were not working until such time as these had been obtained. We looked at staff rotas for both the detoxification unit and the rehabilitation units for a period of four weeks. Rotas did not clearly identify staff roles or designations and it was difficult to determine what hours staff worked. It was also not easy to identify where temporary agency worked in the home. Where agency staff were employed their full names were not recorded on the duty rota. We discussed these issues with the responsible individual and the person acting as manager in the absence of the registered manager. The manager told us what the staffing levels were for both units. They told us that a minimum of one nurse and one case manager was employed during the day and at night on the detoxification unit. The manager told us that there were staff shortages due to vacancies and that once new staff were employed that staffing levels would be more flexible. The manager told us that where possible that two nurses were employed on the days where people were admitted to the unit for treatment. We looked at the records for when people had been admitted to the unit between the 1st and 31st April 2010 and saw that two nurses had been employed on all the days where residents had been admitted to the unit for treatment. The manager told us that the staffing levels for the rehabilitation. The manager told us that one case manager was employed to during the day and at night to support up to a maximum of seven residents. We looked at staff rotas for four weeks and these confirmed the staffing levels. From the duty rotas we saw that some staff worked night shifts followed by day shifts without a break. We discussed the implications and our
Care Homes for Adults (18-65 years) Page 4 of 8 concerns about this practice with the manager. They told us that this had only happened in extreme circumstances and that with new staff commencing employment this practice would cease. We discussed the anonymous complaint we had received around inappropriately trained staff being employed to support residents. The manager confirmed that on occasions a chef who had some training had been employed and that this person was supported by a member of nursing staff. We discussed the implications of employing staff to work support residents without the appropriate training, skills and support. The manager told us is that additional staff were employed to provide complimentary treatments such as reflexology and aromatherapy. They told us that a reflexologist was employed to come to the home once week and an aromatherapist twice a week. These people were not recorded on the duty rota. The manager told us that the aromatherapist was on leave this week. We discussed arrangements with the manager for providing complimentary therapies for residents as we had noted that on our previous two visits to the home complimentary therapies should have been provided but that the therapist was off sick. Residents we spoke with during the last two inspections told us that they found these treatments very beneficial but that they were often cancelled. 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 Adults (18-65 years) Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 9 13 Risks to each persons health 26/03/2010 and safety must be assessed and appropriate action taken where risks are identified. This must be done so as to ensure that people can take appropriate risks within their treatment programme. Care Homes for Adults (18-65 years) 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, 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 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 Adults (18-65 years) Page 7 of 8 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 Adults (18-65 years) 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. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) 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!
