Random inspection report
Care homes for older people
Name: Address: Stadium Court Nursing Home Stadium Court Nursing Home Greyhound Way Cobridge, Hanley Staffordshire ST6 3LL two star good service 16/03/2009 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: Yvonne Allen Date: 1 4 0 1 2 0 1 0 Information about the care home
Name of care home: Address: Stadium Court Nursing Home Stadium Court Nursing Home Greyhound Way Cobridge, Hanley Staffordshire ST6 3LL 01782207979 01782266027 bradbury@bupa.com www.bupa.com 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) : BUPA Care Homes (CFHCare) Ltd care home 168 Number of places (if applicable): Under 65 Over 65 0 71 dementia old age, not falling within any other category Conditions of registration: 97 0 The maximum number of service users to be accommodated is 168. The registered person may provide the following categories 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 categories: Old age not falling within any other category - OP 71 Dementia - DE 97 Date of last inspection Brief description of the care home Stadium Court Care Home is owned by BUPA Care Homes. The Registered Manager is Sandy Bradbury and she is supported by a Deputy Manager and unit managers. The home offers twenty-four hour nursing care. Wedgwood unit has a number of beds contracted for Assessment and Rehabilitation needs, taking individuals directly from
Care Homes for Older People Page 2 of 11 1 6 0 3 2 0 0 9 Brief description of the care home the hospital and assessing their needs for future placements. There are two units offering care to older people including nursing care and physical needs. These units have aids and adaptations to help individuals with physical limitations. All areas of the home and gardens are accessible to individuals who use wheelchairs. The other three units are adapted to meet the needs of older persons with varying degrees of mental health needs including dementia care. A senior sister/manager is responsible for managing each unit. Stadium Court is situated close to Hanley town centre, and it is on the main road, close to public transport. The home has ample parking facilities. All bedrooms are single occupancy and have en-suite facilities. Each one of the units has two lounge areas along with a dining area and a separate conservatory. Each of the units also has its own secure garden, which is accessible to individuals using wheelchairs. The amount of fees charged by the home ranges from 413.00 to 745.00 pounds per person per week. The fee includes the free nursing care allowance. The home accepts individuals who are funded by Social Services and other purchasers of care as well as those who are self-funding. Care Homes for Older People Page 3 of 11 What we found:
We carried out this Random Inspection because we had received a Safeguarding Referral from the local Social Services Department. The issues of concern and allegations were that A person who lives in the home (Aynsley Unit) was found to have unexplained bruising and an injury to her head. There have been alleged incidents where injuries have also happened to other people and they have not been followed up. Manual Handling of people is not always carried out correctly nor in accordance with individual assessments. There are sometimes not enough staff working on the unit to ensure that people are appropriately supervised and kept safe. This inspection involved a visit to the service and part of this visit was carried out in conjunction with representatives from the local Social Services Department. We met with the Registered Manager and Deputy Manager of the service and the manager of Aynsley Unit was also on duty. We spoke with all of the above managers and some of the other staff who work at the home. We were unable to meet with the people who live in the home at the time of our visit as Aynsley Unit was isolated due to there being an outbreak of gastroenteritis. When we met with the unit manager she told us that she had, in fact not been working throughout most of December due to illness. She told us that there were 27 people living on the unit, all with mental health nursing needs and that she felt that there was currently enough staff on duty to meet these needs. The provision of staff was usually one nurse on duty constantly throughout each 24 hour period. There was usually six care staff on duty in the mornings and five in the afternoon. This had increased by one more carer due to a person living on the unit needing one to one supervision. This person was currently in hospital and so the extra care staff member was not needed. When we looked at the staff rota for the month of December it reflected the above staff numbers with the odd occasion where there were more staff provided. There appears to be minimal staff on duty between 2pm to 4pm on most days. However, on 23rd December 2009, according to the staff duty rota, there was only four care assistants and one nurse on duty from 2pm to 4pm. This is the day when care staff discovered unexplained bruising on a person who lives in the home. Then on 24th December there was only three care assistants and one nurse on duty from 2pm to 4pm. The unit manager was documented as working on 23rd December but she told us that
Care Homes for Older People Page 4 of 11 she was not on duty over the period of the alleged Safeguarding issues. We examined care plan records and records of accidents. We identified that nothing had been documented about how this lady received bruising and an injury to her head, nor had we, the commission, received a notification about this (Regulation 37 report). We also identified that, some other people who live on the unit had received injuries which should have been reported to us but the service had failed to do so. We were also concerned to see that some of these incidents (where people had sustained unexplained bruising and/or other injuries) had not been referred for medical attention. One person had sustained a head injury during the night and had not been referred for immediate medical attention. In this instance the GP was contacted the following morning and he questioned why the person had not been sent to Accident and Emergency. The doctor then advised staff to do this. We also identified that there were several occasions documented where staff had found people lying on the floor, in some instances this was in the communal room (lounge). It was documented that, on 2nd December 2009 a person was - found lying on the living room floor and had been sitting down prior to the accident. Staff had left to put others to bed. We found that individual Care plans are very thorough and comprehensive. The service carries out individual risk assessments pertaining to all identified problems and this includes a manual handling risk assessment. This tells us how people should be moved and handled safely. These risk assessments had been updated monthly or more often where indicated. We looked at the staff training record (training matrix) and identified that, whilst the majority of staff have received updated Manual Handling training, there were some staff who had not received this. Although one staff member told us that she had received this training but that the record had not been updated to reflect this. We identified that staff are often placed on different units to work throughout the home. This is because sometimes a unit might be short staffed and staff are borrowed in order to make up staff numbers. Usually the staff member is sent from a unit where there are surplus staff. Our concerns are, however, that staff working on Aynsley Unit have received training in dementia care and challenging behavior in order to be able to understand and meet the needs of people living on this unit. Whereas it cannot be guaranteed that staff being sent to help from other units have had this training and have got the skills to meet peoples needs. What the care home does well: What they could do better:
The service will need to review the provision of staff on Aynsley unit. The service must ensure that there are enough staff provided on Aynsley unit at all times. This must allow for any people receiving 1:1 care and also where a staff member has to go into the kitchen at mealtimes. This is to ensure that people are adequately supervised and are
Care Homes for Older People Page 5 of 11 kept safe at all times. The service will need to improve its documentation in relation to accidents and injuries. They must also inform us, the commission, when people have sustained unexplained bruising and also when people have sustained serious injuries. This information must be contained on a Regulation 37 form. The service will need to ensure that, when people do receive a serious injury then medical attention is sought without delay. The service will need to ensure that all staff who deliver care to people are updated with manual handling training and are seen to be competent in this area. This will help to ensure that people who live in the home are kept safe. The service must also ensure that staff members who are sent to help out on Aynsley unit from other parts of the home are equipped with the training and skills to be able to meet the needs of the people who live on this unit. Following this inspection visit we left Immediate Requirements with the service to make urgent improvements in the above outcome areas. 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 1 8 12 12(1) The registered person 29/01/2010 shall ensure that the care home is conducted so as (a)to promote and make proper provision for the health and welfare of people who live in the home and (b) to make proper provision for the care and, where appropriate, treatment, education and supervision of people Where people receive a serious injury then the service must seek medical attention without delay 2 27 18 18(1) The registered person 29/01/2010 shall, having regard to the size of the care home, the statement of purpose and the number and needs of people living in the home (a) ensure that at all times suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of people living there The service must ensure that, at all times there are sufficient staff on duty to ensure that people who live on Aynsley unit are kept safe and appropriately supervised 3 38 13 13(5) The registered person shall make suitable 29/01/2010 Care Homes for Older People Page 8 of 11 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 arrangements to provide a safe system for moving and handling people All staff delivering care must receive up to date training in Moving and Handling. Also staff must not move people inappropriately and there must be enough staff on duty at any one time to facilitate correct manual handling 4 38 37 37(1) The registered person shall give notice to the Commission without delay (c) any serious injury to a person living in the home The service must report any incidents resulting in a serious injury to the Care Qulaity Commission in a Regulation 37 report 29/01/2010 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 1 4 The service should ensure that staff who are sent from
Page 9 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 other units in the home coming to help out on Aynsley unit have the relevant skills and training to be able to meet the needs of the people living there 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. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 11 of 11 - 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!
