Random inspection report
Care homes for older people
Name: Address: Sylvan House 2 - 4 Moss Grove Prenton Wirral CH42 9LD zero star poor 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 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: Ingerbritt Moynihan Date: 0 9 0 2 2 0 1 0 Information about the care home
Name of care home: Address: Sylvan House 2 - 4 Moss Grove Prenton Wirral CH42 9LD 01516081401 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) : Prime Care (UK) Ltd care home 22 Number of places (if applicable): Under 65 Over 65 0 22 dementia old age, not falling within any other category Conditions of registration: 6 0 The registered person may provide the following category/ies of service only: Care home only - Code PC 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 - Code OP Dementia - Code DE The maximum number of service users who can be accommodated is: 22 Date of last inspection Brief description of the care home Sylvan House is a large converted property situated in the Prenton area of Birkenhead, Wirral. It is close to local shops and bus routes to towns on the Wirral and Liverpool. The home offers care and support to 22 residents who are over the age of 65 years. This registration includes providing a service to 6 people who have dementia. Accommodation is provided on two floors with passenger lift and stair access. The
Care Homes for Older People Page 2 of 9 Brief description of the care home home has some shared bedrooms. On the ground floor there are two sitting areas and a separate dining room, some bedrooms, an adapted bathroom and toilets. Outside the home there are garden areas and some parking spaces. Basement areas in the home are used as an office, a staff room, a laundry and for storage. The weekly fees for the service range from GBP366.17 to GBP395.22. Additional charges are made for hairdressing and chiropody. A service user guide and a statement of purpose, which describe the services, offered is made available to people who are interested in using the service, their relatives and professionals before a person comes to live at Sylvan House. A copy of the most recent inspection report can be obtained from the manager. Care Homes for Older People Page 3 of 9 What we found:
A selection of care plans were examined. While additional risk assessments had been drawn up, they held only basic information and were not always up to date. Care plans had not been formulated from this information. Service users medical and social care needs had been identified, but again supporting care plans had not been drawn up. The only care plans in place were day/night care plans which held basic information in relation service users individual routines. Information was not always signed or dated so it was not possible to establish how current it was. Staff have not been provided with formal care planning training, although they have been given information to read and the manager has held informal discussions. The provider intends to provide staff with new literature on care planning in April 2010. No changes have been made to the way the home is managed and an up to date development plan has not been drawn up, the provider has agreed to submit this document. Service users medicines are audited by the supplying pharmacist and a visual check of medicines is carried out each day. A record of this check is not kept. The recommendations from the Environmental Health Department have not been implemented, although the kitchen was clean and tidy. All staff have a Criminal Record Bureau check, although this has not been renewed in line with good practice which is every 3 years. A policy which asks staff to declare any offences between these checks has not been introduced. The night staffing levels have been reduced on some nights due to a staff shortage. To ensure the service users care needs are continually met, appropriate staffing levels must always be provided. What the care home does well: What they could do better:
More detailed information need to be collated during the assessment process so that service users know they will receive the care and support they need. Improvements need to be made to the care plans and risk assessments so that staff have all the information they need on how to provide service users with the care and support they need. Staff should be provided with more training in this area to support them in
Care Homes for Older People Page 4 of 9 their role. Medicines should be audited regularly in the home so that staff can monitor how they are used. Management systems need to be improved to ensure the efficient and effective running of the business. Criminal Record Bureau checks should be updated every 3 years. A policy should be developed which asks staff to declare any criminal offences between these checks. This will ensure staff are suitable to work with older people. Appropriate night staffing levels must be provided to ensure service users care needs are continually met. 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 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 3 15 A detailed assessment of service users care needs must be completed. This will ensure staff have the information they need on how to look after the service users properly. 08/01/2010 2 7 15 Detailed care plans, including 08/01/2010 risk assessments, must be documented for each service user. This will ensure staff have the information they need on how to look after the service users properly and minimise the risk of accidents happening. 3 7 18 Staff must be provided with training on care planning. This will ensure service users health care needs are monitored and planned for properly. 08/01/2010 4 33 10 The management systems 08/01/2010 should be changed and improved. A development plan should be produced and shared with the service
Page 6 of 9 Care Homes for Older People 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 users, their relatives and staff to show what the future plans are for the home are. This will ensure the effective and efficient running of the home. Care Homes for Older People Page 7 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 27 18 Appropriate night staffing levels must always be provided. This will ensure service users care needs are always met. 09/03/2010 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 8 of 9 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 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!
