Random inspection report
Care homes for older people
Name: Address: Thackeray House Thackeray House 58 Addiscombe Road Croydon Surrey CR0 5PH one star adequate service 03/06/2009 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: Mohammad Peerbux Date: 1 2 1 1 2 0 0 9 Information about the care home
Name of care home: Address: Thackeray House Thackeray House 58 Addiscombe Road Croydon Surrey CR0 5PH 02086498800 02086881393 thackeray@barchester.com www.barchester.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) : Barchester Healthcare Homes Ltd care home 39 Number of places (if applicable): Under 65 Over 65 39 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 39 The registered person may provide the following category of service only: Care home with nursing (CRH - 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 - Code OP Date of last inspection Brief description of the care home Thackeray House is a purpose-built nursing home providing care to a maximum of thirty-nine residents. The home provides care for elderly frail residents and also offers a specific palliative care service. Communal space includes a large dining area, a pleasant conservatory and a quiet lounge. The latter two areas overlook a wellmaintained rear garden. The home is ideally situated as it is close to public
Care Homes for Older People Page 2 of 7 0 3 0 6 2 0 0 9 Brief description of the care home transport,the tram passes the front door and it is a short walk from East Croydon railway station and the excellent transport links this affords. The centre of Croydon, with vast shopping and cultural opportunities is only a short distance away. Parking is available directly outside the house. Care Homes for Older People Page 3 of 7 What we found:
This inspection was triggered as the Commission had received some concerns regarding the service. All the relevant breaches regarding Regulations were looked into. Some of the concerns were substantiated. We discussed residents care plans, staffing level, staff personnel documents and we also checked medication records on one floor. Three care plans were sampled at random and it was noted that none of them have been reviewed recently. The care plans for resident A was last reviewed on 23/09/09 and the previous review date on some of the care plans were 15/06/09. The Waterlow risk assessment which need to be updated by the home on a monthly basis, was last reviewed on 23/09/09. Resident B care plans were last updated in June 2009. The Waterlow risk assessment has not reviewed since July 09 despite being graded as high risk. The resident has lost 6kg in weight and did have a dietician referral. However there was no evidence from staff about how the issue would be managed. Nothing about the provision of pressure relieving equipment etc was documented. Resident C was admitted in September 09 and the care plans have not reviewed since admission. The resident has lost 5kg since admission, and is now on PEG fed. There was no evidence about referral being made back to dietician or any action being taken to identified the weight loss. All our findings were discussed with the management of the service. 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 Older People Page 4 of 7 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 7 15 Residents care plans must include all aspects of their health, personal and social care needs. To ensure that all their needs are met. 12/01/2010 2 7 15 Residents care plans must also be reviewed by care staff in the home at least once a month, updated to reflect changing needs and current objectives for health and personal care, and actioned. To ensure that all their needs are met. 12/01/2010 Care Homes for Older People Page 5 of 7 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 Older People Page 6 of 7 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 7 of 7 - 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!
