Inspecting for better lives Thematic inspection report
Care homes for older people
Name: Address: The Crown Nursing Home High Street Harwell Didcot Oxfordshire OX11 0EX The quality rating for this care home is: The rating was made on: two star good 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 thematic 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: Ruth Lough Date: 0 3 0 2 2 0 0 9 Information about the care home
Name of care home: Address: The Crown Nursing Home High Street Harwell Didcot Oxfordshire OX11 0EX 01235820010 01235834050 thecrown@schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Trinity Care (Crown) Limited care home 16 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 16 Conditions of registration: The registered person may provide the following category/ies of service only: Care home with nursing only - (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). The maximum number of service users to be accommodated is 16. Date of last inspection Brief description of the care home The Crown Nursing Home is a purpose built home located in the village of Harwell, Oxfordshire, close to local shops and amenities. The home is part of the Southern Cross group of homes. The Crown is home to 16 older people who require nursing care. The accommodation is on two floors and all the rooms have en-suite facilities. There is a lift to provide access to the first floor. Twelve of the rooms overlook the garden and some have a small balcony. The garden, which is largely paved, was Care Homes for Older People
Page 2 of 8 designed to be easily accessible for wheelchair users. People living at the home pay extra for hairdressing, podiatry, newspapers, toiletries and taxi fares. Care Homes for Older People Page 3 of 8 What we found:
This inspection process was generated from information received by the commission that there had been a significant number of deaths in the home during the period of 9th to the 25th January through chest infections/ pneumonia. An inspector and a regulation manager visited the home for a period of three hours and reviewed documentary evidence of the care and support provided to these identified individuals and the management practices carried out in that period. A sample of the processes for the control of infection in the home were also reviewed as to see if safe practices are in place. 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 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a thematic 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 1 8 13 The registered nurses must ensure that the written information about the treatments and medical support they provide is recorded in better detail to ensure continuity of care. 12/06/2008 Care Homes for Older People Page 5 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 1 38 37 The registered person is 13/02/2009 required to give notice to the commission without delay any adverse events that effect a service use or death of a service user. You should ensure that the commission is informed of any significant event as soon as possible. 2 38 13 The registered provider should make arrangements to consult with the appropriate authorities in regard to infection control practices in the home. The registered provider should ensure that the service has the necessary facilities and practices to reduce the spread of infection around the home. These should be in accordance to the Department of Healths, Infection Control Guidance for Care Homes, 2006. 31/03/2009 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 Recommendations Care Homes for Older People
Page 6 of 8 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 © (2009) 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!
