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Inspection on 17/12/08 for The Meadows Care Home

Also see our care home review for The Meadows Care Home for more information

This inspection was carried out on 17th December 2008.

CSCI 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

.

What the care home could do better:

The service must ensure that invoices are paid so that the provision of staff is secured.

Inspecting for better lives Random inspection report Care homes for older people Name: Address: The Meadows Care Home 48 Moorend Road Yardley Gobion Towcester Northants NN12 7UF The quality rating for this care home is: The rating was made on: zero star poor 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 random 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: Louise Trainor Date: 1 8 1 2 2 0 0 8 Information about the care home Name of care home: Address: The Meadows Care Home 48 Moorend Road Yardley Gobion Towcester Northants NN12 7UF 01908543251 01908543234 meadowscarehome@btconnect com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Downing (Meadows) Limited care home 34 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 34 Conditions of registration: That the home continues to be registered to accommodate 34 service users in the category of OP, for either Personal or Nursing Care Date of last inspection Brief description of the care home The Meadows is situated in Yardley Gobion a village location midway between Northampton and Milton Keynes There are local shops and amenities and the home has good links with the community The home is an extended original building set in its own grounds with extensive views of the local countryside from the rear of the property It is registered for up to 30 service users with nursing needs and up to 10 service users requiring personal care, with a total of 34 service users accommodated Accommodation is over two floors with a passenger lift and staircase for access to the first floor There are a range of communal areas including two lounges and service users are able to enjoy the garden areas Bedrooms are located on both floors and Care Homes for Older People Page 2 of 10 there are 21 single rooms with ensuite facilities, a further 2 single rooms with was hand basins and 5 double rooms available Care Homes for Older People Page 3 of 10 What we found: This Random Inspection was initiated by a phone call to the Commission for Social Care Inspection (CSCI) regarding concerns over an un paid staff agency invoice This inspection took place before the publication of the last Key Inspection report, and therefore the rating identified on the front of this report is inaccurate The star rating of this home is currently 0 stars which indicates a poor service During this visit we met with the Registered Provider Mr Sabesen, to discuss the matter of the unpaid nurse agency invoice, and how he proposed to staff the home over the Christmas period given the present staff shortages We looked at the rotas for the period 19/12/08 to the 04/01/09 and identified twenty one shifts requiring qualified nurse cover by an agency during this period Eleven of these shifts had an Ambition nurse identified to work, however at this point the agency were withdrawing their staff until arrangements for payment of this invoice were confirmed The remaining ten shifts, at this time had no cover allocated We spoke with senior personnel at the agency who confirmed that until settlement of this agency invoice was confirmed, they would not be supplying any further staff to this home In addition to the qualified nurse shortages, we identified thirty nine shifts during this same period, that were short of Care Assistant staff, therefore also requiring agency cover However another agency was involved in providing the unqualified staff Due to the seriousness of the situation we considered applying for an urgent cancellation of the registration of this home in order to safeguard the residents, however following further discussions, both with the Provider, CSCI senior management and Northampton County Council, we agreed to giving the Provider twenty four hours to comply with an immediate requirement that would confirm the cover of all shifts between the 19/12/08 and the 04/01/09, and also detail a contingency plan should staff fail to arrive on duty When we returned to the home to check compliance of this immediate requirement, we met with the wife of the Provider who is presently the Company Secretary She was confident and understood the seriousness of the situation, which she said she had not been aware of She had drawn up a spreadsheet and with the help of the home manager, had provided the necessary information to achieve compliance of the immediate requirement Another Nurse agency has now been approached by the home, and has agreed to assist with the provision of qualified staff We will be monitoring this service closely, and have agreed to meet to discuss matters further in the new year What the care home does well: What they could do better: Care Homes for Older People Page 4 of 10 The service must ensure that invoices are paid so that the provision of staff is secured 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 10 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 random 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 7 15 The registered person must ensure that each resident has an plan of care which is reviewed regularly to reflect changes in needs Residents who live in this home must have care plans that reflect their current needs 01/01/2009 2 9 13 The register person must 22/12/2008 ensure that the recording, handling, safekeeping, safe administration and disposal of medication in this home is accurate Residents must be protected by safe medication processes and records 3 12 16 The registered person provide facilities for recreation, and suitable activities Residents in this home must have the opportunity to participate in a programme of suitable activities 31/12/2008 4 14 12 The registered person must ensure that residents are encouraged to make choices whenever possible Residents must be 29/12/2008 Care Homes for Older People Page 6 of 10 encouraged and given opportunities to make choices about their care and general aspects of their lives 5 18 13 The registered person will 22/12/2008 address all measures to ensure that the residents are protected from abuse Residents in this home will have appropriate stores and facilities in place to ensure that there care is not compromised and they are not at risk 6 19 23 The registered person must ensure that all parts of the home are kept reasonably well decorated People who live in this home must have a clean and well maintained home 7 27 18 The registered person must 01/01/2009 ensure that there are sufficient staff working in the home to meet the need of the residents The residents in this home must be cared for by sufficient staff 8 30 18 The registered person must 01/01/2009 ensure that staff are appropriately trained to care for the needs of the residents in this home The residents in this home must be cared for by staff that are appropriately trained 9 36 18 The registered person must ensure that all staff receive appropriate supervision Residents who live in this 27/02/2009 27/02/2009 Care Homes for Older People Page 7 of 10 home must be cared for by staff that are appropriately supervised 10 37 17 The registered person must 31/12/2008 ensure that policies and procedures are appropriately reviewed The people who live in this home must be protected by policies and procedures Care Homes for Older People Page 8 of 10 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 27 18 The registered person shall, 19/12/2008 having regard for the size of the care home, the statement of purpose and the number and needs of the service users 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 the service users People who live in this home must be cared for by sufficient staff who are appropriately trained 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 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 9 of 10 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 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