Random inspection report
Care homes for older people
Name: Address: The Old Rectory Church Street Tenbury Wells Worcestershire WR15 8BP one star adequate service 30/04/2009 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: Jean Littler Date: 2 3 0 7 2 0 0 9 Information about the care home
Name of care home: Address: The Old Rectory Church Street Tenbury Wells Worcestershire WR15 8BP 01584810249 01584810249 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) : Chantry Retirement Homes Ltd care home 28 Number of places (if applicable): Under 65 Over 65 28 28 28 dementia old age, not falling within any other category physical disability Conditions of registration: 0 0 0 The home may accommodate one neamed service user under the age of 65 who has both a learning disability and physical disability. The maximum number of service users to be accommodated is 28. The registered person may provide personal care and accommodation for service users of both sexes whose primary care needs on admission to the home are within the following categories: Dementia over 65 years (DE)(E) 28 Physical Disability over 65 years (PD)(E) 28 Old age not falling within any other category (OP) 28 Date of last inspection 3 0 0 4 2 0 0 9 Care Homes for Older People Page 2 of 7 Brief description of the care home The Old Rectory is registered to provide residential care for up to twentyeight older people who are frail, who may have a physical disability or dementia. Respite care can be provided when a bed is available and in addition two day care places can be provided to people from the local community. The house is an imposing listed building dating back to 1830. Previously a rectory, it is situated within 100 yards of St Marys Parish Church and it is also in close proximity to the centre of Tenbury Wells. The home was purchased by Chantry Retirement Homes Limited, in March 2004. Care Homes for Older People Page 3 of 7 What we found:
The reason for this inspection was to see if the requirement made at the key inspection on April 30th, relating to staff recruitment, had been complied with by the given date. Mrs Hope reported that she has reviewed all recruitment folders and taken steps to obtain missing references. The files sampled confirmed this. She reported that she is currently recruiting and showed evidence that the person has not yet started their employment as the CRB and second reference are still outstanding. Mrs Hope was not fully aware of her legal responsibilities, in regard to the need to obtain evidence of why a person left any previous employment with children or vulnerable adults. This requirement was added to the Care Home Regulations with the introduction of the Department of Health Guidance on the Protection of Vulnerable Adults in 2004. One file was seen where the applicant had worked at two relevant settings that Mrs Hope had not contacted for a reference or to establish the reason for leaving. On this occasion we have decided not to proceed with enforcement action for this one breach, however, the owners and Mrs Hope need to amend procedures to include this aspect of the law. 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 £ 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 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 1 18 Deelop a check list to help ensure that new staff do not start until all appropriate checks are in place. All checks received should be dated and signed as seen by an authorised person to evidence the date they arrived and were approved as satisfactory. This can help demonstrate that they arrived before the worker started employment. The application form should make it explicit that full dates of previous employment are needed. A full and clear employment history is needed for the manager to demonstrate that any gaps in the history have been explored. 2 3 33 33 The registered people must ensure they remain up to date with changes in legislation. The provider should review how the quality assurance processes can be developed so internal systems, such as recruitment, are monitored effectively so acceptable standards are maintained 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!
