Random inspection report
Care homes for older people
Name: Address: Trelana Nursing Home Poughill Bude Cornwall EX23 9EL two star good service 25/03/2009 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: Mandy Norton Date: 2 4 0 2 2 0 1 0 Information about the care home
Name of care home: Address: Trelana Nursing Home Poughill Bude Cornwall EX23 9EL 01288354613 01288354110 trelanacare@aol.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) : European Care (South) Limited care home 50 Number of places (if applicable): Under 65 Over 65 16 50 4 dementia old age, not falling within any other category physical disability Conditions of registration: 0 0 0 One named under age service user with a physical disability for ongoing respite care. To include one additional named service user under the age of 65 years and outside of the registered category Total number of service users not to exceed a maximum of 50 Date of last inspection Brief description of the care home Trelana is situated in Poughill, a small village on the outskirts of Bude. It is near to a bus route. There is ample parking at the home. Accommodation is provided on two floors (34 beds) in the original house where nursing care is usually provided, there is a pasenger lift between all the floors. A purpose built
Care Homes for Older People Page 2 of 10 2 5 0 3 2 0 0 9 Brief description of the care home area with facilities for people with dementia (Lowen Unit ,16 beds) is also available at the home. Most rooms provide en-suite facilities. There are a variety of communal areas throughout the home, that can be accessed by any residents. There is a large patio area with garden furniture accessible to residents. Care Homes for Older People Page 3 of 10 What we found:
This inspection was carried out on 24th February 2010 by 2 inspectors, between 10 am and 3.30 pm. It was carried out as a result of a number of anonymous complaints received by the Commission between the 1st and 20th February 2010 in which there were allegations of poor practice and poor management within the home. The inspection was carried out with the manager, with whom all of the allegations were discussed. A tour of the home was also carried out and a number of staff, who were on duty, residents and relatives were spoken to. Support being given to residents and interactions between residents and staff were observed throughout the inspection. The manager had knowledge of all of the concerns that had been bought to our attention and these were freely discussed during the day. Management meetings held as a result of similar complaints made to the manager and programme manager for European care and minutes of these meetings were viewed. On the day of the inspection we found that there was a homely and friendly atmosphere, people spoken to said they were generally happy with their care. Staff were observed interacting very well with the residents and activities were ongoing. What the care home does well: What they could do better:
Recommendations still outstanding from the previous key inspection carried out on 24th March 2009 are as follows: 1. Standard 3 The care plans should include details of a persons social history. 2. Standard 7 All care plans should include a detailed life history to enable staff to use a person centred approach to providing care and support.
Care Homes for Older People Page 4 of 10 3. Standard 7 Care staff should ensure that all records about peoples daily personal care interventions are up to date at all times so it is clear what care and support a person has received. 4. Standard 10 The manager should ensure that staff members do not refer to people who need to help with their meals as feeders. 5. Standard 12 The nurses compiling the care plans should ensure that life histories are up to date and interests and hobbies are recorded to ensure that activities can be tailored to meet individual as well as group needs. 6. Standard 18 The manager should ensure that all staff have up to date safeguarding training so that they can recognise possible signs of abuse and know the current local reporting procedures. 7. Standard 27 The manager should ensure that numbers and skill mix of staff are appropriate for the number and dependency of the Service user group at all times. 8. Standard 28 As part of the training matrix to be implemented the manager should document how many care staff have achieved at least NVQ level 2 (in care) to ensure she can demonstrate that a minimum of 50 of care staff have these qualifications. 9. Standard 30 The manager should implement a staff training and development programme to ensure all staff are up to date with statutory training and training relating to the Service User group. 10. Standard 38 The manager should ensure that personal risk assessments are carried out and regularly reviewed to ensure staff are using safe working practices at all times. 12. Standard 38 The manager should ensure that all staff are up to date with fire safety and moving and handling training in line with laid down legislation to ensure safe working practices are in place. Nurses and care staff should ensure that they remain flexible in order to ensure people have a choice in how they spend their day whilst being able to meet all their needs. In order to ensure that person centred care continues to be developed within the home the manager and programme manager should develop strategies for enabling staff and Service Users to affect the way in which the service is delivered. Staff should continue to be informed and included in the development of the aims and purpose of the home. The League of Friends should be reminded that an agenda should be developed that meets with the League of Friends Rules and Statement of Purpose for any future meetings. During a tour of the home it was felt that Trelana would be more homely if the amount of posters, mostly for staff benefit, could be reduced or removed and the black plastic bins in each room were removed as they made them look clinical. Continence products should be stored in peoples rooms as they are individually prescribed and not in bathrooms or corridors. Care Homes for Older People Page 5 of 10 A safety notice in a bathroom stating that the water was being delivered at too high a temperature should be investigated and the manager should be assured that all water outlets are delivering water at the required temperature. 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 6 of 10 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 15 17(2)Schedul Records of the food provided 30/04/2007 e4 for service users in sufficient detail to enable any person inspecting the record to determine whether the diet is satisfactory, in relation to nutrition and otherwise, and of any special diets prepared for individual service users. Care Homes for Older People Page 7 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 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 8 The nursing and care staff should ensure that their routines are flexible in order to ensure that people can have choice about what happens in their day and are involved where possible in making those decisions The manager should ensure that all continence products supplied are placed in peoples rooms so that they use their own supply and that excess products are not stored in bathrooms, which is undignified, or in corridors, which may constitute a fire risk The nursing and care staff should ensure that their routines are flexible in order to ensure that people can have choice about what happens in their day and are involved where possible in making those decisions. The homeliness of the home could be improved if the amount of laminated notices around the home could be reduced or placed in less public areas. Each room also contains a black plastic bin, with a European Care label on it which gives a clinical impression. The homeliness of the home could be improved if the
Page 8 of 10 2 10 3 14 4 19 5 24 Care Homes for Older People 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 amount of laminated notices around the home could be reduced or placed in less public areas. Each room also contains a black plastic bin, with a European Care label on it which gives a clinical impression. 6 32 In order to ensure that person centred care continues to be developed within the home the manager and programme manager should develop strategies for enabling staff and Service Users to affect the way in which the service is delivered. Staff should continue to be informed and included in the development of the aims and purpose of the home. The home has League of Friends, made up of past and present relatives of residents. The agendas for future meetings should take into account the League of Friends Rules and Statement of Purpose to ensure they keep to their roles. The manager should ensure that all water outlets are providing water at the required temperature and if this is not the case the problem is investigated. The manager should ensure that all continence products supplied are placed in peoples rooms so that they use their own supply and that excess products are not stored in bathrooms, which is undignified, or in corridors, which may constitute a fire risk. 7 33 8 38 9 38 Care Homes for Older People Page 9 of 10 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 10 of 10 - 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!
