Random inspection report
Care homes for older people
Name: Address: Tyneview Nursing Home Cuthbert Street Bensham Gateshead Tyne & Wear NE8 1AF one star adequate service 23/12/2008 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: Suzanne McKean Date: 1 7 0 4 2 0 0 9 Information about the care home
Name of care home: Address: Tyneview Nursing Home Cuthbert Street Bensham Gateshead Tyne & Wear NE8 1AF 01914772835 P/F01914772835 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) : Mrs Beverley Anne Tarplee,Mr Martin Lang care home 36 Number of places (if applicable): Under 65 Over 65 36 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 36 The registered person may provide the following category of service only: Care Home with Nursing, Code N. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category, Code OP, maximum number of places 36 Date of last inspection Brief description of the care home This home is registered as a care home providing nursing and personal care for older people. It is a building that has been converted to its present purpose as a care home. There are three main floors with some further changes of level within these. The home is
Care Homes for Older People Page 2 of 12 2 3 1 2 2 0 0 8 Brief description of the care home built on rising ground and the main entrance is at first floor level. It has a passenger lift giving access to all floors. It is situated in an urban setting close to a busy road junction and is accessible by public transport with several major bus routes running by the home. There are no grounds that can be used as recreational space but it has a small outside area at the front of the building for residents to sit. There is an ample car parking. There are a limited range of facilities, such as pubs and shops, within walking distance of the home and it is a short drive to the town centre. The home is elevated position provides views of the River Tyne and Newcastle to the North and West. The home charges fees of £395 per week with the nursing care element of the care fees being provided in addition to this when applicable. Care Homes for Older People Page 3 of 12 What we found:
An unannounced Random Visit was carried out on 17th April 2009 by Suzanne McKean, Regulatory Inspector and Jeannie Eschle-Bell, Local Area Manager. The visit was started at 10:25am and was completed by 12:15pm. The purpose of visit was to check compliance with the requirements made at the key inspection carried out on 19th December 2008. During the visit we looked around the home, spoke to the residents and their visitors and spoke to the manager. We also looked at some of the records being kept and looked at the work that had been carried out to improve the environment. Three of the requirements identified at the last inspection have been removed. These were to improve the detail of the moving and handling care plans, to improve the environment to make sure it is safe for the residents and to record more accurately the support that is given for residents who are not eating or drinking well. Following the visit a letter was sent to identify the areas that were of serious concern, a response to this has been received including an action plan of the way that the issues are to be addressed. What the care home does well:
During the visit it was noted that a new resident being was to be admitted on the following Sunday and the manager was making sure that she had enough information so that they could be prepared. Moving and handling assessment documentation has been reviewed and updated to give more accurate guidance to staff. One example of this was where it identifies that what the individual staff will do to support the resident when they are being moved. The home does not currently have any residents who have pressures although the dependency is high. Staff were attentive and pleasant, the atmosphere very calm and residents seemed content. Those spoken to talked about the redecoration in a positive way. All complimentary about staff and how they are supported and cared for. Fluid balance charts were being completed effectively and the system that has been introduced ensures nurses check they are completed by staff. The care plans were not looked at in detail on this occasion. The environment was much cleaner and fresher and there is some evidence that work had begun to redecorate and refurbish the property. The shower room that was identified as problematic at the last key inspection has been revamped with new flooring, painted new shower curtains and new drainage. It no longer has that feisty smell apparent at the last visit. Care Homes for Older People Page 4 of 12 Another bathroom, F bath, has been fully cleaned and bath mat replaced. All of the toilet seats were replaced after the last visit and over toilet grab rails are now bolted to the floor to prevent people loosing balance falling. There has been a profiling bed bought for respite room and this was redecorated recently. The show room was also redecorated and new bedding purchased. New sheets have been bought but not for every room. There has also been some towels purchased which were on display in bedrooms instead of the warn towels at last visit. There are ongoing plan to redecorate a further room once a new admission is made. All mattress protectors and pillows have been replaced. The lounges have been redecorated and looked clean and uncluttered. The filing cabinet and hairdressing utensils have gone although the carpet in one lounge is worn and should be replaced. There have new curtains purchased but as yet they have not yet been put up at the windows. The laundry now being used appropriately, dirty through clean. There has been a reduction in the number of staff on duty since last inspection due to decrease in numbers of people living at the home. However the manager is confident that she can access nurse agency staff if she require extra staff. There is also some capacity for staff to work over time and be paid time and half to cover gaps. During the visit there were enough staff on duty to meet the needs of the residents. Staff were working well as a team and appeared unhurried and calm. There was Deprivation of Liberty training, provided by Gateshead Councils Workforce Development team, planned for the week following the visit when four staff were scheduled to attend. The manager has attended training about Mental Capacity Act. Surveys have been sent out to people using the service in January and fourteen were returned. Comments were very positive about the care and the food. Only one survey raised concerns about the clothes going missing. An audit was undertaken by the manager to identify any themes that may emerge where further improvements could be made. However, the results were not put into a report to share with service users or their families. This could be improved if the manager collates the findings from surveys and displays them on the notice board to inform people and reinforce the message that the home is listening to what they have to say and acting on it. What they could do better:
Although the care plans were not examined the requirements made at the last inspection will remain until the care plans are re-assessed. They should be detailed in how the residents and representatives are involved in making decisions about the care and their lives. The records should also contain detailed information when the residents refuse care or are resistant due to their condition and the wishes and feelings of the resident should be more formally taken into account when planning care. The detail in risk assessments and care plans should be improved to show the specifics of any equipment used and give clear instruction to the staff on how to carry out the procedure. The registered persons must continue to redecorate and refurbish the bedrooms and provide sufficient adjustable beds for those who require nursing care. This will ensure that people live in safe comfortable rooms, which meet their needs.
Care Homes for Older People Page 5 of 12 There must be appropriate bathing facilities for the number of residents adequate numbers, which can meet their needs. Control of infection practices must be improved, including cleaning of bathing areas, wheelchairs, and equipment being used by residents when receiving care. The planned programme of redecoration and refurbishment for the home must be carried out to make sure the environment is safe and comfortable for the people living there. Although a number of the floor coverings in bathroom, toilet and shower areas have been replaced one is outstanding. Although the food being served was good the way the residents find out about the menus should be available in written or other formats, which are readily available and easy to see and understand. Some adapted utensils are available for people to use, however assessments must be carried out to ensure they are supported to retain their rights to choice and independence. Although the owner visits once a month there is little evidence to show that these visits are formal and meet Regulation 26 by producing a full and detailed report of what they found. There is still no clear plan outlining how when they will complete all of the tasks that are required. The dining room, furniture is shabby and worn and needs to be replaced. Externally, the window frames are in very poor condition with paint flaking and some of the woodwork looks worn. We continues to feel that the Manager continues to try to do everything herself and would benefit from additional support from the owners. There is no formal Quality Assurance strategy in place but the manager has introduced a number of audits to check on progress and make improvements in the service. 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 12 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 12 Care plans and records of 01/06/2009 care should be more detailed in how the residents and representatives are involved in making decisions about the care and their lives. The records should also contain detailed information when the residents refuse care or are resistant due to their condition. Residents or their representatives should be able to participate in the choices of how they live their lives and receive their care. 2 10 12 The residents privacy and 26/03/2009 dignity must be maintained by taking action including, removal of publicly displayed notices which include residents names and storing personal continence items more descreetly. The residents privacy and dignity will be maintained by good practices. 3 12 12,16 The registered persons must 01/06/2008 ensure that activities and social care plans continue to be developed and interests recorded. This will make sure
Page 7 of 12 Care Homes for Older People 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 a person centred approach to care is delivered 4 14 12 The registered person must find out the wishes and feelings of the resident and then take them into account when planning care. Including resident in the planning of how they will live will offer them choice and maintain their dignity. 26/07/2009 5 15 12,16 The registered persons must 01/03/2008 ensure that the menus offer a choice of meals in written or other formats, which are readily available and easy to see and understand. The registered persons must ensure that adapted utensils are available for people to use. This is to ensure they retain their rights to choice and independence. The registered persons must 01/06/2008 implement a planned programme of redecoration and refurbishment for the home. This will make sure the environment remains safe and comfortable for the people living there. There must be appropriate bathing facilities for the number of residents 26/11/2009 6 19 13,23 7 21 23 Care Homes for Older People Page 8 of 12 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 adequate numbers, which can meet their needs. The residents must be given choice and provide them with safe pleasant bathing facilities. 8 21 23 The registered persons must 01/09/2008 ensure that the floor coverings in bathroom, toilet and shower areas are appropriate and kept in good repair. As should sanitary fittings. Outstanding from 28/05/07 9 24 23 The registered persons must 01/06/2008 continue to redecorate and refurbish the bedrooms and provide sufficient adjustable beds for those who require nursing care. This will ensure that people live in safe comfortable rooms, which meet their needs. The registered provider must 26/02/2009 visit the home at least once a month and prepare a report of the visit in line with the regulation. The visit will allow the registered proprietor to ensure that the home is being conducted in the best interest of the residents and in line with good practices. 10 31 26 Care Homes for Older People Page 9 of 12 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 11 33 24 The registered persons must 01/09/2008 continue to develop the quality assurance programme so the home contuse to be run in the best interests of the people using the service Care Homes for Older People Page 10 of 12 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 11 of 12 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 12 of 12 - 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!
