Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Uphill Court 62 Uphill Road South Weston Super Mare North Somerset BS23 4TA 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: Juanita Glass Date: 3 0 1 1 2 0 0 8 Information about the care home
Name of care home: Address: Uphill Court 62 Uphill Road South Weston Super Mare North Somerset BS23 4TA 01934412207 01934628386 uphill.court@virgin.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Shreyas S.A.I.N. Ltd care home 25 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 25 Conditions of registration: The registered person may provide the following category of service only: Care home with nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (Code OP) The maximum number of service users who can be accommodated is 25 Date of last inspection Brief description of the care home Uphill Court is a listed building that has been converted to a registered care home with nursing. It provides accommodation for up to 25 older people with nursing needs. Accommodation is provided over two floors with a passenger lift giving easy access to one of the upper floors. The other upper floor is accessed by a stair lift. There are nineteen single rooms, and three that may be shared. Seven of these have en-suite facilities and all have a call bell system. Communal space is provided in a lounge in the main building and conservatory /dining room attached to the lounge. This looks out Care Homes for Older People
Page 2 of 10 onto an enclosed garden. Provision is made within the home for some activities and outings, which also enable close links with the local community to be maintained. All local facilities are within easy walking distance but some are closed in winter. Information about the home is available through a brochure that incorporates key information from the Statement of Purpose and Service User Guide. CSCI reports are displayed in the entrance to the home and available for all to read. The fess range from £385 - £701 per week with additional charges being made for hairdressing, chiropody, newspapers, escorts, toiletries and some transport. This information was provided in August 2008. Care Homes for Older People Page 3 of 10 What we found:
We looked at the care plans for people living in the home. This was so we could assess whether the needs of the residents were being met by the staffing levels in the home. Care plans were not looked at in great depth. They contained an assessment of needs and necessary risk assessments. We spoke to the manager of a company that is providing support for the service provider in ensuring the home starts to meet the standards required by The Commission. We were asssured that Tissue Viability consultants have been advising staff on the correct procedures to follow for wound and pressure area care. The company had also looked at documentation in particular regarding care plans and have planned training for mid December with a view to the new documentation being in use by the end of December 2008. Residents we spoke to indicated that they were happy with the care they were currently receiving, one resident said she had been set back by a fall but otherwise was feeling well cared for. Another resident said that the carers were very good but had been promised things by management that had not happened. The senior care assistant was observed to have a very clear understanding of the needs of the people in the home and was assisting the agency nurse meeting those needs. One visitor felt that there was a general lack of communication between the management and relatives as she had not been informed that her mother was no longer weight bearing and had not been provided with a pressure relieving cushion despite sitting in a wheelchair for long spells. The senior care assistant was observed to be very competent in the way she managed the communication with the relative, explaining that her mother was no longer weight bearing but did not have pressure cushion on wheelchair. People were observed to be well groom and dressed in clean tidy clothes. People were not observed to take part in any activity during the morning of our inspection the TV was on in the lounge and this was the only stimulation observed. People sat in their rooms either had the TV or a Radio turned on. The only contact they had with staff was task orientated they did not appear to see a member of staff other than on checks or during tasks such as washing or taking in lunch or a cup of tea. One resident said it was really nice to have some one to chat to when we asked about their experience of living in the home. Two people who smoke appeared to remain in the wheelchair all day so that staff did not have to keep hoisting them from chair to wheelchair to go out to the garden for a cigarette. This does not reflect the persons choice and does not promote healthy pressure area care. This practice reflects a home that is run for the benefit of staff and not the resident. Before this visit We had received a copy of the staffing ratio from the registered provider. The staff on duty during our visit was reflected in the rota we received. The staffing rota states that there will be 1 RGN with 3 care assistants in the morning, 1 RGN and 2 care assistants in the afternoon and 1 RGN with 1 care assistant at night. With the identified care needs of people in the home an additional care assistant on the night shift is advised as some people need two staff to provide personal care, this means other people will not receive any care or be observed whilst both members of staff are busy. People we spoke to said that they thought there were enough people about, however staff appeared to be busy with tasks rather than having time to sit and chat. Care Homes for Older People Page 4 of 10 The home does not have a registered manager and management hours are being covered by the registered provider and the company she has hired to oversee the running of the home. The provider assured the commission that the managers post will be advertised and filled as soon as possible. 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 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 1 6 Keep the statement of purpose under review to ensure that it reflects the service that is being provided. This will ensure that individuals are informed about the service that is provided at Uphill Court. 21/11/2008 2 7 15 Ensure that the assessments 21/01/2009 inform the plan of care. Ensuring individuals assessed needs are being met. 3 9 13 Ensure that correct dose of medicines are given as prescribed by the doctor. As described in letter To protect residents health 29/10/2008 4 9 13.2 The registered provider must 12/06/2008 take action to ensure that prescribed medicines are available for staff to give, so that people?s health is protected. 5 9 13 Ensure medication is within the expiry date. Protect individuals living in the home. 29/10/2008 Care Homes for Older People Page 6 of 10 6 9 13 Action must be taken to ensure the safe administration of medicines. An immediate requirement has been left. To safeguard individuals living in the home 23/10/2008 7 12 16 For care plans to be 18/12/2008 expanded to include the social interests of the individual and this to inform the activities that are held in the home. To ensure that individuals have structured and meaningful activities that are reflective of the interests of the individual. 8 19 23 For the room where there is a damp patch due to leak in the roof to be decorated. To ensure that the home is a safe and pleasant place to live. 17/12/2008 9 19 23 For the home to continue 20/05/2009 with the refurbishment of the home. Ensuring the home is a pleasant and safe place to live. 10 27 18 To ensure that appropriate staff are employed in accordance with the statement of purpose. Registered General Nurses to be employed to manager shifts ensuring that the needs of the individuals are met by competent staff. Until it is confirmed that this member of staff can be left in charge of the home this 11/11/2008 Care Homes for Older People Page 7 of 10 member of staff must work alongside an appropriately trained member of staff. 11 31 8 For the manager to submit a 19/11/2008 registered manager application to the Commission for Social Care Inspection. To ensure the home is managed effectively with a person that is competent to fulfill the role and in accordance with the Care Standards Act. 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 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 © (2008) 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 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!
