Random inspection report
Care homes for older people
Name: Address: Vishram Ghar 120 Armadale Drive Netherhall Leicester LE5 1HF one star adequate service 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: Linda Clarke Date: 0 5 0 1 2 0 1 0 Information about the care home
Name of care home: Address: Vishram Ghar 120 Armadale Drive Netherhall Leicester LE5 1HF 01162419584 01162432745 mahesh@pattani.plus.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) : BestCare Limited care home 40 Number of places (if applicable): Under 65 Over 65 0 0 40 0 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: 40 40 0 40 The maximum number of service users who can be accommodated is 40 The registered person may provide the following categories of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are: Old age, not falling within any other category Code OP Dementia - Code DE Mental Disorder - Code MD Physical Disability - Code PD Date of last inspection Care Homes for Older People Page 2 of 9 Brief description of the care home Vishram Ghar is a care home registered to care for up to forty older persons who may have Dementia, Physical Disabilities or Mental Health issues in an Asian lifestyle environment. The property is situated in the residential area of Netherhall close to shops and other facilities. The home is easily accessible by private and public transport. The home consists of two floors accessible by use of stairs and passenger lift. There are a variety of facilities in the home including dining and lounge space. The majority of bedrooms are single bedrooms, of which two have en-suite facilities and there is one double bedroom. Information with regards to fees is available by contacting Vishram Ghar. The full details about the home and any specific requirements can be obtained from the home in the form of Statement of Purpose and Service User Guide, which are available in English, Gujarati, Punjabi and can be made available in other languages. The latest Inspection Report from the Care Quality Commission is available at the home. Care Homes for Older People Page 3 of 9 What we found:
The reason for this inspection was to follow up on requirements made at the previous Key Inspection which took place on the 21st and 22nd July 2009 and the outcome is as follows. We looked at three care plans and found that they were detailed and contained a good level of information as to the needs and wishes of people receiving care, and found that care plans were regularly reviewed which included consultation with the person receiving care and/or their representative. Risk assessments were in place where risks had been identified, including where those in receipt of care manage or administer their own medication. Risk assessments were reviewed regularly in consultation with the person receiving care and/or their representative. Discussions were recorded, where risk assessments are carried out, the person carrying out the risk assessment must record the methodology used to determine the outcome of the risk assessment. We looked at medication and found that there is a system in place for the auditing of medication which is received into the home, administered or returned to the Pharmacist. We also found that there is a system for recording the temperature of the fridge which is used to store medication. A new Controlled Drug cupboard has been installed. We spoke with the Area Manager and Manager of Vishram Ghar who told us that staffing levels had been reviewed with reference to the needs of those receiving care, and that staffing numbers during the day had been increased for the morning and afternoon. We were told that the reviewing of staffing levels had included consultation with those receiving care and their representatives. What the care home does well: What they could do better:
Care plans included information where individuals had Dementia, specific care plans need to be develop and should contain greater detail including known triggers for affecting individuals well-being along with measures as to how to deal with or anticipate situations which may cause distress or anxiety. Care plans for those with Dementia need to focus with greater detail on preferred daily routines, and information gathered about their lives prior to admission into Vishram Ghar to be used to provide support to reduce anxiety and distress. Care plans for those whose first language isnt English and who cannot read English, to be offered the choice of having their care plan written in their first language to promote understanding and discussion as to the care and support they need and would wish.
Care Homes for Older People Page 4 of 9 The Manager of Vishram Ghar to access training relevant to their role, and should include Dementia Awareness, Mental Capacity Act including Deprivation of Liberty Safeguards. This would enable the Manager to understand and develop the care needs of people with Dementia, and promote individual rights and choices. 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 9 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 6 of 9 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 1 7 15 The registered person to 31/03/2010 develop care plans which provide guidance as to how someone with Dementia is to be supported, including known triggers and mechanisms for supporting someone should they become anxious or distressed. All care plans to include individuals preferred daily routines. To ensure the health and well-being of individuals. 2 31 18 The registered person to 31/03/2010 ensure that the Manager appointed to manage the home receives training relevant to their role and responsibilities, which are to include but are not limited to a) Mental Capacity Act (Deprivation of Liberty Safeguards) and b) Dementia Awareness and Care. To promote and enhance the care people receive whilst Care Homes for Older People Page 7 of 9 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 promoting their rights and choices. 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 7 Where service users are unable to read their care plan when written in English they are asked if they would like their care plan to be translated into their language of choice. A system to be adopted to ensure that service user weights, which are regularly taken are linked with a review of risk assessments and the persons care plan where service users are hoisted to ensure that the correct sized sling is used. A schedule of maintenance is established to ensure that slings used for hoisting service users are in good working order and are safe. 2 7 3 38 Care Homes for Older People Page 8 of 9 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 9 of 9 - 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!
