Inspection on 18/11/08 for Warren Park

This inspection was carried out on 18th November 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Warren Park 02/07/08

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Extracts from inspection reports are licensed from CQC, this page was updated on 06/02/2009.

Inspecting for better lives Random inspection report Care homes for older people Name: Address: Warren Park White Lane Chapeltown Sheffield South Yorkshire S35 2YH The quality rating for this care home is: The rating was made on: one star adequate 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: Shirley Samuels Date: 1 8 1 1 2 0 0 8 Information about the care home Name of care home: Address: Warren Park White Lane Chapeltown Sheffield South Yorkshire S35 2YH 01142570595 01142570284 warrenpark@mimosahealthcare.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mimosa Healthcare Ltd care home 60 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category 60 60 0 Over 65 0 0 60 Conditions of registration: 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 categories: Old age, not falling within any other category - Code OP, Dementia - Code DE, Mental Disorder, excluding learning disability or dementia - Code MD. The maximum number of service users who can be accommodated is: 60 Date of last inspection Brief description of the care home Warren Park nursing home is a purpose built two-storey building overlooking fields, the motorway and a cricket pitch. The home caters for service users requiring general or Care Homes for Older People Page 2 of 10 DE/MD nursing care. The home is sited near a bus route and is close to Chapeltown, which has many amenities including shops, a supermarket and a railway station. A copy of the previous inspection report was on display and available for anyone visiting or using the home. Information about how to raise any issues of concern or make a complaint was on display in the entrance hall. The manager confirmed that the range of monthly fees from 1st April 2008 were #465.00 - #498.00 per week. Additional charges included newspapers, hairdressing and private chiropody. Care Homes for Older People Page 3 of 10 What we found: This inspection was carried out on Tuesday 18/11/08 by regulation inspector Shirley Samuels following a verbal complaint received from the relative of a person using the service. The complainant expressed concerns about the standard of care, the cleanliness of the home, staffing levels and poor standards regarding response to complaints. The last inspection carried out at this home was dated 2/7/08. We found that between the 17/9/08 and the 03/11/08 person using the service was seen by the GP seven times. Seen and treated by the physio twice and once by the Parkinson nurse and the nutritional assessor,who advised staff about care needs. Records of care given detailed. Fluids given, medication administration and medication reviews. Family visits and assistance given, communication with speech therapist and physiotherapist. Visits by the physio and instructions given to staff, sleep pattern and assistance given with personal hygiene. Application of creams and dressings, pressure area care, continence support, food supplements and the level of observation required. Details of GP visits diagnosis and treatment, mood and whether person was in pain or not. Records show regular contact with staff and relative and of communication between the GP and the Dietitian. There were inappropriate recordings of complaints for example a book kept in the entrance for people to write in. Complaints were not formally received logged, investigated and the complainant responded to. The home did not follow there own complaints procedures and did not comply with the Care Homes Regulations 2001. An allegation of neglect was made at the time of the visit. This allegation was referred to Sheffield social services safeguarding adults team. Some decor floor coverings and furniture in some parts of the home looked old tired and in need of replacement. On the day of the visit there were no issues regarding the general cleanliness of the communal areas and peoples bedrooms. The manager acknowledges that staffing levels where affected by the number of staff that left. Recruitment was ongoing, existing staff were working extra shifts to cover, Since January 2008 twenty eight staff have left. Since may 2008 twenty five staff have been recruited. The manager has assessed, to meet the needs of people using the service there should be eight care staff and two qualified staff on duty between the hours of 8am and 8pm. The manager told us there should be between 5 and 6 staff on duty during the night including a minimum of 2 qualified staff. The rotas for the period 06/10/08-16/11/08 were examined for the purpose of this complaint. We found there was a lack of continuity of care for some people due to the major change. however we found in the main the care provided to the relative of the complainant was consistent. The records show that the change of staff least affected chapel green, the unit on which the person using the service resided. There were Care Homes for Older People Page 4 of 10 examples of the staffing levels falling below the level needed to meet peoples needs across both day and night shifts. The rota show there was quite a lot of bank and agency staff used as well as recruitment of new staff. Staff confirmed that there were times when people did not turn up for work or phoned in sick and cover could not be organised. When this happened they told us they would leave jobs like the laundry and go without breaks to make sure people were looked after. Staff also told us that moral was low and that showing so many new staff how to do the job was difficult and time consuming. We found no evidence to substantiate poor standards of care to the person referred to in the complaint or the standard of general cleanliness of the home and peoples bedrooms. We did find evidence to substantiate the complaint regarding staffing levels not being maintained and poor management of complaints. 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 7 15 So that the care provided to 10/08/2008 people using the service can be monitored. Records of care given must link with the needs identified in the care plan, be continuous and legible. To make sure that peoples needs are met. People must have a care plan that details their health, personal and social care needs. This care plan must be reviewed to reflect changes in need. 10/08/2008 2 7 15 3 9 13 So that people are protected 10/08/2008 from harm and the system is not vulnerable to abuse. There must be procedures in place for the recording, handling, safekeeping, safe administration and disposal of all medicines received in to the care home. So that people live in a safe 10/09/2008 and well-maintained environment. All parts of the home must be kept clean, reasonably decorated, furnished and free from offensive odour. 4 19 23 Care Homes for Older People Page 6 of 10 5 27 18 To make sure that people?s 10/08/2008 needs are met. There must be sufficient staff on at all times and efforts must be made to ensure continuity of care. To make sure staff have the information to move people safely. Moving and handling assessments must be completed and kept up to date. 10/08/2008 6 38 17 7 38 18 To ensure the health safety 10/09/2008 and welfare of people all staff must received essential mandatory training, which includes fire safety moving and handling and infection control. 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, 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 1 16 22 All complaints must be fully investigated. To make sure that people using the service their freinds and relatives can be confident their complains will be liserned to taken seriously investigated and acted upon. 23/12/2008 2 27 18 There must be at all times enough suitably qualified, competent and experienced staff working at the care home. To ensure the health safety and welfare of people using the service. 23/12/2008 3 27 18 The employment of bank and 23/12/2008 agency staff must not prevent people receiving continuity of care. To ensure the health and welfare of people using the service. 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 Care Homes for Older People Page 8 of 10 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. 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