Random inspection report
Care homes for older people
Name: Address: Waterside Care Centre 60 Dudley Road Tipton West Midlands DY4 8EE 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: Karen Thompson Date: 3 1 1 2 2 0 0 9 Information about the care home
Name of care home: Address: Waterside Care Centre 60 Dudley Road Tipton West Midlands DY4 8EE 01215202428 01215202448 dalwoods@bupa.com www.bupa.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) : BUPA Care Homes (AKW) Ltd care home 60 Number of places (if applicable): Under 65 Over 65 60 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 60 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 (OP) 60 Date of last inspection Brief description of the care home Waterside Care Centre is a purpose built Home, opened in 1997, which provides 60 places for frail older people who require nursing care. The Home is located on the main road between Dudley and Tipton, with public transport and local amenities easily accessible. Accommodation is provided on two floors; all bedrooms are single and have en-suite facilities. There is a lounge dining rooms on both floors and a number of small quiet sitting areas. The Home offers intermediate rehabilitation care for up to ten
Care Homes for Older People Page 2 of 8 Brief description of the care home people. A team of professionals, which include Physiotherapists and Occupational health Therapists visiting each week to assess and assist this care. There are pleasant views of the Black Country canal at the rear of the Home and the Black Country Museum is approximately 300 metres away. There is car parking to the front of the Home and gardens and patio areas to the rear. The scale of charges were not included in the Service User Guide documents so we advise readers to contact the service directly for this information. Care Homes for Older People Page 3 of 8 What we found:
The reason for this inspection was to monitor compliance with statutory requirements issued following the key inspection of July 2009. One Inspector and one Local Area Manager visited the home on 31 December 2009. The outcome is as follows: We looked at current records for the receipt and administration of medication for people living in the home and found that overal medication management had improved in the home as three of the previous requirements had been met. The receipt of medication was documented on the Medication Administration Record (MAR) charts by staff. Balances of medication were carried forward from an old MAR chart to a new MAR chart. This means that medication checks could be done to ensure medicine had been given to people who live in the home. We did see one example where it was recorded that the home had received 21 antibiotic tablets. When we count there was only 12 tablets and only 2 had been given according to the MAR charts which should have left 19 tablets, therefore 7 tablets were missing. An extensive search of the medicine trolleys and cupboards were carried out but the tablets could not be located. We informed the manager of this particular example in order to ensure the health and well being of the person living in the home. The manager informed us they would do an investigation to establish why this had occured. We took evidence under the Police and Criminal Evidence Act as this was a breach of a requirement made at July 2009 inspection and will be liasing with our enforcement team as to the next course of action by ourselves. 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 4 of 8 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 5 of 8 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 1 The Service User Guide must be an accurate reflection of the services and facilities provided in the home. This will ensure people and or their representative have a clear account of what they can expect on moving into the home. (recommendation made at July 2009 key inspection) Care plans must be based on a though assessment of needs and show how care is to be delivered. Care plans must be accessible to staff delivering the care being given. Care plans must be reviewed and amended at the point where a person needs change or routinely and incorporate external health professionals recommendations and systems must be in place to ensure staff are made aware of these changes. (recommendation made at July 2009 key inspection) Food and fluid charts should be completed and from this the appropriate action taken to ensure people are supported to receive adequate nutrition. (recommendation made at July 2009 key inspection) Trained staff working at the home should re-familiarise themselves with the NMC Standards of Medicine
Page 6 of 8 2 7 3 8 4 9 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 Management to promote and protect the health and well being of people living in the home. (recommendation made at July 2009 key inspection) 5 9 There should be a documented protocol available which describes the care to be given to people living at the home who could become agitated or aggressive. This must include details for the administration of medication prescribed when required for behaviour management. (recommendation made at Sept 2008 random visit) The car home must be conducted in a manner which respects the privacy and dignity of people living in the home. Staff should be aware of how to talk to people in their care. (recommendation made at July 2008 key inspection visit) A review of activities in the home should be carried out to ensure that people recieve mental and physical stimulation that meets their individual needs and supports their enduring interests. (recommendation made at July 2008 key inspection visit. ) Efforts should continue to made to encourage people to sit at the dining tables to have their meals. This would involve people in a small amount of movement and encourage people to socialise. (recommendation made at July 2009 key inspection visit not looked at during this visit) Shortfalls identified in training needs must be addressed in the appropriate learning styles so that learning embeds. This will ensure that knowledge and practice mirror and meet the needs of people living in the home. (recommendation made at July 2009 key inspection) Systems should be in place to ensure that staff working in the home have the opportunity to have a say in the running of the home. This will help to promote the health and well being of people living in the home. (recommendation made at July 2008 key inspection) BUPA training package in relation to bed safety rails should be shown to all staff working at the home. (recommendation made at July 2009 key inspection) Staff must attend fire drills twice a year to ensure the safety of everyone in the home. 6 10 7 12 8 15 9 30 10 33 11 38 12 38 Care Homes for Older People Page 7 of 8 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 8 of 8 - 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!
