Random inspection report
Care homes for older people
Name: Address: Yohden Care Complex Hesleden Road Blackhall Hartlepool Cleveland TS27 4LH two star good 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: Jean Pegg Date: 0 7 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Yohden Care Complex Hesleden Road Blackhall Hartlepool Cleveland TS27 4LH 01915860294 01915862868 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Maureen Priscilla Garrett Type of registration: Number of places registered: Conditions of registration: Category(ies) : Southern Cross OPCO Ltd care home 77 Number of places (if applicable): Under 65 Over 65 0 0 48 0 dementia learning disability old age, not falling within any other category physical disability Conditions of registration: 29 10 0 15 The maximum number of service users who can be accommodated is 77 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, maximum number of places 48 Dementia Code DE, maximum number of places 29 Physical Disability - Code PD, maximum number of places 15 Learning Disability - Code LD, maximum number of places 10
Care Homes for Older People Page 2 of 11 Date of last inspection Brief description of the care home Yohden Care Complex is a seventy seven bedded home situated in a quiet residential area of Blackhall, which is a village close to Peterlee. The home provides residential and nursing care. There is a separate unit for people with dementia who have been assessed as needing residential care. The home is split over two floors with lift access. Some of the bedrooms have en suite toilets with sufficient additional facilities located throughout the home. Communal bathing facilities are located throughout the home. These have specialised bathing equipment to support people who are less able. The home has a large central dining and lounge area as well as small lounge and dining areas within each unit. Fees range from £436:60p and £549:50 weekly, which does not include the free nursing care element. Additional charges are made for hairdressing, chiropody and personal newspapers. Care Homes for Older People Page 3 of 11 What we found:
The last key inspection visit for this home was completed in December 2007 where a quality rating of good was awarded. A quality rating can only be awarded or changed following a key inspection visit. This was an unannounced random inspection visit for this home. The visit took place over two days, 4 & 7 June 2010. Two inspectors completed the inspection visit. Before the visit took place we looked at information we had received about the home since the last key inspection visit. This information included notifications sent to us from the service, how the service had dealt with any complaints or concerns and any changes made about the management of the service. During the visit we talked to people who use the service, their relatives and people who work in the service. We observed care practices in the home and looked at documents and records held by the home that related to how peoples needs were being met. We also looked at records relating to the management of the home. We walked around the home to make sure that it was clean, safe and comfortable. At the end of our visit we told the person in charge what we had found. A number of requirements have been made that the home must take action on. What the care home does well: What they could do better:
Eleven requirements have been made following this visit. We looked at a sample of care plans from the three units within the home and found that for some people there had been a failure to make proper assessment of individual service users needs prior to and following admission to the home. This means that there was insufficient information available about what individual service users needs are and how they were to be met.
Care Homes for Older People Page 4 of 11 We also found that there were examples of care plans not being in place to support identified needs for some service users. This means that there were no consistent guidelines for staff to follow to ensure that service user needs were met or to ensure a consistency of care provision. Some of the care plans and records we looked at showed that there had been a failure to make proper provision for the care and treatment of service users. For example catheter care. We also identified that for the care plans we sampled, that they had not been evaluated or kept under regular review. When looking at the medication records held we found that the arrangements in place for the recording and safe administration of medicines were not good. The recording was poor and there were discrepancies in the stock balance of some tablets. We also found evidence of some medicines not being given as prescribed and that some people had been without some of their prescribed medication for more than a day. The environment in the learning disability unit could be made more appropriate for the age group of the people living there. For example the provision of furniture and decoration of a more modern design. In general, the home would benefit from redecoration and some areas would benefit from deep cleaning. The general residential and nursing unit dining room experience could be improved by ensuring that tables are laid with clean linen and cutlery and that floors are cleaned after each meal. The home was not able to produce the most recent fire officer report for inspection and some general maintenance tasks had not been completed. For example an internal inspection report completed by one of the southern cross management team identified that the laundry fans were identified as needing to be cleaned in April 2010. They were still in need of cleaning during this visit. In February 2010, an in house catering audit identified that the food mixing machines were in need of guards. They were still in need of guards during our visit. 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 11 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 11 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 3 14 Put in place effective 02/08/2010 arrangements to ensure that service users have the assessment of their needs kept under regular review. This will ensure that the home are aware of changing needs and can continue to meet those needs. 2 3 14 Put in place effective 02/08/2010 arrangements to ensure that service users needs are assessed before they are admitted to any unit within the home. This will ensure that people are only admitted to units in the home that are able to meet their needs. 3 7 15 Put in place effective arrangements that ensure that care plans are kept under regular review. This will ensure that the care plans written for service users are current and will 02/08/2010 Care Homes for Older People Page 7 of 11 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 provide guidance that will help carers to continue to meet their needs. 4 7 12 Put in place effective arrangements that ensure that detailed written care plans are produced that identify how individual service users needs will be met. This will ensure that service users receive a consistent approach to their care and that carers have guidance as to how to care for individual service users. 5 8 12 Put in place arrangements that will ensure that service users receive proper care and treatment. So that service users receive the care and treatment they need. 6 9 13 Put in place effective 23/07/2010 arrangements to ensure that all medication is administered as directed by the prescriber to the service user it was prescribed, labeled and prescribed for. So that medication is given as prescribed. 7 9 13 Put in place effective 23/07/2010 arrangements to ensure that the reasons for non administration of medication are recorded by the timely entry of an appropriate code
Page 8 of 11 02/08/2010 02/08/2010 Care Homes for Older People 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 or entry on the medication record, that the meaning of such codes are clearly explained on each record, and that the person administering the record completes the Medication Administration Record in respect of each individual service user at the time of administration. To ensure that an accurate record of non administration is maintained. 8 9 13 Put in place effective 23/07/2010 arrangements to ensure that medication administration records are accurately maintained. So that an accurate record of medication given is available. 9 9 12 Put in place effective 23/07/2010 arrangements at the home to request, obtain and retain adequate supplies of prescribed medicines for service users. So that they can be given them as prescribed. 10 19 23 Put in place effective 09/08/2010 arrangements for ensuring that all parts of the home are clean and reasonably decorated. So that people live and work in a good environment. Care Homes for Older People Page 9 of 11 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 11 19 23 Put in place effective arrangements for ensuring that equipment provided at the home is well maintained and in good working order. So that people are not put at risk through the provision of poorly maintained or broken equipment. 09/08/2010 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 19 People living on the learning disability unit should be involved in the selection and choice of more modern furnishings and decoration for where they live. A copy of the most recent fire officer report should be available at the home for inspection. 2 19 Care Homes for Older People Page 10 of 11 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 11 of 11 - 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!
