Latest Inspection
This is the latest available inspection report for this service, carried out on 29th January 2010. CQC 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Acorn Hill Nursing Home.
What the care home does well Staff were seen to be friendly and helpful to people and respected their dignity. Relatives said that the care provided was at a high standard and that staff and management were also pleasant and positive. Staff were aware of how to report abuse to enable protection to be put in place for people. Fire testing is now of a good standard to protect people from fire risks. What the care home could do better: Care Plans need to be fully detailed and that they are all read by care staff, to ensure staff can meet individual needs. Staff need to alert medical services if people if someonehas a potentially serious injury, and Moving and Handling practices must follow required practice to ensure the safety of people. All records must be clear and fully detailed. Activities need to be extended and to have a specifically designated person in charge of these to give more stimulation to people. The Complaints Procedure must give the complainant a choice of where to go to, to have their complaint dealt with. Random inspection report
Care homes for older people
Name: Address: Acorn Hill Nursing Home Radstone Walk Rowlatts Hill Leicester LE5 4UH one star adequate service 12/06/2009 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: Keith Charlton Date: 2 9 0 1 2 0 1 0 Information about the care home
Name of care home: Address: Acorn Hill Nursing Home Radstone Walk Rowlatts Hill Leicester LE5 4UH 01162760600 01162761428 saidz@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) GB Care Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 49 Number of places (if applicable): Under 65 Over 65 0 0 0 dementia mental disorder, excluding learning disability or dementia physical disability Conditions of registration: 49 49 49 The maximum number of service users who can be accommodated is 49 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 within the following categories: Dementia - Code DE Mental Disorder, excluding learning disability or dementia - Code MD Physical Disability - Code PD Date of last inspection 1 2 0 6 2 0 0 9 Care Homes for Older People Page 2 of 9 Brief description of the care home The last inspection of this service was on the 10th June 2009. Acorn Hill Nursing and Residential Home is a care home offering accommodation for up to forty-nine older people. The home is registered to admit older people with dementia and/or mental disorders and physically disabilities. The home is located in a residential area to the east of Leicester. It is easily accessed by road using the outer ring road. The centre of Leicester is approximately fifteen minutes away by car and there are adequate car parking spaces. A bus service is available from outside the home with more frequent bus services available near to the home. Fees are from £308 to £1750 per week. This information was provided the day of the inspection by the Manager. There are charges for additional services such as hairdressing. The building itself is a purpose built property offering accommodation on three levels. The home is equipped with a slow moving lift. There is a large garden to the rear of the property with a lawned area, established plants and trees and a patio/sensory garden area with seating. All areas of the home and outside areas are accessible for people with mobility difficulties. Care Homes for Older People Page 3 of 9 What we found:
Following issues received in the past regarding the safeguarding of people living in the service, and following up the requirements of the last Inspection Report, we visited the home to follow up the issues identified: Safeguarding Issues: the Manager contacted the Coroners Office to ascertain that a date had not been arranged for the Inquest in question. With regard to the other Safeguarding issue the Manager ascertained that this had not been defined as a safeguarding issue by the Lead Agency, which we checked and also found and confirmed. Care Planning: the Manager said that she was in the process of revamping the plans to make them more person centered so that staff would know in detail peoples needs and be able to meet them. We saw an example of the improved plans, though there was still a lack of detail on some of the Plans in respect of Risk Assessments regarding Moving and Handling, Incontinence and Challenging Behavior for the individual Plans we saw. There was also evidence that staff had not read all the Care Plans so they could not guarantee the care they provided was always relevant. We saw that a person had been lifted from the floor instead of staff using proper Moving and Handling techniques. There was evidence of Health and Safety procedures being followed, but there was also an instance where a person had facial injuries, and therefore had a head injury, but medical services had not been alerted. Detail and legibility for accident and care records was not in place for a small, though important, proportion of records which could impact on care if this issue could not be properly ascertained and acted on by a relevant person. There was evidence of activities but none in the morning period, to provide stimulation for people at that time. The Complaints Procedure had been altered and improved, but this still did not give the complainant the option to go to the Lead Agency at the beginning of their complaint. What the care home does well: What they could do better:
Care Plans need to be fully detailed and that they are all read by care staff, to ensure staff can meet individual needs. Staff need to alert medical services if people if someone
Care Homes for Older People Page 4 of 9 has a potentially serious injury, and Moving and Handling practices must follow required practice to ensure the safety of people. All records must be clear and fully detailed. Activities need to be extended and to have a specifically designated person in charge of these to give more stimulation to people. The Complaints Procedure must give the complainant a choice of where to go to, to have their complaint dealt with. 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 R No £ 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 1 7 15 Care Plans need to contain 12/08/2009 full detail of residents needs. So that staff are able to meet all needs 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 Care Plans must contain full detail of the care required. To ensure peoples needs are always met. 03/04/2010 2 8 12 Staff must follow proper Moving and Handling techniques and always alert Medical Services for all potentially serious injuries. To protect the health needs of people. 10/02/2010 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 12 More activities need to be offerred to people to provide on going stimulation, provided by a full time Activities Organiser. The Complaints Procedure needs to offer the choice for the complainant to go to the Lead Agency, the Adult Care Department, at the first stage. All records need to be legible and detailed to ensure they indicate events and peoples needs so that proper action
Page 7 of 9 2 16 3 37 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 can be taken. 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. © 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 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!
