Care Home: Adey Gardens Care Home

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What the care home does well Service users live in an environment that is pleasant, clean and safe. Staff interact with service users in a polite and sensitive way and promote their dignity and privacy in the care practices carried out.Good care plans are in place that guide staff to effectively support service users in the way that they prefer. Professional guidance promotes good and effective continence care and through training staff receive the knowledge and skills needed to equip them to effectively support service users. The home is managed well, has sufficient staff on duty to address service users` needs and effective procedures are in place. This means that service users receive a service that is safe, well planned, monitored and carried out. What the care home could do better: No requirements or recommendations were made as a result of this visit. Random inspection report Care homes for older people Name: Address: Adey Gardens Care Home South Street Newbottle Houghton Le Spring Tyne & Wear DH4 4EH two star good service 23/10/2008 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: Elsie Allnutt Date: 2 0 0 7 2 0 1 0 Information about the care home Name of care home: Address: Adey Gardens Care Home South Street Newbottle Houghton Le Spring Tyne & Wear DH4 4EH 01915120544 01915120527 wendyannewalker@fsmail.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Wendy Anne Walker Type of registration: Number of places registered: Conditions of registration: Category(ies) : Rolamgold Limited (Muscat Walker & Hayim) care home 37 Number of places (if applicable): Under 65 Over 65 3 34 0 dementia old age, not falling within any other category physical disability Conditions of registration: Date of last inspection Brief description of the care home 0 0 25 2 3 1 0 2 0 0 8 Adey Gardens is registered to accommodate up to 37 older people, 12 on the first floor who require personal care, including up to 3 people with dementia over the age of 65, and 25 people who require nursing care aged 50 and over are accommodated on the ground floor. This is a purpose built home situated in the village of Newbottle in Care Homes for Older People Page 2 of 9 Brief description of the care home Houghton-le- Spring. It is of traditional brick, two storey building set in pleasant, secure landscaped gardens on the edge of the village green. Nearby there are two restaurants and several public houses, a hairdressing salon, shops, a newsagent and post office. The bus stops outside the home, and transports to all local areas as well as to the cities of Sunderland and Durham. The home has a large reception area, leading to a spacious conservatory. Service users have access to a variety of lounges and dining areas with a separate designated smoking area. There is easy access to the home for those with disabilities, a passenger lift services both floors and there is a large car park provided. Care Homes for Older People Page 3 of 9 What we found: The quality rating for this service is two stars. This means that at the previous unannounced key inspection carried out in 2008 it was assessed that the people who use this service experience good quality outcomes. This random inspection was carried out following allegations made by an anonymous caller to the Care Quality Commission about the home. During the visit we concentrated on the issues raised by the caller by observing care practices, examining records including service users care plans and staff rotas, talking to service users, staff and the manager and walking around the home. The issues raised are as follows: 1 Service users are left to sit in their own unrine and faeces most of the day. 2 The service is understaffed. 3 Service users get up at 5.30am, washed and dressed and sat in their chairs. 4 Service users wear incontinence pads that are too large or too small. The outcome of the visit: The home has recently reviewed the care planning system and as a result a comprehensive care planning system, that inlcudes all aspects of service users health, personal and social care needs, is now followed. Individual care plans are developed for each service user. These are person centred and written in a way that empowers the individual to lead them and promotes their dignity. Care plans are divided into different sections to record the individuals different needs and the guidance for staff to follow, regarding how the individual prefers to be supported, is written in good detail. Particular attention was given to how individuals continence needs are addressed. An assessment of need, that is kept in the care plan, is carried out for each service user regarding their continence needs and it is made evident in the care plan when specialist advice has been sought regarding this. The continence advisor or the community nurse advises on the type and size of the aids needed. A requisition form for continence products is completed and the products are delivered to the home weekly. A named member of staff is responsible for checking when the delivery arrives. This was evident on the day of the visit. If it is noted that an individuals allocated number of pads is not enough, a new assessment is carried out and the effective number and size is ordered. Care Homes for Older People Page 4 of 9 Specialist advice guides staff to develop a toiletting programme for individual service users and this is kept in the care plan. The care plans are well documented with good detail relating to any mobility aids needed, the time the person prefers to be assisted to the toilet and the type and size of continence pads used. The detail in place clearly guides staff to assist service users with this task effectively. Furthermore such assistance and support enables service users to effectively maintain and promote a positive continence routine, while at the same time promotes the individuals dignity and well being. A supply of continence pads are kept in service users individual rooms where they are at hand for use. All staff have received training in infection control and a specialist contractor deals with the effective disposal of used continence products. This was evident on the day of the visit. Staff also receive training regarding the promotion of continence and issues surrounding good continence care, for example the use of barrier creams, care of the skin and positive pressure care. Care plans also include the times that service users prefer to get up in the morning and when they prefer to retire to bed. At the time of the visit it was evident that this is the general practice. People moved to and from the breakfast tables between 9 and 10:30 am depending when they had chosen to get up and dressed. Most service users generally prefer to get up after 8am and only one person has requested assitance prior to this time. Staff are employed in sufficient number to attend to service users needs and clear staff rotas confirm when staff are on duty. A qualified nurse and a senior carer lead a team of six carers each day and in addition to this the manager, who is also a qualified nurse, a full time administrator and domestic staff are on duty. On the day of the visit the manager took the position of the qualified nurse due to the rotad nurse being unavailable for duty. This still meant that people were safe and their needs were addressed effectively. Staff carry out their roles competently and independently and interact with service users in a quiet sensitive way. This creates a relaxed and safe environment where service users appear well cared for, included and happy. Visitors are welcomed into the home and have a good relationship with staff. There were no unpleasant smells throughout the home and generally it appeared well organised, clean and tidy, which reflects effective management and a well trained staff team who are focussed on their tasks in hand. Following the inspection feedback was given to the manager. What the care home does well: Service users live in an environment that is pleasant, clean and safe. Staff interact with service users in a polite and sensitive way and promote their dignity and privacy in the care practices carried out. Care Homes for Older People Page 5 of 9 Good care plans are in place that guide staff to effectively support service users in the way that they prefer. Professional guidance promotes good and effective continence care and through training staff receive the knowledge and skills needed to equip them to effectively support service users. The home is managed well, has sufficient staff on duty to address service users needs and effective procedures are in place. This means that service users receive a service that is safe, well planned, monitored and carried out. 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 6 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 7 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 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 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. 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