Care Home: Afton Court

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What the care home does well This section of the report is not applicable to this random inspection. What the care home could do better: This section of the report is not applicable to this random inspection. Random inspection report Care homes for older people Name: Address: Afton Court 66-72 Marshall Avenue Bridlington East Riding Of Yorks YO15 2DS one star adequate service 27/01/2010 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: Janet Lamb Date: 3 1 0 8 2 0 1 0 Information about the care home Name of care home: Address: Afton Court 66-72 Marshall Avenue Bridlington East Riding Of Yorks YO15 2DS 01262606888 01262677999 aftoncourt@live.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Samantha Jane Berry-Dagnall Type of registration: Number of places registered: Conditions of registration: Category(ies) : Afton Court Limited care home 41 Number of places (if applicable): Under 65 Over 65 41 41 dementia old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 0 0 9 0 6 2 0 1 0 Afton Court consists of four adapted terraced houses close to the centre of the seaside town of Bridlington. The home is registered to provide personal care and accommodation for up to 41 older people who may also have dementia. It is conveniently located for all local amenities and facilities including public transport. The home can provide on-street parking permits for visitors. Single and shared bedrooms all have en suite facilities of a wash-hand basin and toilet. Some rooms also have a bath or shower. There is also a self-contained ground floor flat suitable for a married couple. A vertical passenger lift provides access to all three floors. There is a choice of Care Homes for Older People Page 2 of 10 Brief description of the care home lounges and dining areas. A large private and well maintained courtyard provides a safe area for people living there and the outside space is very easy to access. The Statement of Purpose and service user guide, as well as the latest inspection report completed by the Commission for Social Care Inspection are made available in the home, for people to read. Care Homes for Older People Page 3 of 10 What we found: We carried out a random inspection solely to discuss the financial situation and viability of the home as issues had been highlighted by East Riding of Yorkshire Council during one of their visits following up a safeguarding referral. Standard 34 Financial Procedures is the only standard that was assessed during the random inspection site visit. There had been information received via East Riding of Yorkshire Council (ERYC) pertaining to the financial viability of the home. In effect it was discovered by ERYC that the service was unable to pay a large utility bill. The provider Samantha Berry-Dagnall had confirmed to ERYC that this was true. The random inspection was carried out to discuss the issue with the provider and determine whether or not people in the home were at risk of having their care affected because of the risk of low staffing, reduced sustenance and heating etc. due to the lack of finances to pay for for these requirements. On arrival at the home the provider was unavailable as she was dealing with a personal situation concerning a family members health. We were able to converse with her for a considerable time on the telephone. She informed us she was trying to obtain financial backing from her bank in order to pay the utility bill and would know an outcome by 03/09/10. The provider informed us that staffing levels had not been reduced even though the resident number had because people were still considered to have fairly high needs. The only reduction in staffing had been five hours a day, five days a week which was a person employed solely to administer medication. She also told us that food supplies were still being purchased as the local suppliers were being paid one month in arrears at the moment and that staff wages were still being covered. People were very briefly observed to be busy milling around the home just before tea, many with different states of cognitive ability. There were at least three care staff on duty plus a senior in charge of the home. The handyman was also working in the building. The home was clean, warm and pleasant. By the time we were leaving people had sat down to eat tea, some were being assisted to eat in the kitchen dining area to the rear of the home. There did appear to be many people in need of the staffs constant attention, either for assistance with personal care or for social and emotional reasons. The layout of the building, a string of lounges and sitting or eating areas running through to the back of the property where the open-plan kitchen diner was, proved difficult for staff to observe everyone in the home at once. Some people sitting in the lounge by the front entrance could not be observed if staff were anywhere beyond the second lounge and in the area of the old dining room, now sitting area, that leads onto the courtyard. Equally those in the kitchen diner could not be observed if staff were by the front entrance. There were no concerns identified with the service of care being provided at the time of our visit, staff were polite, reassuring to the people in the home and mindful of their needs. Care Homes for Older People Page 4 of 10 A recommendation is made in this report for the provider to keep CQC informed of the financial arrangements with the bank as soon as they are known. Standards 31 33 35 and 38 were not assessed. 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 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 and the risks associated with difficult to manage behaviour must be clear, describe what is required, how often and by whom. This would ensure that staff are clear about the needs, risks and how these are to be managed. 10/05/2010 2 7 13 If restrictions are to be put in 10/05/2010 place then the decision must be made with other people involved in providing care, this must be subject to a mental capacity assessment and detailed risk management plan and agreed in a multi agency setting. This would ensure that people are involved in any decisions about their life and if a restriction is put in place this has been done in consultation with others involved in providing care and in the persons best interests. 3 18 18 Staff must undertake 11/05/2010 essential training that would safeguard people living in the Page 6 of 10 Care Homes for Older People 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 home. To ensure that people living in the home are protected from harm or abuse. 4 18 12 The home must only hold money on the premises that they are insured for. To ensure that peoples finances are protected. 5 19 23 The home must be maintained to a safe standard, carpets must be fitted correctly and not pose a trip hazard. To ensure that people live in a well maintained and safe home. 6 21 23 All communal bathroom/shower rooms must be in working order. To ensure that there are sufficient bathrooms for the number of people and they can have a bath/shower when they choose to. 7 26 23 The home must be free from 10/05/2010 offensive odour. To ensure that people live in a safe, clean and hygienic home. 8 27 18 The staffing hours must be 10/05/2010 reviewed and increased as the numbers of people living in the home increases. Page 7 of 10 11/03/2010 10/03/2010 10/03/2010 Care Homes for Older People 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 To ensure that there are sufficient staff on duty at all times, and in particular for busy periods. 9 28 19 Staff must only be employed 10/05/2010 using a POVA 1st check in exceptional circumstances and not as a matter of course. To ensure that people live in the home are supported by staff who have been recruited safely. 10 30 18 An audit of the training is required to find out which essential training staff have not undertaken. To ensure that the staff group are well trained and have the skills to deal with the people they support. 11 38 13 All hot water to which people 31/01/2009 living there have access to, should be monitored so that the registered person is satisfied that the risk of people being scalded by water that is too hot, is minimised. This will contribute to protecting people from harm. 10/05/2010 Care Homes for Older People Page 8 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, 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 34 The registered provider should keep CQC fully informed of the financial arrangements with the bank and of the situation regarding the homes financial viability. Care Homes for Older People Page 9 of 10 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 10 of 10 - 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. 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