Latest Inspection
This is the latest available inspection report for this service, carried out on 24th May 2010. CQC found this care home to be providing an Adequate service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Airedale Nursing Home.
What the care home does well The 3 requirements made at the previous key inspection, which related to other matters not medication, have been met. All staff have received safeguarding (SOVA) training recently, other than 1 staff nurse (who did the training last year), and the new care assistants who have just started at the home. All of these staff are booked onto a Bedford Borough Council course. The manager told us that person who was being restrained under a Deprivation of Liberty Safeguards authorisation no longer needs this so the authorisation had been lifted: no other restraint is used, so there is no paperwork to complete. The manager told us that staff are filling in any charts that are needed (for example food and fluid charts) as these are now part of the new care plans. The manager said that the home has been part of a programme for infection control run by the Health Protection Agency (HPA). She said the HPA had undertaken an audit, and the home scored 93% overall (100% for training as all staff, including administrators,cleaners and so on had done the training). On the day we visited, moving and handling training was taking place. The external trainer said what a lovely staff group - they were all really enthusiastic. The new `snoozelen` has been very well done: it is really calming and a pleasant place to sit in. The manager said it has made a huge difference to people. For example, one person is far less aggressive than they were, and another now comes out of their room which they had not done for a very long time. Residents/relatives and staff who returned our survey were all very positive about the service offered at The Airedale. When we asked `What does the home do well?` 15 surveys contained comments and almost all of those were positive about almost all aspects of the service. For example, one person wrote "Airedale is exceptionally clean and exceptionally friendly and happy. All the staff, from the management to those who clean, are lovely to the residents and families. This gives Airedale a happy family atmosphere. Our relative has been here since (date) and the change in her, from her previous home, is marked" and ".....how pleased we are to have moved our relative here". Another wrote "Good food, good beds, good activities. We are well looked after, the food is nice, we can`t think of anything else we would want". And a 3rd person wrote "The home is welcoming and caring and always considers the patient`s needs". The only comments made about `What the home could do better` were that wheelchair maintenance could improve; tea could be hotter; and there could be more one-to-one activities for people in their rooms. Staff indicated they are satisfied with their induction, training, support, communication, and information about residents, and that there are enough staff on duty to meet residents` needs. They all made positive comments, including about infection control, person-centred care plans, and the general high standard of the service offered at the home. What the care home could do better: The requirements from the last inspection have been met and no further requirements have been made as a result of this inspection. Random inspection report
Care homes for older people
Name: Address: Airedale Nursing Home 44 Park Avenue Bedford Bedfordshire MK40 2NF 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: Nicky Hone Date: 2 4 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Airedale Nursing Home 44 Park Avenue Bedford Bedfordshire MK40 2NF 01234218571 01234215097 airedalenursing@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Jean Nichol Type of registration: Number of places registered: Conditions of registration: Category(ies) : The Airedale Nursing Home care home 35 Number of places (if applicable): Under 65 Over 65 35 0 5 old age, not falling within any other category physical disability terminally ill Conditions of registration: 0 35 5 To limit the number of persons to be admitted in the age range between 45 and 65 years within the home in the category of PD. To limit the number of persons to be admitted under the category of terminal illness within the home. Date of last inspection Brief description of the care home Airedale is a care home offering nursing care situated in the centre of Bedford overlooking Bedford Park. The home has been slowly extended over a number of years
Care Homes for Older People Page 2 of 8 Brief description of the care home and is currently registered for 35 people with nursing needs. Accommodation is provided in single and double rooms, all of which have an en-suite toilet or en-suite shower. Care is provided at ground floor and first floor levels, and there are offices on the second floor; stairs and a lift give access to the different levels. There are three separate communal rooms plus small reception areas, developed in the hall spaces throughout the home. The garden has been designed as a sensory garden and has full wheelchair access. The home is within walking distance of any bus that stops in Bedford town centre and is on the route of some local bus services. There is unrestricted parking on the road outside the home. The fees for this home vary from GBP700.00 per week, to GBP750.00 per week, depending on the funding source and assessed needs of the resident. This covers everything, including all the equipment they might need related to their disability, and furniture in their bedroom, including a television and a fan. People only pay to have their hair done by the visiting hairdresser, for a telephone in their bedroom if they want one, and for a personal newspaper. CSCI inspection reports are available in the hallway of the home, with the visitors book and service user guide. At the time of this inspection the home was being extended. The new extension will provide some additional bedrooms, lounges, dining areas, a large kitchen and a large laundry, as well as a sensory room, a larger garden and staff facilities. The main entrance to the home will move to St Alban Road where there will be an impressive reception area. Care Homes for Older People Page 3 of 8 What we found:
We (the Care Quality Commission) carried out this unannounced random inspection of The Airedale Nursing Home on 24/05/2010. Following the key inspection in August/September 2009 we made 13 requirements, 10 of which related to medication. In November 2009 we carried out an unannounced random inspection to check the requirements relating to medication and we found these had all been met. This inspection was to check the home had complied with the other 3 requirements. During this inspection we spoke with the manager/owner, Mrs Nichol, and co-owner Dr Kamyar. We Looked at the new snoozelen, and saw the 4 bedrooms that have been created in the original building where the kitchen used to be. We also had a quick look round the new extension which, at the time, was not quite ready for occupation. The manager told us that the home had recently changed to a new pharmacy which is offering a much better service than the previous one. She said that everything has changed, including the medication trolleys. The manager continues to monitor medication. We looked briefly at the medication spot-checks that she carries out and noted that staff have made a few errors, but the monitoring is picking these up and they are being dealt with. The manager also told us that a new care plan system has been introduced, and showed us an example. Each person now has a folder which is kept in their room. She said that writing the care plans has been a really good experience for the staff who have been involved. The care plans include a life history. All staff now complete the records, not just the trained nurses. We discussed the notifications that the home sends to CQC and agreed that there is no need to send a notification if people fall, unless there is a serious injury. Before the inspection we sent surveys to the home to give to residents and staff, so they could tell us about their experience of living or working at The Airedale. We received 16 replies: 8 from residents/relatives and 8 from staff. What the care home does well:
The 3 requirements made at the previous key inspection, which related to other matters not medication, have been met. All staff have received safeguarding (SOVA) training recently, other than 1 staff nurse (who did the training last year), and the new care assistants who have just started at the home. All of these staff are booked onto a Bedford Borough Council course. The manager told us that person who was being restrained under a Deprivation of Liberty Safeguards authorisation no longer needs this so the authorisation had been lifted: no other restraint is used, so there is no paperwork to complete. The manager told us that staff are filling in any charts that are needed (for example food and fluid charts) as these are now part of the new care plans. The manager said that the home has been part of a programme for infection control run by the Health Protection Agency (HPA). She said the HPA had undertaken an audit, and the home scored 93 overall (100 for training as all staff, including administrators,
Care Homes for Older People Page 4 of 8 cleaners and so on had done the training). On the day we visited, moving and handling training was taking place. The external trainer said what a lovely staff group - they were all really enthusiastic. The new snoozelen has been very well done: it is really calming and a pleasant place to sit in. The manager said it has made a huge difference to people. For example, one person is far less aggressive than they were, and another now comes out of their room which they had not done for a very long time. Residents/relatives and staff who returned our survey were all very positive about the service offered at The Airedale. When we asked What does the home do well? 15 surveys contained comments and almost all of those were positive about almost all aspects of the service. For example, one person wrote Airedale is exceptionally clean and exceptionally friendly and happy. All the staff, from the management to those who clean, are lovely to the residents and families. This gives Airedale a happy family atmosphere. Our relative has been here since (date) and the change in her, from her previous home, is marked and .....how pleased we are to have moved our relative here. Another wrote Good food, good beds, good activities. We are well looked after, the food is nice, we cant think of anything else we would want. And a 3rd person wrote The home is welcoming and caring and always considers the patients needs. The only comments made about What the home could do better were that wheelchair maintenance could improve; tea could be hotter; and there could be more one-to-one activities for people in their rooms. Staff indicated they are satisfied with their induction, training, support, communication, and information about residents, and that there are enough staff on duty to meet residents needs. They all made positive comments, including about infection control, person-centred care plans, and the general high standard of the service offered at the home. 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 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 6 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 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. © 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 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!
