Care Home: Alexandra House [Newquay]

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What the care home does well The food prepared by the 2nd. cook was of a good standard. What the care home could do better: Management need to improve the performance of the head cook as it is evident that this persons performance is not up to standard. In recognition of this problem the manager informed us that the problem had been recognised and action was imminent. Management informed us that they were about to instigate a performance capability review and possibly disciplinary procedures. More consistent record keeping is required in the following areas. Keep weight charts up to date Maintain a record of food consumed by residents Keep an acurate record of all activities taking place Random inspection report Care homes for older people Name: Address: Alexandra House [Newquay] 11 Alexandra Road Porth Newquay Cornwall TR7 3ND two star good service 06/01/2009 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: Michael Dennis Date: 0 8 0 6 2 0 1 0 Information about the care home Name of care home: Address: Alexandra House [Newquay] 11 Alexandra Road Porth Newquay Cornwall TR7 3ND 01637877508 01637859869 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Morleigh Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 36 Number of places (if applicable): Under 65 Over 65 36 36 dementia mental disorder, excluding learning disability or dementia Conditions of registration: 0 0 Three (3) service users outside the age category of 65 years and over. Total number of service users not to exceed 36 Up to six beds can be used for non nursing service users. Date of last inspection Brief description of the care home Alexandra House is a care home with nursing providing care for up to 36 older people. The beds are registered to admit service users with a dementia and or a mental Care Homes for Older People Page 2 of 8 0 6 0 1 2 0 0 9 Brief description of the care home disorder. Alexandra House is a large property set back in its own grounds overlooking the beach at Porth, Newquay. There is car parking available in the grounds of the home. The home has a lounge and dining area with lovely views across the beach. The majority of bedrooms are for single occupancy with five double bedrooms. There are some bedrooms that cannot be accessed with the shaft lift. These are identified in the statement of purpose document. There is a garden to the rear of the property. Care Homes for Older People Page 3 of 8 What we found: We visited Alexandra House on Tuesday 8th.June2010 to conduct a Random Inspection. We spent a total of three hours on the premises and looked at records, meal preparation and spoke with various members of staff to include the manager. This inspection was conducted in response to various concerns expressed to us by members of the public. The main concern expressed was that a poor nutritional diet was being provided. We inspected care plans and determined the dietry needs of a number of residents. We determined that weight charts were available although they were not completely uptodate. We observed the serving of the midday meal and assessed the choice available to include presentation. quality and quantity. We found this to be entirely satisfactory. We further determined that the 2nd. cook was on duty. Following discussions with the manager and staff it became apparent that the head cook was not performing to standard. Quality and quantity of meals when this person is on duty need considerable improvement. A detailed record of what each resident eats at meal times was not available. We discussed the activity program available to residents. We were told that activities do occur and some evidence of this was found in residents day notes. Substantial evidence of an activity program was not available. 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 4 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 5 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 1 8 14 Nutritional screening must be 01/07/2010 undertaken on admission and subsequently on a periodic basis, a record maintained of nutrition, including weight gain or loss, and appropriate action taken To ensure residents receive an appropriate nutritional diet 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 15 16 Food including liquified meals, is presented in a manner which is attractive and appealing in terms of texture, flavour and appearance, in order to maintain appetite and nutrition. In order that residents receive a healthy diet. 01/07/2010 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 The routines of daily living and activities made available are Page 6 of 8 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 flexible and varied to suit residents expectations, preferences and capacities. A record of activities should be kept to provide the appropriate evidence. 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. 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