Care Home: Amadeus

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What the care home does well The staff consider themselves good at communicating with each other. The atmosphere in the home was friendly and relaxed. All the staff spoken to confirmed they had access to ongoing training and development opportunities. The manager and other staff were seen to support people in a respectful way during the visit. Information in the care plans showed there were visits from other professionals and the manager confirmed that people can access a full range of health care professionals. Everybody was registered with a GP and people saw the community nurses, dieticians, opticians or chiropody services when needed. A visiting GP was positive about the advice and instructions the staff carried out and said, `The manager is good at letting us know when a person needs to see the doctor.` Policies and procedures were in place for the safe handling of medication. Medication to be returned to the pharmacy was securely held and recorded appropriately. From the sample of records looked at these were generally accurately recorded. The manager toldus one staff member had made an error in medicine recording and following this further supervision and training had been provided. We were told random spot checks were carried out by the manager and the Responsible Individual and any areas for improvement were discussed and acted upon. People were positive about the care and the support they received from the staff . One person added, `they are a good bunch of staff here, they look after us well.` Another person added, `They are very caring and see to us in a nice way.` People are encouraged to receive help and support in a flexible way to meet their needs. The manager has a good overview of the service and has demonstrated that she knows which areas require further development and improvement. The manager and the staff team were enthusiastic to improve the standard of the service and to look at new ways to achieve this. The manager continues to work well with us and keeps us informed about things that happen in the service. What the care home could do better: There are no outstanding requirements for this service. Of the 15 good practice recommendations made at the last inspection there was one which had not been addressed. The manager should record any concerns and the action taken to resolve these so that any patterns in problems can be identified to improve the service for people. Random inspection report Care homes for older people Name: Address: Amadeus Hampden Grove Patricroft Eccles Gtr Manchester M30 0QU two star good 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: Elizabeth Holt Date: 1 0 0 6 2 0 1 0 Information about the care home Name of care home: Address: Amadeus Hampden Grove Patricroft Eccles Gtr Manchester M30 0QU 01617878638 01617071014 amadeuscarehome@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Kathryn Trenor Hewitt Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Bradley Scott Jones,Mr Russell Scott Jones care home 39 Number of places (if applicable): Under 65 Over 65 39 old age, not falling within any other category Conditions of registration: 0 The registered person may provide the following category 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: Old age, not falling within any other category - Code OP. The maximum number of service users who can be accommodated is: 39. Date of last inspection Brief description of the care home Amadeus is a private residential care home providing accommodation for 21 older people, requiring personal care only. The home is registered in the name of Mr Bradley Care Homes for Older People Page 2 of 9 Brief description of the care home Jones and Mr Russell Jones. The home is a detached property, set out on one level, located on a quiet grove, close to Eccles shopping centre and market and accessible to bus routes located on Liverpool Road. There are 39 single bedrooms. Communal space comprises of a large lounge and dining room in the centre of the building. There is a smaller conservatory style seating area to the front entrance. The fees for staying at the home range from 317.92 to 426.71 per week,includes accommodation and care. information can be obtained from the manager. Additional charges are made for toiletries, newspapers and hairdressing. Care Homes for Older People Page 3 of 9 What we found: This random visit was unannounced, which means that the manager and the staff were not told that we would be visiting. The visit took place on Thursday 10th June 2010. During this visit we looked at Health and Personal care (Standards 7, 8, 9 and 10) and Complaints and Protection (Standards 16 and 18). We also looked to see if the requirement made at the last inspection visit had been met. This report is an overview of what we found during the visit. References to we or us in this report represent the CQC. As part of this visit we spoke with the manager, three staff members, some of the people living at Amadeus, two peoples relatives and the Responsible Individual (RI) of the service. We also walked round the premises including the communal areas. Since the last inspection the service has increased the number of places to register an additional 18 bedrooms. The existing premises have been refurbished throughout and the kitchen facilities have been moved to provide a more effective service. The manager now provides an Intermediate Care Service, which is staffed jointly by the care home and the Primary Care Trust. Following a requirement made at the last inspection we found this had been met. The Statement of Purpose and Service User Guide has been updated to ensure the information was up to date and accurate. We looked at care plans for four people. The care plans include detailed information about the individual person but some information was held separately which made it difficult to follow. The information written in the daily statements was not always linked to the care problems identified in the plan of care and did not always give detailed information about the persons day. The manager told us they were planning to introduce new care plans for short term care which would make the documentation more appropriate for people who stayed at the home for a maximum of thirty days. The manager stated she was in the process of developing a key worker system to give the staff more accountability for recording in peoples care plans. From observations made throughout the day people were treated as individuals with their own individual needs but the care plans did not always fully reflect these needs and how the staff could support the individual to meet these needs. One person stated they would Love to have a bath twice a week but the care plan did not show this. Although this persons relative spoke highly of the staff and the care provided, they confirmed the extra bath would make a difference to their relative in a positive way. The staff were respectful to people and it was clear they were aware of peoples needs and preferences. One person said, They look after my relative with alot of care and attention, the staff are good here. There was evidence to show peoples health needs are recorded but the system in place for recording and monitoring peoples nutritional needs lacked detail. We discussed that the National Minimum Standards recommends that the care home have a procedure for Care Homes for Older People Page 4 of 9 dietary assessment and nutritional screening. Each person should be screened for their risk of malnutrition on admission and monthly afterwords, using a validated nutritional screening tool. Since the inspection the manager has introduced the use of a nutritional screening tool and told us she was in the process of completing this for each person. A risk assessment for the risk of developing pressure sores was in place. We recommended to make sure any action carried out following the assessment is clearly recorded in the care plan and staff are aware of the action to take following this assessment. The manager stated she would address this immediately. During the visit we looked at a sample of the records for medication together with the medicines held by the service to make sure people were receiving their medicines safely, as prescribed. The administration records are good and showed that people generally received their medicines as prescribed. The home has a complaints procedure and this is displayed in the hallway and in the Statement of Purpose. The manager told us she has not received complaints about the service apart from one anonymous one which was not upheld in relation to shortfalls in staff training. We suggested a folder is made available to show any informal concerns made and the suggestions the service makes to improve. People at the home and visitors spoken to stated they were aware of who to complain to if they had reason to make a complaint. One person said, Oh clearly if I had any concerns I would talk to the manager, she is very approachable. The staff training record showed that staff had received some training about safeguarding vulnerable people from abuse. A copy of Salford Councils Inter agency policy was available for the staff to access. Two staff spoken to and the manager were clearly aware of the action to take following an allegation of abuse and showed an understanding of how to safeguard people who live at the home. What the care home does well: The staff consider themselves good at communicating with each other. The atmosphere in the home was friendly and relaxed. All the staff spoken to confirmed they had access to ongoing training and development opportunities. The manager and other staff were seen to support people in a respectful way during the visit. Information in the care plans showed there were visits from other professionals and the manager confirmed that people can access a full range of health care professionals. Everybody was registered with a GP and people saw the community nurses, dieticians, opticians or chiropody services when needed. A visiting GP was positive about the advice and instructions the staff carried out and said, The manager is good at letting us know when a person needs to see the doctor. Policies and procedures were in place for the safe handling of medication. Medication to be returned to the pharmacy was securely held and recorded appropriately. From the sample of records looked at these were generally accurately recorded. The manager told Care Homes for Older People Page 5 of 9 us one staff member had made an error in medicine recording and following this further supervision and training had been provided. We were told random spot checks were carried out by the manager and the Responsible Individual and any areas for improvement were discussed and acted upon. People were positive about the care and the support they received from the staff . One person added, they are a good bunch of staff here, they look after us well. Another person added, They are very caring and see to us in a nice way. People are encouraged to receive help and support in a flexible way to meet their needs. The manager has a good overview of the service and has demonstrated that she knows which areas require further development and improvement. The manager and the staff team were enthusiastic to improve the standard of the service and to look at new ways to achieve this. The manager continues to work well with us and keeps us informed about things that happen in the service. 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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