Care Home: April House

What the care home does well Dormant service What the care home could do better: Dormant service Random inspection report Care homes for adults (18-65 years) Name: Address: April House 69 Sea Road Westgate on Sea Kent CT8 8QG 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: Joseph Harris Date: 0 1 0 9 2 0 0 9 Information about the care home Name of care home: Address: April House 69 Sea Road Westgate on Sea Kent CT8 8QG 01843831860 05602056039 Telephone number: Fax number: Email address: Provider web address: www.rossetticare.co.uk Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Kiki Cole,Mr Raymond Edwards care home 30 Number of places (if applicable): Under 65 Over 65 0 dementia Conditions of registration: 30 The maximum number of service users to be accommodated is 30 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Dementia (DE) Date of last inspection Brief description of the care home April House is a detached 4-storey building, comprising a lower ground floor, ground floor, first floor and second floor, with 2 mezzanine floors at first floor level. There is a shaft lift to all floors. Of recent date the lower ground floor has not been in use for residents. The maximum registration number is 30 but the exclusion of bedroom space for 5 residents in the lower ground floor effectively means there is only space to accommodate a maximum number of 25 residents. There are overall five potential Care Homes for Adults (18-65 years) Page 2 of 11 Brief description of the care home double rooms but all the other bedrooms are single occupancy. There are two communal lounge areas and a dining area. April House is registered to provide care for older people with dementia. It is situated on the sea front of Westgate, within easy reach of Westgate shopping centre and several seaside towns, with the community and transport resources that implies. There is some off-street parking available (for 3-4 vehicles) and unrestricted kerb-side parking on Sea Road. And there is an enclosed garden to the rear. Care Homes for Adults (18-65 years) Page 3 of 11 What we found: This service was dormant on the date we wrote this report. Dormant means that it is not providing a service to people. This is because it was temporarily nor providing a service (for example, closed for refurbishment). We inspect services by using information from people who use the service. If there is no one using the service, we cannot do a full inspection and award a quality rating. Until people start using this service, we will follow our guidance on dormant services. This means we will do a random inspection every twelve months. You can read more about this in our guidance How we manage dormant services, which is available on our web site www.cqc.org.uk 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 Adults (18-65 years) Page 4 of 11 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 1 4(1)(c)5(1) The home?s Statement of 31/07/2008 Purpose and Service User Guide will require attention to obtain full compliance with all the elements of this standard (Previous requirement 31/07/07 not met and carried forward). 2 2 5 & Schedule 4 The home?s contract will require attention to obtain full compliance with all the elements of this standard (Previous requirement 31/12/07 not met and carried forward). 31/07/2008 3 7 15 Care plans must show how 31/07/2008 each resident?s needs in respect of health and welfare are to be met. Care plans to be `person centred?. Individual procedures for managing behaviours to be more specific. Care Homes for Adults (18-65 years) Page 5 of 11 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 plans must be regularly reviewed and updated as changes occur, or new needs are identified. Cross-referencing within the care plans to be improved. (Previous requirement 26/10/2004, 24/5/2005, 31/10/05 & 15/05/06, 18/12/06, 31/07/07 partially met and ongoing). 4 10 12 The care home must be conducted in a manner that respects residents? dignity. Staff must be trained in appropriate communication methods to engage with people who have dementia. (Previous requirement 18/12/06, 31/07/07 partially met and carried forward) 31/07/2008 5 19 13(4), 16, 23 The registered persons must 31/07/2008 ensure that the home is of sound construction and kept in a good state of repair externally and internally. Programme of routine maintenance and renewal of the fabric and decoration of the premises to be continued. New action plan to be Care Homes for Adults (18-65 years) Page 6 of 11 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 submitted. (Previous requirement 26/10/2004, 24/5/2005, 31/10/05 & 15/05/06, 31/01/07, 31/07/07 ongoing and carried forward). 6 26 13(3) 16(2) 23(2) Systems in place to control the spread of infection must be in accordance with relevant legislation and published professional guidance. Provide appropriate foot operated pedal bins. Ensure a safe system of transport between the laundry and the main building. Ensure the premises are kept clean, hygienic and free from offensive odours throughout. (Previous requirement 15/05/06, 18/12/06, 31/07/07 partially met and ongoing). 31/07/2008 7 27 18 At all times there must be 31/07/2008 suitably qualified, competent and experienced staff working at the home in such numbers as are appropriate for the health and welfare of the residents. Care Homes for Adults (18-65 years) Page 7 of 11 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 (Previous requirement 26/10/04, 24/05/05, 31/10/05 & 15/05/06. 11/12/06, 31/07/07). Evidence to be submitted of action taken. 8 38 13(5) Arrangements must be made 31/07/2008 to provide a safe system for moving and handling residents. (Previous requirement 26/10/2004, 24/5/2005 & 15/05/06, 28/02/07, 31/07/07 not met and carried forward). 9 38 13(4) Suitable arrangements must be made for the training of staff in first aid. (Previous requirement 24/5/2005 & 15/05/06, 31/03/07, 31/07/07 not met and carried forward). 31/07/2008 10 38 13(3) Suitable arrangements must 31/07/2008 be made to prevent infection, toxic conditions and the spread of infection at the care home. In relation to the training of staff in infection control. (Previous requirement Care Homes for Adults (18-65 years) Page 8 of 11 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 26/10/2004, 24/5/2005 & 15/05/06, 30/04/07, 31/07/07 and carried forward). Care Homes for Adults (18-65 years) Page 9 of 11 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 Adults (18-65 years) Page 10 of 11 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 Adults (18-65 years) 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. 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