Care Home: Aspreys Nursing Home

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What the care home does well The building is spacious and offers rooms that have period features. The home is situated in an attractive residential area close to local shops and facilities. There is good free on street parking close by. Care plans were up to date and the home keeps records of all care interventions undertaken. The staff seen had a good understanding of the needs of people who live there. All areas seen were clean, warm and comfortable. What the care home could do better: Staff must receive regular training in the prevention of fire. It is recommended this occur every three months for night staff due to the increased risks at night. Systems must be in place to ensure staff can hear alarm bells throughout the building. Protocols must be provided and agreed for any instance where peoples call bells may be restricted. Fire doors must only be held in an open position by approved devices. Random inspection report Care homes for older people Name: Address: Aspreys Nursing Home 1 Kents Road Torquay Devon TQ1 2NL two star good service 24/04/2009 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: Michelle Finniear Date: 0 1 0 4 2 0 1 0 Information about the care home Name of care home: Address: Aspreys Nursing Home 1 Kents Road Torquay Devon TQ1 2NL 01803201500 01803201700 matron@aspreys.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Vacancy Type of registration: Number of places registered: Conditions of registration: Category(ies) : Friendly Care Homes Ltd care home 33 Number of places (if applicable): Under 65 Over 65 10 25 old age, not falling within any other category physical disability Conditions of registration: 0 0 A minimum staffing level that follows the previously agreed Health Authority staffing notice must be available to meet the needs/dependancy of Service Users who require nursing One named Service User, named elsewhere, under 60 yrs of age (PD Category) Service Users from age 60 years and above may reside at the home. The number of Service Users who require nursing is limited to 31 Two lower ground floor rooms must not be used for Service Users who require nursing Date of last inspection Care Homes for Older People 2 4 0 4 2 0 0 9 Page 2 of 8 Brief description of the care home Aspreys Nursing Home is located in Wellswood, approximately one mile from Torquay town centre. It has level access to the local shops, pubic house and restaurants all being within 100 yards from the home and the St Matthias Church is within 200 yards of the home. The home operates its services on all of the four floors with the dining room and rear garden area being on the lower ground level, the lounges, matrons office and some rooms on the ground floor and the remaining rooms being on each of the two upper floors. All floors can be reached by a shaft lift. The home offers both Nursing and personal care mainly to people over the age of retirement (60 years). It is registered for up to 31 people who require nursing and for 2 people who require personal care only. The staff group is made up of registered nurses and social care staff (Health Care Assistants). There is a good level of specialist equipment like a Parker bath, hoists and stand aides available to meet the needs of disabled people. The inspection report is available on request at the home. A service users guide is provided in each person?s room and the homes statement of purpose is provided in the reception area of the home. The fee levels were stated at the time of this inspection as a range from #350- #570. The current fee levels can be obtained by contacting the home. The fees are dependant on the care needs of the peoples and the room occupied. Those people who require nursing care have higher fees. Additional charges include chiropody, hairdressing and any personal purchases. Care Homes for Older People Page 3 of 8 What we found: We visited the home unannounced at 5am on a weekday morning to follow up some concerns raised over the staffing practices at night. These related to staff allegedly sleeping on duty, people being got up early, call bells being taken away from people and call bells not being audible throughout the building. Another concern about the way in which people are supported to eat will be passed to the manager/provider for investigation. At night the home has two waking night staff, one of whom has to be a registered nurse. This is said to be increased when larger numbers of people are accommodated. On the night we visited there were two staff on awake duty, with the appropriate qualifications and up to date experience. The staff we saw were working on writing care plans and carrying out household tasks. During the two hours we were at the home no people living there asked to get up and the call bell rang only once. The staff said people in the main did not like to get up early and that they did not get people up unless they asked. We looked round the home, although we did not go into every room as people were asleep. We did look at communal areas and rooms where people had their doors open. Some doors were kept open by the use of door guards, which are devices that hold the door open but would close automatically when the fire alarm sounds. One door had a door guard but was also propped open by a footstool, which would mean the fire door could not close properly if there was a fire. All areas of the home seen were clean and free from obstruction. The homes kitchen was open and staff confirmed they were able to access food and beverages for people at night if they wanted something to eat. Records showed that through the night people were able to ask for hot drinks and biscuits. The staff on duty do some laundry at night, but said this was not too much as staff were available in the day to do some of this. The laundry is on the lower ground floor and staff would not be able to hear call bells from people requiring assistance if they were working in this area with the fire doors closed. however the nurse on duty confirmed that staff had each got an intercom phone which could be used for the person not in this area to summon assistance if needed. Staff told us that one person had their access to the call bell limited at times due to safety and behavioural reasons and discussion was later held with the homes manager on this issue. A written protocol must be available that has been agreed in a multi agency context about this issue. It is understood that this was addressed that day. We looked at some of the care plans in use and these were up to date and gave good descriptions of the care people needed. Staff complete time line care sheets demonstrating the care they give throughout the night and write an individual report for each person. The qualified nurse was writing up a care plan for the person admitted the night before. We discussed the training available to night staff and in particular fire training. Fire training should be given to staff at greater frequency, recommended every three months, Care Homes for Older People Page 4 of 8 due to the increased risks at night. The home needs to have a registered manager in post.. 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 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 1 38 23 Night staff must recieve regular fire training at frequencies that rflect the increased risks at night. This is to ensure staff are clear about how to manage a fire at night and keep people safe. 07/07/2010 2 38 23 Fire doors must only be kept 28/04/2010 open by approved hold open devices. This is to ensure fire doors will close in the case of a fire. 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 22 Any restrictions on an individuals call bell use needs to be discussed in a multi disciplinary forum and as a result of an agreed protocol as a part of the care plan. A system for ensuring staff can hear peoples call bells throughout the building should be provided. Page 7 of 8 2 22 Care Homes for Older People 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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