Care Home: Audlem Country Nursing Home

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What the care home does well The manager ensures that there is close contact with a variety of health professionals so that further health care needs are managed in a timely manner. People living in the home are treated with respect and their right to privacy is upheld. What the care home could do better: The manager must ensure that care plans and risk assessments are drawn up on admission to the care home so that the person`s care needs are identified and acted upon and so that any risks to their care are identified. People living in the home or their family member/representative should be involved in drawing up and reviewing their care plans so they know what care is being provided and how their needs will be met. The manager should use the Body Mass Index to ensure that the nutritional status of people living in the home is accurately monitored. The manager should ensure that prescribed medication is administered so that people receive the medication they need. The complaints procedure should be updated so that it includes our address and contact details so that people can contact us if they wish. Random inspection report Care homes for older people Name: Address: Audlem Country Nursing Home The Old Grammar School Audlem Crewe Cheshire CW3 0BA two star good service 07/08/2010 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: June Shimmin Date: 0 1 0 6 2 0 1 0 Information about the care home Name of care home: Address: Audlem Country Nursing Home The Old Grammar School Audlem Crewe Cheshire CW3 0BA 01270811514 01270812610 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Keenrick Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 45 Number of places (if applicable): Under 65 Over 65 0 0 dementia mental disorder, excluding learning disability or dementia Conditions of registration: 45 19 The registered person may provide the following categories of service only: Care home with nursing - Code N, to people of either gender whose primary care needs on admission to the home are within the following categories: Dementia - Code DE Mental disorder, not including learning disability or dementia - Code MD (Maximum number of places 19) The maximum number of people who can be accommodated is 45 Date of last inspection Brief description of the care home Audlem Care Home provides nursing care for up to 45 people diagnosed with dementia and up to nineteen people diagnosed with mental disorder. The home does not offer Care Homes for Older People Page 2 of 9 Brief description of the care home rehabilitation services or specialist therapeutic techniques. The home provides accommodation on two floors though there is no passenger lift to the bedrooms on the first floor. There are 37 single bedrooms and two shared bedrooms of which two have en-suite facilities. Since the last annual service review the owners have built 4 self-contained appartments in the grounds of the home for the use of people who wish to retain more independence. Within the home there is one assisted bath and one assisted shower on the ground floor and a shower on the first floor. The home has a smoking area and three dining room/lounges. Additional food preparation facilities have been provided in one dining room/ lounge to afford residents the opportunity of preparing their own meals. There is a separate managers office/meeting room. The home is situated in the rural village of Audlem. Fees at the last big inspection in 2007 ranged from 573.00 to 619.00 pounds per week. Care Homes for Older People Page 3 of 9 What we found: The purpose of this short inspection was to see if the personal and health care needs of the people living at the home were being met in a way that meets their individual needs and preferences. We also looked at the procedures in place for dealing with complaints and safeguarding the people who live at the home from abuse and harm. We looked at the care plans of four people living in the home, two for people who had just moved into Audlem Country Nursing Home and two for people who had been living there for some time. In one case there were no care plans or risk assessments in place for someone who had been living at the home for a week. This meant that staff may have been unaware of the persons care needs and any risks relating to their care. The care plan for someone who had moved into Audlem Country Nursing Home a few months before our visit was only completed after the person had been in the home for seven weeks. A third care plan was written within two weeks of the person moving in and the fourth after nearly six weeks. The content of the care plans was of a satisfactory standard overall although one person did not have a care plan for mental health needs, which was the main reason they had moved to the home. The manager told us that she is hoping to train staff to write care plans in a person centred way so that they reflect peoples individual needs. The care plans had usually been reviewed every month but there was no evidence that people living in the home or their family member had been involved in drawing up or reviewing the care plan so they might not realise that they could contribute to how their care was managed. The manager told us that she would include the Body Mass Index (BMI) in the care plan and review to monitor the nutrition of people living in the home so that weight loss or gain could be more accurately monitored. The home maintains close links with other health professionals so that people living in the home receive further support regarding their health when needed. A GP from the local surgery was visiting the home whilst we were there and we were told that a GP visits at least once a week to review the care needs of people living there. We found evidence that people living in the home were treated with respect and their privacy and dignity preserved. We also noted that the needs of people from different cultures were well met. We looked at how the home was managing medication and this was quite well managed. One person was not receiving essential medication on several occasions due to being asleep at the time of administration. We advised the manager to liaise with the GP to change the timing of this medication so that the person would receive the medication he needed. The home had suitable measures in place to ensure that people are protected from possible abuse. These included flowcharts which gave staff guidance about how to recognise abuse and what to do if they suspected someone was being ill treated. The home had acted appropriately and contacted us and social services when necessary. Staff had undertaken refresher training on an annual basis so they would know what to do if they suspected someone had been abused. Care Homes for Older People Page 4 of 9 Audlem Country Nursing Home had not received any complaints in the year before this visit. The complaints procedure displayed in the home was not up to date in that it did not have up to date contact details for the Care Quality Commission. The homes procedure also did not give people a timescale within which their complaint would be answered so they might not know the outcome of their complaint in a timely way. The manager has been in post since February 2010 and has worked at the home as a registered mental nurse since 2006. We advised her to submit an application to become registered with us as required by law. 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 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 6 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 1 7 15 The manager must ensure 01/09/2010 that a care plan and suitable risk assessments are drawn up for people moving into the home This is so that the persons care needs are identified and met and so that any identified risks are monitored and managed 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 7 People living in the care home or their representative should be involved in drawing up and reviewing their care plan (where possible) so that they know what care is being provided. The Body Mass Index (BMI) should be used to ensure that peoples nutritional status is accurately monitored. The timing of prescribed medication should be changed, where applicable, so that people receive the medication that they need The complaints procedure should be updated to give people Page 7 of 9 2 3 8 9 4 16 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 the address and contact details for the Care Quality Commission so they can contact us if they wish. The complaints procedure should include details of the timescales that the home will respond to the complaint so they receive a response within a suitable timescale. 5 31 The manager should submit a valid application to become registered with us as required by law. 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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