Care Home: Aveland Court

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What the care home does well One person told us "Its very nice here ", another said, " I am very happy". As we toured the premises we observed daily life at Aveland Court. Staff were seen to be courteous and sensitive with people. Two people we asked told us that the staff listened and acted on what they say, and that the staff were available when they needed them. The care plans give a very clear description of each person`s needs and the action required by staff to meet these needs. This means that care can be given in a consistent manner and if there are any changes in someone`s health or well being, this can be identified immediately. Aveland Court provides comfortable, self-contained accommodation that is decorated in a domestic style, well maintained and clean. All the rooms seen were personalised to suit individual preferences. What the care home could do better: Medication storage must be improved to ensure safe practice. Mar sheets must be kept in good order. Creams prescribed for an individual must not be used for another person. Activities should be more structured and advertised activities should be an accurate account of what is being provided that week; trips out should be independent of escort duties for appointments. The use of an advocacy service should be considered for those people with no relatives or friends.Staff recruitment must be more robust in order to protect people living at the home. Staff handling and preparing food must have training in Food Hygiene. Consideration should be given to ensuring staff have a dedicated safe area in which to store their belongings and change. Staff should not smoke outside during handover as this is detrimental to the health of those people who do not smoke. Fire doors must not be wedged open. Random inspection report Care homes for older people Name: Address: Aveland Court Aveland Road Torquay Devon TQ1 3PT 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: Caroline Rowland-Lapwood Date: 1 7 0 6 2 0 1 0 Information about the care home Name of care home: Address: Aveland Court Aveland Road Torquay Devon TQ1 3PT 01803326259 01803311833 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Gina Coplestone Type of registration: Number of places registered: Conditions of registration: Category(ies) : Aveland Court Care Ltd care home 30 Number of places (if applicable): Under 65 Over 65 30 30 30 0 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: 0 0 0 30 The maximum number of service users who can be accommodated is 30. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (Code OP) Dementia, aged 65 years of age or over on admission (Code DE(E)) Physical disability (Code PD) Mental disorder, excluding learning disability or demetia over 65 years of age (Code MD(E)) Care Homes for Older People Page 2 of 11 Date of last inspection Brief description of the care home Aveland Court Care Ltd took over ownership of the home in November 2008 and this is the first inspection with the current owners. Mrs Coplestone has remained as the Registered Manager. Aveland Court is registered to provide accommodation and care for a maximum of 30 people who require care because of old age, dementia or another mental health problem, andor a physical disability. As there are normally no more than 26 residents, Aveland Court can also offer day care to up to four people each day. There are 26 bedrooms over the ground and first floors, four of which are considered large enough to be twin rooms, but all are currently in single occupation. They vary in size and outlook. Most have an en suite toilet, and some have patio doors. A passenger lift provides access to the first floor There are two lounge rooms and two dining rooms on the ground floor which allows for the care of people with dementia to be provided in a separate lounge and dining room, with care and social activities facilitated to suit their specific needs. The layout of the home gives the impression of living in a much smaller home than the registration for 30 people would suggest. There is a keypad lock on the front door with a simple code that many residents can manage. There are several other external doors, and residents are able to come and go freely. The home is detached and set in quiet level gardens to the front and back. The shops, parks and other local amenities at Babbacombe are within level walking distance. A minibus is provided, for trips out and health care appointments. Weekly fees range from GBP307 to GBP450 per week. The inspection report for the home is displayed in the entrance hall and information about the services provided at Aveland Court can be obtained directly from the home. Care Homes for Older People Page 3 of 11 What we found: This was a random inspection undertaken by one regulation inspector to check compliance following two anonymous complaints received by the commission. The fieldwork part of this inspection was unannounced and took place on Thursday 27th May and Thursday 17th June 2010. The Registered manager was on duty, she assisted us with the complaint investigation and we were able to give feedback to her at the end of the morning regarding our findings. We looked at several care plans all were up to date and included daily updates from the care staff. We looked at where medicines are stored and the systems in place to administer these; medication was managed well, currently the home does not hold any controlled drugs but there are good systems in place for when needed. Medication administration sheets were signed leaving no gaps and the proper codes used, but they were damaged and falling out of the folder. Medication needing refrigeration was kept in the door of the domestic fridge, this is poor practice as it does not keep the medicine stored at a constant temperature as required. The home does have a small medication fridge, this must be used appropriately. We found cream belonging to a deceased resident being used in another persons room, the cream pot was all but empty but it suggested that it had been used for another person. Thirteen members of staff has been trained in the safe administration of medication. We were told the home does not give medication covertly. Two First Aid boxes were seen both were well stocked. We saw each person had their own stock of incontinence pads if they were needed;assessments are undertaken by a health professional and the correct pads ordered as required. We looked at how people spend their day at Aveland Court; activities are ongoing and we were told that every day something is going on. However the activities displayed on the door of the dining room were not accurate as to what was happening that week. It said there was to be a trip in the mini bus but the person responsible for this said that there would be no trip that week and there had been none for the previous 10 days either. Trips out on the bus are dependent on whether it is needed to take someone for an appointment. Activities need to be more structured and appropriate to the people involved. The atmosphere was good in the lounges with people chatting to each other and staff interacting well with them. On the day there was a luncheon club for the over 60s being catered for, people living at the home said they enjoyed this event. Two people living at the home have no relatives or visitors we were told that to date the home has not involved them in an advocacy service. We looked at infection control at the home, all staff were seen wearing gloves and aprons were available to use when required, alcohol gel was available throughout the home. Staff are trained in infection control procedures. Staff in the kitchen were wearing aprons and hats and had up to date certificates in food hygiene, however not all staff who are responsible for preparing food have undertaken food hygiene training. Staff have no where to change into their uniform within the home and as a consequence travel to and Care Homes for Older People Page 4 of 11 from work in their uniforms. A outside shed is used for staff to handover at shift changes it is also used as a smoking room and where people store their belongings. We made a tour of the premises. We found that Aveland Court is well maintained, warm and comfortable. We were told that people bring in personal items of furniture from their own homes with them. The rooms we visited were clean, well decorated and homely with items of personal furniture and most people had photographs and other personal items on display. Each room was decorated in a domestic style. All the rooms seen were personalised to suit individual preferences. People are given a door key to their own bedroom if they would like one; all bedroom doors have a Yale type lock but they have been disabled so that people cannot be locked in by accident. Several bedroom doors were seen being wedged open this is a fire hazard and poor practice. Other bedroom doors had proper door guards fitted which automatically close the door once the fire bell sounds. We looked at three staff files. These were all people who have been recruited since the last inspection. We found that they one had only one written reference and another had none. We saw detailed staff induction programmes which staff work through when they first commence work. Staff have good training opportunities with many courses being offered to them. We discussed with the manager her style of management and we discussed ways she can evaluate her own practice, make improvements and get support from others. What the care home does well: What they could do better: Medication storage must be improved to ensure safe practice. Mar sheets must be kept in good order. Creams prescribed for an individual must not be used for another person. Activities should be more structured and advertised activities should be an accurate account of what is being provided that week; trips out should be independent of escort duties for appointments. The use of an advocacy service should be considered for those people with no relatives or friends. Care Homes for Older People Page 5 of 11 Staff recruitment must be more robust in order to protect people living at the home. Staff handling and preparing food must have training in Food Hygiene. Consideration should be given to ensuring staff have a dedicated safe area in which to store their belongings and change. Staff should not smoke outside during handover as this is detrimental to the health of those people who do not smoke. Fire doors must not be wedged open. 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 11 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 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 1 9 13 Creams must only be used for the person it was prescibed for. This means people will only be given the appropriate cream that was prescribed for them. 30/06/2010 2 9 13 Medication must be stored properly; this relates to medication needing refrigeration. This will ensure medication is stored as per instruction and people can be assured the medication they receive is still viable. 30/06/2010 3 29 19 Staff must not be employed until all the required checks have been completed. This refers to obtaining two written references prior to the person commencing work. This will keep people safe. 30/06/2010 4 30 18 All staff must receive training 30/07/2010 Page 8 of 11 Care Homes for Older People 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 appropriate to the work they are to perform; This relates to all staff who handle and prepare food having training in Food Hygiene. This will ensure good standards of health and hygiene. 5 38 23 All staff must have facilities for the purpose of changing and safe storage facilities. This will allow staff to change if required and their personal belongings will be securely stored. 6 38 23 The service provider must make adequate arrangements for the containing of fires; this relates to the unsafe use of door wedges. This will keep people safe at all times in the case of 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 31/08/2010 30/06/2010 1 12 Consideration should be given to the use of an advocacy scheme for those people who have no relatives or friends that visit. Activities should be more structured and plans be up to date and accurate so that people know what activities are actually happening that week. 2 12 Care Homes for Older People Page 9 of 11 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 3 38 When handover is taking place in the shed smoking should not be allowed, taking into consideration those people who do not smoke. Instead a designated smoking area outside should be provided for staff. Care Homes for Older People 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 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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