Care Home: Avondale Nursing Home

What the care home does well All contact with people living in the home was positive during the visit to the home. Those spoken had no concerns to make about their care in the home. A tour of the premises found them fit for purpose and staff spoken to appeared very committed to their work. Good staffing ratios were in place and interaction between staff and people living in the home were pleasant and supportive. What the care home could do better: The status and legality of the person selling cigarettes and other items must be addressed for the safety of people living in the home and their financial protection. The home would benefit from a visit from a fire officer to advise them on further measures to enforce their smoking policy. The policy on alcohol intake must either be changed or enforced so that people living in the home clearly understand their responsibilities in this area. It would be beneficial for team meetings to be smaller and more accessible so that staff can fully participate and any concerns can be aired in a constructive manner. Random inspection report Care homes for adults (18-65 years) Name: Address: Avondale Nursing Home Delphside Ltd 11 Sandstone Drive, Off Delph Lane Whiston Prescot Merseyside L35 7LS two star good service 02/06/2009 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: John Mullen Date: 0 6 0 8 2 0 0 9 Information about the care home Name of care home: Address: Avondale Nursing Home Delphside Ltd 11 Sandstone Drive, Off Delph Lane Whiston Prescot Merseyside L35 7LS 01514310330 01514300186 peterh@avondale.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Delphside Limited care home 50 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: 50 The registered person may provide the following category of service only: Care home with nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Mental disorder, excluding learning disability or dementia - Code MD The maximum number of service users who can be accommodated is: 50 Date of last inspection Brief description of the care home Avondale Care Home is a purpose built unit providing 24 hour nursing care for people with mental health problems. It is managed by Delphside which is a charity specifically formed to manage the home as a result of the closure of Rainhill Hospital. The registered manager is Peter Hamlett. The home is located in the Prescot area of Knowsley, close to Whiston Hospital and is easily accessible by road and public Care Homes for Adults (18-65 years) Page 2 of 7 0 2 0 6 2 0 0 9 Brief description of the care home transport. It is on ground floor level and split into four separate units. All bedrooms are for single occupancy. There is also a substantial well maintained garden area surrounding the home. The homes fees are 740.00 a week. Care Homes for Adults (18-65 years) Page 3 of 7 What we found: This was a random unannounced inspection of Avondale Care Home which was undertaken as a result of adverse comments made in an anonymous letter from a member of staff. As a result interviews took place with a staff nurse in charge, a registered mental nurse, an enrolled nurse and a healthcare assistant. A tour of the premises took place and interviews were held with a number of people living in the home. The homes policy document on alcohol was read. It was confirmed that a woman visits the home three times a week to sell cigarettes and other items to people living there. Her status and the legality of the merchandise is unclear and there was some contradictory evidence about whether she is taking advantage of the vulnerability of people living in the home. The homes attempts to confine smoking to the designated areas is only having a limited effect and damage caused by smoking can clearly be seen in the home. Equally, there is clear evidence that some users of the service are drinking in the home although this is against the stated policy of Avondale. All staff accepted there was some stress in the work but they stated that this was implicit in their work. Generally, they felt they were being well supported by managers although there is some doubt about the effectiveness of team meetings because of their size. 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 7 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 35 18 The training plan must be developed. To ensure that all staff are regularly updated in the required subjects. 01/09/2009 Care Homes for Adults (18-65 years) Page 5 of 7 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 23 13 The home must establish the 01/09/2009 status and legality of the person supplying cigarettes in the home. To ensure the protection of people who live there. 2 24 23 The home must take advice from the fire officer about minimising the hazards of smoking in the home. To further protect people living there. 01/09/2009 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 16 The home should adapt or enforce its policy on the consumption of alcohol in the premises so that staff and people living there are clear about this. The home should consider reducing the size of team meetings to encourage greater participation. 2 33 Care Homes for Adults (18-65 years) Page 6 of 7 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. 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. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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