Care Home: Avondene

Similar services:

• Fairfields Country Rest Home
• Poldhu
• Queensmount
• Trevaylor Manor
• Didsbury Court Rest Home
• Belma
• Hunters Care Centre
• Manor Lodge

What the care home does well Avondene provides a comfortable, homely environment. The people who live here that we spoke to were very happy with the way they are looked after and complimentary about the staff and the food. One person told us "The care is second to none. There is never anything that is too much trouble" What the care home could do better: As a result of what we found during this inspection we have made five requirements and two recommendations. The administration and recording of medication must be improved to ensure that residents health needs are clearly met and errors are avoided. The recruitment systems in place need to be improved to demonstrate that suitable people are employed to work with this vulnerable client group. Formal induction must be given to new staff to ensure that they are suitably prepared to meet the needs of the people in their care. All staff must be kept up to date in areas of mandatory training such as infection control and moving handling. All care staff should receive formal supervision at least 6 times per year. Random inspection report Care homes for older people Name: Address: Avondene 171 Stanpit Mudeford Christchurch Dorset BH23 3LY 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: Catherine Churches Date: 1 7 0 6 2 0 1 0 Information about the care home Name of care home: Address: Avondene 171 Stanpit Mudeford Christchurch Dorset BH23 3LY 01202483991 F/P01202483991 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mavis Groombridge Miss Melanie Parrett Type of registration: Number of places registered: Conditions of registration: Category(ies) : Christchurch Housing Society care home 11 Number of places (if applicable): Under 65 Over 65 11 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is 11 The registered person may provide the following category of service Care Home only Code PC to service users of either gender whose primary care needs on admission to the home are within the category Old Age not falling within any other category Code OP Date of last inspection Care Homes for Older People Page 2 of 11 Brief description of the care home Avondene is registered with the Commission to accommodate a maximum of 11 residents in the category OP (old age). Christchurch Housing Society, a local charity, own and manage several other registered services in the area as well as Avondene. The home is a detached property occupying a corner plot close to Mudeford Quay and the local amenities of Stanpit. Christchurch town centre is a short journey away. There is access via public transport. There is a bus route past the home. All 11 bedrooms in the home are single with over half having en-suite facilities. There is a lounge, sun lounge and dining room. There is a sun porch at the entrance to the home. There are bathrooms on the ground and first floor. The current fees can be obtained from the home See the following website for further guidance on fees and contracts: /www.cqc.org.uk/about_cqc/press_releases/better_advice_for_people_choos.aspx Care Homes for Older People Page 3 of 11 What we found: This was an unannounced, brief inspection. We reviewed the records and a had a discussion with the last two people admitted to the home. We found that each person had had a detailed assessment of their needs undertaken before they moved into the home and that they also both had a care plan which detailed what their current needs were and how these were met. There was evidence available that the home involved either the resident or their representative in any reviews of their needs. We did notice that two different contracts had been given to these people: one still had Commission for Social Care Inspection details and a Poole address (not used since 2008) and one had no contact details for the Social Care regulatory body - now Care Quality Commission (CQC). As part of this inspection we also looked at how medication was managed and administered in the home. We arrived at the home at 10 am. We noted that the medication administration records for the 8am medication round for that day had not been signed for. The manager remembered this at 11am and came to sign the records. We discussed the need to sign for medication as soon as it is given. We also noted that there were other gaps in the Medication Administration Records (MAR Chart). By checking the medication in the cupboard we could see that these medicines had not been taken. The manager explained that these medicines were often refused as the service user was able to decide whether they were needed or not. The need to record this on the MAR chart was discussed. We noted that the administration of prescribed creams was not always recorded and that where newly prescribed medicines had to be handwritten onto the MAR chart these were not being checked and signed for by a second person. We were told that all staff who handle medication have received up to date training in the safe handling of medicines and that if no medicines trained staff are on duty then the manager comes to the home to administer medicines. We noted that neither the Protection of Vulnerable Adults policy nor the Whistle blowing policy that we were shown stated that CQC could be contacted with concerns or had information about how to contact us. We undertook a brief tour of the premises and found that it was clean and well maintained as well as having a homely and relaxed atmosphere. We reviewed the recruitment records of two members of staff recently appointed to work in the home and also had a discussion with one of them who happened to be on duty. We noted the following issues: Care Homes for Older People Page 4 of 11 On one application form previous employment dates were only given in years rather than specific dates. This means that there could have been unexplained gaps in employment which should have been investigated. On one application references had not been obtained from the current employer. A Criminal Records Bureau check had shown that one person had a conviction which had not been declared on their application form. We were told that the Responsible Individual and the Registered Manager had discussed the issue with the applicant and had decided that it was safe to employ this person. There was no record that this had been investigated or of the reasons why the investigators felt it was safe to employ this person. Both staff had received informal induction which consisted of shadowing experienced staff, moving and handling training and fire training. Neither had been given the formal Skills for Care Induction training. Neither staff had yet undertaken infection control training despite having been employed for 11 months and 7 months respectively. We also noted that other staff had not received up to date training in these areas as well as other mandatory areas of training such as moving and handling. One person had been supervised twice in the 11 months that they had been employed and one person had been supervised once in the 7 months that they had been employed. We reviewed the accidents and notifications that must be sent to the Commission and found these to be satisfactory. 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 Care Homes for Older People Page 5 of 11 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 The registered person shall make arrangements for the recording, handling, safekeeping,safe administration and disposal of medicines received into the care home. This is to ensure that the health needs of service users are met and errors are avoided. 29/07/2010 2 29 19 The registered person shall 29/07/2010 not employ a person to work at the care home unless the person is fit to work at the care home; subject to paragraph (6), he has obtained in respect of that person the information and documents specified in paragraphs 1 to 7 of schedule 2 Proper recruitment procedures must be followed to ensure that vulnerable people who use the service are protected. Care Homes for Older People Page 8 of 11 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 3 30 18 The registered person shall 29/07/2010 ensure that persons employed to work at the care home receive training appropriate to the work they are to perform. Staff must receive training and regular refreshers in moving and handling and infection control to ensure that service users are kept safe. 4 30 18 The registered person shall 29/07/2010 ensure that persons employed to work at the care home receive training appropriate to the work they are to perform. Formal induction training must be given in accordance with Skills for Care standards to ensure that people recieve safe and good care. 5 36 18 The registered person shall 29/07/2010 ensure that persons working at the care home are appropriately supervised. Staff must receive formal supervision 6 times per year to ensure that good practice care is maintained for service users. 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 1 2 1 18 Service users should be given information in writing about how to contact the Care Quality Commission. The Protection of Vulnerable Adults Policy and the Whistle blowing policy should be amended to include up to date information about how to contact the Care Quality Commission. 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. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 11 of 11 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!