Latest Inspection
This is the latest available inspection report for this service, carried out on 10th March 2009. CSCI found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Balmoral Nursing Home.
Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Balmoral Nursing Home 29 Old Road Mottram Hyde Tameside SK14 6LW 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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 Oliver Date: 1 0 0 3 2 0 0 9 Information about the care home
Name of care home: Address: Balmoral Nursing Home 29 Old Road Mottram Hyde Tameside SK14 6LW 01457765879 F/P01457765879 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) : Mr Robert Lambert,Mrs Brenda Lambert care home 31 Number of places (if applicable): Under 65 Over 65 10 31 dementia physical disability Conditions of registration: 10 31 A maximum of 2 Registered Nurses must be on duty between 7.30 a.m. and 12.30 p.m. Mon - Fri. A minimum of 1 Registered Nurse must be on duty at all other times. Maximum number of service users requiring nursing care must not exceed 31. No service user may be admitted into the establishment who is under 55 years of age. Date of last inspection Brief description of the care home Balmoral is a large detached house, located in the Mottram area of Tameside in a semi-rural setting. The home is registered to provide both nursing and residential care. Accommodation is provided in 31 single rooms, 21 of which have en-suite facilities. A separate dining room and lounge areas are available to service users on the ground Care Homes for Older People
Page 2 of 9 Brief description of the care home and first floors of the home. Pleasant garden areas are provided to the front of the home. The rear of the property has a secure enclosed patio leading from the main lounge which is accessible to service users. The home provides adequate toilet and bathing facilities with appropriate aids and adaptations to meet the assessed needs of the service users. Care Homes for Older People Page 3 of 9 What we found:
The reason for this inspection visit was to look at some concerns we (the commission) had following an Annual Service Review carried out in December 2008. Those concerns related to lack of feedback from people who use the service about the care they are receiving and because information in the Annual Quality Assurance Assessment (AQAA) completed and returned to us by the previous manager of the home was limited. For example, there was very little information about how complaints and safeguarding are managed. We decided to look at four areas of practice and these related to care, complaints, safeguarding and staffing. Each person using the service has an individual file containing all information relating to care planning and practice. We looked at the file of one particular person and saw that information was detailed and contained enough information to enable staff to meet peoples needs in the most appropriate way. At the time of this visit the care plan formats had just been reviewed and updated and included relevant strategies for managing identified risk and all have been reviewed on a monthly basis. Instructions for staff in the care plan were very clear for example, While in bed use a slide sheet for positioning and follow the detailed photographs supplied by the physio. Things such as baths and showers were being recorded separately for each person and we saw these were taking place on a regular basis. Watching staff working with people who use the service indicated that good relationships had been developed and those people we spoke to told us Staff are good and You get well looked after here. We discreetly observed staff responding to call bells and verbal requests from people for assistance. The call bells were responded to quickly in a courteous and pleasant way with good and positive interactions taking place. Further examination of records demonstrated that regular appointments with the chiropodist, speech therapist and other health care professionals were taking place. We looked at how complaints were managed and found that a number of complaints had been recorded in the complaints register since we lasted visited the home. Visiting health care professionals, staff, people who use the service and relatives had made these complaints. The manager fully investigated the concerns raised and provided information to us to show how she had done this. We were told that the manager and deputy manager are due to attend specific training on dealing with complaints on 25/03/09. In the AQAA returned to us by the previous manager of the home details regarding safeguarding referrals was limited. We spoke to the current manager who was very clear about what action she would take in the event of any allegation of abuse being made. We saw that the home had a copy of the Safeguarding Adults in Tameside Inter Agency policy and their own policy and procedure regarding dealing with allegations of abuse. These documents will be looked at more fully at the next key inspection. The manager told us that no staff had received any recent training in safeguarding people. Care Homes for Older People Page 4 of 9 It is important that all staff receive training in this subject to make sure they know what to do in the event of an allegation of abuse being made. On the day we visited the home sufficient staff were on duty to meet the needs of the people who use the service. We looked at the files of two recently employed members of staff. On one file there was only one reference and this was in the form of a tick sheet and was not signed by the person providing the reference. It is important that all pre-employment checks are thoroughly carried out before the person starts work to minimise the risk of unsuitable people being employed to work in the home. We saw evidence that the staff had received various courses of training and this will be looked at more fully at the next key inspection. The manager of the home told us that she had been employed there a number of months but is still not registered with the Commission for Social Care Inspection. It is important that the service is managed by a permanent manager whose experience and qualifications meets the requirements to become the registered manager. 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 29 19 The manager must ensure 17/04/2009 that all relevant and appropriate pre-employment checks such as references are satisfactory and received back before a new employee starts working in the home. This will help to minimise the risk of unsuitable people being employed to work in the home. 2 31 9 The service must appoint a 26/06/2009 permanent manager whose experience and qualifications meet the requirements to become the registered manager. To ensure the operation of the service is delivered effectively so that people receive the support they need at the time they need it. Care Homes for Older People Page 7 of 9 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 30 All staff should receive appropriate training in the Safeguarding of Adults. Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!
