Care Home: Bempton Old Rectory

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What the care home does well We are unable comment on what the service does well as no standards were assessed on this visit. What the care home could do better: We are unable to comment on what the service could do better as no standards were assessed on this visit. The requirements and recommendations made at the last Key Inspection in March 2010 were not checked to determine if the home has met them or not, and so they still remain as outstanding, until such time as a new inspection site visit is carried out in September 2010. This will be in relation to the home making a registration transfer application before October 2010 and will include a site visit to determine compliance with the new outcomes and regulations of the Health & Social Care Act. Random inspection report Care homes for older people Name: Address: Bempton Old Rectory Vicarage Lane Bempton Bridlington East Riding Of Yorks YO15 1HF zero star poor service 18/03/2010 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: Janet Lamb Date: 2 5 0 5 2 0 1 0 Information about the care home Name of care home: Address: Bempton Old Rectory Vicarage Lane Bempton Bridlington East Riding Of Yorks YO15 1HF 01262850072 01262850072 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Dorothy Hunter Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 17 Number of places (if applicable): Under 65 Over 65 17 17 dementia old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 0 1 8 0 3 2 0 1 0 Bempton Old Rectory is situated within the small village of Bempton, near the coastal resort of Bridlington. The village has a number of local amenities including pub and village shops, as well as limited public transport to Bridlington. The premises, a grade two listed building, is set in its own grounds and has been extended and refurbished to provide people with a homely and comfortable environment. The home has lounges and dining rooms which are large enough to accommodate everyone who lives there. The home is registered to care for a maximum of 17 older people who may or may not Care Homes for Older People Page 2 of 11 Brief description of the care home have a dementia type illness. Some peoples private accommodation is on the first floor and a stair lift is provided. One room on the first floor requires the person to be able to manage a small set of stairs in order to reach it. The current weekly fees are £385.00 per person, and extras include hairdressing, toiletries and newspapers at cost. Information about the services provided is made available in the homes Statement of Purpose, Service Users Guide and through published inspection reports obtained from the home. Care Homes for Older People Page 3 of 11 What we found: The Random Inspection carried out today was to gather more and up-to-date evidence of the services poor performance since the last Key Inspection in March 2010. We did not interview anyone living in the home or the staff and we did not inspect the premises. We looked at care plans for all of the people living there and at recruitment files and training records for all of the staff working there. We found that care plan documents had improved since the last key inspection,showing improved actions for meeting needs, and that there were more risk assessment documents in place for relevant areas of risk. We found the provider was making efforts to change assessments and care plans by buying in consultant advice and a package of documents that would benefit the service and prove to be more effective than current systems in use. We found that staff recruitment files now contain evidence of applications, except for one staff, and of interviews and security checks with the Criminal Records Bureau (CRB). There were still some references missing for two staff. We found evidence of training courses staff had completed, some still pre-Bempton employment, but also some that have been done while employed at Bempton Old Rectory and since the last Key Inspection. New staff files had been set up. 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 4 of 11 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 3 14 The registered provider must 04/06/2010 make sure people are fully assessed to determine their needs, and must make sure their assessment document and their CCA document are held on file. So people know their needs have been assessed and will be met. 2 7 15 The registered provider must 28/05/2010 make sure care plans are reviewed as required or at least annually and in consultation with people, family and social service officers if appropriate, so people know their needs are being well met. The registered provider must 28/05/2010 make sure care plans are person-centred and clearly contain the relevant areas of assessed care needs for individuals and show what action or intervention is required to meet those needs, so people know their needs are met. The registered provider must 04/06/2010 make sure people have risk Page 5 of 11 3 7 15 4 7 13 Care Homes for Older People 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 assessments carried out that are relevant to their assessed care and health care needs. So people are confident the risks involved in their care are reduced or eliminated. 5 8 12 and 13 The registered provider must 28/05/2010 make sure peoples individual health care needs are fully recorded in their care plan and show evidence of how these needs are being met, so people are confident their changing needs are met. The registered provider must 28/05/2010 make sure staff administering medications are properly trained to do so and that they are competence checked regularly. All of this must be recorded as evidence, so people are confident they are receiving their medication safely. The registered provider must 28/05/2010 make sure everyone is consulted about the pastimes and activities they wish to engage in and have their individual interests and expectations met, so they can lead fulfilling lives. The registered provider must 28/05/2010 make sure regular training is Page 6 of 11 6 9 13 7 12 12 8 18 13 Care Homes for Older People 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 provided for all staff in safeguarding adults, and that they are competence checked for understanding. All of this should be recorded as evidence. It must be done so staff understand the current guidelines about who to report to, and what action to take, should they suspect abuse, or have an allegation made to them and so people are protected from harm. 9 29 18 and 19 The registered provider must 28/05/2010 make sure the recruitment and selection procedures are followed and that schedule 2 is adhered to in respect of only employing people after making and receiving a CRB check and obtaining two written references, so people are confident they are cared for and supported by safe staff. The registered provider must 28/05/2010 make sure all care staff receive mandatory training or competence assessments in such as medication administration, emergency first aid, health and safety etc. and all training must be recorded, so people are confident they are being cared for and supported by competent staff. The registered provider must 28/05/2010 Page 7 of 11 10 30 13 and 18 11 38 23 Care Homes for Older People 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 make sure all staff undertakes regular fire safety training drills, that these are properly recorded and that staff sign to say they have taken part in the drills, as evidence, so people are confident they are protected from the risk of harm from fire. 12 38 13 The registered provider must 28/05/2010 make sure there is a three yearly check on the hot water storage tank to test it for the risk of legionella bacteria and a certificate must be obtained as evidence, so people are confident they are protected from the risk of infection. Care Homes for Older People Page 8 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 3 14 The registered provider must make sure people are fully assessed to determine their needs, and must make sure their assessment document and their CCA document are held on file. So people know their needs have been assessed and will be met. 09/07/2010 2 7 13 The registered provider 09/07/2010 must make sure people have risk assessments carried out that are relevant to their assessed care and health care needs. So people are confident the risks involved in their care are reduced or eliminated. 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 9 The registered provider should make sure Cannons Waste Disposal are contacted and asked to supply a safer returns drugs storage container, that does not allow people access to unused drugs once they have been disposed of. This is so unused drugs cannot be misused. The registered provider should make sure the complaint record shows details of any investigation, action taken and the outcome for the complainant, so people know their complaints are taken seriously and are resolved effectively. The registered provider should make sure all staff receive infection control training on a regular basis and that training is recorded as evidence, so people are confident their care needs are met, free from the risk of infection. The registered provider should make sure they appoint a manager to run the home, and that the appointed manager submits an application to the Commission to become the registered manager, so people know the home is being run and managed by a person fit to do so. 2 16 3 26 4 31 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. 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