Care Home: Benham Nursing Home

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What the care home does well Proof of identification documents had been requested from nurses employed at the home with photo copies of this documents held in their individiual files. What the care home could do better: Examination of nursing staff files highlighted the following issues: Five nurses are currently employed by the home. Photocopies of nurses Nursing and Midwifery Council (NMC) annual registration cards which include their pin numbers were not being held by the home as evidence the nurses were on the active NMC register. Of the five files examined only one file had photocopies of nursing qualifications` gained. Records show a member of the nursing team`s registration with the NMC lapsed in July 09. The lack of systems in place resulted in this issue not being identified until 16/03/10 when a check was made on the NMC website to monitor the registration status of nurses employed. This leaves service users at risk of being supported by staff without the necessary skills, competencies, qualification and who are registered to practice with their governing body. The lack of systems in place to monitor nurses continuing professional registrations leaves service users at risk of receiving inappropriate and possibly unsafe care. The manager agreed that systems needed to be put in place and offered assurances that this would be done as a matter of urgency. However she did highlight evidence that showed as soon as the lapse in registration status had been identified the member of staff ceased working at the home until the matter had been resolved with the NMC. The home does not have a registered manager this formed the basis of a requirment made in the key inspection report visit dated the 8/05/08 and remains outstanding the registered provider is advised to address this issue as a matter of urgency. The manager was advised that requirements would be made with tight timescales to ensure compliance. Random inspection report Care homes for older people Name: Address: Benham Nursing Home 217-219 Spital Road Bromborough Wirral CH62 2AF 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: Helen Carton Date: 0 6 0 5 2 0 1 0 Information about the care home Name of care home: Address: Benham Nursing Home 217-219 Spital Road Bromborough Wirral CH62 2AF 01513348533 F/P01513348533 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Michael Richard McGowan Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 43 Number of places (if applicable): Under 65 Over 65 43 old age, not falling within any other category Conditions of registration: 0 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: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 43 Date of last inspection Brief description of the care home Benham is a care home that provides care for individuals with both personal and nursing care needs. The home is made up of two former dwelling that have been adapted and extended to provide accommodation in a mixture of single and double bedrooms and with communal lounge and dining room areas. A conservatory and a Care Homes for Older People Page 2 of 9 Brief description of the care home pleasant, well-tended garden are situated at the rear of the building. There is parking at the front of the building. The service has sufficient bedrooms for up to 43 people. Benham is located in a main road Spital. Wirral as easy to locate. The service is close to the facilities of Bromborough. Local amenities such as shops, cafes and a library are within a ten-minute walk and the home has its own minibus. Public transport links are easily reachable in particular the local bus service. Fees range from #352 to #408 according to individual needs. Personal items are charged as each individual needs them. Care Homes for Older People Page 3 of 9 What we found: A random site visit was made to the service to assess whether the current recruitment and selection processes are robust and safeguard service users health and wellbeing. We spent approximately two hours at Benham Nursing and Residential Home and spoke with the nurse in charge who is also the deputy manager and on the telephone with the manager of the service. As part of the visit we looked at the recruitment records for all nurses employed at the home. What the care home does well: What they could do better: Examination of nursing staff files highlighted the following issues: Five nurses are currently employed by the home. Photocopies of nurses Nursing and Midwifery Council (NMC) annual registration cards which include their pin numbers were not being held by the home as evidence the nurses were on the active NMC register. Of the five files examined only one file had photocopies of nursing qualifications gained. Records show a member of the nursing teams registration with the NMC lapsed in July 09. The lack of systems in place resulted in this issue not being identified until 16/03/10 when a check was made on the NMC website to monitor the registration status of nurses employed. This leaves service users at risk of being supported by staff without the necessary skills, competencies, qualification and who are registered to practice with their governing body. The lack of systems in place to monitor nurses continuing professional registrations leaves service users at risk of receiving inappropriate and possibly unsafe care. The manager agreed that systems needed to be put in place and offered assurances that this would be done as a matter of urgency. However she did highlight evidence that showed as soon as the lapse in registration status had been identified the member of staff ceased working at the home until the matter had been resolved with the NMC. The home does not have a registered manager this formed the basis of a requirment made in the key inspection report visit dated the 8/05/08 and remains outstanding the registered provider is advised to address this issue as a matter of urgency. The manager was advised that requirements would be made with tight timescales to ensure compliance. Care Homes for Older People Page 4 of 9 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 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 9 13 (2) All staff that give out medications need to be fully aware of the policy and procedure. Staff need to meet the policy and procedure at all times in order for them to give out medications safely. 08/06/2008 2 27 18 (1) (a) (2) All staff that give out medications need to have suitable training and their competency to manager medications appropriately determined. 9 (1) (2) (a) (b) (c) 08/06/2008 3 31 An application for 08/08/2008 registration needs to be submitted to the commission central registration team. 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 18 Clear and up to date training 07/06/2010 records are maintained with copies of professional qualifications held on staff files. This is to ensure the home can be confident they are recruiting people with the required qualifications and skills to support service users safely. 2 29 18 A system of monitoring must 07/06/2010 be put in place to ensure suitably qualified registered nurses are working at the home at all times. This is to ensure service users are supported and cared for by staff with appropriate qualifications who are registered by their governing body. 3 31 8 An application to register a manager in respect of the home must be made. This is to ensure service 30/06/2010 Care Homes for Older People Page 7 of 9 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 users health, safety and lifestyle choices are protected and promoted by an effective and skilled manager 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 Care Homes for Older People Page 8 of 9 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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