Care Home: Berkeley House

Similar services:

• Abbey The
• Snydale Care Home
• Hawkhills
• Larchfield Manor
• Beeches The - North Yorkshire County Council
• Carentan House
• Ravensworth Lodge

What the care home does well This area was not assessed. What the care home could do better: Because of the lack of staff, the risks posed to the people who live at the home and people not having their personal needs met, we left an immediate requirement for the manager to increase the staffing levels to six (6)on the top floor, six (6) on the first floor and five (5) on the ground floor to ensue people`s safety and wellbeing. We also required the manager to undertake a full review and assessment of the dependency levels of the people living at the home. We will look at this to determine what the staffing levels should be based on people`s needs. Random inspection report Care homes for older people Name: Address: Berkeley House 2 Berkeley Court Off Greenwich Avenue Bilton Grange Hull HU9 4UY two star good service 30/07/2009 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: George Skinn Date: 3 0 0 4 2 0 1 0 Information about the care home Name of care home: Address: Berkeley House 2 Berkeley Court Off Greenwich Avenue Bilton Grange Hull HU9 4UY 01482718007 01482718008 berkeleygrange@hhcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Amanda Dawn Griffiths Type of registration: Number of places registered: Conditions of registration: Category(ies) : Hadrian Healthcare (Hull) Ltd care home 84 Number of places (if applicable): Under 65 Over 65 0 84 dementia old age, not falling within any other category Conditions of registration: 84 0 The maximum number of service users who may be accommodated is 84 The registered person may provide personal care (excluding nursing) and accommodation to service users of both sexes whose primary care needs on admission to the home are within the following categories: Dementia (CodeDE); Old Age, not falling within any other category (CodeOP) Date of last inspection Brief description of the care home Berkeley House is a purpose built care home which provides personal care for people who may have dementia or who are an older person. The environment is spacious, Care Homes for Older People Page 2 of 10 3 0 0 7 2 0 0 9 Brief description of the care home welcoming and decorated/furnished to extremely high standards, with a wide range of communal spaces including nine lounges and five dining rooms. Personal accommodation is provided in single bedrooms, each with an en-suite shower facility: there are two bathrooms on each floor of the home, fitted with hoists for assisted bathing. Information given to us by the manager on 30/07/2009 was that the weekly fees are from 359.50 GBP to 600.00 GBP and top up fees from 15.00 GBP to 35.00 GBP. The amount of fees payable are dependent on the type of care required and the type of room facilities chosen by the individual. Care Homes for Older People Page 3 of 10 What we found: This Random Inspection was carried out because the Care Quality Commission (CQC) received information that there was a lack of staff at the home. One Inspector and the Local Area Manager visited the home, arriving at 5.30pm and leaving at 8.00pm. During the course of the visit we were assisted by the customer service manager who was responsible for the management of the home at that time. We spoke to staff, people who live at the home, and relatives, we also observed the practices at the home where appropriate. We spoke to the customer service manager at home, and the registered manager over the telephone. Our findings from the visit are detailed below; The care home is split into three floors the top floor being for more dependant people who have dementia and other needs. This floor is split into two separate units which are separated by a door with a key coded lock. We were told that there are usually four (4) staff working on the top floor, a senior and three (3) care assistants. However, when we arrived we found only two (2) staff on duty one (1) on each unit, at the point of our arrival one (1) member of staff was taking one (1) of the people outside for a cigarette. The customer service manager had just finished giving out medication and was going downstairs, we asked her to stay to supervise the remaining people on the unit. Due to their dependency levels all of the people who live on the top floor need full support with their personal care; because there was only one (1) member of staff in each unit they were unable to meet the needs of the people effectively. For example one (1) person had been incontinent of urine and had to wait until there was enough staff on duty to have their personal care needs met and be changed into clean, dry clothes. Staff told us that the person had been waiting some time to have their needs met. The staff member told us that they dont usually work on the dementia unit and did not have a full understanding of the needs of the people; they felt out of their depth and were unable to meet peoples needs effectively. We were told that three (3) members of staff had rung in sick, all of whom work on the dementia unit. We were told by the staff that they had been working on their own since about 2pm. At approximately 6pm two (2) additional members of staff arrived at the home, they were night staff due to work until 8am the next morning, they told us that they had been asked to come in early to cover. This increased the staff to two (2) at each side. This was still not enough staff as we were told that the majority of people needed two (2) staff to help them. During our visit we observed people on the unit were left sitting alone in the lounge, this Care Homes for Older People Page 4 of 10 left them vulnerable while two (2) staff helped one person. People are particularly at risk as one (1) of the people on the dementia unit has challenging behaviour and has assaulted some of the other people. Another person was crying and needing the support of the staff who were busy with other people. The staff told us they had been instructed to call for help from the other floors if needed but felt unable to do this as the other floors were short of staff and busy. We were told that people living on the first floor were more able, however, when we spoke to people they seemed very confused and forgetful and we observed people sitting around with very little interaction between them and the staff. This was not the fault of the staff as they were very busy and were observed to be rushing around answering call bells and attending to peoples needs. The staff on the first floor told us that there should be three (3) care staff and one (1) senior care staff on duty but the senior had been moved to the top floor due to low staffing levels leaving only three (3) care staff. They told us that there were twenty one (21) people on the first floor some had high dependency needs and needed two (2) staff to use a hoist to help them, and around seven (7) people displayed some kind of challenging behaviour and had on occasions assaulted other people and staff. The staff told us they start getting people ready for bed at about 6.30pm. The staff told us that the manager asks them to do extra shifts but they often refuse as they were too tired. The staff told us that they had approached the manager but had been told that there were enough staff on duty. Staff told us they thought the staffing ratios were not enough especially as the occupancy levels have increased. We were told that people who live on the ground floor were very able and that some people go out independently. We saw that some people were confined to bed and some who appeared to need a lot more support than had been suggested. We spoke to one lady who lives on the ground floor, she told us that although the care staff are very caring there are not enough of them and that she often had to wait a long time for the help she needed. She told us that her call bell sometimes falls from her wheelchair and then she has to shout for the staff. Her relatives, who were visiting at the time and visit every day, confirmed this saying that there never seems to be enough staff around. Staff who work on the ground floor told us it was very demanding at times due to staff sickness and staff being moved to other floors when staffing levels were low. Staff told us that the people on the ground floor were generally less dependent but still had some level of care needs. At the time of the visit we contacted Hull City Council to tell them of our concerns and the Care Homes for Older People Page 5 of 10 Emergency Duty Team agreed to monitor the staffing levels and ensure the safety of the people who live in the home over the bank holiday weekend. At the end of the visit we spoke to the Customer Service Manager at the home and the Registered Manager over the telephone and fed back our concerns. We told them that the CQC are very concerned about the staffing levels and significant vulnerabilities of the people who live in the home. We left an immediate requirement notice, instructing the managers to ensure that six (6) staff were on duty all waking shifts on the top two floors and five (5) staff on all waking shifts on the ground floor until a more detailed review of staff could be undertaken. We asked that the managers undertake a review of all of the people and their individual dependency levels and undertake a staffing calculation to tell them, and the CQC, exactly how many staff should be on duty to meet peoples needs. Once this is completed the managers must increase the permanent staffing accordingly. 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 6 of 10 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 person must 01/11/2009 ensure that the homes needs assessment is robust and involves the prospective service user, his/her representatives (if any) and relevant professionals. So that anyone coming into the home knows that the service can meet their needs. 2 4 18 The registered person must 01/11/2009 ensure that staff individually and collectively have the skills and experience to deliver the services and are which the home offers to provide. So that people using the service and their representatives know that the home they enter will meet their needs. 3 7 17 The manager should make 01/11/2009 sure that staff are recording the care, given on a daily basis, within the care plan of each individual. So each person receives appropriate and continuous care to meet their needs. Care Homes for Older People Page 7 of 10 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 4 7 17 The manager should make 01/11/2009 sure that staff do not leave gaps between their daily recordings of care in the care plans. To prevent any possibility of records being altered/amended at a later date. 5 7 15 The registered person must make sure that care plans are evaluated at least monthly, updated to reflect changing needs and current objectives for health and personal care, and actioned. So each person receives appropriate and continuous care to meet their needs. 01/11/2009 6 28 18 The registered person must 01/11/2009 ensure that new staff who have no previous experience of care work complete an induction which meets Skills of Care criteria. So people using the service can be confident that they are being looked after by skilled and competent individuals, and young or inexperience staff are not placed into a situation they cannot manage. Care Homes for Older People Page 8 of 10 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 1 27 18 Staffing numbers must be increased to 6 staff per shift on Chesters floor and first floor and 5 staff per shift on the ground floor. This will ensure there are enough staff on duty to keep people safe. 30/04/2010 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 27 18 A staffing calculation must be 07/05/2010 completed based on the dependency levels of the people who live at the home and staffing numbers must be increased accordingly. This will ensure there are enough staff on duty to meet peoples needs. 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 9 of 10 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 10 of 10 - 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!