Care Home: Bowood Mews

What the care home does well The home is well maintained, and seeks specialist guidance for the resident group promoting colour themes and signs to assist the residents in finding their way around the home. There was a relaxed atmosphere within the home, and good interaction between the staff and residents was observed. What the care home could do better: The home should investigate ways of eliminating the malodour in the home so people live in an odour free environment. This was particularly noticeable in the entrance area of the home. Given the types of accidents and incidents occurring in the home, staffing levels should be reviewed taking into consideration the dependency levels for the people living in the home. A review of care records should be completed to include more information about peoples` psychological needs. All risk assessments should be completed to provide a base line to monitor for improvement or deterioration in the person`s health and personal care needs. A review of training staff have attended needs to be undertaken to establish any gaps in this area. Improvements in the documentation of Recruitment to show the person`s accurate employment history. The reference should be from their most recent employer, if not the reason for this should be recorded. Random inspection report Care homes for older people Name: Address: Bowood Mews Hewell Road Redditch Worcestershire B97 6AT 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: Christine Potter Date: 1 7 0 6 2 0 1 0 Information about the care home Name of care home: Address: Bowood Mews Hewell Road Redditch Worcestershire B97 6AT 0152760029 01527592750 bowoodmews@schealthcare.co.uk www.schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Susan Dianne Parkinson Type of registration: Number of places registered: Conditions of registration: Category(ies) : Southern Cross Healthcare Services Ltd care home 34 Number of places (if applicable): Under 65 Over 65 0 dementia Conditions of registration: 34 The maximum number of service users who can be accommodated is: 34 The registered person may provide the following category of service only: Care Home Only (Code PC) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) 34 Date of last inspection Brief description of the care home Bowood Mews is a purpose built home providing 24 hour care for up to 34 older people with a dementia type illness. The home is conveniently situated within a mile of Redditch town centre, which is convenient for visitors using public transport. All residents are accommodated in a single bedroom with en-suite facilities. The home is Care Homes for Older People Page 2 of 10 Brief description of the care home on two floors with a passenger lift to assist residents with mobility problems to access all areas of the home. The home provides communal lounges, dining rooms, quiet areas and specialised bathrooms. There is a pleasant landscaped garden with raised flowerbeds for the residents to use and enjoy when the weather permits. It shares laundry and kitchen facilities with Bowood Court, both of which are on the Bowood Court premises. Information regarding the home can be obtained from the Statement of Purpose and Service Users Guide, which are available from the home. The home belongs to Southern Cross Healthcare, which is a large organisation that own homes all over the country. The registered manager is Sue Parkinson who has been in post for several years and possesses the recognised managers qualification. For up to date information about the fees please contact the home direct. Care Homes for Older People Page 3 of 10 What we found: The focus of inspections undertaken by the Care Quality Commission (CQC) is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. The last key inspection for the service was the 17th September 2008 when the service was given a good 2 star quality rating. The reason for this visit was to monitor the service following the number of incidents reported to us in the form of regulation 37 notices. This Random visit was undertaken by one inspector from the Care Quality Commission. At the time of the visit there were 34 people living in the home. At the time of the visit we spoke to the registered manager, area manager, care staff and administrator. We focused on the care provision for people living in the home, and looked at supporting records and registers. These were the findings of our inspection. Choice of Home: (standards 1 - 5) We looked at the care records for two people who had recently been admitted to Bowood Mews. The records showed they had been assessed prior to moving into the home. The assessment provided sufficient information for a basic care plan to be developed to provide guidance for the staff delivering the care. We spoke to the residents who told us that they had been assessed prior to admission. They felt that sufficient information about the home had been provided to assist them with their choice. They confirmed that they had been made very welcome, and the staff were very friendly. Care staff told us that they were informed of new admissions, and provided with enough information about the person to assist in settling the individual into the home. No other standards from this section were assessed at this inspection. Health and Personal Care (standards 7 - 11) We looked at two peoples care plans, one in depth and another partially. These are plans which give staff information about what people are able to do independently. They also say when staff need to support people to meet their individual needs and how they should do this. All of the care plans that we looked at provided staff with the information required to meet each persons individual needs with some reviews having taken place. They contained a good life history including their personal preferences for social care. There was good information about the individuals health care needs and what medication the person was on with possible side effects to monitor the individual for. It was recommended that care records are further developed to provide more information and guidance about the individuals psychological needs. An example how the individual might be affected by bereavement and how staff could best manage this situation. One persons weight measurement had not been calculated into the nutritional risk assessment. Care Homes for Older People Page 4 of 10 Residents have access to health and remedial services and a record of all visits is recorded in the residents care plan for reference. We saw people walking around the home suitably dressed for the temperature. There was good interaction between the staff and residents. The management of medication was found to be well organised and records were all up to date. No other standards from this section were reviewed at this inspection. Daily Life and Social Activities (standards 12 - 15) These standards were not assessed at this inspection. We were told by staff and residents that the food has improved recently, and people are offered a more varied choice of menu. Complaints and Protection (standards 16 - 18) We, the Commission have received three complaints about the home in the last 12 months. The complaints have been referred to the Safeguarding Multi Agency Team for investigation. The outcome of the investigation is not complete. The service has assisted with the investigation and provided information. We looked at the homes complaints records for the home for the last 12 months. They keep a register of the complaint with a reference number to assist in auditing. The manager completes a monthly audit of the complaints and this was up to date. The complaints ranged from laundry, care issues and communication. To address the laundry issues, the service have purchased equipment for identifying the owner to reduce peoples clothes going missing. The accident records were viewed. The manager completes a monthly audit of any accident or incident that occurs in the home. From the records and the regulation 37 notices which the home send to CQC. there are several falls resulting in the person being transferred to hospital for treatment. The records also report incidents with certain residents. This may be reflective of the high dependency of residents being looked after. It was recommended that the service review the dependency levels of the residents to ensure that staffing levels and skill mix are proportionate to their needs. Environment (19 - 26) During this visit we had a brief look around the home. Bowood Mews is a purpose built two storey care home, within walking distance of Redditch town centre. They provide accommodation for up to 34 older people with a degree of dementia requiring personal care and support. All bedrooms are single with en suite facilities. The home has an attractive garden for residents to use, and some of the residents enjoy planting in the flower beds and looking after the plants. The residents bedrooms we looked at were personalised to provide some familiarity for Care Homes for Older People Page 5 of 10 the individual. The main concern with the environment was the malodour. Whilst appreciating the high level of incontinence with the residents, the management of odours should be investigated, so people can live in a odour free environment. We spoke to the residents who had recently moved into the home, they confirmed that they were happy with their bedroom and the facilities within the home. No other standards from this section were assessed at this visit. Staffing (standards 27 - 30) We looked at the duty rotas for the home. For the number of residents, the numbers are proportionate. However from looking around the home, reviewing care documents and discussions with care staff, many residents, through deterioration of health, are highly dependant on their health and personal care needs. It is recommended that staffing levels are reviewed using a dependency tool for the residents needs. We looked at the recruitment files for two members of staff who recently started work at Bowood Mews. We saw that one staff member had previously worked in care but had not provided them for a reference. The reason for this had not been recorded. The reference was from employment that the applicant had not included in their employment history. All other safety checks had been completed prior to the staff commencing. The training records showed some gaps in mandatory training, Mental Capacity Act, Deprivation of Liberty and First Aid. The manager was aware of the shortfalls and provided information that courses had been arranged. The home has in excess of 50 of staff with NVQ level 2 or above which exceeds the minimal standard. People told us that the staff are all wonderful, I enjoy a laugh and a joke with them No other standards from this section were assessed at this inspection. Management and Administration (standards 31 - 38) The registered manager for the home is Sue Parkinson who has been in post for many years. Since the last key inspection the service has been unable to employ a consistent deputy manager. This has impacted on the service in some areas including training, supervision and care records. the manager and area manager were in the process of interviewing for a deputy manager on the day of the visit and were confident that they could appoint from the candidates who had applied. We looked at the monthly statutory visits that are being completed by an area manager for the company. These provided useful information. The owners have also introduced regular internal audits of the homes to assist in maintaining good standards of care. The manager completes regular audits on the homes systems including, medication, accidents, complaints, the environment to monitor the quality in these areas. Weekly surgeries are held with the manager so she is available for families who may wish to see her. Care Homes for Older People Page 6 of 10 We looked at the maintenance systems for the home and these were up to date at the time of the visit. No other standards from this section were reviewed at this visit. 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 7 of 10 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 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 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 26 16 Keep the home free from offensive odours. So people can live in a odour free environment. 31/08/2010 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 7 Review the information in peoples care plans to include more information about their psychological needs, and ensure that baseline risk assessments have been completed. To ensure that the staffing levels are monitored against the dependency levels of the residents living in the home. 2 27 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. 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