Latest Inspection
This is the latest available inspection report for this service, carried out on 26th July 2010. CQC found this care home to be providing an Poor service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
For extracts, read the latest CQC inspection for Cavell House.
What the care home does well . What the care home could do better: The service must ensure that records are accurate and complete. The staff must follow good practice when giving medicines. Random inspection report
Care homes for older people
Name: Address: Cavell House Middle Road Shoreham-by-sea West Sussex BN43 6GS zero star poor service 09/06/2010 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: Suni Chotai Date: 2 6 0 7 2 0 1 0 Information about the care home
Name of care home: Address: Cavell House Middle Road Shoreham-by-sea West Sussex BN43 6GS 01273440708 01273441483 cavellhouse@schealthcare co uk www southerncrosshealthcare co uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ashbourne (Eton) Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 52 Number of places (if applicable): Under 65 Over 65 52 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 52 The registered person may provide the following category/ies of service only: Care home with nursing - 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 - OP Date of last inspection Brief description of the care home Cavell House is a care home with nursing situated in the town of Shoreham by Sea The establishment has been extended and adapted to provide accommodation for up to fifty-two service users in the category of older persons, over the age of 65years (OP) The establishment consists of the original building, which was a local authority care
Care Homes for Older People Page 2 of 12 0 9 0 6 2 0 1 0 Brief description of the care home home and a new annex The majority of the home is on one level, however one section of the older building has two floors, accessed by stairs and a passenger lift The service provider is Ashbourne (Eton) Ltd The most recent reports are made available to residents and relatives on request and a copy is displayed in the main entrance of the home The responsible person on behalf of the company is Mr Mark Cash The registered manager is Mr John Olley Care Homes for Older People Page 3 of 12 What we found:
The Pharmacist Inspector from CQC visited this home to check compliance with requirements made in relation to medicine management at an inspection earlier this year We conducted this inspection by talking to four members of staff and two residents We watched medicine being given to 7 people We also looked at records relating to medicine management and checked care plans for information relating to medicine use for some people The homes medicine storage and recording systems are of expected and required standard The home uses medicine dosage system We saw that the nurse giving medicines did not wash her hands once while giving medicines In this time she handled medicines with her fingers and also administered eye drops for one person On three occasions out of the seven peoples medicines administration we watched, we saw that the nurse signed for the medicine as she removed the medicine to give and not after she had given it This shows some poor practice around the procedures used when giving medicines to people We noted that the medicine round did not finish until 11:00 a m and had taken 2 hours We discussed this with the managed and staff as the records indicate medicines to be given at 9:00 a m when in fact they were given for some people at 11:00 a m We asked to see training update records for this member of staff and we were informed the this member of staff was deployed from another service on a regular basis and there was no information available at this service In the main the records for recording of medicines being given were complete except for a few Gaps where there should be a signature [initials] for medicines administered or a reason recorded for non administration We found one medicine left from the previous morning for one person by their bedside This medicine was for constipation and this person had not taken this medicine although it was signed as given This person had said if I could only walk a bit I will be alright but they dont allow me to walk She was referring to her constipation This shows that the people in the home are not involved in their care decisions One persons medicine dosage directions were incorrectly printed on the Medicine Administration Record [MAR] chart by the pharmacy The staff had not corrected this at the start of the cycle and as a result there were two signatures [initials] against this medicine which was not prescribed or available These signatures indicate false records A check of two separate medicines against records showed there were less signatures than doses available for this medicines which would be labeled complete the course as these medicine were antibiotics For two people we saw medicines being left with the person to take later There were no supporting information in the care plan for this process In one room we saw a medicine which was one that can be bought over the counter There was no supporting guidance in the care plan on the use of this medicine Care Homes for Older People Page 4 of 12 We checked the medicine management policy of the service and found that these were the corporate ones There were no additional policy on local procedures added to the corporate ones Local policies and procedures give clear guidance to staff of exact processes and in home and lead to safe, consistent methods in practice Following our previous inspection in June 2010, we had received an improvement plan from the manager which stated that trained staff will receive refresher medicines training by the 17/07/2010 We asked for evidence of this training and were shown certificates of training that had taken place in May 2010 We were informed of a training session that had been booked for the 4th August 2010 for some members of trained staff but not all We received correspondence from the manager following the inspection to confirm that named nursing staff had received training update on medicine management from their pharmacist We checked controlled drugs and the records relating to controlled drugs These are medicine that require stricter controls by law We found Controlled Drugs stock and records to be in order 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 12 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 7 15 The registered person must 30/09/2010 ensure that the service users plan is setting out in detail the action which needs to be taken by care staff to ensure that all aspects of the health, personal and social care needs of the service user are met Care plans are not setting out how all the persons care needs are to be addressed 2 9 13 The registered person shall make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home, and that medicines are administered according to prescription Medicines are not being administered at the times prescribed 19/07/2010 3 10 12 The registered person shall 30/09/2010 make suitable arrangements to ensure that the care home is conducted in a manner which respects the privacy and dignity of service users People living in the home do Care Homes for Older People Page 6 of 12 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 not believe their choices are being respected 4 13 16 The registered person shall consult service users about their social interests and make arrangements to enable them to engage in local, social and community activities, and to follow their beliefs or religion Some people living in the home are not receiving a level of social support which meets their expectations 5 16 22 The registered person shall 30/09/2010 ensure that people living in the home and any person acting on behalf of a person living in the home understand how the complaints procedure can be used Not all people living in the home are aware of how to use the complaints procedure 6 18 13 The registered person shall make arrangements by training staff or by other measures to prevent service users being harmed or suffering abuse or being placed at risk of harm or abuse Some people living in the home are at risk of neglect 7 27 18 The registered person shall, 30/09/2010
Page 7 of 12 30/09/2010 30/09/2010 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 having regard to the size of the care home, the statement of purpose and the number and needs of service users, ensure that at all times suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of service users Staffing arrangements are not ensuring that the needs of the people accomodated are being met 8 29 19 The registered person shall 30/09/2010 not employ a person to work at the care home unless he has obtained in respect of that person the documents specified in Schedule 2 of the Care Homes Regulations 2001 Staff records held in the home do not evidence that all required checks and references have been obtained for all staff before they commence work in the home 9 30 18 The register person shall 30/09/2010 ensure that persons employed by the registered person receive training in the work they are to perform and are appropriately supervised Not all staff are receiving the
Care Homes for Older People Page 8 of 12 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 training and support they require to meet the needs of the people accommodated Care Homes for Older People Page 9 of 12 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 9 13 The registered person shall 31/08/2010 ensure that staff follow safe, hygienic practices when giving medicines to protect people from harm 2 9 13 The registered person shall 31/08/2010 ensure that there are detailed individual care plan around the use of medicine This includes medicines that are prescribed to be taken only when needed, medicines that might be bought or brought in by relatives and medicines that are partially managed by people in the service So that there is a consistent approach when medicines are given and a risk assessment has been done on medicine use 3 9 13 The registered person shall ensure that complete and accurate records are kept when medicine are given 31/08/2010 Care Homes for Older People Page 10 of 12 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 so there is a clear record of treatment history and profile for people in the service 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 11 of 12 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 12 of 12 - 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!
