Care Home: Centenary House

What the care home does well Some people who live at the home commented "staff are lovely" and "food is good". we observed some good interactions between some members of staff and people who live at the home. What the care home could do better: The management must ensure that all staff have received all necessary training. In particularly medication training for those staff who work alone on nights and moving and handling training for all staff. The staffing rota`s need to reflect the staff on duty at all times. This should include details of staff on call at night and those "covering" for kitchen and domestic staff. Random inspection report Care homes for older people Name: Address: Centenary House 70 Charlton Road Shepton Mallet Somerset BA4 5PD one star adequate service 30/06/2009 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: Justine Button Date: 2 1 0 5 2 0 1 0 Information about the care home Name of care home: Address: Centenary House 70 Charlton Road Shepton Mallet Somerset BA4 5PD 01749342727 01749342727 caremanager@centenaryhouse.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Centenary Care Homes Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 16 Number of places (if applicable): Under 65 Over 65 16 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodates is 16. The proposed refurbishment of the first floor must be complet and deemed `fit` for purpose by the CSCI, which will include a further site visit, with no more than four bedrooms being added which meet or exceed 12 sq m before they can be used for prospective service users. Suitable access, other than stairs, to the first floor must also be available for service users. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (Code OP) Date of last inspection Care Homes for Older People 3 0 0 6 2 0 0 9 Page 2 of 9 Brief description of the care home Centenary House currenty provides residential care services for up to 13 people over the age of 65. The home faces a busy road but is within walking distance to the centre of Shepton Mallet. There is a convenience shop in a garage next door and a large supermarket nearby. There is car parking in front of the home. The home comprises the original house and a later extension. All service users rooms are on the ground floor. The first floor is currently unoccupied. Many of the bedrooms have individual access to a pleasant garden and two have access to a side patio. There is a double bedroom with en-suite facilities. There are two lounges, a pleasant conservatory overlooking the garden and a dining room. There are two communal bathrooms, one has been redecorated and fitted with a spa bath. The shower room has been refurbished and now has a good sized walk in shower cubicle. The fees at the home are 390 to 430 pounds per week. Care Homes for Older People Page 3 of 9 What we found: This inspection was conducted by one inspector over four hours. The purpose of the inspection visit was to assess progress towards meeting the outstanding requirements made at previous inspections. As part of this inspection we spoke with people who live at the home, management and staff. The home sent us an Annual Quality Assurance Assessment (AQAA) in March 2010. Information from the AQAA, was been used throughout the inspection process. Information held in the AQAA was confirmed during the inspection visit. During the inspection visit we reviewed the care and support plans for two people living at the home. On this occasion improvements to the care plans and assessments were found. The manager has developed a new care planning system since the last key inspection. The plans contained a range of information giving guidance to the staff on the needs of the individuals. The plans need to be kept under review however to ensure that the information is not ambiguous and is clear in all areas. We spoke to a number of people living at the home during the inspection visit. All were very complimentary about the care and support that they received. We reviewed the lunch time meal arrangements. No choice was on offer but all people spoken to were happy with the fish which was served as part of the main meal. The inspection visit was completed on a Friday and people told us that they always had fish on a Friday. We observed that prior to the main course soup was served. Staff then asked people if they preferred mashed potato or chips. Beans or peas were also available. A desert of peaches and cream was then served. The tables were nicely set with table cloths and glasses. Water was available during the meal. We completed a tour of the building. All rooms seen were personalised to peoples individuals taste and belongings. The rooms were clean and tidy and free from odours. At the last inspection it was found that the storage of documentation did not comply with the Data Protection Act with personal information of both staff and people living at the home being freely available in an upstairs store room. This had improved on this inspection visit. All information is now securely stored. At the last inspection it was clear that the owner of the home was not recording her visits in line with Regulation 26 of the Care Home Regulations. At this time there was no clear action plans developed for any issues identified. On this inspection visit we observed that the Regulation 26 visit are now conducted and documented. The manager and owner now discuss any actions required as a result of the visit and a clear action plan is developed. The Regulation 26 visit now include discussion with people living at the home as part of the home Quality Assurance systems. During the inspection we reviewed the staff duty rotas. These demonstrated that two care staff are on duty during day time hours. One waking staff member is available over night. There is an additional staff member on call over the night time hours. This staff member lives in separate accommodation. The duty rotas did not show arrangements for the on call when the live in staff member was having a day off. In addition to the care Care Homes for Older People Page 4 of 9 staff the home employs a cook and domestic staff member. The duty rotas showed that these staff have regular days off. The rotas however did not show who undertook the cooking and cleaning when the normal staff members were not available. we reviewed the homes training matrix after the site visit. When compared to the duty rotas not all staff employed were detailed on the training matrix. The training that these staff have undertaken could not be confirmed. In addition not all staff have undertaken moving and handling training and a significant number have not undertaken refresher training in the last year. The training matrix showed that not all staff have undertaken medication training. This included some staff who lone work on nights. It could not be confirmed therefore how these staff could safely administer any medication required at night. The home manager is yet to Register with us. This is required to ensure that the manager has the skills and competencies to fulfill her role. An application to register was received by us however was returned as it was not complete. 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 9 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 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 27 17 The duty rotas must reflect 28/06/2010 the staff on duty at all times. This should include details of staff undertaking cooking and cleaning tasks and arrangements for on call at night. The managers hours should also be included. This will ensure that there are sufficient staff on duty to meet the needs of people living at the home 2 30 18 The management must 26/07/2010 ensure that all staff have undertaken all necessary training. This should include training in moving and handling and safe handling of medication This will ensure that staff have the skills to meet the needs of people living at the home Care Homes for Older People Page 7 of 9 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. 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 9 of 9 - 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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