Care Home: Ceshma Care

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What the care home does well People who live at Ceshma Care have access to a Key Worker who specifically supports the individual and ensures the involvement and inclusion of the individual; for example in the review of the existing individual plans of care and in care management reviews. People who live at Ceshma Care are empowered to make choices about all aspects their daily lives and are also able to participate in a wide range of chosen activities. They are also supported to maintain links with family and friends and to maintain their faith. The service continues to ensure that people are supported to maintain their personal, health and social care needs. The people who live at Ceshma Care are able to access a range of health and social care professionals. The management ensure that recruitment practices are robust, new staff have all of the right checks before they can start working in the home. The management ensure that staff have the right training that they need so that they can care for people properly. Staff were seen to be attentive to the people who live at Ceshma Care and to have a good understanding of their needs. People told us that they knew how to complain and that the were confident that their concerns would be addressed by the management. They also told us that they felt safe living at the home and that the staff were nice to them. The management ensure that the people who live at Ceshma Care are protected from abuse and they take the right action when abuse is suspected. What the care home could do better: The management need to make sure that the information that they provide to people is accurate and up to date so that they are able to make informed decisions. The management need to make sure that when new people move into Ceshma Care that they have all of the right individual care plans in place at the time of admission or soon after, so that the staff have the right information as how the person needs and wishes to be cared for. The existing individual plans of care contain a significant amount of information that is no longer current and this should be archived to ensure that staff have access to appropriate and up to date information. The management need to make sure that they have all of the right risk assessments in place to ensure that any activities that people engage in are supported by appropriate risk assessments. Medication systems are generally managed well, however the existing arrangements for the storage of controlled drugs does not appear currently to comply with the the Royal British Pharmaceutical Guidelines. Some areas of the home were cluttered, this needs to be addressed with the individuals concerned and appropriate risk assessments need to be developed to ensure that any associated risks are reduced and minimised.Some areas of the home and some of the personal equipment were seen to be less than hygienic, the management are in the process of recruiting more staff which will enable this to be addressed. The management need to make sure that they notify the Care Quality Commission about incidents that occur in the home that effect the well being of the people who live there. The duty rota does not consistently demonstrate when the Registered Manager is on duty. Random inspection report Care homes for adults (18-65 years) Name: Address: Ceshma Care Ceshma House 80 Rockingham Road Kettering Northants NN16 9AB three star excellent 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: Stephanie Vaughan Date: 0 4 0 5 2 0 1 0 Information about the care home Name of care home: Address: Ceshma Care Ceshma House 80 Rockingham Road Kettering Northants NN16 9AB 01536512091 01536512091 ceshmacare@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Christina Smith-Haynes Type of registration: Number of places registered: Conditions of registration: Category(ies) : Christina Smith-Haynes care home 5 Number of places (if applicable): Under 65 Over 65 0 0 learning disability mental disorder, excluding learning disability or dementia Conditions of registration: Date of last inspection Brief description of the care home 5 5 Ceshma Care is a small residential care home for up to five adults with learning disabilities/mental health needs. It is situated in a three-storey Victorian house on the outskirts of Kettering close to bus routes, shops, and other amenities. All bedrooms are single and have ensuite facilities. There is a separate lounge and dining room on the ground floor, and a large secluded garden at the rear. The current fees range from 1,100 to 1,450 GBP per week, with additional charges for day care, hairdressing, personal toiletries, and other items and equipment. Inspection reports are available Care Homes for Adults (18-65 years) Page 2 of 11 Brief description of the care home at the home, or can be accessed via the CQC website: www.cqc.org.uk. Further information about the home is available from the Registered Manager. Care Homes for Adults (18-65 years) Page 3 of 11 What we found: Before this inspection we spent four hours in preparation. This included looking at the Annual Quality Assurance Assessment (AQAA) which is a document sent to us by the service, the previous inspection reports, associated requirements, the service history and other associated documentation. We sent some surveys to the people who use the service the responses that we received were generally favourable, specific comments are include The home has got a dog The staff take me shopping I like my bean bag I chose the paint for the dining room Its a good home, I am well looked after and there is a nice garden . We have received no complaints or allegations about this service. However we have received one anonymous concern about the garden, hygiene in the home, the number of dogs living at the home and that the service was being used as a child minding facility. We looked at these concerns during the inspection and found no evidence to support the allegations with the exception that some areas of the home were less than hygienic. We also noted that the service told us in their AQAA they had had made one Safeguarding Adult referral to the Local Authority. This resulted in an internal investigation which concluded that the staff member had failed to conduct necessary health monitoring tasks and had falsified records. The management undertook disciplinary action which resulted in dismissal. The site visit was conducted over five hours during which the inspector made observations, spoke with some of the people who live at Ceshma Care and to some of the staff. A limited tour of the premises was conducted which involved reviewing the communal areas and some of the bedrooms. Case tracking is the method used during the inspection where a sample of two people were selected and aspects of their care and experiences were reviewed, including the individual plans of care and associated documentation. The service specialises in the care of people with Learning Disability, as such some of the people who live there have limited ability to recall and communicate their experiences. In these circumstances observations are used to inform the inspection activity. The Registered Manager was present throughout most of this inspection What the care home does well: Care Homes for Adults (18-65 years) Page 4 of 11 People who live at Ceshma Care have access to a Key Worker who specifically supports the individual and ensures the involvement and inclusion of the individual; for example in the review of the existing individual plans of care and in care management reviews. People who live at Ceshma Care are empowered to make choices about all aspects their daily lives and are also able to participate in a wide range of chosen activities. They are also supported to maintain links with family and friends and to maintain their faith. The service continues to ensure that people are supported to maintain their personal, health and social care needs. The people who live at Ceshma Care are able to access a range of health and social care professionals. The management ensure that recruitment practices are robust, new staff have all of the right checks before they can start working in the home. The management ensure that staff have the right training that they need so that they can care for people properly. Staff were seen to be attentive to the people who live at Ceshma Care and to have a good understanding of their needs. People told us that they knew how to complain and that the were confident that their concerns would be addressed by the management. They also told us that they felt safe living at the home and that the staff were nice to them. The management ensure that the people who live at Ceshma Care are protected from abuse and they take the right action when abuse is suspected. What they could do better: The management need to make sure that the information that they provide to people is accurate and up to date so that they are able to make informed decisions. The management need to make sure that when new people move into Ceshma Care that they have all of the right individual care plans in place at the time of admission or soon after, so that the staff have the right information as how the person needs and wishes to be cared for. The existing individual plans of care contain a significant amount of information that is no longer current and this should be archived to ensure that staff have access to appropriate and up to date information. The management need to make sure that they have all of the right risk assessments in place to ensure that any activities that people engage in are supported by appropriate risk assessments. Medication systems are generally managed well, however the existing arrangements for the storage of controlled drugs does not appear currently to comply with the the Royal British Pharmaceutical Guidelines. Some areas of the home were cluttered, this needs to be addressed with the individuals concerned and appropriate risk assessments need to be developed to ensure that any associated risks are reduced and minimised. Care Homes for Adults (18-65 years) Page 5 of 11 Some areas of the home and some of the personal equipment were seen to be less than hygienic, the management are in the process of recruiting more staff which will enable this to be addressed. The management need to make sure that they notify the Care Quality Commission about incidents that occur in the home that effect the well being of the people who live there. The duty rota does not consistently demonstrate when the Registered Manager is on duty. 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 Adults (18-65 years) Page 6 of 11 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 Adults (18-65 years) Page 7 of 11 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 1 5 The Service Users Guide must be reviewed to ensure that it is accurate and up to date. To ensure that the people who live at Ceshma Care have access to up to date and accurate information. 30/06/2010 2 1 4 The Statement of Purpose must be reviewed to ensure that it is accurate and up to date. To ensure that people who use the service are able to make informed decisions. 30/06/2010 3 6 15 The management must ensure that people who live at Ceshma Care have all of the right individual plans of care in place. To ensure that peoples health, personal and social care needs are met. 30/06/2010 4 9 13 The management must ensure that the people who 30/06/2010 Care Homes for Adults (18-65 years) Page 8 of 11 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 live at Ceshma Care have all of the right risk assessments in place. To reduce and manage risks identified through assessments. 5 20 13 The management must ensure that the storage arrangements for Controlled Drugs is a certified facility To comply with the Royal British Pharmaceutical Society Guidelines. 6 30 16 The management must ensure that all areas of the home and equipment are clean and hygienic. To maintain health and to reduce the associated risk of infection. 7 37 37 The management must 31/05/2010 ensure that the Commission is notified about events in the home that effect the well being of the people who live there To ensure compliance with CHR 2001 8 42 13 The management must 30/06/2010 review the arrangements to deal with the storage of peoples property that has the potential to compromise safety in the home. To ensure the health and Care Homes for Adults (18-65 years) Page 9 of 11 30/06/2010 30/06/2010 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 safety of the people who live and work in the home. 9 43 25 The duty rota must 31/05/2010 accurately identify the times that the Registered Manager is working and the location. To ensure that the people who live at Ceshma Care and the staff know when and how they can make contact with the Registered 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 1 17 The management should review the content of the individual plans of care and archive outdated information. Care Homes for Adults (18-65 years) Page 10 of 11 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 Adults (18-65 years) 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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