Latest Inspection
This is the latest available inspection report for this service, carried out on 24th March 2010. CQC found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Charlton Park Care Centre.
What the care home does well Staff carried out an assessment before people moved into the home to determine what support they required. Residents had access to community health care services. Relatives were able to visit their family members when they wanted and were able to play an active role in their family members care if they wished. People could choose where and how they spent their time and staff encouraged people to make decisions for them where possible. Complaints and concerns were recorded and were investigated promptly. The home kept good records about people`s money and valuables. What the care home could do better: The areas that have been outlined in the report as a result of this recent random inspection are as follows: Standard 9 - ensuring accurate medication practices, specifically stock checks of medications held on the premises. Standard 10 - improving the knowledge of staff to do with the residents and their care plans. Standard 18 - Ensuring that all staff attend SOVA training. Standard 19 - Ensuring all the resident`s room are decorated to a reasonnable standard. Standard 29 - Ensuring that all CRBs have been checked appropriately. Standard 30 - Improving the knowledge of the staff group to do with policies and procedures for the home. Standard 30 - Improving the effectivenes of staff training. Standard 33 - Ensuring appropriate frequency for resident`s and staff meetings. Standard 36 - Ensuring appropriate frequency of staff supervision and that the agenda for supervision is comprehensive enough to cover what is required and as described. Random inspection report
Care homes for older people
Name: Address: Charlton Park Care Centre Park Farm, Off Cemetery Lane Charlton London SE7 8DZ one star adequate 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: David Halliwell Date: 0 6 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Charlton Park Care Centre Park Farm, Off Cemetery Lane Charlton London SE7 8DZ 02083164400 02083164422 charlton.park@fshc.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Four Seasons (No 7) Limited care home 66 Number of places (if applicable): Under 65 Over 65 0 32 dementia old age, not falling within any other category Conditions of registration: 34 0 The maximum number of service users who can be accomodated is: 66 The registered person may provide the following category of service only: Care Home with Nursing - Code 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 - Code OP (maximum number of places: 32) Dementia - Code DE (maximum number of places: 34) Date of last inspection Brief description of the care home This home is located in Charlton, within walking distance of local bus routes and Charlton village. The home consists of a 31-bedded unit for older people that require nursing care on the ground floor and a 35-bedded unit for older people with dementia that require nursing care on the first floor. All of the bedrooms are single occupancy
Care Homes for Older People Page 2 of 10 Brief description of the care home with a private toilet and washbasin. Laundry and kitchen facilities are provided on site. There is a garden at the rear of the property and parking bays in the area in front of the home.The fees charged by the home range from GBP579.24 - GBP629.24 per week. This does not include additional charges such as chiropody and hairdressing. This information was supplied to the commission on 15.12.08. Care Homes for Older People Page 3 of 10 What we found:
This was a random inspection and it was undertaken as a follow up to the last full key standards inspection that we carried out in December 2009. The purpose was to check on the progress that Charlton Park has achieved with meeting the requirements and recommendations made at the inspection in December 2009. The random inspection was carried out over the period of a day. The Inspection was limited but focussed on specific key standards and involved a review of the agencies records and formal discussions with staff and with the acting Manager. As a result of this random inspection 3 of the 12 previously made requirements remain outstanding and 2 new requirements have been made. For those 3 outstanding requirements enforcement action may be taken if the new timescales for these requirements are not met. 7 of the 9 good practice recommendations made at the last inspection remain outstanding, 2 have been met. Feedback on the requirements and recommendations was given verbally to the acting Manager at the end of this inspection visit. The agencies Registration Certificate with the Commission for Social Care Inspection was seen displayed appropriately. There have not been any changes in the ownership of this agency since the last inspection. Following the resignation of the previous manager at Christmas 2009, a new manager has been appointed and we have been told by Four Seasons that they will be due to start work on 4th May 2010. A new Deputy Manager has also been appointed and started work on 15th March 2010. These new appointments will be very significant factors in the potential for progress at Charlton Park in meeting the standards that are required and recommended. We found the staff helpful and they are to be thanked for the assistance that they provided over the course of this inspection visit. What the care home does well:
Staff carried out an assessment before people moved into the home to determine what support they required. Residents had access to community health care services. Relatives were able to visit their family members when they wanted and were able to play an active role in their family members care if they wished. People could choose where and how they spent their time and staff encouraged people to make decisions for them where possible. Complaints and concerns were recorded and were investigated promptly. The home kept good records about peoples money and valuables. Care Homes for Older People Page 4 of 10 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 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 10 12 It is required that the Manager ensures all staff including agency staff know who the residents are that they are to be working with and that they have a good knowledge of the residents needs. It is required that the Manager ensures that all care staff receive SOVA and whistle blowing refresher training by an authorised external training agency preferably the L.B Greenwich. This is to help ensure that staff are adequately trained in order to protect residents from abuse. Certificated evidence will be required for inspection. 01/06/2010 2 18 13 01/09/2010 3 36 18 It is a requirement that: 01/06/2010 All care staff including RGN and RMN staff members are supervised once every 3 months. Supervision notes should be taken, kept on staff files and copied to staff for their information. Care Homes for Older People Page 6 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 9 13 At this random inspection we 01/06/2010 undertook a medication stock check and found that the records did not accurately reflect the actual medications held. We checked 4 different medications and found that the stock levels did not match the records held. The staff member who we spoke to was unable to satisfactorily explain the mismatch of information. The Manager told us that all RGN staff had received training to do with medication, its safe handling and storage. A new requirement is made therefore to ensure that accuracy is achieved with the recording of medications being distributed and medication stocks received. In order to meet the NMS. 2 30 18 We require that the Manager 01/06/2010 ensures that all staff are asked to review the key policies and procedures for the home and to sign to say
Page 7 of 10 Care Homes for Older People 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 that they have done so. In order to meet the NMS. 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 3 We recommend that the Manager requests comprehensive referral information from any agency that wishes to refer their client to live at Charlton Park. Since the last KSI, Charlton Park has been embargoed and has not had any new service user referrals or placements. Therefore it has not been possible to monitor this recommendation, however when placements begin to be made again we will monitor this standard. The recommendation remains in place. 2 10 In general we found that residents appearances had improved. We spoke to the member of staff who is responsible for the laundry service and we were told that they are in the process of re labeling all residents clothing with name tags. We saw a number of clothing articles that had been recently given name tags and we hope that this process will be completed for all residents and their clothing. It is recommended that this process is implemented at the point a new resident is admitted to the home. It is strongly recommended that for those bedrooms that are sparse and not personalised a much greater effort is made to make them feel homely and welcoming. It is recommended the Manager ensures that all staff CRB checks are renewed every 3 years. It is recommended that the Manager reviews how the delivery of training is being provided to staff and ensures that a more effective method is found. It is recommended that the frequency of residents
Page 8 of 10 3 19 4 5 29 30 6 33 Care Homes for Older People 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 meetings needs to be increased to 4 times annually so that the access for residents for discussing issues is improved. 7 36 It is recommended that those staff who will undertake supervisory roles attend a proper training course that enables them to carry out their roles effectively. 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!
