Latest Inspection
This is the latest available inspection report for this service, carried out on 5th May 2010. CQC found this care home to be providing an Adequate service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Chasedale.
What the care home does well The daily and weekly checks on the medication administration records help to ensure that they are accurate and complete and that all medication is given as prescribed. The increase in levels of staff within the home has resulted in residents receiving better more person centred care. Good and thorough staff training has also contributed to this. Good consultation has been carried out with residents and their relatives about the planned reorganisation of the units within the home. What the care home could do better: The reason for disposing of medication is not consistently completed in the medication returns book. If done properly, this would help when checking to see if there is excessive wastage of medication. Random inspection report
Care homes for older people
Name: Address: Chasedale Tynedale Drive Cowpen Estate Blyth Northumberland NE24 4LH one star adequate service 10/02/2010 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: Janet Thompson Date: 0 5 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Chasedale Tynedale Drive Cowpen Estate Blyth Northumberland NE24 4LH 01670-365997 01670365732 chasedale@fshc.co.uk www.fshc.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Robert Nelson Type of registration: Number of places registered: Conditions of registration: Category(ies) : Tamaris Healthcare (England) Ltd care home 60 Number of places (if applicable): Under 65 Over 65 0 10 dementia old age, not falling within any other category Conditions of registration: 50 0 The maximum number of service users who may be accommodated is 60. 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: 10 Dementia - Code DE, maximum number of places: 50 Date of last inspection 2 7 1 0 2 0 0 9 Care Homes for Older People Page 2 of 8 Brief description of the care home Chasedale Nursing Home is a two storey, purpose built facility of traditional brick build and tiled construction. It is situated on the edge of a large residential estate approximately two miles from the centre of the town of Blyth. The home is well served by public transport. The home has a car park to the front from which there is level access to the main entrance. There are grassed sitting areas, which are accessible to, and for the use of, residents and visitors. The home is registered to provide care to 60 persons 10 of which are the category of old age requiring nursing care and the remaining 50 under the category of dementia care (nursing). The fees for the home vary depending upon the needs and requirements of the individual residents. As the home provides nursing care the free nursing care element of the funding is provided in addition to the costs charged to the resident. The home provides information about the service through the service user guide. A copy of the last inspection report is available in the entrance to the home. Care Homes for Older People Page 3 of 8 What we found:
This random inspection was carried out over a period of two days. An inspector was accompanied by a pharmacy inspector for one of those days. The inspection was carried out to check compliance with a warning letter which was issued to the provider in March 2010. The home had a key inspection on 10 February 2010. The overall quality rating for the home is one star. This means that people using this service receive adequate quality outcomes. During the visit we talked with people who use the service, some staff and some visitors. We looked at information about people who use the service and other records which must be kept. We checked that staff had the knowledge, skills and training to meet the needs of the people they care for and we looked around the building to make sure it was clean, safe and comfortable. Following the inspection feedback was given to the Operations Director and Area Manager for Four Seasons Healthcare. We found that all of the requirements made at the previous inspection had been met. All of the areas of concern that were identified in the warning letter had also been addressed. All of the care plans have been updated and audits are now in place to ensure that they remain up-to-date. We checked three care plans of people that we had spoken to or observed receiving care. All three care plans reflected the actual care needs of the residents. Assessments were appropriate and clear, and they were followed up by suitable plans of care. The care plans had been regularly evaluated. Staff have received training in the setting of pressure mattresses. Each pressure mattress now has instructions for its use attached to it. We checked the mattresses for three residents and found that they were correctly set. At the previous inspection some of the residents were wearing socks on their hands. We were concerned that this was an institutional routine. This practice has been reviewed and individual plans put into place where some form of hand covering is needed for individuals. We examined the food and fluid charts for five residents. These were fully completed and showed that residents were offered enough to eat and drink. Full records are maintained for the ordering and disposal of medication. Daily and weekly checks are consistently carried out to ensure that medication administration records are adequately maintained and all medicines have been given as prescribed. This means that there is a complete record of all medication in the home. This helps with stock control and reduces the risk of being out of stock of medicines. All medication was stored securely. The receipt and administration of controlled drugs was fully recorded and regular stock checks are carried out on these.
Care Homes for Older People Page 4 of 8 Some redecoration of the home has taken place and some of the furniture has been thoroughly cleaned or replaced. Redecoration and refurbishment is ongoing. The home was clean and tidy. The housekeeper confirmed that extra cleaning hours have been provided and this has had a good impact on the overall appearance of the home. There were some mal odours on one unit within the home, this has already been identified and new carpets are ordered for this area. The numbers of staff in the home have been increased. In the past, where staff have been absent, they have not been replaced by bank or agency staff. This resulted in staff working under more pressure and finding it difficult to spend enough time with residents. The provider now ensures that all absences are covered for each shift. For a trial period an extra staff member has been provided for the ground floor general nursing unit. The provider intends to reorganise the units within the home, this should enable two of the units to be opened into one and enable staff to work together. Staff had received a lot of training in the past few months. We examined the training matrix and some individual training plans. These records showed that all statutory training was up to date. Staff confirmed that this training has taken place. A programme of staff supervision has been commenced. This means that staff can be formally supervised on a regular basis giving them an opportunity to contribute to the running of the home and address any training needs they might have. 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 8 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 8 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 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 9 The pharmacy should be requested to update their medication records to prevent medication which has already been discontinued from being printed on the administration charts. The reason for disposal of medication should be recorded in the appropriate section of the medicines destroyed and returned book. 2 9 Care Homes for Older People Page 7 of 8 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 8 of 8 - 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!
