Care Home: Chatsworth

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What the care home does well Surveys received from some of the people living in the home recorded, "Always staff on hand if needed" with another saying, "The food is 1st Class". One staff member wrote in their survey returned to the Commission, "Provides high levels of care" and another stating, "Carers are expected to lift residents due to lack of equipment". However the manager confirmed that the home has a hoist and would discuss this issue at the planned staff meeting due next week to ensure all staff knows how to use this equipment. The home held comprehensive and clear records for staff members employed by the home. This included obtaining all relevant information to ensure people living in the home are protected as much as possible. The medication systems are managed well and the home held records to show that ordering, storage and disposing of all medication were well documented with a clear audit trail showing administration of medication and signed by staff members were clearly documented. What the care home could do better: No Requirements or Recommendations were made in this report. Random inspection report Care homes for older people Name: Address: Chatsworth Dormy Avenue Mannamead Plymouth Devon PL3 5BE 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: Kim Fowler Date: 2 0 0 5 2 0 1 0 Information about the care home Name of care home: Address: Chatsworth Dormy Avenue Mannamead Plymouth Devon PL3 5BE 01752660048 01752671201 chatsworthhome@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Heather Rhodes,Mr Geoffrey Rhodes,Mrs Janet V Davey,Mr Stephen R Davey Name of registered manager (if applicable) Mr Geoffrey Rhodes Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Conditions of registration: The maximum number of service users who can be accommodated is 26 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 categories: Old age, not falling within any other category (Code OP) Dementia (Code DE) Date of last inspection 26 0 Over 65 0 26 care home 26 Care Homes for Older People Page 2 of 8 Brief description of the care home Chatsworth is a large detached property situated in the Mannamead area of Plymouth. The home is registered to provide residential accommodation and personal care for a maximum of 26 people over the age of 65 years who may also have dementia or a physical disability. Accommodation is provided over three floors, and offers 22 single bedrooms, 7 of which have en suite toilet facilities, and two double rooms, one of which has an en suite toilet facility. Stair lifts provide access to all floors. On the ground floor there is a large lounge that has patio doors opening on to the garden, and a large dining room. There is a call bell system in operation in the home. The home has a chair lift to all floors. Various activities and trips are regularly offered at the home. The garden is attractive and accessible to the service users. The fees presently are 400 pounds to 435 pounds. Care Homes for Older People Page 3 of 8 What we found: We visited Chatsworth House on the 20th May 2010 at 10:15am. Mrs. Sally Colwill, the manager of the home, was present throughout the random inspection. Neither the Registered Manager nor the owners were available for this inspection. The purpose of this inspection was to review the records and hold discussion with the last two people admitted to the home and to include a medication review of these two admissions. Also to review the records and hold discussion with the last two staff members to be appointment, review any controlled drugs held, a brief tour of the premises and to review any notification and accident recorded. Two files were examined for people living in the home. Each file held comprehensive details on each person ensuring all staff were fully aware of the needs for each person. The files examined held records for each person on any medication prescribed, mental health issues and how staff will manage personal care and health care for each person. Several people including two people living in the home and one relative were spoken too during this visit. All spoke very highly of the staff in the home and also stated that the food offered was very good. With one commenting, A1 Home! and another saying, Staff look after me well. The medication was examined for each of the last two admissions and the records held showed the home had a clear audit trail on ordering, storage and administration for each medication. Senior staff members have overall responsibility for the medication held in the home. The owner confirmed that all staff completes regular training on medication and all staff shadows other staff member until they are competent to dispense medication. The home does not currently have any controlled drugs. Several people are prescribed PRN medication and the home has clear guidance on the dispensing of this medication. We recommended to the manager that all handwritten amendments to the medication records sheets be sign and confirmed by two staff members. We found that Chatsworth House held clear records for the staff files of the last two staff employed by the home. This included a completed enhanced CRB (Criminal Record Bureau) check, a copy of the persons passport and driving license and two proofs of address including a bank statement and phone bill. Evidence on the staff members files examined showed that they had completed, or in the process of completing a staff induction programme. Other training including Liverpool Care Pathways and End of Life Care training and booked training for the future included 1st Aid, a Health and Safety and Infection Control course. Both newly employed staff members were spoken with and both agreed that the management of the home were approachable and that they had been welcomed into the staff team. One staff member confirmed they had completed and Induction programme. A brief tour of the premises and discussion with some people living in the home, a relative and staff confirmed that the home is regularly updated and maintained to a high standard. The manager confirmed that many parts of the home are upgraded when needed by the owners. Care Homes for Older People Page 4 of 8 The accident book was examined and showed that all accidents recorded were also followed up in individuals daily records with medical intervention if required either by the GP or local hospital. 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 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. 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