Care Home: Church View Residential Care Home

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What the care home does well Hadrian Park provides a comfortable and homely environment for people to live. What the care home could do better: An assisted shower should be available on the ground floor to ensure people living there are given a choice of a bath or shower. Flooring needs to be replaced in some of the toilets. Staff training is required in COSSH, First Aid and Dementia Awareness. Staff working on the dementia care unit should also receive training in challenging behaviour. Random inspection report Care homes for older people Name: Address: Church View Residential Care Home 1 Main Street South Church Bishop Auckland County Durham DL14 6SL two star good service 03/06/2009 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: Valerie Daly Date: 1 6 0 6 2 0 1 0 Information about the care home Name of care home: Address: Church View Residential Care Home 1 Main Street South Church Bishop Auckland County Durham DL14 6SL 01388451565 01388451560 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Southern Cross Healthcare (Focus) Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 45 Number of places (if applicable): Under 65 Over 65 25 20 dementia old age, not falling within any other category Conditions of registration: 0 0 The maximum number of services users who may be accommodated is 45. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia, over 65 years of age - Code DE(E), maximum number of places 25 Old age, not falling within any other category - Code OP, maximum number of places 20 Date of last inspection 0 3 0 6 2 0 0 9 Care Homes for Older People Page 2 of 11 Brief description of the care home Church View is a purpose built home which has been fully refurbished and renovated within the past 5 years. It is situated in a village setting at South Church just outside Bishop Auckland. There is a regular bus service (with a stop very close to the home) to Bishop Auckland where there is a railway station. The home has a secure private garden and a large parking area. The entrance is accessible for people with mobility problems and there is a passenger lift. The home is on two floors which work as separate units: the first floor is for twentyfive elderly people with dementia and the ground floor accommodates up to twenty elderly people. All the bedrooms are well-equipped singles with en suite toilets and wash hand basins. Each unit has its own lounges and dining room. Care Homes for Older People Page 3 of 11 What we found: This inspection was a random unannounced inspection. It took place on 16 June 2010 and was completed in one day by two compliance inspectors. At the time of the inspection there was a manager in post, however an application had not been made to the Care Quality Commission for the manager to become registered. The purpose of the inspection was to look at a range of matters that effect the care, welfare and wellbeing of people living at Church View and also to follow up the requirements made at the last key inspection of 03/06/2009. During the visit we looked at a number of care records of people living at Church View, medication administration records, staff recruitment records, staff training records and staff supervision records. We also looked at some maintenance and servicing information along with quality assurance information. We had a look around the home, spoke with people living there, staff and the manager. The care files of three people at Church View were looked at, one from the dementia care unit and two from the older persons unit. One of the care records was for a person who had been recently admitted to the home. The files contained assessments, which had been carried out prior to the people moving in. In general assessments had been completed, however care must be taken to ensure they are always dated and areas completed such as the persons life history. From the assessments, care plans are formulated. There were some good examples of well written plans, for example, in eating and drinking for one person it stated that they preferred brown bread and didnt like cheese. This lady takes her meals in the dining room and eats over half of every meal. She also likes to have a jug of juice in her room. Another persons care plan for eating and drinking was very detailed with evidence of nutrition and a dietetics referral for nutritional support. However there were 5 care plans in place and they needed to be incorporated into one. Care needs to be taken to ensure the plans are dated when they are changed or updated. In some instances risk assessments need to be more detailed. One person had a risk assessment for being at risk of falls. The control measure were quite generic, for example suitable footwear to be worn, no obstacles, talks about using a walking frame. However in the persons moving and handling assessment, a walking stick was used. Medication systems were looked at. The medication administration records for prescribed medication were found to be complete with no gaps in the recording. When peoples prescribed creams or bottles are opened they were dated. The home employs an activities co-ordinator and on the day of the inspection people from the unit on the first floor went downstairs to join in with a game, using inflatable hands and passing an inflatable ball and dancing. This caused great enjoyment. Some people preferred just to watch, there was also music playing and a sing a long. Care Homes for Older People Page 4 of 11 People spoken to during the inspection had lots of positive comments such as; Staff are always there to see to me, I couldnt wish for better. I am looked after really well. The staff are very good, marvelous. You can search the world and wont be able to find a better place. It is lively here, I like to sit in the garden. There is always the manager or deputy available. There had not been any complaints made since the previous inspection. A tour of the home took place. Every where was clean and tidy and peoples bedrooms contained personal items. Due to the lay out of the home there is no air flow on the first floor and as it was a very warm day the unit was musty and not fresh. Since the previous inspection an assisted bath had been installed on the first floor, therefore giving people a choice of a bath or the assisted shower. However on the ground floor there is only an assisted bath, no shower is available. If people wish to have a shower they need to go to the upstairs unit. The bath panel and the boxed areas in bathroom 2 on the ground floor are worn and damp and need replacing. The walls also require re decorating. The flooring in toilets 2 and 3 on the ground floor needs replacing. On the first floor the flooring in toilets 4 and 5 is very stained and needs attention/replacing. Three staff files were examined, one was from a person who commenced employment in April 2010 and two were from staff who had worked in the home for some time. References and CRB checks were complete for two people. For the third person a reference had not been requested from their previous employment. Induction training for two people had not been completed and none of the staff supervisions in the files were up to date. The staff training matrix was examined and discussion took place with the manager regarding training. The manager said the matrix was not up to date, and this was due to the Administrator being off. It was also agreed that training is required in many areas such as First Aid, COSHH, Dementia Awareness and Challenging Behaviour. The home has a manager who has been in place since September 2007. However she has not been registered by the Care Quality Commission. A completed application was confirmed to be at the organisations Head Office. This application must be forwarded to the Commission. 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 Care Homes for Older People Page 5 of 11 following this report, you can contact them using the details set out on page 2. Care Homes for Older People 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 Older People 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 7 The manager must apply to 31/07/2010 the Care Quality Commission to become the registered manager. To ensure that people live in ahome which is run and managed by a person who is fit to be in charge, of good character and is able to discharge their responsibilities fully. 2 19 23 The flooring in toilets two 08/10/2010 and three on the gound floor, and four and five on the first floor require replacing. This will ensure a pleasant, well maintained environment for the people who live in the home. 3 19 23 The bath panel and boxing in 08/08/2010 bathroom two require replacing. The walls also require re decorating. This will ensure a pleasant, well maintained environment for the people who live in the Care Homes for Older People 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 home. 4 19 23 Suitable adaptations are 08/12/2010 made and equipment and facilities, as may be required. An assisted shower must be provided on the ground floor. This will ensure that peoples individual needs are met and choices are given. 5 29 18 Recruitment procedures must 08/08/2010 be followed in relation to references. This will protect the people who live in the home. 6 30 18 Staff must be given training 08/08/2010 appropriate to the work they are to perform To ensure people who live at the home are cared for by skilled and trained staff. 7 36 18 Staff must receive formal 08/08/2010 supervision at least six times per year To ensure staff are appropriately assessed and supported. 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 Care should be taken to ensure assessments are always dated and areas completed such as the persons life Page 9 of 11 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 history. 2 7 Work should continue in developing the care assessments, plans and risk assessments into more person centred ones. Care Homes for Older People 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 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 11 of 11 - 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. 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