Care Home: Clair Francis Retirement Home

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What the care home does well Care staff are polite and give people the care they need. People living at the home told us they are happy with the carers and the work they do. People are able to contact staff if they need help. What the care home could do better: People who live at the home must be safe in all the areas they have access to; people must be able to safely walk around the home and use their rooms independently without the risk of falls or trips. There must be enough care staff available to meet the needs of people living at the home. People should not have to wait and there must be enough staff available to make sure people are able to a full meal if they need help or reminding the food is available. Care staff should not be performing other roles before their care role. Invoices from suppliers and services should be paid as soon as possible to make sure these will continue and people are not put at risk. Random inspection report Care homes for older people Name: Address: Clair Francis Retirement Home 237/239 Park Road Peterborough PE1 2UT two star good service 06/10/2008 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: Lesley Richardson Date: 3 0 0 4 2 0 1 0 Information about the care home Name of care home: Address: Clair Francis Retirement Home 237/239 Park Road Peterborough PE1 2UT 01733312670 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Christina Elizabeth Bentley Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Karim Bhanji care home 28 Number of places (if applicable): Under 65 Over 65 0 28 dementia old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 28 0 0 6 1 0 2 0 0 8 Clair Francis was originally two separate houses, which have been connected by a twostorey extension. They are turn of the 19th century buildings, which have been adapted to provide suitable accommodation for 28 older people. The home is situated in a quiet residential area of Peterborough, close to the park, local amenities and transport routes. The current fees range from £387.03 to £650 per week. Additional costs include those for private chiropody and hairdressing. Further information about the fees can be obtained from the home. Care Homes for Older People Page 2 of 10 Brief description of the care home A copy of the inspection report is available on request from the home or via our website at www.cqc.org.uk Care Homes for Older People Page 3 of 10 What we found: We visited the home after receiving information from visitors to the home about the care that is provided to people living there. This information included concerns about the laundry and clothes that go missing, staffing levels that means people who need help to eat are not given it, personal care and heating. We also received an anonymous concern about suppliers and services not being paid. People told us the care staff are very nice and do what people need them to do. They get the help they need to wash and dress. However, one person told us that they get up earlier than they would like, but this was preferable to lying in a wet bed while they were waiting for staff later in the day. Staff told us there is only one person at the home who needs help to eat and we observed that person for 45 minutes after lunch. The person had a dessert on the table in front of them, although it appeared they were asleep. No staff member came to help the person eat the dessert for half an hour and when a care staff member brought the tea trolley they removed the dessert from the persons table. The member of staff did wake the person and gave them a cup of tea, which they were able to drink without help once they had been woken up. We spoke to people at the home about the meals, they all said they were nice and the food was good. No-one told us meals are cold. Staff members told us there are usually four staff members working on a morning shift and this includes the senior carer whose role includes giving out medications, helping visiting health care professionals (GPs, district nurses) and dealing with emergencies. The other three care staff divide into a pair and one staff member who works alone. Staff members told us there are nine people who need the help of two staff members for their personal care. They said that the morning medication round may not finish until 11am when it is busy and the carer who works alone is also responsible for getting people their breakfast. This stops them being able to solely perform a care giving role. Kitchen staff are employed for the lunch meal but care staff take over the responsibility for meals and drinks from 2 oclock in the afternoon. If people need a staff member to go with them to an appointment outside of the home, such as an outpatient appointment at hospital, staff try to arrange this the week before. However, they told us they are aware that people are left sometimes and there arent enough staff available at some times. We walked around the home and saw that people who are in bed or in their rooms are able to reach a call bell. Most people sit in one of the lounge rooms and there are call bells available but not so that everyone can reach one. The manager told us there are two new staff members working in the laundry, although one of these people is on extended leave, but due to return to work within the next few weeks. The manager said she thought the laundry system had improved. We talked to staff about the laundry system and how it works. They told us care staff still have to help in this area in the evenings, night duty and at weekends. A log book has been introduced for staff to write down what they have done in the laundry on each shift. One staff member said if care staff dont help with this, the laundry takes longer to get done. People who live at the home said the system has improved a little, but that clothes still go missing even though they are labelled with peoples names. One person told us that Care Homes for Older People Page 4 of 10 they wait for their relatives to come in each week and sort through their laundry to make sure they have their own clothes and to return other peoples clothes. During our visit to the home we found two areas that put the health and safety of people living there at risk. One person told us that they have slid off their bed when they sit on the side as the mattress doesnt fit properly. The mattress had been provided by the NHS after an assessment by the District Nurses. Staff members had tried to prevent the mattress sliding by putting a blanket between the bed base and the divan, but the person said they had slipped on the morning of this inspection. The mattress had slid with them and they landed on top of it on the floor. We looked at the persons bed and the mattress was a different size to the other two parts (the bed base and divan). This is not safe for the person to use and we told the home they must do something about it within 24 hours. There is a tear in the carpet in one of the lounge rooms and we saw people catch their walking frames in it while we were visiting the home. The manager told us there is a programme of refurbishment and that the carpet is scheduled to be renewed. However, this is not safe for people living at the home and must be repaired or replaced within 24 hours. We talked to people at the home about heating during the winter and they said dont remember the home being cold, although the winter was cold. We have received no information from the home to show the heating was not working and this has been confirmed by the manager since the inspection. We asked the manager whether the home had received any more letters from suppliers regarding non payment of invoices. The manager told us there have been a few recently, but that these are passed on to the owner who deals with the financial side of the service. 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 10 Care Homes for Older People Page 6 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 9 13 Medication administration records must be accurate and up to date. This is to ensure that peoples helath and welfare is protected from the risk of harm 21/10/2008 Care Homes for Older People Page 7 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 1 38 13 All parts of the home to which service users have access must be free from hazards to their safety. The tear in the carpet in lounge 1 must be repaired or the carpet replaced to make sure people are not at risk of falls or trips and can safely walk across it. 14/05/2010 2 38 13 All parts of the home to which service users have access must be free from hazards to their safety. The bed in room 9 must be replaced with a bed that is safe for the person to use independently. 14/05/2010 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 1 27 18 There must be staff working 14/06/2010 at the home in such numbers as are appropriate for the health and welfare of service users. There must be enough staff working in a care role to ensure people are helped to eat if this is needed, do not have to wait for help with Care Homes for Older People Page 8 of 10 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 personal care and do not have to wait for medication administration. 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 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. 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