Care Home: Clarendon Mews

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What the care home does well The home is providing a good level of staff for the residents to have their care needs met. The staff are having good training to make sure that they can care for the residents well and safely. The residents are having their dietary and activities needs met. What the care home could do better: That in the absence of the manager for more than 28 days the Care Quality Commission is notified and told about the management arrangements for that period. Random inspection report Care homes for older people Name: Address: Clarendon Mews Grasmere Street Leicester LE2 7FS two star good service 27/04/2009 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: Anthea Richards Date: 0 2 0 2 2 0 1 0 Information about the care home Name of care home: Address: Clarendon Mews Grasmere Street Leicester LE2 7FS 01162552774 01162552785 clarendon-mews@carehomes.uk.net 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) : Greentree Enterprises Ltd care home 40 Number of places (if applicable): Under 65 Over 65 0 40 0 dementia old age, not falling within any other category physical disability Conditions of registration: 25 0 7 The maximum number of service users who can be accommodated is 40. The registered persons 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 are within the following category: Dementia - Code DE. Old age, not falling within any other category - Code OP. Physical disability - Code PD. Date of last inspection Brief description of the care home Clarendon Mews is a residential care home. It is registered to provide accommodation for a total of forty older people. The registration also allows for up to forty people to live in the home that have dementia (under category DE). It also allows for people who are physically disabled (under category PD) to live in the home. 2 7 0 4 2 0 0 9 Care Homes for Older People Page 2 of 8 Brief description of the care home Clarendon Mews now rents 20 beds to the Primary Care Trust who staff them to care for patients needing intermediate care and rehabilitation. These beds are situated on the first and second floors of the building. Therefore only the 20 beds used by Clarendon Mews were inspected. Clarendon Mews opened in 2002, after a full refurbishment. The home is situated in Leicester, close to the Royal Infirmary. Bedrooms are located on three floors of the home; a passenger lift services all these levels. Thirty-eight bedrooms have en suite provision; some of those have a bath or shower as well. There are lounge and dining facilities on all three floors of the home. There is a large secure garden within the grounds of the home. The home is well situated for transport routes to the centre of Leicester, and there are local shops within a short distance of the home. Parking facilities are available on the premises. Fees are set according to the minimum (£309.00 per week) and maximum (£399.00 per week) banding levels of the local social services departments. The Commission for Social Care Inspection (CSCI) and Employers Liability certificates were displayed in the hallway near the entrance to the home. Care Homes for Older People Page 3 of 8 What we found: This was a random inspection of a care home for older people, with an unannounced visit to the service. We, (throughout the report the use of we indicates the Care Quality Commission), undertook the inspection in response to a complaint made by an ex member of staff and a higher than usual incidence of falls. We also discussed the absence of the manager without notification to the CQC. The visit took place on 2nd February 2010 and lasted three hours. During the visit we checked all the concerns raised through the complaint and the accident records . This was achieved through looking at the records held in the home, talking with the staff and the residents. We spent some time talking with the manager and looking at the documentation and discussing the issues that had arisen from the complaint and our concerns re the level of falls and that we were not notified of her absence due to sickness. 1) That the staff were working long shifts with no breaks for meals or for toilet breaks. We looked at the staffing rotas and found that there were sufficient staff on duty to allow for meal and toilet breaks. We spoke with the staff who all told us that there was always time for breaks and that at no time were they unable to take them. That they did do 12 hour shifts at times but this was their choice and they always had the appropriate breaks. 2) That insufficient training was in place for new members of staff to enable them to do their job. We looked at the induction programme for the staff that was found to be very thorough and contained more than all the necessary and mandatory requirements for induction. The staff spoken with told us that they had to go through this and worked with an experienced member of staff until they were happy and the member of staff was happy that they were able to work unsupervised. 3) That the person was employed before a second reference was received. The manager and the staff confirmed that no one is employed before all the required documentation is in place. We looked at two staff files and all the required documentation was in place. 4) That residents are left in bed in soiled clothing until late afternoon because there was no time to get them up. We visited the home at 10.00 am and all the residents who should have been up were. There were three residents still in bed at that time who were currently on bed rest. The staff spoken with told us that unless something urgent happened to stop them that all the residents were up in time for breakfast. The residents spoken with told us that they were happy that they were got up in time. Care Homes for Older People Page 4 of 8 5) That the meat was so tough that the residents were unable to eat it. We spoke with the cook who told us that she was very happy with the quality of the food and had had no problems with the meat. On the day of the visit we spent time in the dining room at lunch time and all of the residents were eating their meal with no difficulty. When we spoke with them they told us that the food was good and that they had a choice and that it was always well cooked. We saw very little waste on the day of the visit. We looked at the accident records and saw that there had been a higher level of falls recorded during Aug - Oct 2009. This was during a period of absence due to sickness of the manager. The staffing levels and how they work has been reviewed with a resulting reduction in the amount of falls experienced in the home. We discussed the managers absence due to sickness and that it did not appear that the Care Quality Commission had been notified by the provider. The provider has a statutory obligation to inform us of any absences of more than 28 days and the arrangement for interim management arrangements. 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 1 31 38 That the Commission is notified in writing by the provider of any absence of the manager for a period of more than 28 days and the management arrangements for that period to make sure that the home has stable interim arrangements. 28/02/2010 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. 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