Latest Inspection
This is the latest available inspection report for this service, carried out on 17th May 2010. CQC found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Close (The).
What the care home does well People told us they were satisfied with the care they received at the home. They said "This is a friendly home where I am most comfortable", and, "good general care". They said the staff were "approachable", "helpful and friendly", and , "very caring". What the care home could do better: Encourage people in the home, or their representatives, to be more actively involved in planning their care. This will ensure a more person centred approach to care planning to meet people`s individual needs and preferences. Ensure that all staff employed in the home have provided a full employment history, together with a satisfactory written explanation of any gaps. This will help to protect people living in the home. Develop policies to demonstrate how the requirements of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards will be implemented in the home. This should include how the provider will ensure that staff are conversant with this legislation and their roles and responsibilities. This will ensure that people`s rights are promoted and upheld. Carry out a first aid risk assessment to determine the need for staff training in first aid. This will ensure that people in the home have appropriate treatment in the event of an accident or health emergency. Notify CQC of all events under regulation 37 and ensure staff are aware of the requirements of this regulation. This will help to protect people living in the home. Random inspection report
Care homes for older people
Name: Address: Close (The) 20 North Avenue Ashbourne Derbyshire DE6 1EZ two star good 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: Rose Moffatt Date: 1 7 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Close (The) 20 North Avenue Ashbourne Derbyshire DE6 1EZ (01335)345228 01335345228 bostockk4@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Janet Helen Elizabeth Marriott Type of registration: Number of places registered: Conditions of registration: Category(ies) : Parwich Hospital Trust care home 15 Number of places (if applicable): Under 65 Over 65 15 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 The Close is a large detached Grade 2 listed Victorian house within a short distance of the town centre of Ashbourne. The internal structure of the home retains many Victorian features such as high ceilings and tiled Minton floors. The home has nine single bedrooms and three shared bedrooms. There are no en-suite facilities. There are two lounges and a dining room. Outside there is an attractive garden which is accessible to people who live in the home. The Close provides personal care and accommodation for up to 15 older people. Care Homes for Older People Page 2 of 9 Brief description of the care home Information about the home, including CQC inspection reports, is available in the home or from the manager. Care Homes for Older People Page 3 of 9 What we found:
We carried out an unannounced inspection over 2.5 hours on 17th May 2010. Before the inspection we sent out surveys to people living in the home and received 9 completed responses. During the inspection visit we spoke with people living in the home, staff, and the manager. We received the completed annual quality assurance assessment (AQAA) from the provider on the day of the inspection visit. We looked at the care records of 2 people living in the home. Both people had an assessment of their needs carried out prior to admission to the home. The assessment was more detailed for one person and the manager said this was because procedures and documentation had been reviewed and improved before this person came into the home. There was no assessment of the capacity of people to make decisions about their care, and no record of whether the person had a Lasting Power of Attorney, advance directive/living will, or Independent Mental Capacity Advocate (IMCA). People told us their needs were met at the home. They said I get all the help I need, and, As it is a small care home all the staff get to know the residents well. Staff told us they had sufficient information about the needs of people admitted to the home and had relevant training to meet those needs. Both of the records we looked at had a care plan in place giving details of the persons needs and the action required by staff to meet those needs. Again, one was more detailed than the other due to improvements in systems and documentation. The care plan in one record was signed by staff, the other was not signed. Neither had the signature of the person, or their representative, to indicate their involvement and agreement. Both records had weekly care reviews by staff and informative daily records. We looked at the administration of controlled drugs in the home to follow up a requirement made at the last key inspection. We found that controlled drugs were stored securely and administration was recorded correctly. We found that staff who administered medication had all received relevant training. We looked at the policy and procedures in place for safeguarding vulnerable adults. The policy and procedures had been recently reviewed and updated and included all the necessary information. We found that nearly all staff had received training about safeguarding adults in 2009 and further training was planned for June 2010 for staff recruited since 2009. We found that staff were aware of the correct procedures to follow if abuse was alleged or suspected, though were not very familiar with the whistleblowing policy. People told us they knew who to speak to informally if they were not happy. One person said they were always listened to. We looked at accident/incident records and found there was one incident that should have been notified to us under regulation 37. We looked at the records of 2 members of staff recruited in the last 12 months. Both had the required information and documents in place, such as a Criminal Records Bureau (CRB) disclosure and 2 written references. 1 member of staff did not have a full employment history on their application form.
Care Homes for Older People Page 4 of 9 Staff confirmed that they had completed an induction that met Skills For Care standards. Staff training records showed that 6 out of 10 care staff had received training in basic food hygiene. Further training was planned for June 2010 and so the requirement made at the last key inspection has been repeated with a timescale to allow for this. 3 staff had received first aid training. A requirement was made at the last key inspection that there must be at least one person trained in first aid in the home at all times. However, guidance has changed since then and so this requirement has been replaced in this report to a requirement for a first aid risk assessment. This risk assessment should include: the needs of people who use the service, how likely it is that first aid will be needed, and what kind of first aid will be required. If a risk assessment is not carried out, the provider will need to provide first aid at all times from someone who is approved and has a suitable first aid at work qualification. 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 9 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 30 13(3) All staff who handle food 31/08/2010 must be provided with Basic Food Hygiene training to ensure the health and safety of service users is not compromised. This requirement was not fully met in the timescale of 01/01/2008. As further training is planned, an extended timescale has been allowed. If the requirement is not met within this extended timescale, enforcement action may be taken. Care Homes for Older People Page 6 of 9 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 29 19 There must be a full employment history, together with a satisfactory written explanation of any gaps in employment, for all staff employed in the home. This will help to ensure a recruitment system that protects people living in the home. 30/06/2010 2 30 13 A first aid risk assessment must be completed. This will determine the necessity for first aid training for staff to ensure people in the home are given appropriate treatment in the event of an accident or health emergency. 31/08/2010 Care Homes for Older People Page 7 of 9 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 The admission processes should include: - recording whether the person has made an advance decision on receiving medical treatment, and if they have a Lasting Power of Attorney, Independent Mental Capacity Advocate, or Relevant Persons Representative. - consideration of the persons capacity to make decisions about their daily lives, care and treatment. This will ensure that people are safeguarded and their rights are promoted. People in the home, or their representatives, should be more actively involved in planning their care. This will ensure a more person centred approach to care planning to meet peoples individual needs and preferences. Policies should be developed to demonstrate how the requirements of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards will be implemented in the home. This should include how the provider will ensure that staff are conversant with this legislation and their roles and responsibilities. This will ensure that peoples rights are promoted and upheld. 2 7 3 33 Care Homes for Older People Page 8 of 9 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 9 of 9 - 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!
