Care Home: Coatham Nursing Home

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What the care home does well Coatham Rd Nursing Home provides a pleasant environment for the people who live there. What the care home could do better: All incidents which affect the well being of people who use the service must be reported to CQC and safeguarding where appropriate. Random inspection report Care homes for adults (18-65 years) Name: Address: Coatham Nursing Home Coatham Road Redcar Cleveland TS10 1RA one star adequate service 08/07/2009 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 5 0 9 2 0 1 0 Information about the care home Name of care home: Address: Coatham Nursing Home Coatham Road Redcar Cleveland TS10 1RA 01642482208 Telephone number: Fax number: Email address: Provider web address: vinodhukkeri@yahoo.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mr Peter John Joy Type of registration: Number of places registered: Conditions of registration: Category(ies) : Gradestone Limited care home 21 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: Date of last inspection Brief description of the care home 21 0 8 0 7 2 0 0 9 Coatham Road is a 21-bedded care home for Adults aged 18-65 who has a mental disorder. The home is a converted property on three floors with the majority of bedrooms being on the first and second floors. There are fifteen single bedrooms and three double bedrooms. On the ground floor there are two lounges, as well as the kitchen and dining room. The home is situated near to Redcar town centre and is within short walking distance from the beach. It has easy access to local amenities and is directly on a bus route. Many of the Residents have lived in the home for a number of years. Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home Care Homes for Adults (18-65 years) Page 3 of 9 What we found: We undertook this inspection to follow up requirements made but which had not been met at a previous inspection. As requirements had not been met we wrote a warning letter to the company. This was to tell them about the shortfalls we had found, what action was required to put these right, and that we would take enforcement action should they continue to fail to address these. We looked at those requirements that have now become due to be completed, and examined progress in addressing the requirements that will become due soon. Previously made recommendations were not examined as part of this inspection. The responsible individual was there on the day of the inspection and manages the home. He said he is going to apply to the commission to become the registered manager. Requirement 1 CARE PLANNING: Since the previous inspection new documentation had been put in place and the responsible individual was in the process of re writing care plans. We looked at the care plans for two people. They were very informative and detailed. Information was cross referenced from the assessments to care plans and risk assessments. For example one person, their nutritional was high risk with a score of 15. This person suffers from diabetes which is controlled by a special diet. Their weight is checked monthly and if there is a loss of more than a certain amount a referral to the GP and Dietitian is made. The Dietitian has visited the home and given advice to the staff. In another persons mental health assessment they have recently needed to see their GP. A referral has then been made to a Psychiatrist for their medication to be reviewed. The care plan specifies particular aspects of care intervention as the role of the Registered Mental Nurse. NOTIFICATIONS OF DEATH.ILLNESS AND OTHER EVENTS: There were 3 completed reg 37 forms in a folder, which had not been sent to CQC. They were relating to incidents between service users or service users to staff. In one instance an incident form was in place, however this had not been fully completed. There was a description of the incident but no further detail regarding who had been informed, what had been done, for example a risk assessment or updating the care plan. A care assistant witnessed the event but there was no statement from the staff member, which was required on the form. There was a further completed reg 37 and incident form found in the diary in the home which had not been sent to CQC. This requirement has not been met. Care Homes for Adults (18-65 years) Page 4 of 9 REQUIREMENTS AS TO HEALTH AND WELFARE: There were 3 completed forms, where the incidents should have been referred to safeguarding. One was about an incident regarding one service user trying to assault another. Staff had intervened. Another incident was in regard to a service user who was being assisted in the shower by a senior care assistant. When the staff member was washing the service users back he lashed out at her, hitting her face and knocking her to the ground causing grazing to her cheek. A further incident was related to a service user who was shouting during breakfast and demanded a cup of tea. When a senior care assistant walked over to help, the service user picked up another persons cup of tea and threw it at the staff member, just missing her. The RMN on duty said she had attempted to report this incident to safeguarding but an answer phone was on. Another incident had happened, however the information regarding this was found in the diary in the home. This was about an incident where a service user, twice punched another service user in the back. This requirement has not been met. STAFFING: We looked at the staffing rota and had some discussion with the Responsible Individual, Mr Hukerri. Since the previous inspection Mr Hukkeri has recruited RMNs a Cook and Care Assistants. There were sufficient regular staff to cover the hours needed without the use of agency staff. On some of the days there was an increase in the number of carers and Mr Hukerri said he wanted this to continue for escort duty to appointments and trips out for the service users. This requirement has been met. STAFF TRAINING: There was evidence to show that a training needs analysis had been carried out. Training was ongoing in COSHH, People Movement, and First Aid. All staff had undertaken training in Safeguarding, working through the training book provided by Redcar and Cleveland Council. This requirement has been met. QUALITY ASSURANCE: Surveys had been sent out to service users, relatives and other health professionals asking for their views on the home and the service provided. 10 out of the 21 surveys were completed and returned. Mr Hukerri then identified areas, which need addressing. This requirement has been met. Care Homes for Adults (18-65 years) Page 5 of 9 Improvements have been made to the environment. New flooring is in place throughout the ground floor, the furniture in the 2 lounges has been replaced and the downstairs toilet has been combined to include a walk in shower. 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 Adults (18-65 years) Page 6 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 19 12 All incidents which affect the 07/10/2009 well being of people who use the service must be reported via a regulation 37 notice or processed through safeguarding people. This is required to safeguard the people who use the service. 2 23 13 Any incidents of suspected 23/08/2010 abuse must be processed through safeguarding people procedures. This is required to safeguard the people who use the service. Care Homes for Adults (18-65 years) Page 7 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 19 37 All incidents which affect the 01/11/2010 well being of people who use the service must be reported to the CQC via a regulation notice. This is to ensure service users are protected from risk and harm. 2 23 13 Incidents of suspected abuse 01/11/2010 must be processed through safeguarding people procedures. This is required to safeguard the people who use the service. 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 Adults (18-65 years) 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 Adults (18-65 years) 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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