Care Home: Coldwells House and The Stables

What the care home does well The focus of this inspection was to check if requirements had been met. Because of this we did not look at all aspects of the service and may therefore not have identified some positive things about the home. The home has made all the improvements which we identified at the previous inspection. Risk assessments are carried out whenever a risk has been identified, and care plans show the ways in which any risk can be minimised. We saw that care plans are personcentred. This means that they focus on people`s individual needs, wishes and preferences. The home has good procedures for managing medication. People can be confident that they will receive any medication which has been prescribed for them, and that accurate records will be kept. Infection control is managed well, so as to limit the risk of any infection spreading within the home. The manager is making effective use of the staff team, so that people can have their needs met in a timely manner. What the care home could do better: We have not identified any areas at this inspection where the home needs to make improvements. We will carry out a full inspection of the service before 8 December 2009. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Coldwells House and The Stables Coldwells Lane Holmer Hereford Herefordshire HR1 1LH one star adequate 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Sarah Blake Date: 1 7 0 3 2 0 0 9 Information about the care home Name of care home: Address: Coldwells House and The Stables Coldwells Lane Holmer Hereford Herefordshire HR1 1LH 01432272414 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) : Karen Anne Rogers care home 28 Number of places (if applicable): Under 65 Over 65 28 28 28 28 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: 0 0 0 3 The registered person may provide personal care and accommodation for service users of both sexes whose primary care needs on admission to the home are within the following categories: Dementia over 65 years of age (DE)(E) 28 Mental Disorder, excluding learning disability or dementia over 65 (MD)(E) 28 Old age not falling within any other category (OP) 28 Physical disability between the ages of 18 and 65 (PD) 3 Physical disability over 65 (PD(E) 28 The maximum number of service users to be accommodated is 28 Date of last inspection Care Homes for Older People Page 2 of 8 Brief description of the care home Coldwells House is a detached late nineteenth century period house on the outskirts of Hereford city. Although the home is close to the main A49 road it is in a small, rural lane and there are good views of the surrounding countryside from many windows. The main building has been adapted for its current use and a purpose-designed extension was built in 1995. The service has twenty eight registered places, although only 22 places were in use at the time of this inspection due to refurbishment work. The service caters for people over the age of sixty five years who have care needs arising from the general ageing process, dementia, physical disability or mental disorder. All the bedrooms are single occupancy and thirteen have en-suite facilities. The schedule of fees is available from the home. There are additional charges for hairdressing, chiropody, external activities and newspapers. A copy of this inspection report can be viewed at the home. Care Homes for Older People Page 3 of 8 What we found: We carried out this inspection in order to check whether the home had complied with the requirements which we had set at the key inspection on 8 December 2008. We had required the home to make sure that staff are aware of the outcome of any risk assessment, and use this information to make sure people who use the service are not placed at risk. We looked in detail at the records for two people living at the home. We saw that the home has carried out comprehensive assessments of any risks which have been identified, and records showed that the staff were using this information when providing care. We saw that the new manager has made sure that people living at the home have care plans which clearly state exactly what care needs to be provided, and how this should be done in order to promote peoples dignity and privacy. We saw that one persons care plan for personal hygiene stated encourage A (name of person) to try to wash and dry her hands and face and any other areas she can manage staff not to leave As body unnecessarily exposed and staff to give clear explanations. The home was required to make sure that the use of any specialist moving and handling equipment, such as a hoist, was governed by a full written risk assessment. We saw that one person needs a hoist in order to move. The records showed that a full risk assessment had been carried out, and the care plan explained to staff exactly how to assist the person to move and how to use the equipment. We looked at the way in which the home manages medication, as this had been an area where there was a high level of risk at the previous inspection. We saw that the new manager had put into place all the improvements which we had required the home to make. The home has put into place a new system for ordering medication. This helps to ensure that the home will not run out of peoples medication and that the stock levels of medications are monitored. We saw records which showed that the manager has assessed the competency of all staff who administer medication. We looked at records of medication for three people. These showed that all medication is recorded accurately, which means that people can be confident that they will receive the medication which has been prescribed for them. Where people are taking medication on an as required basis (such as painkillers), the home has recorded full details about how this medication should be used, including information about variable doses, the maximum dosage in 24 hours, the reason for giving the medication, and any special instructions. We saw that the home has new storage for controlled drugs, which meets all the legal requirements. At the previous inspection, we saw that some practices for administering medication were unsafe and could have put people at risk. This inspection showed that the home has made changes to the way they administer medication, and the safe practices in use at the home now mean that people are no longer at risk. Care Homes for Older People Page 4 of 8 At the previous inspection, we had seen that the homes procedures for dealing with laundry meant that clean and dirty laundry could have come into contact with each other. This increases the risk of cross-infection. We saw that the laundry is now kept completely separate so that dirty laundry cannot come into contact with clean laundry. The previous inspection showed that staff were not always meeting peoples needs in a timely manner. The new manager told us that the staffing levels remain the same, but that she has trained the senior staff in more effective use of staff. She also told us that she personally checks that all the required tasks have been done. 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 requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. 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, Care Homes 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 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 CSCI 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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