Care Home: Goole Hall

What the care home does well Staff are prompt at getting medical attention for people using the service if they have any concerns about their health. What the care home could do better: The manager or person in charge, must report any safeguarding allegations/incidents to the local authority within twenty four hours, and make sure that a supply of the appropriate referral forms is kept within the home. Staff should record any accidents or incidents relating to a specific individual into that persons care plan, using the daily record to document the information, as well as completing the accident record. Risk assessments in the care plans are not robust and must be reviewed to ensure the information in them protects and promotes the person`s health and wellbeing. The manager should review the practise of keeping bedroom doors locked at night, and ensure this is only done where people have expressed a wish for this to happen and that it is recorded in each person`s care plan. The registered person must take prompt action about the unguarded radiator in bedroom 1, to make sure the person living in the room is kept safe. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Goole Hall Swinefleet Road Old Goole Goole East Yorkshire DN14 8AX 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 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: Eileen Engelmann Date: 1 9 0 2 2 0 0 9 Information about the care home Name of care home: Address: Goole Hall Swinefleet Road Old Goole Goole East Yorkshire DN14 8AX 01405760099 01405760099 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) : Heltcorp Limited care home 28 Number of places (if applicable): Under 65 Over 65 28 28 dementia old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 0 Goole Hall is a privately owned care home that is registered to care for and accommodate 28 older people, including those with dementia. Heltcorp Limited owns the home; a company that owns other care homes in South Yorkshire. The home is accommodated in a Georgian manor, surrounded by open countryside on the outskirts of Goole. Accommodation is provided over two floors in single and double rooms; fifteen of these rooms have en-suite facilities. The home is accessible to people with mobility problems by the provision of ramps to the side of the building and a passenger lift to the upper floors. Care Homes for Older People Page 2 of 10 Brief description of the care home The home is not close to local amenities but is on a bus route. There is a car park to the rear of the premises. Information about the home and its service can be found in the statement of purpose and service user guide, both these documents are available from the manager of the home. A copy of the latest inspection report for the home is also available from the manager. Information given by the provider on 21/05/08 indicates the home charges fees of #300.00 to #346.50 per week based on the dependency levels of the individual. There are no additional charges other that those for hairdressing, private chiropody treatment, toiletries and newspapers/magazines, and a list of prices for these can be obtained from the manager. Care Homes for Older People Page 3 of 10 What we found: We made an unannounced visit to the home in response to a safeguarding allegation that a person living in the home had climbed out of a ground floor window in the early hours of the morning (10 February 2009) and sustained head injuries whilst on the outside of the premises. We were accompanied by a member of the the Goole Social Services Team (Adults) who is also investigating the allegation. We looked around the home and checked that all windows were fitted with restrictors. Discussion with the manager indicated that window restrictors have been in place on the second and third floor for some time, but not on the ground floor. The ground floor window restrictors have been fitted in the past two weeks (February 2009). Discussion with the manager indicated that external fire doors have been fitted with a new lock and alarm system, which staff can operate with a key to overide the system if needed. We were informed by the manager that when the fire alarm activates, the door locks are released and people are able to exit the doors without use of a key. However, if a member of staff opens the door with the key, but then forgets to lock it again the door will remain unlocked and people inside and outside of the building could enter or exit at will. We found that one door, which has written signs pointing to it as a fire exit, did not have an illuminated sign/light above the door. Due to our concerns about the suitability of the lock system and fire exit system we have asked the local Fire Officer to visit the home and ensure everything is in order. We looked around room 1 where an alleged safeguarding incident took place in February 2009. We found that a window restrictor was now in place on the ground floor window. Further examination of the room showed that a radiator in the en-suite is not heat protected with a guaranteed low temperature surface or a radiator guard and could put the person living in the room at risk of burns. This has been an outstanding requirement in the past two reports (May 2007 and May 2008) and must be dealt with as a priority by the registered provider. All the bedrooms in the home are fitted with door locks which operate with a master key system. Individuals are able to have their own door key if they are able to use this appropriately, and the senior member of staff on duty has a master key which can open all doors in an emergency. Discussion with the manager indicated that the doors to the bedrooms are locked at night, although individuals can open the doors from the inside (if physically and mentally capable of this). We expressed our concerns about this practise especially as a number of people in the home have dementia and may be unable to get out of their room by using the internal door latch. This is not an acceptable practise and must stop at once. Only where people wish to have their door locked, and have expressed this within their care plan, should this practise be followed. In all other cases doors should be closed but not locked. We found that staff had documented the safeguarding incident in the accident book and had obtained medical assistance for the person using the service as soon as Care Homes for Older People Page 4 of 10 possible. However, the injured person had to go to hospital alone as there were only two staff on duty. Checks of the persons daily notes showed that staff had not entered details of the incident, but additional statements were written later that day and added to the accident record. Risk assessments in the care plan examined as part of this visit, with regard to an individual with dementia who is walking around the home and trying to exit the premises, were not robust and did not give enough information and action guidelines to the staff to protect the persons health and safety. The manager had not reported the safeguarding incident to the social services until prompted to do so by the inspector (16 February 2009). We asked the manager if there were safeguarding referral forms in the home and she said no. We spent some time discussing how, where and when incidents must be reported to the local authority and advised that she obtained the safeguarding forms as soon as possible. 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 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 1 4, 5, Schedule 1 The registered person must 01/08/2008 produce an up to date statement of purpose and service users guide, which is made available to people using the service and their families, and individuals who are interested in coming into the home. So individuals have sufficient information to make an informed decision about the homes ability to meet their needs. (Given timescale of 01/10/07 was not met.) The registered person must 01/09/2008 ensure that individual?s care plans are kept under review and information within them is completed consistently. So staff have access to up to date information, which helps them provide person centred care and support and meet the individual?s needs. 2 7 15 3 25 13(4)(a)(c) The registered person must 01/10/2008 make sure that the en-suite radiator in bedroom 1 has a guarded or a guaranteed low temperature surface, to protect the person who uses Page 6 of 10 Care Homes for Older People 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 the room from risk of burns. (Given timescale of 01/10/07 was not met) 4 29 19(4)(c) The registered person must ensure that two references are obtained before appointing a member of staff. This will make sure that the people using the service are protected from risk of harm. 01/09/2008 5 33 24 The registered person must 01/04/2009 ensure there is an effective quality assurance and monitoring system in place at the home, which includes an annual development plan for the home, based on a systematic cycle of planningaction -review, reflecting the aims and outcomes for people using the service. So people can have access to information about where the service is going and how the management team is addressing any shortfalls in the service. 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 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 7 13 The registered person must 30/04/2009 ensure there are robust risk assessments in place where a percieved risk to a persons wellbeing has been recognised. So that staff understand what actions to take to ensure a person is kept safe from harm. 2 18 13 The registered person must 30/04/2009 ensure that safeguarding incidents and allegations are reported to the local authority within the appropriate timescales and that a supply of referral forms is available in the home. So people using the service can be confident that they are being protected from harm. 3 25 13 The registered person must make sure the en-suite radiator in bedroom 1 has a guarded or guaranteed low temperature surface. 30/04/2009 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 So the person living in the room is protected from the risk of burns. 4 38 23 The registered person must 30/04/2009 make sure that the premises complys with the Fire Precautions (Workplace) Regulations. So that as far as is reasonably practicable the health, safety and welfare of staff and people using the service is protected. 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 7 The manager should make sure that it is clealy documented in a persons care plan, where an individual has asked for their bedroom door to be kept locked at night. The manager should make sure that staff are recording all accidents and incidents relating to specific individuals in the persons care plan, as well as completing the accident record book. 2 38 Care Homes for Older People Page 9 of 10 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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