Latest Inspection
This is the latest available inspection report for this service, carried out on 22nd July 2010. CQC found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
For extracts, read the latest CQC inspection for Iceni House.
What the care home does well On the day of our visit we found the home to be clean and tidy. It was calm and relaxed with the majority of residents looking as though they had been supported well with their care needs and personal presentation. Residents looked happy and we saw people engaged in activities that they appeared to enjoy and staff were interacting with residents in an appropriate manner. At lunch time the meals looked appetising and well presented. People had a choice of meal and those people observed at lunchtime appeared to enjoy their food. Those people needing support to dine were given it in a discrete and sensitive manner. On this occasion we did not fully assess how well the service had met the requirements made at the last inspection. However, we did see that some improvements had been made. For instance, the home has purchased lockable cabinets to be fitted in each persons room so that any products that might pose a risk to people can be locked away safely such as denture tablets and ointment/creams. The cabinets had not yet been fitted on the day of inspection but had been delivered and were ready to be fitted. This was confirmed by the Maintenance Officer spoken to who was in the process of receiving the cabinets during our visit. We also found that the service has introduced a system to ensure that all care plans are reviewed and updated on a monthly basis, but we did not assess how effective this is at this particular visit. Since the last inspection some improvements have been made to the homes management of medicines. For instance, the cabinet for the storage of controlled drugs has now been secured appropriately. Staff said that medicines are now being audited regularly to identify any errors but we did not look at the audits this time. We also found that a new lockable medicines room had been created in Pickenham wing so that staff have easier access to medicines when needed without having to leave the area to get medicines from Massingham wing. The reason for this particular visit was to check the staffing levels within the home to ensure that the correct number of competent and qualified staff were on duty. The residents appeared to be having the assistance they require met and besides the staff member removed for NVQ training there appeared enough capable staff to meet the needs. Three weeks rota`s were also looked at and a copy was taken for close inspection that showed the levels of staff seen during this inspection had been on duty over the previous three weeks with no concerns found on the possible lack of staff on duty. What the care home could do better: The service still needs to make improvements to care plans in order to ensure they take a person centred approach to care. This is particularly important for those people with some confusion or memory loss. When we observed the mealtime experience in the Pickenham wing we found that whilst people seemed happy with their meal and were being supported well there was a long delay between the main meal and pudding. At this time people were becoming restless and one person was walking around the room. During this time two members of staff were eating a meal and it appeared that people had to wait for them to finish before their pudding was served.The home must ensure that people living in the home have their needs met as a priority and that there are no unacceptable delays during mealtimes. When we looked at the mealtime experience in the Massingham wing we found that most people were eating in their rooms. One resident was seen with a plate of food on a tray next to them. When we asked the person why they were not eating their meal, they were unable to answer and appeared to need some support. There were no staff available to offer that support. We spoke with a nurse who was assisting other people in their rooms with their meals. She informed us that there were 6 people who needed help and there were only two staff to support them at that time. She said one other member of staff was engaged in NVQ training for two hours over the lunch period. This meant there were not enough staff to meet people`s needs. The home must ensure there are sufficient staffing levels to meet people`s needs at all times. Random inspection report
Care homes for older people
Name: Address: Iceni House Jack Boddy Way Swaffham Norfolk PE37 7HJ one star adequate service 08/04/2010 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: Ruth Hannent Date: 2 2 0 7 2 0 1 0 Information about the care home
Name of care home: Address: Iceni House Jack Boddy Way Swaffham Norfolk PE37 7HJ TBC Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Karen Michelle Senior Type of registration: Number of places registered: Conditions of registration: Category(ies) : Southern Cross OPCO Ltd care home 74 Number of places (if applicable): Under 65 Over 65 0 74 0 dementia old age, not falling within any other category physical disability Conditions of registration: 74 0 74 The maximum number of service users who can be accommodated is: 74 The registered person may provide the following category of service only: Care Home with Nursing - Code N to service users of the following gender: Both whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE Physical Disability Code PD Date of last inspection 0 8 0 4 2 0 1 0 Care Homes for Older People Page 2 of 8 Brief description of the care home Iceni House is a new, purpose built care home on the outskirts of Swaffham in Norfolk. It is part of a group of homes owned by Southern Cross, a large corporate provider of care homes nationwide. The building is a large 74 bedded home on two floors that has been divided into three areas to accommodate older people with physical disabilities, people with dementia and people who have nursing needs. The home is spacious and offers individual bedrooms with en-suite facilities. The home has garden areas for people to sit in, an activities room and various lounges and dining rooms. There is a large supermarket directly opposite the home and a G.P. surgery next door. The town centre is a short walk away with a number of shops and churches. The fees to date range from £388 to £700 per week according to need. Care Homes for Older People Page 3 of 8 What we found:
This inspection visit was undertaken by two Compliance Inspectors and took approximately 3 hours to complete. It was a focused inspection to look at how the home is progressing towards meeting the requirements made at the last inspection and to assess staffing levels following a concern raised through staff and relatives. The Manager was not present on the day of inspection and was said to be on leave. An Acting Manager had been brought in to cover in her absence and was present throughout the inspection visit. She knows the home fairly well and was able to answer our questions and find documents requested by us. During the visit we took a walk around the home and spoke to some residents and staff. We also made observations and looked at records relating to people using the service and staff working in the home. Although not all requirements set at the last inspection have been fully met within the timescales there is evidence of improvement and some progress was noted during this brief visit. Therefore, some of the last inspection requirements will not be on this report but some will remain. What the care home does well:
On the day of our visit we found the home to be clean and tidy. It was calm and relaxed with the majority of residents looking as though they had been supported well with their care needs and personal presentation. Residents looked happy and we saw people engaged in activities that they appeared to enjoy and staff were interacting with residents in an appropriate manner. At lunch time the meals looked appetising and well presented. People had a choice of meal and those people observed at lunchtime appeared to enjoy their food. Those people needing support to dine were given it in a discrete and sensitive manner. On this occasion we did not fully assess how well the service had met the requirements made at the last inspection. However, we did see that some improvements had been made. For instance, the home has purchased lockable cabinets to be fitted in each persons room so that any products that might pose a risk to people can be locked away safely such as denture tablets and ointment/creams. The cabinets had not yet been fitted on the day of inspection but had been delivered and were ready to be fitted. This was confirmed by the Maintenance Officer spoken to who was in the process of receiving the cabinets during our visit. We also found that the service has introduced a system to ensure that all care plans are reviewed and updated on a monthly basis, but we did not assess how effective this is at this particular visit. Since the last inspection some improvements have been made to the homes management of medicines. For instance, the cabinet for the storage of controlled drugs has now been secured appropriately. Staff said that medicines are now being audited regularly to identify any errors but we did not look at the audits this time. We also found that a new lockable medicines room had been created in Pickenham wing so that staff
Care Homes for Older People Page 4 of 8 have easier access to medicines when needed without having to leave the area to get medicines from Massingham wing. The reason for this particular visit was to check the staffing levels within the home to ensure that the correct number of competent and qualified staff were on duty. The residents appeared to be having the assistance they require met and besides the staff member removed for NVQ training there appeared enough capable staff to meet the needs. Three weeks rotas were also looked at and a copy was taken for close inspection that showed the levels of staff seen during this inspection had been on duty over the previous three weeks with no concerns found on the possible lack of staff on duty. 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 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 7 2 The care plan reviews must be written and updated on the main care plan. To ensure all staff are aware of the change and new care support required. 01/06/2010 2 33 24 The Manager needs to introduce a quality monitoring system To review and improve the delivery of the service in the best interests of the residents. 01/08/2010 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 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. 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 8 of 8 - 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!
