Care Home: Inglemere House Residential Home

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What the care home does well The four requirements made at the last inspection and the statutory requirement notice served have all been met.The recruitment procedures have improved and the required checks have been done to make sure that the newly recruited staff member is suitable to care for the residents. The home has a plan of care that each resident, or someone close to them, has been involved in making and one care plan sampled had been updated when a new problem was identified. Staff have received training in the safeguarding of vulnerable adults and staff spoken with demonstrated a good understanding of actions they should take should there be any suspicion or allegation of abuse. The areas of the home visited were found to be clean, pleasant and hygienic and free from offensive odours. What the care home could do better: No requirements or recommendations were made as a result of this visit. Random inspection report Care homes for older people Name: Address: Inglemere House Residential Home Waterloo Road Crowthorne Berkshire RG45 7NW one star adequate service 13/05/2010 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: Denise Debieux Date: 0 5 0 8 2 0 1 0 Information about the care home Name of care home: Address: Inglemere House Residential Home Waterloo Road Crowthorne Berkshire RG45 7NW 01344772120 01344772120 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Yuen Yuen Jackson Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Yuen Yuen Jackson care home 14 Number of places (if applicable): Under 65 Over 65 14 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users to be accommodated is 14 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Inglemere House is situated in Crowthorne and is registered to provide personal care and support to up to 14 older people. Accommodation is provided in single rooms, distributed over three floors. All rooms Care Homes for Older People Page 2 of 9 1 3 0 5 2 0 1 0 Brief description of the care home have vanity basins and one room has en-suite facilities. The home has four dayrooms and one dining room. These communal areas provide space for receiving visitors, socialising and participating in activities. A ramp is situated at the front door of the building to accommodate wheelchair users. There is a lift, which enables access to all floors of the home. Car parking facilities are provided at the front of the home. Care Homes for Older People Page 3 of 9 What we found: The purpose of this random inspection visit was to assess the homes compliance with a statutory requirement notice served on the provider following the last key inspection on 13 May 2010 and also to assess compliance with the four requirements made at that inspection. The visit took place over one and a half hours and the registered provider was present throughout. The requirements of the statutory requirement notice were that the provider: 1. Have a system in place at the home that will ensure that the arrangements in place for staff recruitment are robust and protect the service users from harm and abuse. 2. Ensure that all of the people at the home involved in staff recruitment are familiar with and have a good level of understanding of the legislation in respect of staff recruitment. 3. Ensure that when references are received they are fully checked for authenticity. 4. Ensure a full employment history is obtained. 5. Ensure that any gaps in the employment history are explored. 6. Ensure that where applicable one of the two references relate to the persons last period of employment which involved work with children or vulnerable adults. 7. Ensure that where it is reasonably practicable to do so and where a person has previously worked with children or vulnerable adults you obtain written verification of the reason why they ceased to work in that position. The remaining requirements related to making sure care plans are kept up to date, keeping the home odour free and ensuring that all staff are made aware of and follow the correct safeguarding adults procedures. In order to assess compliance with the notice and outstanding requirements we sampled staff recruitment files, residents care plans and staff training certificates, spoke with one member of staff and visited one residents room. Service users at this home prefer to be referred to as residents. For clarity and consistency this term will be used throughout the remainder of this report. COMPLIANCE FINDINGS STAFF RECRUITMENT. At the last inspection we found that the staff recruitment practices were placing residents at potential risk of harm and/or abuse as the required checks had not been done to make sure that staff were suitable to work at the home. A requirement was made, followed by the serving of a statutory requirement notice. Following that inspection the provider sent us an improvement plan setting out actions that were being taken to comply with the requirement and to meet the statutory Care Homes for Older People Page 4 of 9 requirement notice, as well as action that had been taken to obtain missing information and documents for staff that were already employed at that time. During this visit we looked at the file for the one person recruited since the last inspection in May. We found that the recruitment of this person had been robust and fully compliant with the regulations, meeting the statutory requirement notice and the previous requirement in full. CARE PLANS. At the last inspection we found that the home had a plan of care that each resident, or someone close to them, had been involved in making but the care plans were not always kept up to date when new problems were identified and a requirement was made. During this visit we sampled three care plans and found that they were up to date, with one care plan containing details and full instructions to staff on what to do regarding a new, temporary, health problem. The daily notes evidenced that staff were following the instructions in the care plan. We spoke with one member of staff who told us that all the staff like the new care plans, that they can always find the information they need to care for the residents and that she felt the new care plans were much easier to follow. The findings of this inspection are that the requirement has been met. SAFEGUARDING ADULTS. At the last inspection we found that safeguarding adults policies, procedures and training had not been followed in practice and that appropriate action had not been taken to follow up on an allegation and a requirement was made. At this visit we were advised that all but two of the staff team had attended safeguarding training at the home, provided by a trainer from the local authority, in July this year. The provider and the member of staff on duty during this visit both demonstrated a sound knowledge and understanding of local safeguarding procedures and the action that should be taken if there were any future suspicions or allegations of abuse. The findings of this inspection are that the requirement has been met. ENVIRONMENT. At the last inspection we found that overall there was a good standard of housekeeping apparent throughout the home but steps needed to be taken to eradicate the strong smell in one room and a requirement was made. During this visit we visited the room identified at the last inspection and found that the steps taken by the home in response to the requirement we made had been successful and the room was found to be clean and free from offensive odours. The findings of this inspection are that the requirement has been met. What the care home does well: The four requirements made at the last inspection and the statutory requirement notice served have all been met. Care Homes for Older People Page 5 of 9 The recruitment procedures have improved and the required checks have been done to make sure that the newly recruited staff member is suitable to care for the residents. The home has a plan of care that each resident, or someone close to them, has been involved in making and one care plan sampled had been updated when a new problem was identified. Staff have received training in the safeguarding of vulnerable adults and staff spoken with demonstrated a good understanding of actions they should take should there be any suspicion or allegation of abuse. The areas of the home visited were found to be clean, pleasant and hygienic and free from offensive odours. 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 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Older People 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 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 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. 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