Latest Inspection
This is the latest available inspection report for this service, carried out on 3rd February 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 Marjorie Cobby House.
What the care home does well Two requirements we made at the last inspection were seen to be met. What the care home could do better: All requirements must be met in full and any improvements embedded. Action due to non compliance may be considered by the Commission. Random inspection report
Care homes for older people
Name: Address: Marjorie Cobby House St Peters Crescent Selsey West Sussex PO20 0NA one star adequate service 03/12/2008 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: Liz Palmer Date: 0 3 0 2 2 0 1 0 Information about the care home
Name of care home: Address: Marjorie Cobby House St Peters Crescent Selsey West Sussex PO20 0NA 01243605334 01243605334 june.lawrence@westsussex.gov.uk www.westsussex.gov.uk 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) : West Sussex County Council care home 34 Number of places (if applicable): Under 65 Over 65 34 0 old age, not falling within any other category physical disability Conditions of registration: 0 34 The maximum number of service users to be accommodated is 34 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) Physical disability (PD) Date of last inspection Brief description of the care home Marjorie Cobby House is registered to provide care and accommodation for up to 34 people over 50 years of age for short stays or rehabilitation. There are no permanent or long stay residents accommodated at the home. The home is located near to the centre of Selsey, West Sussex and the accommodation is on two floors served by a passenger lift. There is a courtyard garden, which is well maintained. All residents have
Care Homes for Older People Page 2 of 8 0 3 1 2 2 0 0 8 Brief description of the care home their own room although none have en-suite facilities and there is a range of communal space including a separate room for residents who smoke. Part of the premises is dedicated for the rehabilitation service and suitable kitchen facilities are provided. Residents are referred by health and social services and therefore are subject to a financial assessment to determine the fee payable by them. Rates therefore vary between £89.90 and £451.00 per week depending on the outcome of the financial assessment. Care Homes for Older People Page 3 of 8 What we found:
This inspection was a compliance visit undertaken by Liz Palmer and a pharmacy inspector. A compliance visit is where we look at whether or not the home has met the requirements made at the last key inspection. The registered manager was on duty and assisted with the inspection. She showed us a matrix which she has introduced since the last inspection to recorded when supervisions were planned for January, February and March. Five of the six night staff had no supervision planned on the matrix. Some supervisions for January had been crossed out in pencil, the manager stated these were staff who were off sick. We saw they had had their supervisions rescheduled for February. The manager was not able to tell us from the matrix whether all the scheduled supervisions had taken place or not. Another copy of the matrix was shown to us that had more had written notes on indicating who had actually had a supervision. One of the staff responsible for supervision was off work and the manager told us none of the supervisions scheduled by this staff member had taken place. All staff supervision files were looked at. Out of twenty eight files, we saw evidence that nine people had received supervision since the last inspection. Of the six night staff employed, three had records showing they had received supervision since the last inspection. One had supervision records showing their last one had been in May 2009, another showed August 2009 and another October 2009. Records for day care staff showed that three staff had received their last supervision in May 2009. This includes one casual relief member who the manager says has worked regularly since October 2009. We checked all Medicine Administration Record [MAR] charts for the residents in the home. We found that records were completed and accurate. We saw that when a dose was prescribed as a variable dose the actual amount given is recorded on the back of the MAR. We checked two MAR charts against the instructions on the medicine supply and found the instructions on the MAR chart to be accurate. We saw that all hand written MAR charts were checked by a second person. For medicines prescribed to be taken only when needed we found that information was entered on the MAR to indicate why it was given but the outcome was not recorded. There was no individual care plan on how staff would make the decision to give this medicine for consistency. This was a requirement from our previous inspection in December 2009. We checked the controlled drugs cupboard which was attached to the wall. The manager was asked to confirm that the correct fixings were used as required by the law. We were informed that this was not the case but will be actioned at the first opportunity when the maintenance man was next in the home. The manager agreed to let us know in writing within one week that this had been completed to ensure the controlled drugs storage
Care Homes for Older People Page 4 of 8 complied with the law. 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 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 9 13 to have a detailed care plan 31/01/2010 around the use of medicine prescribed only when needed at times chosen by the residents so that there is consistency and person centered care 2 9 13 To fix the controlled drugs cupboard to the wall in accordance with the Misuse of drugs [safe custody] regulations 1973 In order to comply with the law 31/12/2009 3 30 18 The registered person must ensure a system is in place to monitor that all staff receive regular supervision. This includes night and agency staff. To ensure they are competent to carry out their roles. 14/01/2010 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. Copyright © (2009) Care Quality Commission (CQC). 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. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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!
