Latest Inspection
This is the latest available inspection report for this service, carried out on 3rd June 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 Old Shenfield Place.
What the care home does well People who live at the home are now safeguarded by medication not being left unattended and/or easily accessible. What the care home could do better: Ensure that following an investigation and where further actions have been identified, there is evidence to support this. Random inspection report
Care homes for older people
Name: Address: Old Shenfield Place 2 Hall Lane Shenfield Essex CM15 9AB one star adequate service 02/12/2009 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: Michelle Love Date: 0 3 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Old Shenfield Place 2 Hall Lane Shenfield Essex CM15 9AB 01277220636 01277223638 shenfield@ardtully.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Rajan Dhirjal Madlani Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 31 Number of places (if applicable): Under 65 Over 65 31 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 0 2 1 2 2 0 0 9 Old Shenfield Place is an attractive 17th century building, which has been renovated and refurbished to provide comfortable accommodation for 31 older people. There is a choice of three lounges, a dining room and a visitors room. 21 bedrooms are single and five are double. The majority of rooms have an en-suite hand washing and WC facility. A separate hairdressing room is available. The gardens are well maintained and accessible to residents. To the front of the house there is limited space for car parking. Care Homes for Older People Page 2 of 9 Brief description of the care home Old Shenfield Place is situated close to local shops, bus and train services. The home has use of a mini bus for outings. The current weekly fees are from 580.00 for a twin room en suite, from 680.00 for a single room en suite, from 710.00 for a bed-sit and 775.00 for a twin room en suite single occupancy. Care Homes for Older People Page 3 of 9 What we found:
The reason for this inspection was to check compliance with the Immediate Requirement Notice dated 2nd December 2009 which was issued following the key inspection to the home on 2nd December 2009. The Immediate Requirement Notice related to medication left unattended and accessible to other people. You were required by 9th December 2009 to tell us how you intended to meet the requirement. A prompt response was forwarded to us and received by the due date detailing actions taken and to be taken. The written response from the manager to the Immediate Requirement Notice recorded steps to be taken with immediate effect; 1. An immediate review of the homes medication procedures. 2. An investigation to be undertaken with the senior member of staff who had failed to comply with the homes medication policy and procedures. 3. Staff who administer medication to receive regular assessment as to their continued competence so as to ensure that staff who administer medication remain competent to do so. At this inspection we observed medication being given to 4 people at lunchtime and saw an acceptable level of practice. The senior member of staff was observed to leave no medication on top of the medication trolley and the medication trolley was closed and locked on each occasion prior to them administering the persons medication. The requirement made to ensure people are safeguarded by medication not being left unattended and easily accessible has therefore been met. Records showed that following the key inspection on 2nd December 2009, the registered manager undertook an investigation with a senior member of staff in relation to the shortfalls identified pertaining to medication practices and procedures. Records viewed indicated the issue had been investigated, dealt with and further actions identified. The latter referred to a senior member of staff receiving further medication training and regular assessment by a Team Leader as to their continued competence to administer medication safely and in accordance with regulation. We requested to see evidence of the updated training and competency assessments for the senior member of staff since December 2009. At the time of the site visit no evidence of updated training by the member of staff could be located. We were advised by the newly appointed manager and following discussions with the homes Team Leaders that two competency assessments for this person had been completed, however neither record could be located. We also examined their supervision records and found that since the last key inspection in December 2009 the senior member of staff has only received one supervision. The record contained no evidence to support the above actions having been achieved. What the care home does well:
People who live at the home are now safeguarded by medication not being left unattended and/or easily accessible. Care Homes for Older People Page 4 of 9 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 9 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 15 Care planning at the home must identify, and be effective in meeting all residents assessed needs and ensure these are regularly updated and reviewed to reflect the most up to date information. Previous timescale of 6/1/09 not fully met. Not inspected on this occasion. This will ensure that staff have the most up to date information and can provide appropriate care to meet their needs. 15/02/2010 2 7 13 Risk assessments must be devised for all areas of assessed risk so that risks identified can be minimised. Records must be explicit, detailing the specific risk, how this impacts on the person and steps taken to reduce the risk. Previous timescale of 6/1/2009 not fully met. Not inspected on this occasion. This will ensure that risk areas are identified and staff are aware of the associated 15/02/2010 Care Homes for Older People Page 6 of 9 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 risks to residents health and wellbeing. 3 9 13 Where people are prescibed 22/01/2010 a variable dose, ensure that the specific dose administered is clearly recorded on the MAR record. Not inspected on this occasion. So as to ensure peoples safety and wellbeing. 4 36 18 Ensure that staff, receive regular supervision. Previous timescale of 6/1/09 not met. Not inspected on this occasion. So that staff feel supported and residents know that staff are appropriaetly managed. 01/02/2010 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. 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 9 of 9 - 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!
