Care Home: Peartree House

What the care home does well On arriving at the home the inspector conducted a tour of the premises, before staff were made aware of their presence in the home. The inspector was pleased to note that all service users were in ares of the home that were supervised by staff (excluding those service users who were in their bedrooms). Furthermore, examples of positive staff interaction were seen throughout the three lounges that service users were using. In one lounge, the activities coordinator was playing a "Countdown" board game with service users, in another service users and staff were involved in a jigsaw puzzle, and in the other lounge service users and staff were playing another board game. The inspector toured the home again at lunchtime, and again service users were observed to be appropriately supported by staff. Service users were observed to be generally content, comments from service users were positive, including "I like it here." and "The staff work very hard." Service users were all appropriately dressed, and presented as been well cared for. Several service users were either having their hair styled at the time of inspection, or were booked to have it done later the same day. One service user was observed to have a small bruise above their upper lip. This had been recorded in the service users charts as appropriate. he inspector examined accident and incident reports, and these indicated that accidents and incidents are recorded. However, the forms themselves only state the nature of the accident. Information about any medical attention sought is written in the service users daily log, while information regarding whether or not the next of kin has been informed is recoded in the senior handover book. The inspector was however satisfied that medical attention is sought were appropriate, and that the home informs the next of kin of any accidents/incidents including falls. Records indicated that all care staff employed at the home have had training around manual handling, which covers falls, within the pat twelve months. The acting manager stated that it was the aim that all staff would have refresher training in this subject at least annually. The home was able to demonstrate that it has taken steps to ensure that this happens. The home is currently managed by an acting manager, who has taken up this responsibility since concerns were first raised by the LBWF in December 2008. They are the manager of another older persons care home managed by Four Seasons, and are registered with the CSCI. They presented as knowledgeable about the issues discussed, and open and approachable to staff and service users. What the care home could do better: Two issues arose from this inspection that should be addressed. The home has made a temporary change of manager, yet the CSCI was not informed of this, and it is required that the CSCI is notified of any such changes, and the reason for the change. This issue was discussed with the acting manager during the inspection, and in a follow up telephone call later the same day. The inspector was informed that the homes Regional Manager would be completing a relevant notification about this issue. It is recommended that accident and incident forms are more comprehensive, and include information not just about what happened, but what action was subsequently taken. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Peartree House 24 Gordon Road Chingford London E4 6BU one star adequate 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: Robert Cole Date: 2 1 0 1 2 0 0 9 Information about the care home Name of care home: Address: Peartree House 24 Gordon Road Chingford London E4 6BU 02085247680 02085299773 pear_tree.house@fshc.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Tamaris (South East) Limited (a wholly owned subsidiary of Four Seasons Health Care Limited) care home 55 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 0 1 55 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 55 0 0 Total number of beds to be used flexibly between categories. As agreed on 17th July 2006, one named service user over the age of 65 years, with a mental disorder, can be accommodated. The home must advise CSCI when the service user no longer resides at the home. Date of last inspection Brief description of the care home Peartree House is registered to provide accommodation and personal care to 55 elders of either gender, who may have dementia. Peartree House is not registered to provide Care Homes for Older People Page 2 of 9 Brief description of the care home nursing care. The registered providers are Tamaris, part of the Four Seasons Health Care Group, an organisation that operates a number of residential care homes and nursing homes across the country. The home is situated in a quiet residential area of Chingford, in the London Borough of Waltham Forest. It is close to a shopping centre, and local bus and rail transport links to London and Essex. The home is divided into five areas, comprising 3 communal areas in the main building, and two separate units known as the House and Flats. There are 45 single bedrooms, 28 of which have ensuite facilities, and 5 double bedrooms. Care Homes for Older People Page 3 of 9 What we found: This was an unannounced random inspection carried out on the 21/01/09. It was carried out in the light of concerns raised by the local authority, the London Borough of Waltham Forest (LBWF). The LBWF raised concerns over the aptitude of the homes management, staff interaction with service users, the recording of any accidents and incidents, whether or not next of kin have been informed of any accidents and incidents, training around moving and handling and about the possibility of service users been left unsupervised and neglected. This inspection did not look at outstanding requirements that were made at the last key inspection. These will be tested as part of the next key inspection of the home. What the care home does well: On arriving at the home the inspector conducted a tour of the premises, before staff were made aware of their presence in the home. The inspector was pleased to note that all service users were in ares of the home that were supervised by staff (excluding those service users who were in their bedrooms). Furthermore, examples of positive staff interaction were seen throughout the three lounges that service users were using. In one lounge, the activities coordinator was playing a Countdown board game with service users, in another service users and staff were involved in a jigsaw puzzle, and in the other lounge service users and staff were playing another board game. The inspector toured the home again at lunchtime, and again service users were observed to be appropriately supported by staff. Service users were observed to be generally content, comments from service users were positive, including I like it here. and The staff work very hard. Service users were all appropriately dressed, and presented as been well cared for. Several service users were either having their hair styled at the time of inspection, or were booked to have it done later the same day. One service user was observed to have a small bruise above their upper lip. This had been recorded in the service users charts as appropriate. he inspector examined accident and incident reports, and these indicated that accidents and incidents are recorded. However, the forms themselves only state the nature of the accident. Information about any medical attention sought is written in the service users daily log, while information regarding whether or not the next of kin has been informed is recoded in the senior handover book. The inspector was however satisfied that medical attention is sought were appropriate, and that the home informs the next of kin of any accidents/incidents including falls. Records indicated that all care staff employed at the home have had training around manual handling, which covers falls, within the pat twelve months. The acting manager stated that it was the aim that all staff would have refresher training in this subject at least annually. The home was able to demonstrate that it has taken steps to ensure that this happens. The home is currently managed by an acting manager, who has taken up this responsibility since concerns were first raised by the LBWF in December 2008. They Care Homes for Older People Page 4 of 9 are the manager of another older persons care home managed by Four Seasons, and are registered with the CSCI. They presented as knowledgeable about the issues discussed, and open and approachable to staff and service users. 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 requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action 1 7 15 The registered person must 30/09/2008 ensure that all service users have comprehensive individual care plans in place, covering all areas of needs. (Timescale 31/10/07 not met) The registered person must 05/08/2008 ensure that medications are not administered in a covert manner, unless it is fully in line with the homes policy on the administration of medications covertly. The registered person must ensure that the host Local Authorities safeguarding team are notified of any allegations of abuse in the home, as are the CSCI. The registered person must ensure that the homes plan to redecorate the home is fully implemented, and that all communal areas are decorated to a reasonable and satisfactory standard. The registered person must ensure that the homes plan to redecorate the home is fully implemented, and that 05/08/2008 2 9 13 3 18 13 4 19 23 31/12/2008 5 24 23 31/12/2008 Care Homes for Older People Page 6 of 9 all communal areas are decorated to a reasonable and satisfactory standard. 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, Care Homes 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 31 37 The registered person must 31/01/2009 ensure that the CSCI is notified f any significant events, including the change of manager. To enable to CSCI to monitor the care and support provided within the home as appropriate. 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 38 It s recommended that accident and incident forms contain details of both the incident itself, and also of any subsequent action taken. Care Homes for Older People Page 8 of 9 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). 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