Care Home: Pendean House

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What the care home does well The care plans were informative and advised staff what the strengths and abilities of the individual are as well as what they need to do support individual needs. Where individuals wished to be self caring or carry out an activity, we saw that there were risk assessments to lessen any identified problems. We saw that medication administration, storage and management was carried out safely. What the care home could do better: There are no requirements for action following this visit. The challenge is for the home to maintain the standards and develop the service. Random inspection report Care homes for older people Name: Address: Pendean House West Lavington Midhurst Chichester West Sussex GU29 0ES three star excellent 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 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: Val Sevier Date: 1 5 0 6 2 0 1 0 Information about the care home Name of care home: Address: Pendean House West Lavington Midhurst Chichester West Sussex GU29 0ES 01730812896 01730817294 traversj@bupa.com www.bupa.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) BUPA Care Homes (BNH) Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 44 Number of places (if applicable): Under 65 Over 65 44 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users to be accommodated is 44 The registered person may provide the following category of service only: Care home with nursing (N) 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 Pendean House is registered as a care home with nursing to provide accommodation for up to 44 residents in the category, Old age not falling into any other category. The property is a large detached and extended house situated in the rural setting with Care Homes for Older People Page 2 of 8 Brief description of the care home extensive well-maintained garden and grounds. Accommodation is provided in 23 single rooms and 10 double rooms. Communal space comprises of a garden room, lounge and dining room. Pendean House is owned by BUPA Care Homes Limited, the Responsible Individual on behalf of the organisation is Ms Moira Baxter. The manager in charge of the home undertook work regionally for BUPA last year so was removed as the registered manager she is reapplying to be registered with the commission. The fees range from £900 - £1200 per week. Care Homes for Older People Page 3 of 8 What we found: The purpose of the inspection was to assess how well the home is doing in meeting the key National Minimum Standards and Regulations. The visit was carried out on the 15th June 2010 between the hours of 10:00 and 1:00 pm. Prior to the visit to the home we reviewed, previous inspection reports and information received from the home since it was last visited in June 2007. We met with the registered manager and spoke with two staff and one person who uses the service. We looked at three care plans and medication records and discussed safeguarding and management with the manager and staff. No requirements were made following our visit in 2007 and we have not made any on this occasion. We looked at three care plans and saw that there was information on family and social support. There was information on how staff should support the individual. For example prone to weight loss monitor weight weekly. There was information on care when an individual was being looked after in bed to help with pressure relief. We saw assessments for risk, moving and handling, nutrition, and tools used to monitor individuals pressure areas and support needs such as Barthel and Waterlow. These documents had been reviewed monthly and as needed. There was information on what was important to the individual with the addition of likes and dislikes these included environment and activities as well as food. There was detailed information on how staff were to support the individual with their physical difficulties and what action they should take medically. We saw that staff have been trained in techniques specific for the individual. We saw plans of care where an individual required pain relief this included where they needed pain relief before they had a dressing on a wound changed. We looked at the medication storage and administration records. We saw the medication records for the month up to and including the day of the visit . We saw that the home has Fentanyl, Buprenorphine, Diamorphine, Temazepam and Ora Morph stored as a controlled medication and these were kept in a locked unit in cupboard in the nurses office. We saw a list of staff names who are deemed competent to administer medication. We saw copies of policies and procedures for medication. This included a policy on out of stock medication and an as required medication protocol. We found that the controlled drug record for the night before our visit for two people who are prescribed Temazepam, the stock had not been updated. The stock was checked and showed that medication had been taken from the packet. The manager was informed. The manager discussed with us a complaint from last year that resulted in a safeguarding alert, which has been closed and an internal investigation by BUPA which is ongoing. We were able to talk with two staff regarding training and whether they knew how people could complain and how they would report concerns regarding peoples well being. One person said they knew they had had training but could not recall when. We noticed Care Homes for Older People Page 4 of 8 contact details and the name of the commission on the wall in the nurses station were incorrect. We spoke with the manager at the time about what we had found. She told us that staff were due for an update in their training. We spoke with the manager about her registration. The manager left the home for a period of time last year to work regionally for BUPA. She was removed as the registered manager of Pendean House by the commission following a request. The manager now needs to apply to be registered as was discussed previously by letter and by phone. The manager has agreed to this. 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 £ 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 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. 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