Care Home: Perry Locks Nursing Home

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What the care home does well This is a random inspection and therefore not all the core standards were assessed.The home has made changes and improvements so that the previous requirements have been met. This shows that the organisation is keen to run a home in the best interests of the people who live there. Care plans provide staff with details about how to support people to meet their needs in a way they prefer. The management of medication has improved so that people receive their medication in a timely manner. Medication was secure so that people are safe. Staff have received further training so that they have the knowledge and skills to meet the needs of people who have dementia. What the care home could do better: This is a random inspection and therefore not all the core standards were assessed. Some people`s files have a number of care plans that should be consolidated, so that the most current information is easily available about their care needs. Random inspection report Care homes for older people Name: Address: Perry Locks Nursing Home 398 Aldridge Road Perry Barr Birmingham West Midlands B44 8BG two star good 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: Lisa Evitts Date: 1 0 0 6 2 0 1 0 Information about the care home Name of care home: Address: Perry Locks Nursing Home 398 Aldridge Road Perry Barr Birmingham West Midlands B44 8BG 01213560598 01213311261 Telephone number: Fax number: Email address: Provider web address: www.bupa.com Name of registered provider(s): Name of registered manager (if applicable) Manager Post Vacant Type of registration: Number of places registered: Conditions of registration: Category(ies) : BUPA Care Homes (CFHCare) Ltd care home 128 Number of places (if applicable): Under 65 Over 65 0 0 128 0 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: 128 128 0 128 The maximum number of service users to be accommodated is 128. The registered person may provide the following category of service only: Care Home with Nursing (code N) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) maximum number of places: 128 Old age not falling within any other category (OP) maximum number of places: 128 Physical Disability (PD) maximum number of Care Homes for Older People Page 2 of 9 places: 128 Mental Disorder (MD) maximum number of places: 128 Date of last inspection Brief description of the care home Perry Locks is a purpose built Nursing Home and is part of the BUPA organisation. The home comprises of four separate units. Calthorpe and Brooklyn have 30 beds, Lawrence has 32 beds. Perrywell has 36 beds and this unit is for people who have dementia healthcare needs. The home is situated beside a canal in a residential area, four miles from Birmingham City Centre and has a perimeter fence that enables security and safety of people living in the home. There is off road parking facilities at the front of the home. It is situated close to a local bus route and local shops are a short distance away. Each unit has access to a garden area plus a lounge/dining room and a quiet room available for people who live there. All bedrooms are single occupancy with a wash hand basin and a call bell system to summon assistance when required. Eight of these rooms have ensuite toilet and handwash facility. Fees vary and are dependent on the needs of people who require the service. Items not covered by the fees include toiletries, visitors meals, continence products, private treatments such as physiotherapy and chiropody, escort by a member of staff outside the home, hairdressing and newspapers. Current fee rates are available from the home. 2 6 0 2 2 0 1 0 Care Homes for Older People Page 3 of 9 What we found: The focus of inspections undertaken by the Care Quality Commission (CQC) is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. The last key inspection of this service was on the 20th May 2009. This random visit was undertaken by two inspectors over four hours. We visited Perrywell unit only, where 25 people were living. The home did not know that we would be visiting that day. The reason for this visit was to review the homes progress at meeting the requirements made following a random visit on the 26th February 2010. During this visit we looked at two peoples care files and staff training records. We spoke to two staff who worked on the dementia unit. We completed a Short Observational Framework for Inspection (SOFI). We completed a SOFI because due to their dementia needs, many of the people living on the unit are unable to verbally tell us about their experiences. We use a formal way to observe people to help us to understand what it is like to live at the home. The SOFI involved us observing four people who live at the home for two hours and recording their experiences at regular intervals. This included their state of well being, how they interacted with staff members and other people living at the home and the environment. The day before this visit a pharmacist inspector visited the home to review the management of medication at the home. Eight peoples medicines were looked at from the four separate units, together with their Medicines Administration Record (MAR) chart and care plans. Four nurses were spoken with. These are our findings: We looked at two peoples care plans. These are plans which give staff information about what people are able to do independently. They also say when staff need to support people to meet their individual needs and how they should do this. We found that the care plans contained detailed information for staff to follow so that peoples needs are met in a way they prefer. We found that some of the plans needed to be updated so that they were consistent. It was not always clear which information was the most recent. For example, one persons plan needed to clarify how often they should have their position changed and the type of mattress they were using, to minimise the risk of developing sore skin. One plan said to turn every two hours, another said three to four hours. There were two different types of mattress recorded and it was not clear which was in use at the present time. There were good care plans written for wound care and management of diabetes. The diabetes specialist nurse was involved with one person to ensure that this condition was managed to keep them healthy. A second persons file needed to make clear about how the person mobilised. Some parts Care Homes for Older People Page 4 of 9 of the plans made reference to the person using a Zimmer frame and other parts said they used a hoist. We observed staff transfer this person using a hoist and staff told us that this person always used a hoist now. The person required the use of thickening powder in drinks to reduce the risk of choking. There was a lot of information in the records and this should be consolidated and show the most recent information so that staff have guidance to follow. Staff were able to tell us about peoples needs and this reflected information in the care plans. Since our last visit, there had been four safeguarding referrals made by the home to ensure that people were safe on Perrywell unit. Staff who worked on this unit had received training in The Mental Capacity Act and the Deprivation Of Liberty Safeguards. Staff had discussed these topics in supervision sessions so that they have an understanding about how to support people who may be unable to make their own decisions. Staff had also received training in challenging behaviour which will help them to minimise and manage difficult behaviour. The atmosphere on Perrywell unit was friendly and relaxed during this visit. There had been a change in some of the staff who had come to work there from other units in the home. We saw good interactions from staff during the SOFI. The overall percentage for the group observation was 97 positive. This is a vast improvement from the SOFI at our last inspection where there were only 33 of positive interactions. We saw that staff told people what they were doing and gave them reassurance, people were given choices of drinks and staff were interacting with all of the people who live at the home. There were various activities such as a bubble machine, music was playing and staff were singing and dancing with people who wanted to join in. There were games and magazines and staff were discussing old photographs with two people who live at the home. One staff member was playing a game with one person and was showing another person how to play, they told the person watching that they would play the game with them but they did not go back to them. This was brought to the attention of the manager at the time of our visit. The chairs had been rearranged in the conservatory to promote more interaction. The medicine management was good. The home has installed a good quality assurance system to assess individual staff competence and also the whole process of medicine management in the home. This has ensured that BUPA policies and procedures were followed so that people get the medicines they need. Audits indicated that the majority of medicines had been administered as prescribed and records reflected practice. A few errors were found but most of these had been picked up by the homes internal auditing system. All prescriptions were seen prior to dispensing and copy taken to check the dispensed medicines and MAR chart received into the home. The quantities of all medicines received had been recorded enabling audits to take place. The care plans recorded the peoples clinical needs enabling all nursing staff to read and act upon them. All four nurses knowledge of medicines was good. This would enable them to support the clinical needs of the people they look after. All Controlled Drug balances were correct and records were accurate. What the care home does well: This is a random inspection and therefore not all the core standards were assessed. Care Homes for Older People Page 5 of 9 The home has made changes and improvements so that the previous requirements have been met. This shows that the organisation is keen to run a home in the best interests of the people who live there. Care plans provide staff with details about how to support people to meet their needs in a way they prefer. The management of medication has improved so that people receive their medication in a timely manner. Medication was secure so that people are safe. Staff have received further training so that they have the knowledge and skills to meet the needs of people who have dementia. 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 1 7 Some plans should be consolidated so that the most recent information is easy for staff to retrieve. 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. 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