Latest Inspection
This is the latest available inspection report for this service, carried out on 27th May 2010. CQC found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report,
but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Perth Green House.
What the care home does well The service provides a specialist rehabilitation service so that people can return to their own homes. People said, "I have had a very good service from staff and the physiotherapist to get my independence back." It is good that care plans are designed to involve the person in setting their own goals towards independence, such as mobility and making their own breakfast. Everyone said that the meals were very good, for example "Meals are lovely - you get at least three choices and its helped to build me back up before I go home." The accommodation is comfortable, safe and warm. People said "It`s a lovely place to stay to get better." Staff are well trained so that they know how to support people to do re-learn how to do things for themselves. The service is well managed in the best interests of the people who come to stay here. What the care home could do better: It would be better if all care plans were dated, and if all assessments records were dated and completed. The service should purchase a new CD record book for recording the administration of controlled drugs. The administration of controlled drugs should also be recorded in the MARs as well as a CD record. It would be better if there was a signed risk agreement to show that someone has agreed to look after their own medication. The lockable cupboards or drawers in each bedroom should be moved to a suitable height so that people can access these safely. The provider could consider a different title for care staff to show that they work as `enablers` in a rehabilitation service, as suggested by a service user. Staff training records should be kept up to date and include all training attended. Random inspection report
Care homes for older people
Name: Address: Perth Green House Inverness Road Jarrow Tyne and Wear NE32 4JX 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: Andrea Goodall Date: 2 7 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Perth Green House Inverness Road Jarrow Tyne and Wear NE32 4JX 01914893007 01914892782 moiraworkman@southtyneside.gov.uk jon.laws@southtyneside.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Moira Workman Type of registration: Number of places registered: Conditions of registration: Category(ies) : South Tyneside MBC care home 30 Number of places (if applicable): Under 65 Over 65 0 30 0 0 mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability sensory impairment Conditions of registration: 2 0 5 2 The maximum number of service users who can be accommodated is: 30 The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, maximum number of places: 30 Mental disorder, excluding learning disability or dementia - Code MD, maximum number of places: 2 Physical disability - Code PD, maximum number of places: 5 Sensory
Care Homes for Older People Page 2 of 10 impairment - Code SI, maximum number of places: 2 Date of last inspection Brief description of the care home Perth Green House is registered as a care home for older people and is operated by the Local Authority. It provides a rehabilitation service, in partnership with the Health Authority and Primary Care Trust. The service can accommodate up to 30 people who require a rehabilitation service following illness or injury from home or from hospital. There are no long-stay residential places at Perth Green. The building is situated in a housing estate and is close to local amenities. All the accommodation is at ground floor level, and there is level access into and around the building. The home provides single rooms to all service users. One bedroom has an ensuite facility. The radial layout of the corridors allows for separate self-contained units, each providing bedrooms, lounge, and bathroom, and all leading to a central large dining area. (On the second floor there are a number of offices for social and health care staff, with a separate entrance.) There are no charges for the rehabilitation service, which can last up to 6 weeks. There is a charge after 6 weeks and this is dependent upon individual benefits. Care Homes for Older People Page 3 of 10 What we found:
Before the visit we looked at information we have received since the last key inspection visit on 12th September 2008. We looked at any changes to how the service is run. We looked at how the service has dealt with any complaints or concerns since the last visit. We asked the Provider for their view of how well they care for people in their AQAA (an annual quality assurance assessment). The AQAA was detailed and clear, and showed improvements that have taken place. We made an unannounced visit to the home on 27th May 2010. During the visit we talked with people who use the service, their relatives, the manager and staff. We looked at how staff support the people who live here. We looked at information about the people who use the service and how well their needs are met. We looked around parts of the building to make sure it was clean, safe and comfortable. At the last inspection a requirement was made about making sure that people received sufficient information about the service before they came for their stay at this rehabilitation service. Many people come to stay here from hospital, and a smaller number come from their own homes in the community. The manager stated that since the last inspection she has provided hospital wards and discharge nursing staff with leaflets that outline the service. Care managers have also been reminded to provide the leaflets to people as part of their assessment. During this visit the manager agreed that it would also be helpful for Perth Green staff to query whether people have been given the information leaflet as part of the referral process, and this is now to be added to the referral form. Care plans are records that are used by all care services to show what sort of help each person needs and how staff will provide that care. The care assessments and plans at Perth Green are currently being changed to improve the information and guidance for staff about how to support people with their needs during their stay here. It is good that care plans are designed to involve the person in setting their own goals. Care plan goals reflect the services main aim of promoting peoples independence, so goals include areas such as mobility, making own breakfast, and managing own personal hygiene. Some care records are not being fully completed by staff, for example omitting the date that a plan was put in place. The care files include assessments of peoples mobility. If people can get around independently (even with equipment such as crutches) the assessments were left blank, rather than showing how the person manages. The manager agreed these should be fully completed so all staff (including temporary staff) would have this information. It was a requirement of the last inspection that medication records should include the dates of administration of medication, rather than just the record week commenced.Since then the home has introduced a new biodose medication system which has improved the management of medication, both for staff and for people who can manage their own medication. Care Homes for Older People Page 4 of 10 The system is delivered to the home by a local pharmacist who provides each persons medication in a tray with pots for each dosage time and for each day of the week. The pots can also hold liquid medication. In this way staff now just need to check-in the medication when arrives from the pharmacy. The pharmacist provides printed medication administration records (MARs) for each person, which also includes the name, dosage and a small picture of each medication. If people are able to manage their medication they are offered the chance to continue using the tray system when they return home. The service uses numeric risk assessments to assess whether people can safely manage their own medication. However there are no longer any agreement records to demonstrate that a person has accepted the responsibility for managing their own medication, and that they understand how to manage this in a safe way. The manager confirmed that this is an oversight that probably occurred during the changeover to the new medication system. The administration of controlled drugs is currently being recorded on loose sheets (rather than in a bound book with numbered pages) as the service has struggled to find a supplier of CD record books. Also the administration of controlled drugs is not also being recorded on the MARs record. There are lockable drawers in each bedroom for people to store personal possessions and medication. However the lockable drawers are very low to the ground and would require people to get down on their knees to access them. This is wholly unsuitable and potentially unsafe for the people who stay here, many of whom are receiving rehabilitation for mobility needs. There were 24 people staying at Perth Green at the time of this visit. Those people who took part in discussions all had very positive comments to make about the service. One person said, I couldnt have managed without this service. Its a lovely place to stay to get better. Another person said, I have had a very good service for staff and the physiotherapist to get my Independence back. Everyone had positive comments about the quality of meals, including Meals are lovely you get at least three choices and its helped to build me back up before I go home. One person made a suggestion about the title of staff. They said, Staff should be called enablers because thats what they do. It might help people to understand the service better if they were called that, because they are there to support us to learn how to do things for ourselves again. Staff training records do not currently reflect the extent of training that each staff has achieved. The Training Matrix is not up to date so it does not show the mandatory training that staff have attended this year, for example in food hygiene and infection control. Also individual staff training records do not include details of non-certificated courses, for example those provide by local authority trainers. This means that there is no record of essential training that staff have undertaken, including safeguarding adults training, and self-directed care training. The service benefits from good continuity of management. The manager and other senior staff have worked at this service for many years. Care Homes for Older People Page 5 of 10 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 6 of 10 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 10 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 1 9 13 The management of 31/08/2010 controlled drugs must be recorded in a Controlled Drug record book (eg a bound book with numbered pages). The administration of controlled drugs must also be recorded in the MARs as well as the CD record. This is to ensure that controlled drugs are managed and administered safely, in accordance with the Misuse of Drugs Act Regulations 2001. 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 2 7 8 It would be better if all care plans had the date that they were put in place. It would be better if all assessments records were dated and completed, including moving & assisting assessments even where the person is independent in this area.
Page 8 of 10 Care Homes for Older People 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 3 9 There should be a signed risk agreement that demonstrates that a person has agreed to manage their own medication and that they understand how to do this in a safe way. The lockable cupboards or drawers in each bedroom should be moved to a suitable height so that people can access these safely. The provider should consider whether the title of staff could be improved to better reflect the service provide at this rehabilitation service, as suggested by people who use the service. Training records should be brought up to date to reflect the most recent mandatory training that staff have attended. Also individual staff training records should include details of all training attended by each staff, not just certificated courses. 4 24 5 28 6 30 Care Homes for Older People Page 9 of 10 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 10 of 10 - 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!
