Care Home: Pine Tree Care Home

What the care home does well At the last inspection we asked the Provider to ensure that all residents were assessed prior to being admitted to the home. The Acting Manager said no new residents had been admitted since then. However, to comply, new assessment forms had been put in place, and all residents retrospectively assessed to ensure the home could continue to meet their needs. We viewed three of these assessments and saw they were satisfactory. Care plans had improved and were more person-centred. They showed residents` individual needs being recognised and met, for example `Resident X will normally have a bath in the afternoon and like to have a soak while a member of staff is present`, and `Resident X likes to go to bed early about 7pm.` New, more comprehensive risk assessments had been introduced and daily records put in place. The home`s contract pharmacist had carried out an audit of medication storage and administration systems, and improvements had been brought about where necessary. All seniors and the majority of carers had completed `Medicines in Care Homes Training`. We sampled the home`s medication records and saw they were in good order. Activities had been introduced into the home and a daily activity sheet created for each resident. Craft classes had been provided by students at a local college and photographs of residents taking part were on display. Care staff were running two activity sessions a day for residents. Activities included sing-a-longs, dancing, and board games. Staffing levels had improved and the home was well-staffed both during the day and at night. Staff supervisions had been introduced and records showed these were being carried out. The majority of care staff had been re-trained in moving and handling. We observed a `handover` between two shifts and saw that information sharing was good, and the staff involved were aware of the care needs of the residents discussed. We saw that staff got on well with the residents and were warm and caring in their approach to them. Regulation 37s (notifiable incidents in the home) had been reported to CQC as required.Plans were in place for Regulation 26 visits (monthly monitoring visits that the Provider is required to carry out to the homes owned ). Quality Assurance systems were in place but surveys had not be distributed to residents or other stakeholders due to the uncertain future of the home. What the care home could do better: The premises were clean and trip hazards, for example loose carpets, had been attended to. However the home was in need of redecoration and improvement. Some areas looked tired and shabby, and some furniture and floor coverings were in need of replacement. The Acting Manager said the Provider was aware of this and was planning a refurbishment programme. The majority of permanent staff had been trained in safeguarding. We talked to two seniors and two carers about safeguarding and asked them what they would do if an incident occurred. Three understood their responsibilities, but one was unclear what they would do if the Acting Manager was not in the home at the time. All staff, whether they are employed on a permanent or temporary basis, must be made aware of the home`s safeguarding policy and be clear about what to do and who to contact should they have concerns about the welfare of a resident. Random inspection report Care homes for older people Name: Address: Gwendolen Lodge Residential Home 305 Gwendolen Road Leicester Leicestershire LE5 5FP zero star poor service 15/04/2010 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: Kim Cowley Date: 2 1 0 6 2 0 1 0 Information about the care home Name of care home: Address: Gwendolen Lodge Residential Home 305 Gwendolen Road Leicester Leicestershire LE5 5FP 01162738381 01162738381 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Janet Tailor Type of registration: Number of places registered: Conditions of registration: Category(ies) : Sudera Care Associates Limited care home 23 Number of places (if applicable): Under 65 Over 65 23 23 23 23 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: 23 23 0 23 No person under the age of 55 who falls within categories MD, DE or PD may be admitted into the home. To be able to admit the named person of Category A(E) identified in variation application number V17739 dated 17th February 2005. Date of last inspection 1 5 0 4 2 0 1 0 Care Homes for Older People Page 2 of 8 Brief description of the care home Gwendolen Lodge Residential Home is owned by Sudera Care Associates and is registered to provide personal care and accommodation for up to twenty-three older people who may have additional needs including Dementia. The home is located near to the centre of Leicester and is accessible by bus. There is limited off road car parking to the front of the Home. Gwendolen Lodge has several communal rooms, which includes a conservatory overlooking the rear garden. The home has two floors and access is provided by a pasenger lift. The home has an enclosed courtyard to the side of the home and a garden to the rear. Gwendolen provides information about the service to prospective and current service users and incudes the terms and conditons of their stay, this information is referred to as The Statement of Purpose and Service User Guide. There is information available in the reception area including the Certificate of Registration along with a copy of the most recent Inspection Report carried out by the Care Quality Commissions. Information regarding fees is available by contacting the Regsitered Manager of Gwendolen Lodge. Care Homes for Older People Page 3 of 8 What we found: This was a random inspection which we carried out to follow-up Requirements made at the last inspection (when the home was rated as poor), and in response to recent safeguarding concerns received by CQC and social services which indicated that people in the home may be at risk. Social services have notified the Provider they are cancelling their contract with the home. They are in the process of moving residents out in consultation with relatives and representatives. The Registered Manager is not currently working at the home and the role of Acting Manager is being carried out by the Providers Operations Manager. When we arrived at the home we were met by the Acting Manager. He took us on a tour of the premises, introduced us to several residents and staff, and made care plans, risk assessments, and other documentation available for us to view. What the care home does well: At the last inspection we asked the Provider to ensure that all residents were assessed prior to being admitted to the home. The Acting Manager said no new residents had been admitted since then. However, to comply, new assessment forms had been put in place, and all residents retrospectively assessed to ensure the home could continue to meet their needs. We viewed three of these assessments and saw they were satisfactory. Care plans had improved and were more person-centred. They showed residents individual needs being recognised and met, for example Resident X will normally have a bath in the afternoon and like to have a soak while a member of staff is present, and Resident X likes to go to bed early about 7pm. New, more comprehensive risk assessments had been introduced and daily records put in place. The homes contract pharmacist had carried out an audit of medication storage and administration systems, and improvements had been brought about where necessary. All seniors and the majority of carers had completed Medicines in Care Homes Training. We sampled the homes medication records and saw they were in good order. Activities had been introduced into the home and a daily activity sheet created for each resident. Craft classes had been provided by students at a local college and photographs of residents taking part were on display. Care staff were running two activity sessions a day for residents. Activities included sing-a-longs, dancing, and board games. Staffing levels had improved and the home was well-staffed both during the day and at night. Staff supervisions had been introduced and records showed these were being carried out. The majority of care staff had been re-trained in moving and handling. We observed a handover between two shifts and saw that information sharing was good, and the staff involved were aware of the care needs of the residents discussed. We saw that staff got on well with the residents and were warm and caring in their approach to them. Regulation 37s (notifiable incidents in the home) had been reported to CQC as required. Care Homes for Older People Page 4 of 8 Plans were in place for Regulation 26 visits (monthly monitoring visits that the Provider is required to carry out to the homes owned ). Quality Assurance systems were in place but surveys had not be distributed to residents or other stakeholders due to the uncertain future of the home. 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 1 19 18 Improvement must be made 21/09/2010 to the premises, including fittings and furnishings, where necessary. To help ensure the environment is suitable for those accommodated. 2 23 13 All staff must be trained in safeguarding. To help ensure residents are protected from abuse. 21/08/2010 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. 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!