Care Home: Preston Towers

What the care home does well During the visit the residents were pleasantly occupied in the lounge and dining room. There was an activity with local school children and a number of them were enjoying taking part or observing what was happening. What the care home could do better: No additional requirements were made as a result of this visit. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Preston Towers Preston Road North Shields Tyne & Wear NE29 9JU new service which has yet to be given a quality rating 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: Suzanne McKean Date: 2 9 0 1 2 0 0 9 Information about the care home Name of care home: Address: Preston Towers Preston Road North Shields Tyne & Wear NE29 9JU 01912591828 F/P01912591828 noemail Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Moorlands Care Homes (N.E.) Limited care home 48 Number of places (if applicable): Under 65 Over 65 51 0 old age, not falling within any other category physical disability Conditions of registration: 0 2 At any time, three service users can be aged 55 years to 64 years category physical disability (PD) added condition s requested. Date of last inspection Brief description of the care home Preston Towers is a large stone built detached building set in its own grounds set back from one of the main roads leading out of North Shields. It has been converted to provide accomodation for older people. The home is located within walking distance of local amenities. To the front of the building there are extensive lawns and garden areas and ample car parking is provided. The home has retained many original features such as mosaic-tiled floors in the hallway and high ceilings with original covings. Preston Towers is registered to provide Care Homes for Older People Page 2 of 12 Brief description of the care home personal and nursing care for up to fifty-three older people. The home charges fees of £361 per week. As the home provides nursing care the free nursing care element of the funding is provided in addition to the costs charged to the resident. The home provides information about the service through the service user guide. A copy of the last inspection report from The Commission for Social Care Inspection is available in the entrance to the home. Care Homes for Older People Page 3 of 12 What we found: The reason for this inspection was to ensure people in the home were well supported following information received that staff may not be receiving there due wages and the outcome is as follows: Eileen Thompson, the manager (unregistered) was in charge. She was aware of issues with staff not receiving their full wages and confirmed a company manager provided this information. The current occupancy is 30 people and sufficient care staff were employed to ensure their needs could be met. The food store was inspected and although the delivery of some comestibles was expected, there was sufficient to ensure residents could be sustained over the weekend. Staff spoken with acknowledged that they had been told they would only received 50 of their pay and gave reassurances that they would cover shifts as necessary. 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 4 of 12 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 3 14 The registered person must make sure that new residents and those who have had a change in their dependency, have an assessment carried out in sufficient detail to identify if the home can meet their needs safely. The residents must be confident that if they are being offered a place or retiring to the home that their needs will be met. 31/12/2008 2 7 15 The care plans must be improved to show detailed assessments, care planning, evaluation, and the records of daily care being provided. Residents and their representatives must be involved in the development of their plan of care. The residents should be involved in the plan of care and the review so that they can be confident that their needs will be met. 01/08/2008 3 7 15 01/04/2009 4 8 12 The registered provider must 02/02/2009 make proper provision for the health and welfare of Page 5 of 12 Care Homes for Older People 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 service users. This will make sure that the residents will recive the care they need and will not gome to harm because of an act or ommision of an act. 5 10 12 The registered person must 02/02/2009 make suitable arrangements to ensure the home is conducted in a manner which respects the privacy and dignity of the service users. The residents must have thier dignity maintained particularly with regard to choosing the gender of the people assisting them with personal intervention. 6 12 16 The registered person must consult service users about the programme of activities and provide facilities for recreation and social activities in line with residents expectations, preferences and capacities. The residents should be given the opportunity to live active and fulfilled lives. 7 14 12 The registered provider must 01/06/2009 so far as practicable enable service users to make decisions with respect to the care the are to receive and their health and welfare. The residents should be given the opportunity to Care Homes for Older People Page 6 of 12 01/06/2009 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 make choices about how they live their lives. 8 16 22 The registered person must ensure that any complaint made under the complaints procedure is fully investigated. The residents and their representatives must be confident that their complaints and concerns are being dealt with effectively. 9 18 13 The registered person must 06/04/2009 make arrangements by training staff or by other measures to prevent residents from being harmed or being placed at risk of harm or abuse. The staff must be trained to have the skills to minimise the risk to residents from harm. 10 19 16, 23 The home must undertake a 01/09/2008 refurbishment programme Including: The treatment room must be made fit for purpose. Bedroom furniture Bedroom carpets Outstanding from 15.06.06. The toilets and bathrooms must have remedial work undertaken and then redecorated. This must be carried out taking into account the needs and dependencies of the people 01/09/2008 02/02/2009 11 21 23 Care Homes for Older People Page 7 of 12 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 living in the home and maximising their opportunities to living an independent lifestyle. 12 22 23 The registered person must make sure that there are suitable adaptations and facilities as may be required for the residents accomodated in the home. The residents should live in a well decorated and equipped home which is comfortable and safe. 01/06/2009 13 26 13 The registered person must make arrangements to prevent infection, toxic conditions and the speak of infection at the care home. The residents should live in a well decorated and equipped home which is comfortable and safe. 01/06/2009 14 29 19 The registered provider must 04/05/2009 have in place a recruitment and selection process which ensure that staff employed are fit to work at the care home. The staff must be employed only if they are suitable to work in the home and are not going to present a risk to the residents. 15 30 18 The registered provider must 02/02/2009 ensure that all staff working Care Homes for Older People Page 8 of 12 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 in the home receive structured induction training. The staff must be able to care for the residents safely. 16 30 18 All staff must receive 01/07/2008 adequate statutory and clinical training sot that they can meet the needs of the residents. The registered provider must 02/02/2009 ensure that the care home is conducted so as to promote and made proper provision for the health and welfare of the service users. The residents must be able to be confident that they will be safe and well cared for. 18 33 23 & 24 There must be a comprehensive quality assurance programmes to ensure that the home is run in the best interest of the residents, taking account of their views. Outstanding from 15.06.06. 01/08/2008 17 31 12 19 36 18 Staff must receive adequate 01/07/2008 supervision at the necessary frequency. Outstanding from 15.06.06. The registered provider must 01/04/2009 have in place systems to monitor the environment, equipment and processes to protect the residents and Page 9 of 12 20 38 23 Care Homes for Older People 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 staff from harm. The residents must be able to be confident that they will be safe and well cared for. Care Homes for Older People Page 10 of 12 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 11 of 12 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). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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