Latest Inspection
This is the latest available inspection report for this service, carried out on 2nd July 2010. CQC found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Quince House.
What the care home does well We were asked to see our identification before being able to access the home. We were then asked to sign the visitors book to show who had been to the service. We saw staff encouraging residents to be as independent as possible and where appropriate supporting them to make decisions. The requirements that were left at the last inspection have now been complied with. The daily notes were detailed and gave information about what each resident had been up to and whether they had enjoyed their day or not. What the care home could do better: We examined two care plans and found that the information about what care and support was required had not been reviewed since October 2009 and would therefore would not reflect the persons changing needs. This is especially important as the home have recently recruited three new support workers who would be providing the care and support as described in the plans. Risk assessments that were on residents files showed that these had not been reviewed for over a year and could put residents at risk and their safety may be compromised. The inspector also saw that the keys to the medication cabinet, residents rooms and the office were being kept in an unlocked drawer in the kitchen and following the recent theft this was felt was not a secure arrangement. We were told that a key cupboard had been purchased and a discussion took place on a new protocol that would be put in place for staff handovers to include auditing of monies and medication, as well giving information about the residents including appointments etc. We have made 3 requirements following this inspection to ensure that the safety and welfare of the residents is protected at all times. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Quince House 77 Adeyfield Road Hemel Hempstead Herts HP2 5DZ two star good service 08/04/2009 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: Alison Butler Date: 0 2 0 7 2 0 1 0 Information about the care home
Name of care home: Address: Quince House 77 Adeyfield Road Hemel Hempstead Herts HP2 5DZ 01442248316 01582840023 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Complete Care Services Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: Date of last inspection Brief description of the care home 6 0 3 0 2 2 0 1 0 Quince House is a house in Adeyfield Road in Hemel Hempstead. It looks like all the other houses in the road. Six people live at the home. There is a train station near the home. There are also lots of different bus routes. This means that the people who live at the home can get around easily. Everybody who lives at the home has their own bedroom. Nobody has to share a room. Everyone shares the lounge, dining room and kitchen. Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home For up to date accommodation charges for Quince House contact should be made with the manager. The Statement of Purpose and the Service Users Guide tell people about the home. The manager will give a copy of the CQC inspection report to people who want to see it. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
The last key inspection took place on 08/04/2009, random inspection have also been conducted on 1/12/2009, 3/02/2010 & 13/05/2010 these had been conducted after CQC received concerns in regard to the medication. This inspection was conducted by two inspectors to follow up on previous requirements and to check on the management of the service following information received by CQC. For the purpose of this report the Commission will be referred to as we. On arrival to the home we were met by the operations manager who was conducting an interview for a manager, also present was the director of the organisation and three support workers. Four residents were at home at the start of the inspection and two were out attending their day activities. We were told at this inspection that there had been a theft of a large amount of money from the homes safe and a police investigation is underway. There was a hive of activity as people were getting ready for the day, having drinks and breakfast. The interviewee for the post of manager, also arrived at the same time as the inspectors. During this inspection we spoke with staff, examined medication administration records and care records. During our visit on 13th May 2010 we found that the requirement made that records of the receipt and administration of medicines must be clear, accurate and complete and include the balance of any remaining medication carried forward to a new recording period had not been met. This was a repeated requirement as the previous timescales of 21/12/2009, 28/02/2010 and 28/02/2010 had not been met. During our visit on 2nd July 2010 we looked at the medication and medication records for all 6 residents in the home. We looked at the records relating to the previous months administration of medicines and the record of medication carried forward to the new recording period. We did not find any unexplained omissions in the records made when medicines are given to people and we did not find any stock discrepancies. We therefore consider this requirement has been met and we will not be taking any further action. However, we saw that for one person a prescribed cream had been used for longer than the instructed period of use. We have not made a requirement about this on this occasion but expect this to be managed by the home. We also noted that the temperature of the cupboard where medicines have been stored was recorded just below or above the recommended maximum. We were assured that steps are being taken to reduce the temperature and so have not made a requirement about this, but this should be done promptly as the failure to store medicines at the correct temperature may result in people being given medicines that are ineffective. There was no manager employed in post at the time of this inspection and the service was being overseen by the operations manager who is also the manager of a nearby
Care Homes for Adults (18-65 years) Page 4 of 9 service. A deputy manager has been recruited since the last random inspection to support the residents and staff until a new manager is appointed. There were conducting interviews to recruit for a manager for the service during the inspection. The operations manager informed us that the have employed a consultancy to assist them in reviewing and writing all the policies and procedures for the organisation, which will be adapted to suit each service as required. The hope is that this task will be completed by August 2010. 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 Adults (18-65 years) Page 5 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 Adults (18-65 years) Page 6 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 1 6 15 The care and support for each residents must be regularly reviewed This is to ensure that all staff are aware of the current care and support needs of the residents and how these are to be met. 31/08/2010 2 23 16 The keys to the medication, residents rooms and the office must be safely locked away. This is to ensure the safety and protection of each resident from potential abuse 23/07/2010 3 42 13 The risk assessments must be kept up to date and regularly reviewed. This is to ensure that all residents are kept free from hazards to their safety. 30/07/2010 Care Homes for Adults (18-65 years) Page 7 of 9 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 Adults (18-65 years) 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 Adults (18-65 years) 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 Adults (18-65 years) 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. 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!
