Care Home: Rendlesham Care Centre

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What the care home does well The home was clean, tidy and well maintained. The interaction between staff and the people that lived at the home was friendly, respectful and professional. It was noted that staff were attentive to the needs of thepeople that lived at the home and their requests for assistance were addressed promptly. The service user survey asked what the home did well and comments in the surveys included `carers are extremely lively, caring, bright and friendly, home is always clean, contact with families very good`, the carers are mostly very good and genuinely care. They respect my dignity and treat me as a valued individual` and `provides care and attention in a bright friendly atmosphere`. What the care home could do better: Medicines must be stored under suitable environmental conditions and records kept to evidence this. Where medicines are prescribed to be given to a person disguised in food or drink there must be documented agreements with all concerned parties that this approach is in the person`s best interest. Random inspection report Care homes for older people Name: Address: Rendlesham Care Centre Rendlesham 1A Suffolk Drive Woodbridge Suffolk IP12 2TP 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: Julie Small Date: 2 4 0 6 2 0 1 0 Information about the care home Name of care home: Address: Rendlesham Care Centre Rendlesham 1A Suffolk Drive Woodbridge Suffolk IP12 2TP 01394461630 01394461699 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Caring Homes Healthcare Group Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 60 Number of places (if applicable): Under 65 Over 65 0 60 dementia old age, not falling within any other category Conditions of registration: 60 0 The maximum number of service users who can be accommodated is: 60 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 service are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE Date of last inspection 1 7 0 2 2 0 1 0 Care Homes for Older People Page 2 of 10 Brief description of the care home Rendlesham Care Centre is part of Caring Homes Healthcare Group Limited and was registered with Commission for Social care Inspection November 2008. The home provides nursing care and support for up to sixty older people. The home is purpose built and is situated in the village of Rendlesham. There are two floors in the home, each of which are furnished and decorated to a good standard. The fees for the home at the time of the last key inspection ranged from £810 to £950 per week dependant on the care package that is provided. Care Homes for Older People Page 3 of 10 What we found: The unannounced random inspection was undertaken Thursday 24th June 2010 from 10:00 to 15:40 by compliance inspector Julie Small and pharmacist inspector Derek Brown. The random inspection was to identify if requirements made at the previous random inspections 17th February 2010 and 28th April 2010 had been met. We had sent surveys to the home March 2010 to enable people that lived at the home, staff and health professionals to share their views about the service that was provided at the home. Surveys from seven service users, seven staff and two health professionals were returned to us. During the inspection we tracked the care of three people that lived at the home, this included viewing their care records, such as their care plans and risk assessments. We also undertook a tour of the building and spoke with six people that lived at the home and three staff members. Five staff surveys said that the home could improve by having a permanent manager, this had been addressed since the surveys were sent to us. There was a new manager that had started working at the home 14th June 2010, they told us that they had submitted an application for their CRB (Criminal Records Bureau) check and when this had been received they would make a registered manager application with us. The manager explained the changes that they had made in the home and it was noted during the inspection that they provided the requested information promptly and in an open manner. The manager told us that a deputy manager had recently been recruited at the home and that they were working on the day of the inspection on a supernumerary basis. The deputy manager was spoken with and they explained their role and responsibilities and confirmed that they had several years experience of working in a care home/nursing home setting and had achieved a nursing qualification. There were vacancies for nursing hours and these were covered by two regular agency nurses, which provided people with consistency. The manager told us that they had recruited carers and that they would be starting working at the home when their recruitment checks were complete, which ensured that people were safeguarded. The manager told us that there were thirty five people that lived at the home and that they were supported by two nurses, one senior carer and six carers during the day and during the night there was one nurse, one senior carer and three carers. The staffing levels were confirmed in the observations that we made on the day and it was noted that staff were attentive to the needs of the people that lived at the home, call bells and requests for assistance were responded to promptly. The manager told us that staffing levels would be increased as more people moved into the home and that they would ensure that the levels of support required by people was taken into consideration. The service user survey asked if the staff were available when they needed them, three answered always, three answered usually and one answered sometimes. The survey asked if the staff listened to them and acted on what they said, one answered always, Care Homes for Older People Page 4 of 10 five answered usually and one answered sometimes. People that were spoken with told us that the staff treated them well and helped them when they needed it. One person said that staff were responsive and friendly, they told us that the care staff asked them how they wanted to be supported and that they remembered what they had told them, which showed that peoples preferences were respected. Two health professional surveys said that peoples privacy and dignity was always respected. We observed some good examples of staff interaction, which was respectful and took into account peoples dignity, for example, a carer supported a person to change from their nightclothes, when they were initially reluctant to do so. It was noted that people smiled and interacted in a positive manner with the staff that were working at the time of the inspection. After lunch we heard laughter and singing from one of the communal lounges, people and staff were singing along and dancing to the music that was playing. People told us that they had watched a World cup football match the day before the inspection and they showed us their nails which the staff had helped them to paint. A requirement was made at the random inspection 17th February 2010 which was that offensive odours must be eliminated. During a tour of the building at this inspection it was noted that the home was clean and tidy and there were no offensive odours. We spoke with two domestic staff members and they explained their duties in ensuring that the home was kept clean to ensure that people were provided with a clean and hygienic place to live in. One staff member explained that they regularly deep cleaned carpets and that they had planned to wash the curtains to ensure that offensive odours were eliminated. The service user survey asked if the home was fresh and clean, five answered always and two answered usually. People that were spoken with were complimentary about the environment that they lived in. It was noted at the random inspection 17th February 2010 that there were several shortfalls in peoples care records and requirements made were that the care plans should identify the specific care and support that each person required and preferred, that the care plans and risk assessments should be regularly reviewed to ensure that peoples changing needs were met and monitored and that their dietary needs should be met and that their weight loss and methods of eating should be monitored and regularly reviewed. The care records of three people were tracked and it was noted that the risk assessments and care plans had been improved and that the requirements that had been made were met. Peoples needs and their records were reviewed on a monthly basis and when needs and preferences changed. The care plans identified the individual support that people required in their daily living and the shortfalls that we had identified were addressed. Peoples dietary needs, such as diabetes were identified and the methods of supporting people were recorded in the care plans and the support that people needed with their behaviours and the types of behaviours that were displayed were also present. There were dementia care plans that identified the support that each person needed to support them with their condition. The manager told us that they were planning to make further improvements to peoples care records and that peoples relatives were kept up to date with the changes in the support that people were provided with. Care Homes for Older People Page 5 of 10 People that were spoken with told us that their needs were met. The service user survey asked if they were provided with the care and support that they needed, two answered always and five answered usually. Staff that were spoken with told us that they referred to the care plans to inform them of the support that people needed. It was noted that they had a knowledge of peoples individual needs. The staff survey asked if the ways that they passed on information about people who used the service worked well, two answered usually and five answered sometimes. However, it was noted that there had been improvements in the care records which had been undertaken since the surveys had been received. The health professional survey asked if peoples social and health care needs were properly monitored, reviewed and met, one answered always and one answered usually. Two health professional surveys said that the service always sought advice and acted on it to meet peoples social and health care needs and improve their well being. At our last inspection on 28th April 2010 we made a requirement that medication records were to be accurate and complete to indicate that medicines were being administered in accordance with the prescribers directions. This was a repeated requirement as we found that the first timescale of 26th February 2010 had not been met. At this inspection we looked at the records made when medicines are given to people, for several residents, and found significant improvement. We found some minor discrepancies in the records but, taking a proportionate view, we consider the requirement has been met. We also made a requirement that there is documented guidance at the point of use for medicines, where the decision to administer requires further information. This was also a repeated requirement as we found that the first timescale of 26/02/2010 had not been met. We looked at the medication records and care plans for several people prescribed such medicines and found that there was detailed guidance for staff to follow on the use of these medicines. We consider this requirement has been met. However, for one person we found that a medicine had been prescribed to be given to the person disguised in a drink but could find no documented agreements with all concerned parties that this approach was in the persons best interest. We discussed this with the manager who assured us that the necessary action will be taken to address this. We have therefore not made a requirement on this occasion. In addition to the above we also noted that the temperature of the medicines storage rooms had been recorded above the recommended maximum of 25C on several occasions during the previous month. Although action had been taken to install cooling fans, this has been insufficient to reduce the temperature which was above the maximum at the time of inspection. The failure to store medicines at the correct temperatures could result in people receiving medicines which are ineffective and so we have made a requirement about this. What the care home does well: The home was clean, tidy and well maintained. The interaction between staff and the people that lived at the home was friendly, respectful and professional. It was noted that staff were attentive to the needs of the Care Homes for Older People Page 6 of 10 people that lived at the home and their requests for assistance were addressed promptly. The service user survey asked what the home did well and comments in the surveys included carers are extremely lively, caring, bright and friendly, home is always clean, contact with families very good, the carers are mostly very good and genuinely care. They respect my dignity and treat me as a valued individual and provides care and attention in a bright friendly atmosphere. 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 7 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 8 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 Medicines must be stored 31/07/2010 under suitable environmental conditions and records kept to evidence this. This will ensure people are given medicines of suitable quality. 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 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. 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