Care Home: Sandbourne House

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What the care home does well The home is welcoming, relaxed, clean, and tidy. People and staff get on with each other. Most people who live at the home are given support to enjoy their leisure time and do things in the community. Some information has pictures to make it easier to understand. There is now a board that shows photographs of the staff on duty that day. Staff have been trained in how to care for people. What the care home could do better: There are no new requirements from this random inspection. The completion of individual care plans and risk assessments need to be prioritised. Requirements that show as outstanding may not have been assessed and will be fully assessed at the key inspection. Random inspection report Care homes for adults (18-65 years) Name: Address: Sandbourne House 1 Sandecotes Road Parkstone Poole Dorset BH14 8NT zero star poor service 24/09/2009 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: Jo Johnson Date: 1 9 0 1 2 0 1 0 Information about the care home Name of care home: Address: Sandbourne House 1 Sandecotes Road Parkstone Poole Dorset BH14 8NT 01202742284 01202742284 sandbournehouse@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Lyn Mogg Type of registration: Number of places registered: Conditions of registration: Category(ies) : Helen Somerville,Mrs Janet Lesley Young care home 8 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 8 The maximum number of service users who can be accommodated is 8 The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Learning disability (Code LD) Date of last inspection Brief description of the care home Sandbourne House is a large house in Lower Parkstone, Poole. Up to 8 people can live at the home. There are 6 people living there and 1 bedroom is used for people who come for short stays. Everyone has their own bedroom and they share the Care Homes for Adults (18-65 years) Page 2 of 10 2 4 0 9 2 0 0 9 Brief description of the care home kitchen/dinging room, lounge, bathrooms and garden. You can walk to the local shops and there is a local bus service to Poole and Bournemouth. There is a car that people use. Care Homes for Adults (18-65 years) Page 3 of 10 What we found: Since the key inspection registered manager and a senior support worker has has left the home. There is a new manager who is due to start full time at the home at the beginning of February 2010. The new manager is already employed by the organisation in another care home and has been working there part time. Additional support has also been provided by the registered manager of the domiciliary care agency from the organisation. There was only one person in at the home at the time of the inspection with two staff. The registered provider was present at the end of the inspection. We looked at the care records for two people. Work on reviewing these plans is ongoing and a number of risk assessments for one person have been completed. One person still has the same personal care plan in place and does not have a behaviour management plan and risk assessment. They have a review booked for the end of January to which professionals and family members have been invited. The other person has a new piece of mobility equipment. There needs to be a risk assessment and plan in place for its use. There has not yet been any update to this individuals care plan and there is not yet a moving and handling plan in place. This needs to be prioritised. There are now PRN as needed medication plans in place for each person who has PRN medication. There is now a medical record for each individual that shows when they have seen health professionals such as, dentist, GP, chiropodist, consultants and opticians. The daily care records also reflect when people have seen a health professional. One person identified at the key inspection has now seen the dentist. There is a new fire risk assessments in place that was completed in December 2009. There are now individual evacuation plans in place for reach person that lives at the home. The registered provider has been completing Regulation 26 visits and reports since the key inspection. There is now a clear and easy to follow adult protection and safeguarding procedure in place. This is displayed on the office wall and staff have been briefed about the procedure. We asked the manager to review whether a sleep in staff was sufficient to meet the need of people living at the home. The registered provider told us that there have been no incidents when an individual has been in to other people at night and needed staff support. This was supported by the entries in the individuals care records. They indicate that the individual is sleeping much better and if they do disturb they quickly return to bed. Care Homes for Adults (18-65 years) Page 4 of 10 There have been no incidents that needed to be reported to us under Regulation 37 since the key inspection. We will fully review this at the key inspection. During the inspection the windows were being replaced. 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 10 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 6 15 Peoples care plans must be reviewed, kept up to date, and include all the individuals needs identified in their assessments. This is so staff know what care and support people require to make sure that all their needs are met and they are well cared for. 01/12/2009 2 6 17 Body Maps must be 01/12/2009 completed following any inury and behaviour monitoring records must be consistently followed up. The management team must regularly review the records kept about people. Staff must be given clear direction as to what actions they must take to follow up any information they records. This is to make sure that any areas of concern are followed up at the time, monitored on a regular basis, that people are consistently supported and kept safe. 3 9 13 Any areas of risk identified for an individual must be assessed and these assessments must include 01/12/2009 Care Homes for Adults (18-65 years) Page 6 of 10 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 clear descriptions of the action staff need to take. This is so that any risks are minimised and staff know what action to take to keep people safe whilst promoting positive risk taking. 4 11 12 People must be provided with 01/12/2009 opportunities to develop their social, emotional, communication and independent living skills. People must be provided with suitable stimulation and have the opportunity to be occupied. This is to ensure that people have a good quality of life and well being. 5 35 16 POVA check, two written references and copies of identification must be obtained before staff start work. This is to make sure that staff are suitable to work with vulnerable people and to be able to confirm their identity. 6 39 24 The overall management of 01/03/2010 the home must improve, and develop effective ways of assessing and monitoring the quality of the service. This is so that shortfalls are identified, are improved on and the quality of the service Care Homes for Adults (18-65 years) Page 7 of 10 01/12/2009 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 is kept under constant review. Care Homes for Adults (18-65 years) 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 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 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 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. Copyright © (2009) Care Quality Commission (CQC). 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