Latest Inspection
This is the latest available inspection report for this service, carried out on 19th May 2010. CQC found this care home to be providing an Poor service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
For extracts, read the latest CQC inspection for Sandhurst Lodge.
What the care home does well Following our last key inspection of this service on 1st April 2010 we wrote: `we found that people living in the home were being well cared for and that staff understood their needs and were meeting these`. What the care home could do better: Because the provider has decided to close the home and has applied to cancel his registration, we will act proportionately in continuing to monitor the service until the date that the registration cancellation takes effect. Random inspection report
Care homes for older people
Name: Address: Sandhurst Lodge 58 Ampthill Road Bedford Bedfordshire MK42 9HL zero star poor service 01/04/2010 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: Rachel Geary Date: 1 9 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Sandhurst Lodge 58 Ampthill Road Bedford Bedfordshire MK42 9HL 01234352051 F/P01234352051 sandhurst_lodge@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Dr Surinder Kumar Gulati Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 10 Number of places (if applicable): Under 65 Over 65 10 10 10 dementia mental disorder, excluding learning disability or dementia physical disability Conditions of registration: Date of last inspection Brief description of the care home 0 0 0 0 1 0 4 2 0 1 0 Sandhurst Lodge is a care home registered to accommodate up to 10 people whose primary care needs on admission fall within one of the following categories: old age, dementia, mental disorder (excluding learning disabilities) and physical disabilities. The home is located on a busy main road in the heart of Bedford town within close proximity to the local hospital, and amenities including transport links. The
Care Homes for Older People Page 2 of 11 Brief description of the care home accommodation is set out over three floors - accessible via a staircase and a shaft lift. All bedrooms are single occupancy and communal facilities include a small lounge and lounge/diner on the ground floor. At the time of this inspection, two vacant rooms were being used to provide additional communal space - a quiet room and an activity room. At the time of this visit, work was still in progress to extend the home to create a further 7-8 bedrooms - all with ensuite facilities. Bedrooms in the older part of the home do not have ensuite facilities. A new enclosed garden/sitting area has been created to the side of the property. Information about the home is available within the Statement of Purpose (SoP) and Service User Guide (SUG). Both are available within the home along with a copy of the most recent inspection report for this service. The SUG states that the fees for the home at the current time are £457.06 per week upwards. Care Homes for Older People Page 3 of 11 What we found:
A random inspection of Sandhurst Lodge was carried out on 19th May 2010. The purpose of the inspection was to assess compliance against an immediate requirement that we made at our last random inspection of this service on 29th April 2010. The immediate requirement was about there being little or no evidence of recruitment/vetting checks for family members of the provider who were working in the home, as carers. We did not check compliance against other requirements made in the last random inspection report on this occasion. Therefore where requirements are stated as being outstanding, they may not have been assessed during this inspection. We confirmed again with the manager that no new staff had been employed since our 1st December 2009 key inspection, when we had deemed there to be appropriate recruitment and vetting processes in place for staff working in the home, who were not family members of the registered provider. Therefore we only looked at records relating to two family members of the provider during this inspection. The manager told us at the time of the last random inspection that family members would not work at the home until all the required documentation was in place. We also received a letter from the provider to this effect on 30th April 2010. Rotas that were seen on this occasion however, showed us that one of the family members had been working in the home immediately after the last inspection, and another was planning to work in the home in the near future. As we reported in our 29th April 2010 report, there was evidence of some of the required recruitment and vetting documents and checks being in place for the family members, but there was also some that was still missing. This included a CRB (criminal record disclosure) check and a reference for one person, and where references had been obtained; no information to say in what capacity the referee had known the person they were providing a reference for. This was still the case at the time of this inspection. There was evidence that the manager was taking up new references for one person who did have a satisfactory CRB disclosure, and we were told that a CRB had been done for the other person although this could not be found. We spoke to someone on the phone during the inspection who told us that they were responsible for countersigning CRB disclosures for the home. They confirmed that a CRB had been done for the person whose CRB was missing, approximately 3-4 years ago. They also said that they could provide evidence of the disclosure reference number after the inspection. There was evidence that the person in question was not working in the home at the time of this inspection however. Prior to this inspection we received an email that told us that the registered provider had
Care Homes for Older People Page 4 of 11 decided to close the home. During this inspection, the provider confirmed this and handed us his application for voluntary cancellation of the homes registration, with a proposed effective date for the cancellation to take place by 28th June 2010. The provider expressed his commitment to ensuring everyone living in the home was given enough time to find suitable alternative accommodation. We confirmed with Bedford Borough Council* after the inspection that they were aware of the situation and that appropriate steps were being taken to find the 5 people living in the home alternative accommodation. *Bedford Borough Council currently fund the 5 remaining people living at Sandhurst Lodge. 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 5 of 11 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 18 17 Up to date records for all 19/04/2010 monies and valuables managed on behalf of people living at the home must be maintained and available at all times - to include any bank accounts and all incoming and outgoing payments. To ensure that service users monies and financial interests are safeguarded. 2 29 19 People must not be allowed 19/04/2010 to work at the care home unless full and satisfactory information is available for each of the matters specified in Schedule 2 of the care home regulations 2001, before they start working in the home. To ensure that people living in the home are protected and not placed at risk by the homes recruitment policy and practices. 3 31 7 There was evidence that 17/04/2010 there has been a change of provider for the home from Dr Surinder Kumar Gulati to Care Guru Ltd. There was no evidence that Care Guru Ltd
Page 6 of 11 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 has applied to the CQC for registration, or that you have applied to have your provider registration cancelled. The concerns are that the home is being carried on by an unregistered provider. As well as this being an offence under the Care Standards Act 2000 and associated regulations, the insurance arrangements for the home (including legal liability cover) may be at risk. You must write to the CQC and confirm if/when an application to cancel your registration, and an application for a change of registered provider, has been submitted to the CQC. You must also provide confirmation that there are adequate insurance arrangements in place for the home given the current situation. This verification must be provided by the insurance company in question. To clarify who is carrying on the home and that there are clear lines of accountability in place. 4 34 25 There are concerns that the 19/04/2010 home may not be financially viable for the purpose of achieving the aims and objectives as set out in its Statement of Purpose. Under the provisions of the Care
Page 7 of 11 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 Standards Act 2000 and associated regulations, you must provide the CQC with the following: The annual accounts for the care home certified by an accountant. These must include everything included in regulation 25 (3) (b) of the Care Homes Regulations 2001. A reference from your bank expressing an opinion as to your financial standing as the current registered provider for the home. Information as to the financing and financial resources of the care home. A certificate of insurance for the (current) registered provider in respect of liability which may be incurred by him in relation to the care home in respect of death, injury, public liability, damage or loss. To ensure people living in the home are safeguarded by the accounting and financial procedures of the home. 5 34 25 The homes business and 19/01/2010 financial plan for this, and the next financial year, must be provided to the Commission. To satisfy us that the home is financially viable for the purpose of achieving the aims and objectives as set out in its Statement of
Care Homes for Older People Page 8 of 11 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 Purpose. Care Homes for Older People Page 9 of 11 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 10 of 11 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 11 of 11 - 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!
