Care Home: Southminster Residential Home

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What the care home does well The home is well managed and there is core team of staff including the manager who have worked at the home for a number of years and who know residents and their assessed needs. Residents are well cared for and staff ensure that they receive the medicines as prescribed for them and that they have access to their doctors if they become unwell. Complaints are well received, investigated and responded to and where people have complaints and concerns these are resolved to the person`s satisfaction. Residents are listened to and given the opportunity in residents meetings to make comments and suggestions about the things that are important to them. Residents havethe opportunity to discuss what activities they would like, preferences for menus and meals etc. Relatives are invited to make suggestions about where they think improvements could be made such as improving the garden area so that it is more accessible for residents. What the care home could do better: Care plans could be more person centred and written so that they accurately reflect the support and care that staff provide. Risks to the health and safety of the people who live in the home must be managed more effectively, particularly risks of injury from falls. Staff must be provided with guidance and information around their roles and responsibilities for safeguarding vulnerable people from harm or abuse and the home`s training, policies and procedures must be up to date and in line with current local guidelines. Staff recruitment must be more robust and all checks including obtaining full employment history and references from each person`s previous employer must be obtained before a person commences work at the home. This must be done so as to help ensure that only people who are suitable are employed and to safeguard and protect the interests of people who live there. Random inspection report Care homes for older people Name: Address: Southminster Residential Home Station Road Southminster Essex CM0 7EW 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: Carolyn Delaney Date: 1 0 0 6 2 0 1 0 Information about the care home Name of care home: Address: Southminster Residential Home Station Road Southminster Essex CM0 7EW 01621773462 Telephone number: Fax number: Email address: Provider web address: southminsterrh@tiscali.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Elizabeth Wynn Type of registration: Number of places registered: Conditions of registration: Category(ies) : Top Care Homes Ltd care home 40 Number of places (if applicable): Under 65 Over 65 0 40 dementia old age, not falling within any other category Conditions of registration: 40 0 The maximum number of service users who can be accommodated is: 40 The registered person may provide the following categories of service only: Care Home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Old Age, not falling into any other category - Code OP, Dementia - Code DE. Date of last inspection Brief description of the care home Southminster Residential Home provides residential and personal care for up to 40 older people, who may have a diagnosis of dementia. The home is run by an Care Homes for Older People Page 2 of 10 Brief description of the care home organisation named Top Care Homes Ltd. Southminster R.H. is located in the rural village of Southminster a few miles from Maldon, Essex. The premises were originally built as the village Manor House. There are two floors to the home, accessed by stairs and a passenger lift. There are gardens to the front and side of the property that are attractive and accessible. Southminster is accessible by road and rail. The nearest station is in the village, approximately 300 metres away from the home. Visitors car parking is available to the front, side and rear of the property. The fees for the home range between £383.04 and £690.00 depending on the accommodation provided, who is funding the care and the level of dependency of the resident. Additional charges are advised as being made for hairdressing, chiropody, a fixed £5 pounds per month charge for general toiletries and extra charges for extra items. Care Homes for Older People Page 3 of 10 What we found: This report is in respect of a random inspection carried out for this service. We carry out a random inspection where we want to look at specific outcome or outcome groups. A random inspection will not affect the quality rating made at the previous key inspection. Where we feel following a random inspection that there may be changes to the experiences of people using a service, which would affect the quality rating we would then carry out a key inspection. As it is a focused inspection and not all outcome areas are assessed other issues may come to light when we next carry out our next key inspection. When we visited the home we looked at the three outcome areas, which determine the services quality rating. We looked and Health and Personal Care, Complaints and Protection and Management and administration. We looked at the care plans for three people. We saw that staff had recorded information about each persons health and personal care needs. There was some information recorded about residents preferences for how they spent their days such as the times they got up and went to bed. More information could be recorded about residents preferences for how they liked to be supported for personal care needs, meals etc. We looked at how risks to residents health and safety were assessed and managed. There were risk assessment plans around risks associated with reduced mobility such as developing pressure sores, risks of poor nutrition and risks around injuries from falls. However risks around falls did not appear to be well managed. We looked at accident records and we saw that one resident had fallen thirteen times within a period of six weeks. We saw that while there was a risk assessment in place for this person it had not been reviewed and amended to reflect the increased level of risk to this individual. During the inspection one resident left the premises undetected by staff as a visitor had failed to ensure that the door was locked. Another resident observed this and used the call bell to ring for assistance. However staff did not respond to this in a timely fashion and the inspector alerted the manager to the resident who had managed to walk almost to the end of the drive and to the main gate which was open. The manager told us that the two doors to the front of the home were usually locked and we advised them that measures needed to be taken in order to minimise the risk of recurrence of the incident. We looked at the arrangements in place for ensuring that residents received the medicines as prescribed for them. We looked at the medication administration records for each person living in the home. We saw that staff recorded when residents received their medicines and there were no omissions of signatures. We noted that staff did not record the quantity of medicines received into the home and we advised that this must be done so as to aid audit and checking purposes and to ensure that the correct quantity was received. This is particularly important as there have been two occasions where medicines received from the pharmacy were incorrect. We looked at how complaints were received and dealt with. The home had a complaints policy and procedure, which was made available to residents and their relatives. As some of the residents may not understand or remember its contents we advised that complaints and concerns could be considered as an agenda item in residents meetings to give them the opportunity to discuss any issues they may have. Care Homes for Older People Page 4 of 10 We looked at the homes complaints records. We saw that a small number of complaints had been received about laundry and these had been dealt with and responded to appropriately. There had been no complaints about the care that residents received and we had received no complaints about the service. We looked at the arrangements for safeguarding vulnerable people from harm or abuse. We saw that there was a policy and procedure in place and a copy of the out of date Essex safeguarding policy. We saw that the homes policy and procedure covered recognising signs of abuse and types of abuse. However information about how to report incidents was incorrect as it advised staff that alerts should be made to the homes owner who would decide how to proceed. This is contrary to how alerts should be managed as they should be referred to the local safeguarding team in line with the Southend, Essex and Thurrock (SET) guidelines. There was no details for contacting the relevant safeguarding teams in the policy and procedure. We looked at how staff were trained in safeguarding and while they were trained to recognise abuse the training did not cover the correct reporting procedure. The manager told us about alerts that they had made about issues around family members allegedly mishandling residents money. They had taken appropriate action to help safeguard residents in these instances. We looked at how staff were recruited, so as to protect the welfare and interests of residents. We looked at the recruitment files for two people who had been employed to work in the home recently. We saw that checks including Independent Safeguarding Authority checks (formally PoVA First) and Criminal Records Bureau disclosures were obtained before a person commenced work at the home. However employment history had not been checked for gaps and overlaps so that these could be explored and explained and references were not sought from the persons previous employers. We discussed the issues we identified at the inspection and the manager assured us that these would be dealt with immediately and they would inform us of how improvements were to be made. Overall we saw that outcomes and experiences for people living in the home remained good. However there were areas which need to be improved upon so as to ensure that this continues to be the case and we have made regulatory requirements in respect of these. What the care home does well: The home is well managed and there is core team of staff including the manager who have worked at the home for a number of years and who know residents and their assessed needs. Residents are well cared for and staff ensure that they receive the medicines as prescribed for them and that they have access to their doctors if they become unwell. Complaints are well received, investigated and responded to and where people have complaints and concerns these are resolved to the persons satisfaction. Residents are listened to and given the opportunity in residents meetings to make comments and suggestions about the things that are important to them. Residents have Care Homes for Older People Page 5 of 10 the opportunity to discuss what activities they would like, preferences for menus and meals etc. Relatives are invited to make suggestions about where they think improvements could be made such as improving the garden area so that it is more accessible for residents. 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 6 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 7 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 8 13 Risks to the health and safety of people living in the home, particularly around injuries from falls must be properly assessed and managed. This must be done so as to minimise injury and unnecessary harm to people living in the home. 29/07/2010 2 18 13 Staff must receive training around safeguarding vulnerable people, which reflects their roles and responsibilities and the homes policies and procedures must reflect current safeguarding guidelines for good practice. This must be done so as to ensure that staff have the right skills and knowledge so as to act appropriately and safeguard residents from harm or abuse. 30/07/2010 3 29 18 Appropriate checks must be made around the fitness of 30/07/2010 Care Homes for Older People Page 8 of 10 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 people who are to be employed to work in the home. This includes checking employment history and obtaining satisfactory references from their previous employers. This must be done so as to ensure that only people who are suitable are employed to work in the home. 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 1 7 Care plans should be more person centred and include details of what residents can do independently and how they would like to be supported by staff for their assessed health and personal care needs. 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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