Care Home: Speke Care Home

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What the care home does well Speke Care Home is on the whole clean and well furnished. Medication is well organised though there are some issues to be addressed. Care plans are detailed. In the absence of the registered manager and her deputy the home is being managed by an acting manager with the support of the owner and a registered manager from one of his other homes. All of the rotas were fully staffed. What the care home could do better: The unpleasant odour in one room needs to be eliminated. The conservatory furniture needs to be replaced and as it is used as a smoking room it should have an extractor fan fitted. This room is shaded from the sun by very rough and ready painting on the perspex roof. This does work but is very unattractive. Some minor improvements need to be made to the medication procedures. The very brief daily reports do not reflect thedetailed care plans and we discussed with the acting manager ways of improving this. Skin care issues should be addressed in a seperate element of the care plan if action is needed. Random inspection report Care homes for older people Name: Address: Speke Care Home 96-110 Eastern Avenue Liverpool Merseyside L24 2TB 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: Peter Cresswell Date: 1 9 0 5 2 0 1 0 Information about the care home Name of care home: Address: Speke Care Home 96-110 Eastern Avenue Liverpool Merseyside L24 2TB 01514252137 Telephone number: Fax number: Email address: Provider web address: spekecarehome@aol.com Name of registered provider(s): Name of registered manager (if applicable) Joan Lorraine Vernon Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Abid Y Chudary,Mrs Chand Khurshid Latif care home 53 Number of places (if applicable): Under 65 Over 65 53 old age, not falling within any other category Conditions of registration: 0 The registered person may provide the following category 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 within any other category - Code OP The maximum number of service users who can be accommodated is: 53 Date of last inspection Brief description of the care home Speke Care Home is registered with the Care Quality Commission to provide care and accommodation to fifty three older people. This home was purpose built and is situated in the Speke estate in south Liverpool, near to John Lennon airport, local shops and Care Homes for Older People Page 2 of 9 Brief description of the care home bus routes to Liverpool. Speke Care Home is a two-storey building with a passenger lift. Bedrooms in one wing have en-suite toilets and wash hand-basins. There are lounges on the ground and first floor, a dining area and access to a secluded garden at the rear. There is a small off road car park at the front of the building. Care Homes for Older People Page 3 of 9 What we found: We visited Speke Care Home to check the arrangements made for running the home whilst the manager and her deputy are suspended pending an enquiry. We also looked at progress on the requirements and recommendations made when we last inspected the home. We talked to the acting manager, a senior carer, the owners father and several people who live in the home. We also looked around the home and checked the administration of medication. We looked at the case files and care plans of two people who had been the subject of recent complaints. Medication is securely stored in a locked room. When we last inspected the home the room was very warm, so there was a risk that medicines would be stored at too high a temperature. The room was still too hot so the owners need to resolve the matter as a priority and inform us when the work has been done within the timescale set out. Medicines requiring refrigeration are kept in a dedicated fridge. We looked at the medication records for two people. On the whole it was properly recorded but there were one or two issues to be addressed. The home was on the whole clean and well maintained, though there was one area where there was a strong, unpleasant odour. The acting manager said that this was due to a carpet that could not be effectively cleaned; this needs to be replaced by a surface that better meets the needs of the person in the room, such as laminate. The conservatory is used as a smoking room but does not have an extractor fan. The furniture in this room is rather old and scruffy and needs to be replaced. The perspex roof has been painted to stop the room from getting too hot. This is very unattractive indeed and the owner should look at the possibility of a more homely solution, such as roof blinds. The furniture in the main lounge has recently been replaced and is very comfortable and attractive. A former shower room is being used as a store for broken wheelchairs but it is now full to overflowing and the chairs should be removed. The care plans we looked at were very detailed. Daily write ups were rather brief, however, and could be improved by linking them more closely to the care plan itself. Also, when skin care issues have been identified these should be an a separate care plan to make sure that staff are aware of the issues and carry out the required action. What the care home does well: What they could do better: The unpleasant odour in one room needs to be eliminated. The conservatory furniture needs to be replaced and as it is used as a smoking room it should have an extractor fan fitted. This room is shaded from the sun by very rough and ready painting on the perspex roof. This does work but is very unattractive. Some minor improvements need to be made to the medication procedures. The very brief daily reports do not reflect the Care Homes for Older People Page 4 of 9 detailed care plans and we discussed with the acting manager ways of improving this. Skin care issues should be addressed in a seperate element of the care plan if action is needed. 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 9 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 7 13 The medicines storage room must be kept at a safe temperature for drugs to be stored. This is to make sure that medication will be stored at a temperature recommended by the manufacturers and will remain effective and safe for people to use. 28/08/2009 Care Homes for Older People 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 7 13 Each episode of medication 30/07/2010 must be recorded on the MAR sheet and any handwritten alterations must be signed by the authorised person who made them. This is need to make sure that it is clear that the correct medication is given. 2 26 23 The unpleasant odour in the identifed area must be removed. This is to ensure that the home is clean, hygienic and free from offensive odours. 30/07/2010 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 Where skin care has been idenfied as an issue there should be a seperate care plan element on this subject to make sure that staff carry out the required action. Where medication is to be given as required (PRN) there Page 7 of 9 2 9 Care Homes for Older People 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 should be details of the circumstances in which it is to be applied either on the care plan or on the MAR sheet. 3 20 The furniture in the conservatory needs to be replaced, an extractor fan fitted, and a more attractive way of shading to roof should be found. Care Homes for Older People 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 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 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. 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