Care Home: St Michael's

What the care home does well As no-one was living in the home we were unable to assess outcomes for people. Therefore we could not assess what the service does well or check if the requirements made at the last key inspection had been met. What the care home could do better: As no-one was living in the home we were unable to assess outcomes for people. Therefore we could not assess what the service could do better or check if the requirements made at the last key inspection had been met. Random inspection report Care homes for adults (18-65 years) Name: Address: St Michaels 129-131 Wingfield Road Stoke Plymouth Devon PL3 4ER zero star poor service 24/04/2009 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: Antonia Reynolds Date: 1 6 0 4 2 0 1 0 Information about the care home Name of care home: Address: St Michaels 129-131 Wingfield Road Stoke Plymouth Devon PL3 4ER 01752564944 01752563400 Telephone number: Fax number: Email address: Provider web address: www.healthcare-trust.com Name of registered provider(s): Name of registered manager (if applicable) Clarus Mental Health Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 37 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: 37 The maximum number of service users who can be accommodated is 37. The registered person may provide the following category of service only: Care home providing personal care only- Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Mental disorder, excluding learning disability or dementia- Code MD Date of last inspection Brief description of the care home St Michaels (previously called Priory Gate) is a care home providing personal care and accommodation for a maximum of thirty-seven people, over the age of 18, with mental health needs. At the time of the last key inspection there were only ten people living in Care Homes for Adults (18-65 years) Page 2 of 12 1 3 1 0 2 0 0 9 Brief description of the care home one half of the home that accommodates sixteen people in total. Therefore this description only applies to half of the home as the other half was unoccupied at the time of inspection. The home is privately owned by Clarus Mental Health Ltd (previously called Stoke Healthcare Ltd). In April 2009 the fee levels started from approximately £750 per week but varied depending on the individual needs of each person. The home consists of a large detached three-storey building situated in its own grounds and close to Stoke village in Plymouth. It is within walking distance of local shops and close to bus services into central Plymouth and the railway station. The home has a people carrier for the use of the people who live in the home. All sixteen bedrooms in the occupied half of the home at the time of the last key inspection were single and located on each floor. Five of these had en suite showers and toilets. Bathing/showering and toilet facilities were available on each floor, close to the bedrooms and communal rooms. There were large lounge and dining rooms on the ground floor. Attached to the dining room was a conservatory and a designated smoking room. This half of the home was wheelchair accessible on the ground floor only although people could use the shaft lift in the other half of the home if required. Parking space was available inside the grounds and on the street outside the house. Information about the home and copies of inspection reports can be obtained from the Responsible Individual, Mr Al Patel, as the home had no manager in place at the time of this inspection. Care Homes for Adults (18-65 years) Page 3 of 12 What we found: This inspection was unannounced and consisted of three visits to the home by one inspector on Wednesday, 14th April 2010; Thursday, 15th April 2010 and Friday, 16th April 2010. The gates to the home were found padlocked on the first two visits but there was someone to speak with on the third visit. Throughout this report the term we will be used as the report is written on behalf of the Care Quality Commission. The reason for the visits was to check that requirements made at the last key (full) inspection, completed on 24th April 2009, had been actioned. Following the visit we spoke on the telephone to the Responsible Individual for the company that owns the home. We established that no-one was living in the home at the time of inspection therefore the service was dormant on the date we wrote this report. Dormant means that it is registered with us and open for business but not providing a personal care service to people. We inspect services by using information from people who use the service. If there is noone using the service who receives personal care, we cannot do a full inspection and award a quality rating. Until the home starts admitting people to live there we will follow our guidance on dormant services. This means we will do a random inspection at least every twelve months. You can read more about this in our guidance called How we manage dormant services, which is available on our website www.cqc.org.uk 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 4 of 12 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 2 14 No person must be admitted 19/06/2009 to the home without a detailed assessment of their needs being carried out. The Registered Person must confirm in writing to the person that having regard to the assessment the care home is suitable for the purpose of meeting their needs in respect of health and welfare. This is to ensure that people are only admitted to the home if the faciliites, services and skills of the staff team can meet their needs. The assessment should also determine compatibility with the other people living in the home. 2 6 15 Each person in the home 19/06/2009 must have a detailed, legible, care and support plan clearly showing how all their needs in respect of health and welfare are to be met. This is so that peoples needs are identified and met in a consistent way by the staff team. 3 9 13 Where a person is assessed 19/06/2009 Page 5 of 12 Care Homes for Adults (18-65 years) 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 as presenting risks to themselves or others, these risks must be thoroughly assessed and risk management strategies put into place and documented. This is so that staff know what to do to keep people safe from self-harm, selfneglect, and prevent abuse or harm to others. 4 10 17 The records relating to the care of people living in the home must be kept securely at all times. This is so that people know that information about them is handled properly and that confidentiality is respected. 5 19 12 Arrangments must be put 19/06/2009 into place, through training staff or other means, to ensure that staff have an accurate and up-to-date knowledge of peoples mental health needs and how to manage any risks associated with those needs. This is so that people living in the home receive the support they need from skilled and competent staff. 6 20 13 Arrangements must be put in 19/06/2009 place for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. Page 6 of 12 19/06/2009 Care Homes for Adults (18-65 years) 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 This is so that people are administered the correct amount of medication at the correct times. 7 22 22 All complaints and concerns 19/06/2009 raised by people who live in the home must be listened to and acted upon. If people are not able to make verbal complaints then staff should be knowledgeable about the way different people may communicate a complaint and act on it. This is so that people living in the home feel confident that all complaints and concerns will be taken seriously and addressed. 8 23 13 Arrangements must be 19/06/2009 made, by training staff or by other measures, to prevent people who live in the home being harmed or suffering abuse or being place at risk of harm or abuse. This is so that people feel safe living in the home and can rely on staff to protect them from others. 9 34 19 Two written references must 01/12/2008 be obtained for all staff members including, where applicable, a reference relating to the persons last period of employment, which involved work with children or vulnerable adults, of not Page 7 of 12 Care Homes for Adults (18-65 years) 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 less than three months duration. 10 34 19 No person must be employed 19/06/2009 in the care home before all the required checks and references have been received and are satisfactory. These include two written references including one where the person has worked in a care capacity with adults or children where appropriate, a check against the Protection of Vulnerable Adults list, a Criminal Records Bureau check, a police check from the country of origin if the person is not a British national and a full employment history. If a person is employed in the home prior to receiving a satisfactory check from the Criminal Records Bureau, this person must be supervised by a designated staff member at times, and must not escort people who live in the home away from the premises. Where people have been convicted of a criminal offence, they must be interviewed in relation to that offence and an assessment carried out to decide their suitability to work with vulnerable people. This is to ensure that suitable people are employed Care Homes for Adults (18-65 years) Page 8 of 12 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 and protect the people who live in the home from risk of harm. 11 35 18 All staff must receive training 19/06/2009 appropriate to the work they are to perform including structured induction training. This is to ensure that at all times suitably qualified, competent and experienced staff are working in the home to maintain and protect the health and welfare of the people who live there. 12 41 17 Documentation relating to 19/06/2009 people who live in the home must be kept secure and be available for inspection at all times. This is to make sure that personal information about people is kept safely and available for inspection at any time. 13 42 37 The Care Quality Commission 19/06/2009 must be informed, in writing, without delay, of any serious injury to a person living in the home and any event in the care home which adversely affects the wellbeing or safety of any of the people living there. This is to ensure that appropriate action is taken when these incidents occur and that proper records are being kept. Care Homes for Adults (18-65 years) Page 9 of 12 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 14 42 13 Documentary evidence must 19/06/2009 be kept in the home to show that fire safety equipment is serviced, checked and tested on a regular basis. This is to make sure the fire safety equipment is in good working order and is located in the correct positions. 15 42 13 Documentation must be sent 19/06/2009 to the Care Quality Commission to verify that gas and electrical systems are regularly serviced and inspected. This is to ensure that the home is protecting the health and safety of the people who live there. 16 43 39 Where the registered 19/06/2009 provider is an organisation, the Care Quality Commission must be informed, in writing, of any changes to the organisations address. This is to make sure that we are able to contact the organisation at the correct address. Care Homes for Adults (18-65 years) Page 10 of 12 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 11 of 12 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. 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