Latest Inspection
This is the latest available inspection report for this service, carried out on 27th April 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 Stoneham House.
What the care home does well We reported at the last key inspection undertaken on 02 December 2009 that, `People tell us that they are happy living at the home and that their needs are met. The care staff spend time chatting with people on an individual basis, provide people with activities and are friendly and supportive toward the people that they care for`. What the care home could do better: The inspection undertaken on 02 December 2009 identified three further improvement areas in addition to those addressed within this report: These were to do with the lack of assessments prior to someone moving into the home, inadequate recruitment checks on staff and the unsafe storage of hazardous materials. The manager submitted an improvement plan on 15 April 2010 detailing the action taken to address these issues. Compliance with the remaining requirements made following thekey inspection in December 2009 will be assessed at a later date. Random inspection report
Care homes for older people
Name: Address: Stoneham House 4 Bracken Place Chilworth Southampton Hampshire SO16 3NG zero star poor service 02/12/2009 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: Chris Johnson Date: 2 7 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Stoneham House 4 Bracken Place Chilworth Southampton Hampshire SO16 3NG 02380760112 02380768585 stonehamhouse@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Peter Eckford Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs W L Bellett care home 37 Number of places (if applicable): Under 65 Over 65 0 37 dementia old age, not falling within any other category Conditions of registration: 37 0 The maximum number of service users to be accommodated is 37. The registered person may provide the following category/ies of service only: Care home only - (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 (OP) Dementia (DE). Date of last inspection 0 2 1 2 2 0 0 9 Care Homes for Older People Page 2 of 10 Brief description of the care home The home is located on the outskirts of Southampton with easy vehicular access to local amenities. The home was opened in 1995 and is a large detached property standing in extensive grounds. There is a car parking area at the front and the side of the building. The building stands on a slight hill, so has three floor levels, which can be accessed with a shaft lift. The home has some shared bedrooms, but the present philosophy of the home is to operate at less than full capacity, thus ensuring that current service users have a single room. Communal space is provided by way of a large lounge, a dining room and a conservatory area. There are also two patio areas, with some furniture. Care Homes for Older People Page 3 of 10 What we found:
We visited the home on 27 April 2010 to to undertake an unannounced random inspection to assess compliance with three Statutory Requirement Notices issued on 16 February 2010. These were issued following our findings at the last key inspection of the home on 02 December 2009. The visit commenced at 09:45 and lasted for two hours and was undertaken by two inspectors. The registered manager was present throughout the visit. The three statutory requirement notices each had a compliance date of 28 February 2010. The first statutory requirement notice related to care plans and required the home to; (i) Have a system in place to ensure that all the service users care needs are clearly recorded in their care plans. (ii) Have a system in place to ensure that the care plans are sufficiently detailed with clear action plans in place to ensure the identified needs of all the service users are fully met. (iii) Have a system in place to ensure that the care plans provide up to date and accurate information, that is cross referenced and corresponds to information provided in assessments. (iv) Have a system in place to ensure that the care plans are reviewed at least monthly, or when a service users circumstances or needs change and revised where appropriate. During the visit we looked at the care plans and associated files of four people. Since we were last at the home the manager had archived a lot of older material. This made the care plans more accessible and less confusing than when we previously visited. The manager stated that the home had received support from Hampshire Social Services quality improvement officer. The manager had implemented the recommendations of the quality improvement officer in that the care plans had been divided into a current file with current care plans, current risk assessments and daily records. Older information had been stored separately. Care plans appeared to contain relevant information and were in an activities of daily living format, covering all aspects of a persons daily life. The care plans viewed contained individual detail about how peoples needs should be met and how they preferred them to be met. All four care plans looked at were current with evidence that they had either recently been reviewed or re written. Wherever possible people had signed to say they were in agreement with their plan. The plans looked at had all been re written and appeared more personal to the person than at the previous inspection. Peoples names were used throughout the care plan and there was a lot of detail regarding peoples personal care support needs as well as information regarding their likes and dislikes, diet and social information.
Care Homes for Older People Page 4 of 10 We were unable to speak to everyone whose care plan that we examined. However we were able to observe that one person was sat on a low pressure cushion as stated in their care plan and they appeared comfortable and cared for. Another persons care plan identified that they were at risk of falls and through observation we noted that measures were in place as described in the care plan to reduce the risk. In discussion with the person they told us that they did not have any complaints and that they were very happy with the care that they received. The only issue that we identified from cross referencing care notes with daily recordings were that staff were not always recording bowel movements as specified in some peoples care plans. This was brought to the attention of the manager who said that he would be discussing this with staff. The evidence viewed and discussions with the registered manager, registered provider, and service users would indicate that the statutory requirement notice in relation to care plans has been complied with. The second Statutory Requirement Notice was in relation to how the home manages medication and required by 28 February 2010 that the home; (i) Have a system in place to ensure that all medication is administered as prescribed. (ii) Have a system in place to ensure that medication administration records are accurately maintained, including a method to indicate the reason for any non administration. (iii) Have a system in place to ensure that all handwritten entries on medication record sheets are checked for accuracy by a second person qualified to do so. (iv) Ensure that the register of controlled drugs meets the Royal Pharmaceutical Society Guidelines, Handling of Medicines in Social Care 2007. We looked at the records of medicines received into the home and given to people, the supplies of medicines, the facilities for the storage and recording of Controlled Drugs and talked to the manager. We found that clear records were kept of all medicines coming into the home. When medicines were given to people by the care staff a record was kept to show that the medicines had been given and if it wasnt given why not. Most of the medication records were printed by the supplying pharmacy. However on one occasion when a new medicine had been prescribed this had been added by the care staff. These were correctly written. From the records and medicines supplies we were able to see that people had received their medicines as prescribed. A new register to record and audit (track) the use of Controlled Drugs which meets to Royal Pharmaceutical Society guidelines, handling of Medicines in Social care 2007, had been obtained. The evidence viewed and discussions with the registered manager would indicate that the Statutory Requirement Notice in respect of medication has been complied with.
Care Homes for Older People Page 5 of 10 The third Statutory Requirement Notice related to Regulation 26 visits and reports. Regulation 26 visits should be completed at least monthly by the registered provider and are a quality review of the service provided at the home with a report being completed for the registered manager. The Statutory Requirement notice required that by the 28 February 2010 that there would be a system in place to ensure that the written reports following visits to the home by the provider or their representative under the provision of regulation 26 are prepared and supplied to the registered manager and the Commission. The responsible individual was present during the inspection and spoke with the inspectors. The registered provider discussed how they undertake regulation 26 reports and assess the quality of the service provided at the home. The registered provider lives in an apartment in the home and has daily contact with the home, staff and people who live there. The registered provider clearly knew the people who lived at the home and they her. The registered provider was aware of the service users care needs. The registered provider stated that they dictate daily comments about the home which are passed to the registered manager. The registered manager then collates these into a report which is read back to the registered provider and she then signs to confirm that this is a true reflection of her findings. The Registered Manager separately described the same procedure to the inspectors. We viewed the completed Regulation 26 reports for previous months. The regulation 26 reports had been completed on forms suggested by the Commission and covered all the areas necessary for the registered provider to make an assessment of the service provided. The registered provider had signed the Regulation 26 reports. We noted that the registered provider had been doing these reports much more frequently than is actually required. In discussion she was aware of this and said that she preferred to do them more regularly. The evidence viewed and discussions with the Registered Manager and registered provider would indicate that the statutory requirement in relation to Regulation 26 has been complied with. What the care home does well: What they could do better:
The inspection undertaken on 02 December 2009 identified three further improvement areas in addition to those addressed within this report: These were to do with the lack of assessments prior to someone moving into the home, inadequate recruitment checks on staff and the unsafe storage of hazardous materials. The manager submitted an improvement plan on 15 April 2010 detailing the action taken to address these issues. Compliance with the remaining requirements made following the
Care Homes for Older People Page 6 of 10 key inspection in December 2009 will be assessed at a later date. 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 7 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 3 14 Pre admission assessments 08/02/2010 must be carried out on all people prior to them moving into the home. Assessments must be kept under review and revised when necessary. This is to make sure that someone does not move into the home whose needs cannot be met. 2 29 19 Staff must not commence 08/02/2010 work at the home until all satisfactory checks have been completed. Any outstanding references must be obtained. By undertaking a robust recruitment procedure people will be better protected. 3 38 13 The manager must ensure that people living at the home are not put at risk from the unsafe storage of hazardous materials. Cleaning materials pose a risk to people especially those with dementia care needs. 08/02/2010 Care Homes for Older People 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 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. Care Homes for Older People Page 10 of 10 - 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!
