Latest Inspection
This is the latest available inspection report for this service, carried out on 13th April 2010. CQC found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Sweet Lawns.
What the care home does well Sweet Lawns Care Home is a small home in a residential street in Harrow. The accommodation is clean and comfortable. A recruitment procedure is in place and staff have received some mandatory training and new staff are completing skills for care induction training. We were bale to observe activities taking place with people who live in the home on a one to one basis. What the care home could do better: The home has vacancies for staff at the moment. This has an impact on the Managers ability to administer the home. The Manager acknowledged the need to concentrate more on the running of the home and administration. The Manager has been working with a new and depleted staff team to meet the daily needs of people who live at the home. We have made a recommendation for recruitment documents to be indexed and filed. We have made an immediate requirement for the duty roster to include all the hours worked by the Manager. Staff must receive training in safeguarding vulnerable adults and infection control. Surveys on the quality of care were in the process of being sent out. These need to form part of a quality assurance monitoring process. The staff must meet with the Manager or other senior staff for supervision meetings and this must be recorded. Random inspection report
Care homes for older people
Name: Address: Sweet Lawns 7 The Gardens, Vaughan Road Harrow Middlesex HA1 4HE two star good service 04/11/2008 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: Susan Woolnough-Singh Date: 1 3 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Sweet Lawns 7 The Gardens, Vaughan Road Harrow Middlesex HA1 4HE 02084278293 02084277127 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Joan Swan Type of registration: Number of places registered: Conditions of registration: Category(ies) : Ms Joan Swan care home 6 Number of places (if applicable): Under 65 Over 65 6 old age, not falling within any other category Conditions of registration: 0 . The maximum number of service users who can be accommodated is: 6 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 Date of last inspection Brief description of the care home Sweet Lawns is a care home providing personal care and accommodation for up to six older people. Mrs Joan Swan owns the care home and is the registered manager. The home was first registered in March 1988. Sweet Lawns is located in West Harrow, in a quiet residential street, within a short walk from local shops and an underground
Care Homes for Older People Page 2 of 11 0 4 1 1 2 0 0 8 Brief description of the care home station. There are four single bedrooms and one shared room. Two bedrooms have en suite bathroom facilities. The home has an enclosed well maintained garden that is accessible to residents. Details of fees can be obtained from the owner/manager. Care Homes for Older People Page 3 of 11 What we found:
This was a random unannounced inspection of Sweet Lawns Care Home. This means that we did not assess all of the Key National Minimum Standards for Older People We looked at the Key standards for Staffing and Quality Assurance. The last Key Inspection took place on 4th November 2008 and the service was rated as a good service. An Annual Service Review was completed December 2009. As part of the inspection we toured the home and met people who live at the home. we talked with two people about the care they receive. We observed activities taking place. Two members of staff were on duty during this inspection visit. The home was clean and tidy in all areas. The level of maintenance is good, and there were plans to tidy the back garden in preparation for the coming months. We spoke with people with regard to the care they receive, with reference to staffing and food. The people spoken with indicated they they were satisfied with the home. We observed activities taking place for two people on an individual basis. An Artist was working with one person on a painting, and one person was completing a crossword with a member of staff. STAFFING. National Minimum Standards for Older People 27 - 30 We met with the Registered Manager to discuss the staff team, the hours that care workers are on duty, supervision and training, and the recruitment procedures in place for the protection of people who use the service. At the time of the inspection the staff team comprised of the Manager and five members of staff. The Manager informed us that the Deputy Manager had left in February 2010. The staff team comprised of the Manager, four care staff who work day and evening shifts and one night staff. The Manager is currently working night shifts as there is a vacant night care worker position. We were informed by the Manager that the Deputy Manager post vacancy is placed with the local Job Centre. We discussed briefly with the Manager the prospect of recruiting the right caliber of Deputy Manager with the Job Centre. The Manager said she had specified the level of skill required for this post. The home is registered for six older people. Four people were living at the home at the time of the inspection. The Manager said that she planned to recruit night staff, as she is currently working some nights and wished to spend time on the organisation of administration. At the present time she indicated that it was not financially viable to recruit, due to the low occupancy levels. There has been a high turn over of staff since the last inspection. Four new staff started in 2009. The Manager and night care work being long term staff. Care Homes for Older People Page 4 of 11 We discussed the number of staff on duty and confirmed that a minimum of two staff are on duty during waking hours and one waking night staff. The home does not have a designated cook or house workers. We looked at the duty roster for the week of the inspection 11th - 17th April 2010 and received a photo copy of this. We noted that some periods in the evening where covered by one member of staff. The Manager said that she is at the home during these periods, as the second member of staff. The staff duty roster did not depict this for the periods identified. We issued an Immediate Requirement that the duty roster is completed fully and represents all the staff on duty in the home. This is required under the Care Homes Regulations 2001 Regulation 17, Schedule 4.7 We discussed this with the Manager who agreed the roster would be completed. We looked at the copy of the duty rota after the inspection visit. Two members of staff had worked over 48 hours during the week period. One member of staff had worked 49.30, we were informed at the inspection that this member of staff had signed a European Working Time Directive Derogation. One member of staff working initially on a Student Visa and in the process of applying for a Work Visa had worked 58 hours. We were not aware of a derogation for this member of staff. We looked at all staff personnel records apart from the Manager. We made a good practice recommendation that files be purchased for these. The purpose of this to index and file key documents. All staff had application forms, passport photographic identification, two references and Criminal Records Bureau checks. Two staff had documents relating to work restrictions. Two staff had student visas and had completed their study and where applying for work visas. One staff had a student visa with work restrictions detailed. New staff had commenced Induction Training. We were able to see a work book for the Common Induction Standards. Staff had completed training in moving and handling and food hygiene. Training for one care worker on food hygiene was going to be re- booked. Staff had not attended training on Safeguarding Vulnerable Adults. Information had been given to the Manager on Training provided by Harrow Social Services on Safeguarding. This training needed to be planned for staff working at the home. New staff had not attended training on infection control. Two staff have completed a National Vocational Qualification in Health and Social Care. One at NVQ Level 4, one at NVQ Level 3. Three staff are due to commence NVQ Training. We looked at the supervision records for each member of staff. One member of staff had had supervision in January 2010 and one member of staff an appraisal in 2010. There were no records of one to one supervision for three staff who had been working at the home since March 2009 and November 2009. The Manager indicated that supervision is ongoing and takes place during the induction training. We discussed with the Manager the need to have regular recorded one to one supervision with staff as set out by the National Minimum Standards for Older People. We were informed that staff meetings take place. These meetings had not been minuted or recorded. Care Homes for Older People Page 5 of 11 MANAGEMENT AND ADMINISTRATION National Minimum Standards for Older People 31 38 The home does not have a Quality Assurance Procedure. We discussed with the Manager how the National Minimum Standards set out the need to have a quality monitoring system and development plan. Some questionnaires had been sent out to the relatives of people who ue the service. An Annual Quality Assurance Assessment had been completed and forwarded to CQC in September 2009. The Manager had identified the need to improve Quality Assurance systems in the home. 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 6 of 11 Care Homes for Older People Page 7 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 21 23 The owner must make sure that the lock on the ground floor toilet door is replaced. This will makes sure that residents have privacy when using the toilet. 31/12/2008 Care Homes for Older People Page 8 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 1 27 17 The Registered Manager 26/04/2010 must ensure that the duty roster reflects the time she works at the home or intends to work at the home. The duty roster must depict the number of staff on duty caring for people who live in the home. 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 30 18 The Registered Manager 01/07/2010 must ensure that all staff have training in safeguarding vulnerable adults. Staff must have awareness of types of abuse and the procedures used to report this. 2 30 18 All staff must receive training 01/07/2010 in infection control. Staff must have awareness of best practice and how to avoid the risk of infection. 3 33 24 The Registered Manager must develop a quality assurance and monitoring system. 02/08/2010 Care Homes for Older People Page 9 of 11 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 The quality of care must be monitored for the benefit of people who live in the home. 4 36 18 The Registered Manager 24/05/2010 must ensure that all staff receive formal supervision at least six times a year. Staff must have the opportunity to discuss all aspects of practice. 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 2 32 37 Staff meetings should take place regularly and the meetings should be recorded. Staff personnel records should be indexed and filed. 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!
