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Care Home: The Check House

  • 61 Beer Road Seaton Devon EX12 2PR
  • Tel: 0129721858
  • Fax: 01297625496

The Check House is owned by The Check House Ltd. The Check House is a nursing home providing hotel style accommodation, care and nursing for up to 49 older people and for people who do not require nursing. The home072009 does not offer intermediate care, and there are smoking restrictions. The house is a detached Grade II listed property in Seaton, East Devon with outstanding views of the sea across a sweeping garden with terraces. Residents` accommodation consists of 43 single rooms and 3 double rooms over three floors. The home has its own minibus. The home`s statement of purpose and service user guide, which includes details about the philosophy of the home and details about living at the home, is available to all residents and visitors, on request. A copy of the most recent inspection report is available for all to read in the entrance hall of the home. Information received from the home indicates that the current weekly fees are currently #866.00 single room and #1071.00 double room. Fees for respite accommodation are currently # 131.50 single room and #205.00 double room per night. All fees quoted above are for accommodation only Nursing fees will be additional to these quoted. Services not included in this fee include Hairdresser, Chiropody, Toiletries, Optician and Dentist. There is no charge for the use of the minibus.

  • Latitude: 50.703998565674
    Longitude: -3.0789999961853
  • Manager: Mrs Sally Ann Magee
  • Price p/w: £969
  • UK
  • Total Capacity: 49
  • Type: Care home with nursing
  • Provider: The Check House Limited
  • Ownership: Private
  • Care Home ID: 15582
Residents Needs:
Dementia, Old age, not falling within any other category

Previous Inspections

This may not be the latest inspection for this service as we are having techinical problems updating from CQC - please check directly on the regulators website for the most recent report; bestcarehome hopes to be back to regular updates shortly.

For extracts, read the latest CQC inspection for The Check House.

Random inspection report Care homes for older people Name: Address: The Check House Beer Road Seaton Devon EX12 2PR two star good service 15/07/2009 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: Michelle Oliver Date: 1 2 0 1 2 0 1 0 Information about the care home Name of care home: Address: The Check House Beer Road Seaton Devon EX12 2PR 0129721858 01297625496 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Elizabeth Wilson Type of registration: Number of places registered: Conditions of registration: Category(ies) : The Check House Limited care home 49 Number of places (if applicable): Under 65 Over 65 49 old age, not falling within any other category Conditions of registration: 0 May admit a maximum of 4 people who require nursing care between the ages of 45 64 years The maximum number of persons accommodated at the home at any one time shall not exceed 49 Date of last inspection Brief description of the care home The Check House is owned by The Check House Ltd. The Check House is a nursing home providing hotel style accommodation, care and nursing for up to 49 older people and for people who do not require nursing. The home Care Homes for Older People Page 2 of 11 1 5 0 7 2 0 0 9 Brief description of the care home does not offer intermediate care, and there are smoking restrictions. The house is a detached Grade II listed property in Seaton, East Devon with outstanding views of the sea across a sweeping garden with terraces. Residents accommodation consists of 43 single rooms and 3 double rooms over three floors. The home has its own minibus. The homes statement of purpose and service user guide, which includes details about the philosophy of the home and details about living at the home, is available to all residents and visitors, on request. A copy of the most recent inspection report is available for all to read in the entrance hall of the home. Information received from the home indicates that the current weekly fees are currently #866.00 single room and #1071.00 double room. Fees for respite accommodation are currently # 131.50 single room and #205.00 double room per night. All fees quoted above are for accommodation only Nursing fees will be additional to these quoted. Services not included in this fee include Hairdresser, Chiropody, Toiletries, Optician and Dentist. There is no charge for the use of the minibus. Care Homes for Older People Page 3 of 11 What we found: This random unannounced inspection was undertaken following information of issues and concerns, received from a person who wishes to remain anonymous. We arrived at the home at 11:30am and the inspection was carried out over 5 hours. The manager was present throughout the inspection and the Company Director for the last 3 hours of the inspection. During this inspection we looked in detail at care plans for the six people who had recently been admitted to the service, as part of this inspection. One concern raised is that the service is admitting people to the home whose health and social care needs the service is not registered to provide care for. It was alleged that people with a diagnosis of dementia were being admitted to the service. We looked in details at the care plans for 6 people who have recently moved to The Check House. We looked at assessments of each persons health and social care needs which showed that although 2 people had a diagnosis of dementia, following multi disciplinary consultation it had been assessed that they had overriding health care needs that require nursing care. Another concern raised was that the quality of meals provided at the home has deteriorated recently. We spoke to one of the chefs who has worked at the home for some considerable time. We were told that the quality of the food bought at the home has not changed except for the supplier of fresh vegetables. However, the quality of the fruit and vegetables provided at the home continue to be of a good quality. We were told that some complaints had been made in relation to meals provided at the home, during a residents meeting. This was taken seriously; people living at the home have been asked for ideas for different meals and a number of dishes have been added to the menu as a result of this. People we spoke to during this visit were happy with the meals provided at the home. However, a visitor told us that their relative was often given meals they did not like and they were not asked what they liked or disliked. Also their meals were pureed although the person did not feel this was necessary. Another concerns of the complainant was that the general dining experience of people living at the Check House had changed. Since the last key inspection of the home a dining room is being used as a lounge and 2 formally quiet lounges have been reinstated as dining rooms. People were not consulted about this change prior to the changes being made. People told us that they were happy with the food served at the home and new dining rooms now we are getting used to it. One person told us It would have been nice to have been told about the changes. Care Homes for Older People Page 4 of 11 Now that 2 rooms are being used as dining rooms this means that meals are taken in one sitting as there is now sufficient room to accommodate all those who have their meals in the dining rooms. We were at the home when lunch was served, which looked appetising and was well presented. People were given the choice of 2 main dishes which included freshly baked home made vegetable pasties and a home made lemon meringue pie for dessert. It was alleged that previously home made puddings are being replaced with instant type desserts which are allegedly being served more frequently at the home. We looked at the menus and saw that instant desserts appear at least once a week, although people may choose to have them whenever they wish. We spoke to people about the variety of meals served at the home and all were happy with the choices they are offered. It was alleged that a person who has a diagnosis of dementia had assaulted another person living at the home and that one person had to lock their door at night to prevent the person from entering their room. We discussed this with staff and the manager and were told that a person did wander but that they were not diagnosed with dementia. We looked in detail at this persons care plan and noted several entries of them wandering including them having wandered into another persons room. We also looked at the care plan for a person who had requested a key to enable them to lock their door as they were frightened of a person coming into their room during the night. Assessments of any risks presented by the person locking their door had been undertaken and the lock is over ridable by staff from outside in the case of an emergency. We were told that due to a decline in their health the person is no longer wandering. Staff also told us that another person also wandered at the home and there had been occasions when they had appeared aggressive towards other people living at the home. This person is no longer living at the home. All staff we spoke to at the time of this inspection were aware of the importance of safeguarding people from harm or the risk of harm at the home and all had received appropriate training. Several changes have been made to the layout of the communal and office areas of the Check House. A room, formerly used as a dining room, is now being used as a spacious lounge area where people can watch TV and socialise with others living at the home. Two rooms, formerly used as quiet lounges are now being used as dining rooms. These rooms are light and bright and have delightful sea and garden views. An office formerly shared by the manager and a secretary is now being used as solely the managers office. It has been furnished comfortably to provide a private area where relative, visitor, health care professionals can meet privately. However, the area used by the secretary has been relocated to a public area of the Care Homes for Older People Page 5 of 11 building and also serves as a reception area. During our visit we heard the secretary having telephone conversations about people living at the home and also had access to several confidential files for several people living at the home. We discussed this with the manager who immediately removed the files and stored them in a filing cabinet to ensure that they were stored safely. This practice potentially compromises peoples right to confidentiality and privacy. A staff office, which was located in a communal area, has been removed and this area is now integrated into a sitting area. We spoke to several people who told us they like this increased area. One person told us they miss the staff that were more available, now they have their office at the other end of the building we dont see so much of them. All staff now uses an office close to the entrance and secretarys desk, which is some way from the communal areas. The home was generally fresh and clean, however we visited a bathroom next to the staff office and noted the floor was wet and the toilet was dirty. We drew this to the attention of a member of staff who told us that a person had recently been assisted to shower and the room would be cleaned by one of the domestics. We discussed the risk of people who may use the facilities falling because of the floor being wet and no warning signs being posted and were told that people living at the home would not use this bathroom. However, when we were walking past one of the dining room we heard a person telling staff they wanted to be helped to a toilet quickly and were asking was there a toilet that was closer than the one they were being taken to. The facilities that we had noted were wet and dirty were closer to the dining room and would have been easier for the person to be taken to. When we checked the facilities they had still not been cleaned. The complainant also had concerns regarding the imminent lack of registered nurses employed at the service as the main one has recently left and concerns about insufficient numbers of staff to meet peoples health and social care needs. One of the concerns of the complainant was that the service employs only 2 registered nurses. We discussed this with the manager who told us the service does employ 2 registered nurses, also a bank nurse, who is available for early shifts only and a registered nurse has recently been recruited who will undertake 36 care hours and 8 administration hours a week. We were told that the service also uses trained nurses from agencies when needed to ensure that staff get time off. The service aims to have an RGN, a care office, 9 carers, 2 activities organizers, a waiter/waitress, a kitchen assistant, a chef and a domestic on duty throughout the day. During this visit we saw that staff were busy but were helpful and respectful to all people living at and visiting the home. We were told that staffing levels were not always met when staff were sick or on holiday. We looked at a rota and noted that on one occasion a registered nurse, a care officer and 6 carers [ aims for 9] were on duty during a morning shift and 3 carers [aims for 6] on duty during the afternoon. This potentially puts people at risk of their health and social care needs not being met because of insufficient numbers of staff. Staff told us they do not have time to spend quality time with people living at the home, such as sitting with them and simply chatting. People living at the home who spoke to us confirmed this. Care Homes for Older People Page 6 of 11 We were also told that the complaint was concerned that people living at the home have not been consulted about recent changes at the home. The service has recently undergone some managerial changes, following the resignation of the homes registered manager. The provider has employed a manager from another of the Companys services who will be applying for registration with the Commission. The manager spoke to us about the services aim to include people living at the home in the general running of the home and keeping them informed of any proposed changes. However, we were told that people had not been consulted about the recent changes that have taken place at the home. The provider and the manager agreed that this is something that would be looked at closely in any future changes proposed at The Check House. 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 7 of 11 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 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 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 1 15 People should be consulted about the meals they wish to have taking into account their likes and dislikes, including how they are served. All staff should be aware of protecting people from harm or this risk of harm and this should include risks presented by other people living at the service. All areas of the home should be kept clean and hygienic and systems in place to prevent the spread of infection should be followed consistently. The health and social care needs of people living at the home should be met by the numbers of staff at all times. The views of people living at the home should be considered to ensure that the home is run in their best interests. Individual records should be secure and maintained and used in accirdance with the Data Protection act 1998 and Page 9 of 11 2 18 3 26 4 27 5 33 6 37 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 other statutory requiements. 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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!

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