Latest Inspection
This is the latest available inspection report for this service, carried out on 19th May 2010. CQC found this care home to be providing an Adequate 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 The Close.
What the care home does well The service offers accommodation in a building that although quite old has a warm and welcoming atmosphere. Staff are well trained, and a record of training received and scheduled was available. A variety of activities are available to people living in the home, and a range of home cooked meals provided, with choice on a daily basis. What the care home could do better: As indicated earlier in the report, the service must ensure that their procedures are followed with regard to recruitment, and that the requirement to report significant events to the commission is followed. Their care plans, which have been improved, still need to show who wrote them and when to ensure accountability, and must also demonstrate how the individual they relate to has contributed, or if this is not possible how the information they contain was gathered, for example from a family member. The manager of the home has been in post for more than twelve months, and the provider needs to ensure they support the manager in applying for registration with the commission. Random inspection report
Care homes for older people
Name: Address: The Close 53 Lynn Road Snettisham Kings Lynn Norfolk PE31 7PT one star adequate service 19/06/2009 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: Alan Buttery Date: 1 9 0 5 2 0 1 0 Information about the care home
Name of care home: Address: The Close 53 Lynn Road Snettisham Kings Lynn Norfolk PE31 7PT 01485540041 01485540041 rsiva91@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Norfolk Care Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 23 Number of places (if applicable): Under 65 Over 65 0 23 dementia old age, not falling within any other category Conditions of registration: 1 0 The maximum number of service users who can be accomodated is: 23 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 need on admission to the home are within the following category: Old age, not falling into any other categories - Code OP Dementia - Code DE Date of last inspection 1 9 0 6 2 0 0 9 Care Homes for Older People Page 2 of 8 Brief description of the care home The Close is a care home providing personal care and accommodation for twenty-three older people. The home is privately owned by Norfolk Care Ltd. The home is located in the village of Snettisham. The coastal town of Hunstanton is approximately five miles away and Kings Lynn approximately ten miles. The Close is a large detached property and provides accommodation on the ground and first floors for up to twentythree elderly people. Seventeen of the bedrooms are single and three are double. Nine of the bedrooms have en-suite facilities. Access to the first floor is gained by one of two staircases, one with a stair lift, or a passenger lift. There is a pleasant, wellmaintained garden with lawns, trees and shrubs, which has a path all around the home, enabling residents to walk safely outside. The weekly fees currently range between £364.00 and £460.00 depending on individual needs, and the accomodation provided. There are additional charges payable for hairdressing, private chiropody, newspapers and personal toiletries. People are advised verbally about the charge payable at the time of the initial. A copy of the latest inspection report is available in the hall of the home, and further copies available on request. Care Homes for Older People Page 3 of 8 What we found:
This was a random inspection, during which we focussed on issues present at the last key inspection in June 2009, and information provided within the Annual Quality Assurance Assessment (AQAA) submitted by the provider. The home is currently undergoing some building works, adding 7 new rooms and additional communal facilities, but apart from more limited parking and the closure of the conservatory, they have been able to minimise the impact on the residents of the home. On the day of the inspection, hymns were being sung in one of the lounges, and during the inspection we noted a number of domestic staff ensuring that the home was clean. We looked at individual care plans for three residents and at staff records for two people who had recently joined the service. During our inspection, the provider was available to discuss the documentation that we looked at, and to find the relevant paperwork. The manager of the home, who has yet to complete their registration with the commission, was away from the home with a resident. The individual care plans have been revised since our last visit, and contain more detail on the identified needs of the person, both health and social needs are identified, and the plans also show how those needs should be met, and the anticipated outcomes. The plans also showed evidence that the care plans are reviewed, but further areas were identified that need improvement. The plans were undated and not signed, and did not provide evidence that the person they related to had been involved in their preparation. The staff records we examined were again in a new format, but still need improvement. Although the procedures are in place, these were not being followed on the files examined, as in both cases the required written references had not been obtained. Verbal references had apparently been obtained, but on both files we examined, there was only one, and although the second written reference had been applied for, it had not been received, and the staff member had started prior to the request being sent. During our visit, we discussed with the provider their admissions process, and were told of four new admissions that have taken place in recent months. These have followed the deaths of those previously occupying the rooms, but these deaths have not been reported to the commission under the requirements of the regulations What the care home does well:
The service offers accommodation in a building that although quite old has a warm and welcoming atmosphere. Staff are well trained, and a record of training received and scheduled was available. A variety of activities are available to people living in the home, and a range of home cooked meals provided, with choice on a daily basis.
Care Homes for Older People Page 4 of 8 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 5 of 8 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 15(1) Individual plans must show the involvement of the individual they relate to and how the individual can expect all their health and social care needs to be met, and show that the plans are kept under review. 31/10/2008 2 27 19(1) All documentation detailed in 30/09/2008 schedule 2 of the regulations must be obtained before staff start working in the home to ensure residents are not at risk. A manager must be 30/11/2008 appointed to run the home, and an application for registration submitted to the CSCI to ensure the home is run for the benefit of the residents living there. 3 31 8(1) Care Homes for Older People Page 6 of 8 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 7 of 8 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 8 of 8 - 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!
