Care Home: The Glen Nursing & Residential Home

What the care home does well The investigations into people with weight loss have confirmed that where weight loss had been identified by staff, appropriate action had been taken. Weights were on the whole recorded regularly in the plan of care. Where individuals has experienced weight loss staff had made appropriate referrals to the GP and sought advise from a dietitian. Supplements and snacks were made available to those people who had experienced or had been assessed as at risk of losing weight. No additional action will be required with regard to these concerns at this time. The issue of weight loss will continue to be reviewed in line with our regulatory role. BUPA had investigated the concerns raised with regard to the behaviour of staff towards one person living at the home. The investigation conducted by BUPA was in line with their complaints, prevention of abuse and staff disciplinary procedures. The investigation conducted by BUPA was unable to ascertain if the alleged abusive practice had occurred and which individual staff member was involved. As a result of this no additional action can be taken at this time. What the care home could do better: As a result of the concerns raised a number of care managers and social workers reviewed the care and support afforded to people living at the home. People conducting the reviews stated that they often found information hard to find in the care records. This issue was feedback to BUPA who stated they would audit the care plans in place at the home to ensure that care plans were completed in line with BUPA policy and that information could be more easily found. Concerns were raised with regard to the unexplained injury to an individual living at the home. To date the these investigations have been inconclusive and the cause of the injury remains unexplained. Additional information is currently been sought from the consultant from the hospital where the individual was admitted. An additional meeting has been arranged when this information has been obtained. As part of this investigation an occupational therapist visited the home to review the moving and handling techniques used by staff and the equipment available at the home. It was clear from the care plan of the individual that their mobility had declined and as such the individual was unable to walk and had difficulty in moving their feet. Staff were using a piece of equipment called a handling belt. This equipment should not be used where the indivdual has difficulty in moving thier feet and walking. Staff should have considered the use of different equipment such as a stand aid or hoist. BUPA need to ensure that they review the use of handling belts within the home and ensure staff are clear about the circumstances in which this should be used. Records confirmed that staff had received up to date moving and handling training. Inspecting for better lives Random inspection report Care homes for older people Name: Address: The Glen Nursing & Residential Home Shapway Lane Evercreech Shepton Mallett Somerset BA4 6JS one star adequate service 21/10/2008 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Justine Button Date: 0 2 0 4 2 0 0 9 Information about the care home Name of care home: Address: The Glen Nursing & Residential Home Shapway Lane Evercreech Shepton Mallett Somerset BA4 6JS 01749830369 01749831390 smithga@bupa.com www.bupa.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : BUPA Care Homes (CFC Homes) Ltd care home 58 Number of places (if applicable): Under 65 Over 65 58 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is 58 The registered person may provide the following category of service only: Care home with nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (Code OP) Date of last inspection Brief description of the care home The Glen is a service that supports up to 58 older people. The Glen is part of the BUPA Care Homes group. The service is situated in the village of Evercreech, which is a few miles from the town of Shepton Mallet. The home is situated within pleasant grounds in a country setting. The service is split into two wings with those service users who require nursing support in one and those who require personal care only in the other. Care Homes for Older People Page 2 of 8 2 1 1 0 2 0 0 8 Brief description of the care home There is a common kitchen and offices in the centre of the two wings. The bedrooms are distributed over three floors and there are two passenger lifts that allow easy access to all floors. Service users are able to visit all areas of the service even if their bedroom is on the opposite wing. Care Homes for Older People Page 3 of 8 What we found: This random inspection was conducted in response to a number of concerns received by us (CQC). In addition to the random inspection we attended a multi agency meeting convened by Social Services under the safeguarding policy and procedures. The purpose of these meetings was to discuss and investigate the concerns raised. The issues raised included concerns from the local care managers with regard to a number of people who had lost weight, allegations of potential abuse from a staff member and an unexplained injury to an individual living at the home which could have been as a result of poor moving and handling practices. As a result of the issues raised BUPA care home LTD have conducted internal investigations into the concerns raised. Social services have conducted reviews of the individuals identified as losing weight. An occupational Therapist has been into the home to review the moving and handling practices used by staff and the equipment available at the home. What the care home does well: What they could do better: As a result of the concerns raised a number of care managers and social workers reviewed the care and support afforded to people living at the home. People conducting the reviews stated that they often found information hard to find in the care records. This issue was feedback to BUPA who stated they would audit the care plans in place at the home to ensure that care plans were completed in line with BUPA policy and that information could be more easily found. Concerns were raised with regard to the unexplained injury to an individual living at the home. To date the these investigations have been inconclusive and the cause of the injury remains unexplained. Additional information is currently been sought from the consultant from the hospital where the individual was admitted. An additional meeting has been arranged when this information has been obtained. As part of this investigation an occupational therapist visited the home to review the moving and handling techniques used by staff and the equipment available at the Care Homes for Older People Page 4 of 8 home. It was clear from the care plan of the individual that their mobility had declined and as such the individual was unable to walk and had difficulty in moving their feet. Staff were using a piece of equipment called a handling belt. This equipment should not be used where the indivdual has difficulty in moving thier feet and walking. Staff should have considered the use of different equipment such as a stand aid or hoist. BUPA need to ensure that they review the use of handling belts within the home and ensure staff are clear about the circumstances in which this should be used. Records confirmed that staff had received up to date moving and handling training. 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 9 13 (2) It is required that medication 15/12/2007 is stored at a temperature in line with the manufactures guidelines. The home needs to ensure 05/12/2008 that all medication and drugs are stored at the correct temperature at all times. Medication that has not been stored at the correct temperature for over 28 days must be destroyed in line with the homes policy. To ensure the continued effectiveness of all medication. 2 9 13 3 31 8 You must make application to register any person appointed to manage the home at the earliest opportunity to comply with Section 11(1) of the Care Standards Act 2000. To ensure that the home is managed by an individual who is fit to do so and has the skills and competencies to fulfill this role 05/12/2008 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 1 8 13 A review of the use of handling belts is required to ensure that these are only used for individuals who have an appropriate level of mobility. This will ensure the health and safety of people living at the home. 08/06/2009 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 7 The management of the home should conduct an audit of the current care plan layout to ensure that information is easily found and readily available. Care Homes for Older People Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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