Care Home: The Troc Residential Home

What the care home does well Medicine Administration Records were fully completed and records are kept of any unused medication returned to the pharmacist. What the care home could do better: People must only get up early in the morning if it is there choice to do so. This will allow people to decide for themselves when they get up in the morning. Staff must know how to record any complaints made. This will ensure any complaints made are dealt with properly though the home`s complaints procedure. Staff must be provided with moving and handling training. This will ensure people are assisted in moving safely. Notification must be sent to us about the change in management arrangements including any temporary management arrangements. This will ensure there is someone accountable in ensuring people`s needs are being properly met. Inspecting for better lives Random inspection report Care homes for older people Name: Address: The Troc Residential Home 256 Beacon Hill Road Newark Nottinghamshire NG24 2JP two star good service 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: Stephen Benson Date: 1 6 0 1 2 0 0 9 Information about the care home Name of care home: Address: The Troc Residential Home 256 Beacon Hill Road Newark Nottinghamshire NG24 2JP 01636671342 01636671914 marilyn@thetroc.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) : Reason Care Limited care home 32 Number of places (if applicable): Under 65 Over 65 0 32 dementia old age, not falling within any other category Conditions of registration: 2 0 The registered person may provide the following categories 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 Dementia - Code DE - maximum number of 2 places The maximum number of service users who can be accommodated is 32 Date of last inspection Brief description of the care home The Troc is a care home providing accommodation and personal care for up to twentyfive older people of both sexes. The home was opened in the 1980s and consists of a two-storey building in its own grounds. The home is situated in a suburban area on the outskirts of the historic market town of Newark. It is two miles from the town centre with its shops, leisure, entertainment, historic sights and other facilities. Public bus Care Homes for Older People Page 2 of 9 Brief description of the care home services pass the home, offering transport into Newark. The home has twenty-three single and one double bedroom, none en-suite. Communally, there are three lounges and a dining room area. There are three bathrooms and six communal toilets to meet the needs of the residents. Inside, the home is pleasantly decorated throughout and car parking is available at the front of the building. The fees range from £370 to £390 per week, additional charges are made for chiropody, newspapers/magazines and personal toiletries. Fortnightly hairdressing is included in the fees, however, if people choose to have additional hairdressing charges are made. Care Homes for Older People Page 3 of 9 What we found: Staff said some people do get up early, but as they are not here they do not know when they are woken. One person said she likes to get up early but others are woken and got up to get them dressed. There is no senior on duty at nighttime and records do not show what time people are getting up. The Medicine Administration Records were seen and these were fully completed. Medicine was recorded as given as prescribed and the returns book did not have any unexplained returns of medicine in. Training for safe handling of medicines is arranged for the end of January 2009. The complaints book had 5 recent complaints in. These were all completed by the previous manager who has since left. The senior on duty said she would not know where to record any complaints. Staff are assisting people with moving and handling without having the required training. One senior said she had spoken to people on occasions about not following the correct moving and handling procedures. One person said she is sometimes hurt when being moved. The senior on duty said she has been here for 12 months and not had any moving and handling training in that time and she last did this training about 3 years old. The provider said she would arrange some moving and handling training as a matter of urgency. The manager left her post at the beginning of December. The senior on duty said there was not anyone designated to be in charge, they were all doing it together. No notification has been received about the manager going or the temporary management arrangements. There was a rota in place and a sample of peoples cash accounts were checked and found to be correct. What the care home does well: What they could do better: People must only get up early in the morning if it is there choice to do so. This will allow people to decide for themselves when they get up in the morning. Staff must know how to record any complaints made. This will ensure any complaints made are dealt with properly though the homes complaints procedure. Care Homes for Older People Page 4 of 9 Staff must be provided with moving and handling training. This will ensure people are assisted in moving safely. Notification must be sent to us about the change in management arrangements including any temporary management arrangements. This will ensure there is someone accountable in ensuring peoples needs are being properly met. 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 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 9 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, Care Homes 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 12 12 People must only get up early in the morning if it is there choice to do so. This will allow people to decide for themselves when they get up in the morning. 01/02/2009 2 22 22 Staff must know how to 01/03/2009 record any complaints made. This will ensure any complaints made are dealt with properly though the homes complaints procedure. 3 30 18 Staff must be provided with moving and handling training. This will ensure people are assisted in moving safely. 01/03/2009 4 31 18 Notification must be sent to 01/02/2009 us about the change in management arrangements including any temporary management arrangements. This will ensure there is someone accountable in ensuring peoples needs are Care Homes for Older People Page 7 of 9 being properly met. 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 8 of 9 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. 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