Latest Inspection
This is the latest available inspection report for this service, carried out on 26th August 2010. CQC found this care home to be providing an Adequate service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Throckley Nursing & Residential Home.
What the care home does well There are good links with health professionals and care plans are implemented for short term health issues. The meals served were good and people said they enjoyed the food, which was well cooked. Staff support was on hand. The tables were nicely set and lunch was seen as a social occasion. Hot and cold drinks were readily available. The cook is part of the staff team and was available to service users for comments and requests. They had good knowledge of the individual dietary needs of service users and of the nutritional needs of older people. The service provides good support to enable people who use the service to enjoy a range of social activities. The home was clean, comfortable and homely with good evidence of personalisation. What the care home could do better: To continue with the staff training programme Random inspection report
Care homes for older people
Name: Address: Throckley Nursing & Residential Home Ponteland Road Throckley Newcastle Upon Tyne Tyne & Wear NE15 9EP one star adequate 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 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: Mary Blake Date: 2 6 0 8 2 0 1 0 Information about the care home
Name of care home: Address: Throckley Nursing & Residential Home Ponteland Road Throckley Newcastle Upon Tyne Tyne & Wear NE15 9EP 01912675655 01912291119 throckleygrange@highfield-care.com www.southerncrosshealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Southern Cross Home Properties Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 48 Number of places (if applicable): Under 65 Over 65 0 48 dementia old age, not falling within any other category Conditions of registration: 18 0 The maximum number of service users who can be accommodated is: 48 The registered person may provide the following category of service only: Care home with nursing - Code N To service users of the following gender: Either Whose primary care needs on admssion to the home are within the following category: Old age, not falling within any other category - Code OP, maximum number of places: 48 Dementia - Code DE, maximum number of places: 18 Date of last inspection 2 1 0 6 2 0 1 0 Care Homes for Older People Page 2 of 9 Brief description of the care home The home is purpose built and located in the centre of Throckley. It is close to all local amenities and is on a local bus route. The home caters for up to 50 older people and has a maximum of 35 nursing care beds. There are spacious communal areas, dining rooms and a separate smoking lounge. A passenger lift services all areas. The home has 44 single bedrooms, some with en-suite facilities. Externally there are accessible gardens, patio areas and car parking is available. The home has access to a shared mini bus for outings. Fees vary and more information is available from the home. The home provides information about the service through the service user guide and statement of purpose. A copy of the last inspection report from the Care Quality Commission is available in the entrance to the home. Care Homes for Older People Page 3 of 9 What we found:
The quality rating for this service is one star. This means the people who use this service experience adequate quality outcomes. The quality rating of the home was not under review at this inspection. We have reviewed our practice when making requirements. Some requirements from previous inspection reports may have been deleted or carried forward to this report as recommendations. This will only happen when it is considered that people who use the service are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The last key unannounced inspection of the home was in July 2009. We undertook this inspection to follow up requirements made at a previous inspection. As we had concerns at the last inspection we wrote a warning letter to the company. This was to tell them that what shortfalls we had found, what action was required to put these right, and that we would take enforcement action should they continue to fail to address these. We found good progress with all of the requirements addressed. Before the visit we looked at information we received since the last visit to the home. This includes how the service dealt with any complaints, changes to how the home is run, the views of people who use the service and the managers views of how well they care for people. During the visit we talked with people who use the service, some staff and the acting manager. We focused mostly on the personal and health care of people who use the service and checked staffs understanding of the care required by the people living in the home. We also looked at the previous requirements and recommendations to see if these had been met. The home is currently partially occupied with only 15 service users. The manager stated that they are not actively seeking admissions. Whilst there had been no new admissions or readmissions from hospital the manager was aware of the pre-admission information required and this would be transferred into the care plans to ensure that the home could meet the overall needs of the service user. We looked at all occupied bedrooms and communal areas, all of these areas were clean, tidy, well furnished and personalised. The majority of people were up and about. Some people in the lounge area and others were in their rooms. They all looked well, clean and comfortable. One person was in bed with access to their call bell, all other call bells were answered promptly. Care Homes for Older People Page 4 of 9 Two care plans were examined and two were case tracked. This means that we spoke to the individual service user or observed their care and then matched our observations to what was written in the care plan. There are good links with health professionals and care plans are implemented for short term health issues. When we examined the care plans we found the plan identified a range of areas requiring support and the plans were based on the daily activities of life. Peoples nutritional needs were monitored and records for individuals identified as being nutritionally at risk, were in place. Staff were entering information about peoples intake, they were now completed in sufficient detail to show that they were receiving enough fluid over the period of the day. These records were now being monitored. Advice that was given by the Speech and Language (SALT) team was clearly written in a central folder and in the care plan and was now being fully followed. Pressure ulcer risk assessments were reviewed monthly and care plans were adequately detailed with regular evaluations undertaken for these problems. The staff had managed residents pressure damage with good support from the Tissue Viability Nurse. We examined two sets of service users plans and found that the quality of recording was generally satisfactory. People using the service or their relatives were encouraged to be fully involved in the process. Moving and handling practices were now appropriate and staff training files now indicated moving and transferring training had taken place or was planned. People who use the service said I like it here the food is good the staff are lovely. There was good evidence of social activities happening in the home. We observed some flexible routines such as people choosing to get up later and being offered breakfast and medication throughout the morning. Personal choices and support with making decisions was offered. Those service users identified as needing additional fluids and observation of food intake appeared to be getting good support during the inspection and fluid and food intake was now consistently recorded. The mealtimes had been reviewed this included improved use of the dining rooms and time management of staff support for individuals. Only two floors are in use and service users have choice of two dining rooms, with both being used. Breakfast was observed to be a relaxed and social occasion. The tea trolley served had tea, coffee, milk shake, biscuits and fresh fruit and staff were observed to support service users in their choice. Recruitment and selection records were looked at for two staff. The necessary checks were in place including proof of identity, application form, two written references a Criminal Record Bureau disclosure confirmation an interview checklist and necessary Southern Cross documentation to comply with the policies and procedures.
Care Homes for Older People Page 5 of 9 The staffing levels at the time of the visit for a total of fifteen people, nine of which require nursing care, was one nurse and three care staff over the two floors. Deployment of these staff was discussed with the acting manager as the layout results in there being one carer on the bottom floor for six people and whilst they can request support from the nursing floor it is difficult for staff working on their own to provide person centered care. The home has a registered manager, however she is no longer working in the home. A temporary, acting manager is responsible for Throckley as well as another home in the company which is without a manager. The manager appeared competent and had good knowledge on the operation of the home and service users needs. There is improved direction and good leadership and as a result the care being delivered has improved. 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 9 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 7 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, 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 8 of 9 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 9 of 9 - 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!
