Care Home: Tudor Rose Rest Home

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What the care home does well This is a random inspection and therefore not all of the core standards were assessed. All of the standards will be assessed at the next key inspection of the home. The staff at the home have made improvements to the care plans and the management of people`s money to ensure that people live in a home where the requirements are met. Staff know the people who live at the home well and recognise when their needs change. The home provides a friendly and welcoming atmosphere. What the care home could do better: This is a random inspection and therefore not all of the core standards were assessed. All of the standards will be assessed at the next key inspection of the home. Behaviour charts would assist staff to identify any trends or patterns in people`s behaviour. Copies of notifications that are sent to us should be kept in the home, so that they canshow they have told us about any reportable incidents. Random inspection report Care homes for older people Name: Address: Tudor Rose Rest Home 671 Chester Road Erdington Birmingham West Midlands B23 5TH 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: Lisa Evitts Date: 1 3 0 5 2 0 1 0 Information about the care home Name of care home: Address: Tudor Rose Rest Home 671 Chester Road Erdington Birmingham West Midlands B23 5TH 01213848922 01213504040 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Jackie Barrett Type of registration: Number of places registered: Conditions of registration: Category(ies) : Careplex care home 27 Number of places (if applicable): Under 65 Over 65 5 27 mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 0 0 The maximum number of service users who can be accommodated is: 27 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 needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) 27 Mental Disorder, excluding learning disability or dementia - over 65 years of age (MD(E)) 5 Date of last inspection Care Homes for Older People Page 2 of 9 Brief description of the care home Tudor Rose is registered to provide residential care for up to 27 persons for reason of old age with a maximum of five who may suffer from mental health illness. The property is a converted and extended domestic residence and the frontage blends well with the adjacent residential properties in the area. The premises are situated on a busy main road close to local shops and amenities. It is very conveniently situated for bus and rail services to Sutton Coldfield and Birmingham city centre. There is sufficient off road parking at the front of the building to accommodate several vehicles and further parking is available in nearby side roads. The majority of the accommodation is located on the ground and first floors. A shared room is situated on the second floor that has its own adjacent bathroom. There are five double bedrooms and seventeen single bedrooms, all have wash hand basins and a call bell system. There is a shaft lift that gives access to all floors and permits a maximum of two people. This restriction in conjunction with the narrow corridors prohibits the home from caring for people who are wheelchair users. Communal toilets and bathrooms are strategically located throughout the home. Communal rooms are situated on the ground floor and consist of two lounges and two dining rooms. There is an extensive rear garden with out houses and a paved area with seating that people can use. Meals and a laundry service are supplied on site. Fee rates for living at the home range from £336 - £354 per week depending if single or double room. There are no top up fees. These rates are reviewed annually and the home should be contacted for current rates. There is some information on display inside the home and the last inspection report is available for people to read if they choose to. Care Homes for Older People Page 3 of 9 What we found: The focus of this inspection undertaken by the Care Quality Commission (CQC) is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. This random visit was undertaken by one inspector over three and a half hours. There were twenty six people living at the home and one of these people was in hospital. The home did not know that we would be visiting that day and the deputy manager assisted us. The reason for this visit was to monitor the homes progress in meeting the two requirements which were made at the last key inspection on 30th November 2009. During this visit we looked at two peoples care files. We spoke to three people who live at the home and two staff. We looked at the records for small amounts of peoples money and looked at how the home keeps this safe. These are our findings: We looked at the accounts for three people who have money kept at the home. We found that all of these had detailed records of expenditure and had receipts to support this. Two staff signed the records when money was put into or taken out of the account and on one record the person who lives at the home had also signed. Balances were correct and monthly audits were undertaken. This should ensure that peoples money is held safely by the home. We looked at one persons file as we were told that the persons mobility had changed since recently being in hospital. We found that there were clear records of the person being admitted into hospital following a fall. Records showed that prior to the person coming back to the home, staff had been to re assess them to ensure that the home could still meet their needs. Both the care plans and risk assessments had been updated when the person came back to the home. They showed that the person now needed more assistance from two staff and a Zimmer frame to walk due to being unsteady. A falls risk assessment had been completed and the person had been referred to a falls clinic as the number of falls had increased. This will ensure that the person sees a specialist to see if there is anything that will help the person reduce the number of falls they have. We looked at the file of one person who had recently come to live at the home. This persons needs had changed as they had become more confused and has tried to leave the home. Shortly after the person had moved into the home they had left the premises unaccompanied and were reported missing to the police. They were found a short time after near to the home. Staff told us that they had sent us a report about this incident but we have not received this. The home did not keep copies of notifications that they send us and this was recommended so that the home have evidence of the reports being sent. The deputy manager set up a file for this straight away. Due to the concerns about the person trying to leave the home and not being safe, the home had contacted the persons social worker and the GP to ask for a review of their Care Homes for Older People Page 4 of 9 care. Care plans were in place and a risk assessment. Entries were made in daily records about the persons behaviour but no behaviour charts were in place. This was discussed with the deputy manager as this would assist staff in identifying any trends or patterns in the behaviour. Care plans gave staff guidance about how to support the person with this behaviour such as assist in orientation to room, use simple commands and involve in activities. We observed staff diverting the persons attention and assisting them to be calm after lunch. People told us: Staff always come and help me The girls came to see me when I was in hospital and that was nice, but Im glad to be home Always get good food with plenty to choose from One person who lives at the home told us that staff go with them every day to place a bet at the bookies. This means that people are assisted to continue with activities that they enjoy. There was a pleasant atmosphere in the home and staff were seen to assist people at lunchtime in a manner which promoted their independence and dignity. Staff spoken to were able to tell us about peoples needs and how they should support people as stated in their care plans. They told us that they had received training in various topics such as Health and Safety, dementia, medication, fire and moving and handling. These are relevant topics for staff to have the knowledge to meet peoples needs. What the care home does well: What they could do better: This is a random inspection and therefore not all of the core standards were assessed. All of the standards will be assessed at the next key inspection of the home. Behaviour charts would assist staff to identify any trends or patterns in peoples behaviour. Copies of notifications that are sent to us should be kept in the home, so that they can Care Homes for Older People Page 5 of 9 show they have told us about any reportable incidents. 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 1 2 7 38 Behaviour charts should be used so that any trends or patterns can be identified easily. Copies of notifications should be kept so that the home can demonstrate that the appropriate people have been notified of any incidents that occur in the home. 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. 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