Latest Inspection
This is the latest available inspection report for this service, carried out on 9th September 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. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Waratah House.
What the care home does well Staff have worked hard to become more consistent in their approach to providing care. There has been some improvement in recording of what an individual experiences, such as activities a person has participated in. This needs to be continued and built upon. We saw that people were generally well presented. However, attention to detail is needed, one person was wearing trousers with a broken zip. Some people had bare legs with no socks or tights. Staff were interacting well with people. There was a variety of individual and group activities happening during our visit. What the care home could do better: The home is `drifting` and lacks a clear plan of action to make sure that outcomes for people that live in Waratah are consistent. There is evidence of bills not being paid on time and we have received concerns from the homes energy supplier about the non payment of a utilities bill. Staff have raised concerns with us that they not being paid appropriately or on time. The service must make sure that staff are paid according to their contracts and with the correct amount. Training provision for staff is still poor, with a lack of specialist input. Members of staff have received some training, but were unable to recall dates and records are not maintained by the manager. We are concerned the provider has failed to respond to a fire safety notice. Fire officers visited the home and served a notice relating to training and suitability of equipment. The provider must make sure this was complied with. The environment of the home needs particular attention. Repair work and redecoration has been done to a poor standard, without attention to detail. We saw that there were areas that had water damage, which had not been repaired properly. Wallpaper was sellotaped onto the wall and flooring had not been fitted correctly. Thus making it hard to clean and unsafe to walk on. Domestic staff were unaware of the importance of good hygiene. Extraction vents in bathrooms and toilets had a layer of dust on them. This is not only an infection risk, but a fire hazard. The kitchen is functional. However, staff who undertake food preparation did not understand the importance of appropriate storage of food and must wear appropriate protective clothing. CQC will continue to work closely with all agencies to make sure that individuals health and safety is protected. Random inspection report
Care homes for older people
Name: Address: Waratah House Sanderstead Road Sanderstead Croydon Surrey CR2 0AJ 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: Janet Pitt Date: 0 9 0 9 2 0 1 0 Information about the care home
Name of care home: Address: Waratah House Sanderstead Road Sanderstead Croydon Surrey CR2 0AJ 02086510222 02086577694 thewaratah@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr James Emmanuel Kwabena Safo Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 54 Number of places (if applicable): Under 65 Over 65 0 0 dementia mental disorder, excluding learning disability or dementia Conditions of registration: 25 29 The maximum number of service users who can be accommodated is: 54 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: Dementia - Code DE (Maximum number of places: 25) Mental Disorder, excluding learning disability or Dementia - Code MD (maximum number of places: 29) Date of last inspection Care Homes for Older People Page 2 of 10 Brief description of the care home Waratah House is situated in the Sanderstead area of the Borough. The property consists of a large detached building, with two additional annexes. There is a large patio to the rear of the home, with car parking facilities. The home lies on a very busy main road, which, it has to be said, is not pedestrian friendly, and is on a bus route and close to a rail station. The home provides care for older people living with dementia or mental health needs. Information on what the home can provide is available in the Service User Guide, which is made available to current and potential Service Users. Additional information can be found in the homes Statement of Purpose. Fees for this service are GBP450 - GBP500 per week. Care Homes for Older People Page 3 of 10 What we found:
The rating for this service is one star, this means people experience adequate quality outcomes. One inspector undertook this unannounced inspection. We looked at the homes Annual Quality Assurance Assessment (AQAA) and notifications we had received. The AQAA contained brief information and did not reflect what was happening at Waratah. For example, the home told us they had reviewed all policies and procedures, but there were no dates on the AQAA to support this. We were also told that all necessary safety checks had been carried out. Again the AQAA did not reflect this. A site visit was made that lasted two and a half hours. During the visit we spoke with people and members of staff. Care records were inspected and a tour of the premises was undertaken. We are concerned that Waratah has stated that requirements relating to care planning and training had been met, but there was little evidence to indicate that the changes had been embedded in day to day practice. Information received from other authorities about the environment and staff training supported concerns we found at the site visit. What the care home does well: What they could do better:
The home is drifting and lacks a clear plan of action to make sure that outcomes for people that live in Waratah are consistent. There is evidence of bills not being paid on time and we have received concerns from the homes energy supplier about the non payment of a utilities bill. Staff have raised concerns with us that they not being paid appropriately or on time. The service must make sure that staff are paid according to their contracts and with the correct amount. Training provision for staff is still poor, with a lack of specialist input. Members of staff
Care Homes for Older People Page 4 of 10 have received some training, but were unable to recall dates and records are not maintained by the manager. We are concerned the provider has failed to respond to a fire safety notice. Fire officers visited the home and served a notice relating to training and suitability of equipment. The provider must make sure this was complied with. The environment of the home needs particular attention. Repair work and redecoration has been done to a poor standard, without attention to detail. We saw that there were areas that had water damage, which had not been repaired properly. Wallpaper was sellotaped onto the wall and flooring had not been fitted correctly. Thus making it hard to clean and unsafe to walk on. Domestic staff were unaware of the importance of good hygiene. Extraction vents in bathrooms and toilets had a layer of dust on them. This is not only an infection risk, but a fire hazard. The kitchen is functional. However, staff who undertake food preparation did not understand the importance of appropriate storage of food and must wear appropriate protective clothing. CQC will continue to work closely with all agencies to make sure that individuals health and safety is protected. 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 10 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 35 17(2) Schedule 4 (9) To ensure that the financial 01/11/2009 interests of people who use the service are safeguarded individual records must include:- A clear record of all money taken from the account. A clear record of all money returned to or deposited into the account. Clear, legible, dated and numbered receipts for all expenditure. Care Homes for Older People Page 6 of 10 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 1 15 16 Food must be stored according to Environmental Health guidance. This will make sure that individuals are protected from harm. 05/11/2010 2 15 16 Staff who prepared food must make sure that they wear appropriate protective clothing at all times. This will make sure that food is handled safely. 05/11/2010 3 19 23 A redecoration and refurbishment plan for the whole home must be submitted to CQC. The plan must include dates for completion and work must be done to a good standard. This will make sure that individuals live in a safe maintained environment. 05/11/2010 4 26 13 All areas of the home must 05/11/2010 be cleaned in an appropriate manner. Vents must be free
Page 7 of 10 Care Homes for Older People 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 from dust. This will make sure that people are protected from infection risks and fire hazards. 5 30 18 Staff must receive mandatory training and specialist training routinely. An accurate record must be maintained. This will make sure that people are supported by trained and competent staff. 6 34 10 The registered provider must 05/11/2010 make sure that all utility bills for the home are paid in a timely manner. This will make sure that individuals are not at risk of having vital services removed. 7 34 25 The registered provider must 05/11/2010 make sure that staff are paid according to their contracts, taking note of current employment guidance. This will make sure that staff are supported to carry out their role. 8 38 23 The registered person must comply with notices served by other authorities. This will make sure that individuals live in a safe environment.
Care Homes for Older People Page 8 of 10 05/11/2010 05/11/2010 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 9 of 10 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 10 of 10 - 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!
