Care Home: Yatton Hall

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What the care home does well In talking with individuals living in the home they spoke positively of the staff and care they received "suits me living here", "staff all very good and kind", "if I need help i get it". Staff told us that they felt they worked "well as a team" that there was good communication and spoke of the manager as being approachable and someone who would "sort any problems out". What the care home could do better: With regard to the top floor the physical disability unit where there are younger individuals living. There was little evidence of an environment which was stimulating and enabling. Activities were very limited and questionable in terms of age appropriate. There was no evidence of individuals having links with the local community and rarely going out spending time watching tv was the main activity noted. One individual told us they "could with more outings" and this was a comment made by staff. Individuals all appeared to spend considerable time in their rooms rather then in the lounges and this was seen as "their choice". However it is questionable whether staff activitly encouraged individuals to spend time out of their rooms and this in part is related to the limited staff available. One individual who spent alot of their time in their room lacked motivation and spoke of having "done quizzes and dominoes what esle is there". Another spoke of wanting to undertake painting and art but this had never been explored with him and he spent most of his time "just watching tv". Staffing in the home needs to be reviewed against the dependency needs of individuals living in the home. Currently there are two lead nurses on duty throughout the home and one nurse spoke of the considerable pressure this places on them namely to cover two floors. We observed some delay in staff responding to call bells. Individuals told us " I know the service would be better if they had more staff" "I get up at 6am I prefer that if it was later I would have to wait because staff are so busy". Another individual said "staff are always so busy", "sometimes it takes a time for staff to come to me". Random inspection report Care homes for older people Name: Address: Yatton Hall High Street Yatton North Somerset BS49 4DW two star good service 06/05/2009 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: John Clarke Date: 1 0 0 6 2 0 1 0 Information about the care home Name of care home: Address: Yatton Hall High Street Yatton North Somerset BS49 4DW 01934833073 01934877373 yatton.hall@fshc.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Grandcross Limited(wholly owned subsidiary of Four Seasons Health Care Ltd) Name of registered manager (if applicable) Mrs Lisa Marie Brain Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability old age, not falling within any other category physical disability Conditions of registration: The maximum number of service users to be accommodated is 48. The registered person may provide the following category of service only: Care home with Nursing - Code N to service users whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (Code OP) - maximum 48 of either gender Physical Disability (Code PD) - maximum 13 of either gender Learning Disability over 65 years of age (Code LD(E)) - maximum 2 males only. Care Homes for Older People Page 2 of 9 care home 48 Over 65 2 35 0 0 0 13 Date of last inspection Brief description of the care home 0 6 0 5 2 0 0 9 The home is owned by Grandcross Limited (wholly owned subsidiary of Four Seasons Health Care Ltd). Four Seasons Health Care is a large organisation with approximately 450 homes situated throughout Great Britain. Mrs Lisa Brain manages the home. Yatton Hall provides nursing care for up to 48 people. The accommodation is provided on three floors, served by a lift. The first two floors are for older people, the top floor for younger disabled people. There are 48 single bedrooms, not all the bedrooms have ensuites. The accommodation has even, level access throughout, and the surrounding area is level too. Located in Yatton High St, it is close to the village shops and facilities. The home is staffed with a registered nurse at all times. At the time of publishing this report, the weekly fee range started with the Local Authority rate of 586.42 up to 1050.00 pounds for the Younger Physically Disabled persons. The Registered Nurse Care Contribution paid to the home for privately funded clients is retained by home. Care Homes for Older People Page 3 of 9 What we found: This was an unannounced visit to the service because of safeguarding concerns we had been advised about through the visits of contracts officers from the local authority. The concerns related to the quality of life for individuals living in the home specifically about the level of activities arranged and individuals remaining in bed for long periods of time. There was also a concern about the observed practice of staff in relation to moving and handling. During our visit we looked at staffing arrangments, spoke with individuals living in the home and staff members including the activities organiser. We also looked at the care plan for one individual who was specifically mentioned with regard to the concerns we had received. We also spoke with this individual about their view of the quality of care they received. 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 4 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 5 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 1 13 16 The registered manager shall 23/07/2010 having regard to the size of the care home and the number and needs of individuals living in the home consult individuals about their social interests, and make arrangements to enable them to engage in local, social and community activities. This relates to those individuals living in the physical disabilty unit of the home. To review such arrangements so that individuals are supported to become part of, and participate in the local community in accordance with assessed needs and individual care plans. 2 14 16 The registered manager shall 23/07/2010 having regard to the size of the care home and the number and needs of individuals living in the care home consult individuals about the programme of Page 6 of 9 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 activities arranged by or on behalf of the care home, and provide facilities for recreation including, having regard to the needs of individuals, activities in relation to recreation, fitness and training. Thsi realtes to those living in the physical disabilty unit of the home. To review the social and recreational needs of individual so that individual have access to, and choose froma range of appropriate leisure activities. 3 27 18 The registered manager 16/07/2010 shall, having regard to the size of the home, the number and needs of individuals living in the home shall ensure that at all times suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate fro the health and welfare of those living in the home. This relates to the need to review staffing levels and arrangements in the home and adv ise us of the outcome of such a review. Care Homes for Older People Page 7 of 9 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. 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