Latest Inspection
This is the latest available inspection report for this service, carried out on 3rd June 2010. CQC found this care home to be providing an Good 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 Yohden Dene Care Home.
What the care home does well There were no requirements made following the last key inspection visit. We found evidence of service users, their relatives and professionals being involved in regular reviews of care. We also noted some very positive comments made by relatives during those reviews. We observed a range of different activities that were taking place in the home during our visit. For example gardening, hairdressing and physical activities in the lounge. We also noted that the home had provided a recreation room that had within it a pool table, board games, books and tea and coffee making facilities. The dining room was nicely presented and people were offered a choice of meals. Complaints had been responded to and the manager had responded appropriately to adult protection concerns. The home is benefiting from a planned programme of redecoration. The rooms that have been decorated were presented to a very high standard. The internal garden area was also very well maintained, colorful and accessible to service users. The manager was also clear about how she wanted to further improve the home. There is a training programme in place for staff and supervision is planned for. Appropriate checks are carried out before staff are allowed to work at the home. For example, references and criminal record bureau checks. We checked a sample of maintenance and service contracts and found them to be up to date. The manager told us that quotes for recommended improvements to the electrical wiring system were currently with the head office estates department for consideration. What the care home could do better: We made five recommendations about the management of care plans and medication. We looked at a sample of three care plans and found that they could all be improved by being written in a more person centered way. Some of them also needed more detail to be included. For example size and type of incontinence pad to be used, or individual preferences or routines to be carried out when going to bed. We also found that one care plan had not been evaluated regularly on a monthly basis. The evaluations we looked at did not always reflect what was written in the care plan. For example compliance with medication. When looking at the medication administration records we noticed that there were some examples of poor recording. For example hand written entries were not countersigned for accuracy, some bottles were not dated on opening. We also noted that some drugs had been signed for when there would not have been any to give. For example 32 signatures for a 28 day course of tablets. We also noted that some medications that had been dispensed by the pharmacy did not carry full instructions for staff to follow including warnings about how and when to give some medicines. We suggested that the manager speak with the pharmacy to make sure that full instructions were provided when medicines were dispensed. She agreed that she would do this. Random inspection report
Care homes for older people
Name: Address: Yohden Dene Care Home Hesleden Road Blackhall Hartlepool Cleveland TS27 4LH 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 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: Jean Pegg Date: 1 6 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Yohden Dene Care Home Hesleden Road Blackhall Hartlepool Cleveland TS27 4LH 01915862284 01915862092 yohden.dene@schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Marie Ramshaw Type of registration: Number of places registered: Conditions of registration: Category(ies) : Southern Cross OPCO Ltd care home 36 Number of places (if applicable): Under 65 Over 65 36 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is 36 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 need on admission to the home are within the following category: Old Age, not falling within any other category - Code OP, maximum number of places 36 Date of last inspection Brief description of the care home Yohden Dene is a purpose built care home situated in a quiet residential area of Blackhall, which is a village close to Peterlee. The home provides residential care for up to thirty six people. All of the rooms have en suite toilet facilities and there are
Care Homes for Older People Page 2 of 8 Brief description of the care home additional bathing facilities provided throughout the home. Some of the bathrooms have specialist bathing facilities to support those people who are less able. There is a communal lounge and dining area, plus a smoking lounge and separate coffee shop. People have access to a secure and very attractive garden area. Fees range from £436.60 to £545 per week. This does not include hairdressing or chiropody. Care Homes for Older People Page 3 of 8 What we found:
The last key inspection visit for this home was completed 7 November 2007 when a quality rating of good was awarded. A quality rating can only be awarded or changed following a key inspection visit. This was an unannounced random inspection visit for this home. The visit took place on 3 & 16 June 2010. Two inspectors completed the inspection visit. Before the visit took place we looked at the information that we had received about the home since the last key inspection visit. This information included notifications sent to us from the service, how the service had dealt with any complaints or concerns raised and any changes about the management of the service. We also had some surveys that service users, staff and their relatives had completed and returned to us. The surveys did not contain any information that gave us cause for concern. A summary of the information contained in the surveys was fed back to the manager. During the visit we talked to people who use the service and people who work in the service. We observed care practices in the home and looked at documents and records held by the home that related to how peoples needs were being met. We also looked at records relating to the management of the home. We walked around the home to make sure that it was clean, safe and comfortable. At the end of our visit we told the person in charge what we found. We made five recommendations for the manager to consider following this visit. What the care home does well:
There were no requirements made following the last key inspection visit. We found evidence of service users, their relatives and professionals being involved in regular reviews of care. We also noted some very positive comments made by relatives during those reviews. We observed a range of different activities that were taking place in the home during our visit. For example gardening, hairdressing and physical activities in the lounge. We also noted that the home had provided a recreation room that had within it a pool table, board games, books and tea and coffee making facilities. The dining room was nicely presented and people were offered a choice of meals. Complaints had been responded to and the manager had responded appropriately to adult protection concerns. The home is benefiting from a planned programme of redecoration. The rooms that have been decorated were presented to a very high standard. The internal garden area was also very well maintained, colorful and accessible to service users. The manager was also clear about how she wanted to further improve the home.
Care Homes for Older People Page 4 of 8 There is a training programme in place for staff and supervision is planned for. Appropriate checks are carried out before staff are allowed to work at the home. For example, references and criminal record bureau checks. We checked a sample of maintenance and service contracts and found them to be up to date. The manager told us that quotes for recommended improvements to the electrical wiring system were currently with the head office estates department for consideration. 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 5 of 8 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 6 of 8 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 3 7 7 7 Care plan evaluations should reflect the care needs identified within the care plan. Care plans should be evaluated on a monthly basis to ensure that needs are constantly being monitored. Care plans should be written in a person centered manner and reflect the individualism of the person they are written for. Medication that is not supplied in monitored dosage packs should be dated on opening. Any hand written entries made on medication administration records should be signed by two people to show that details recorded have been checked as accurate. 4 5 9 9 Care Homes for Older People Page 7 of 8 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 8 of 8 - 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!
