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Coundon Manor Care Home Good

All reports

Inspection report

Date of Inspection: 10 December 2012
Date of Publication: 5 January 2013
Inspection Report published 5 January 2013 PDF

Staff should be properly trained and supervised, and have the chance to develop and improve their skills (outcome 14)

Not met this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by competent staff.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 10 December 2012, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members and talked with staff.

Our judgement

Staffing arrangements were not sufficient to enable staff to deliver the care and treatment people required safely and appropriately.

Reasons for our judgement

On the day of our inspection we spoke with eight people who used the service and two visitors. They were complimentary of the staff. They told us: “Staff are ever so nice.” “They have been very kind to me.”

The deputy manager told us the home was not operating to full capacity and there was currently no registered manager in post. We were told staffing levels reflected the number of people in the home which was 35. There were 17 people on the dementia unit and 18 on the frail elderly nursing unit. The home planned to have two nurses and three care staff for the dementia unit and one or two nurses and three or four care staff on the frail elderly nursing unit.

We observed staff throughout the day during their interactions with people and relatives. They supported people in a caring and professional manner. Staff we spoke with were knowledgeable about the people they were caring for.

On the morning of the inspection the home was short of one member of staff due to a staff member phoning in sick. A replacement member of staff arrived at 11.00am to provide support. Throughout the day staff appeared pressured in their work having little or no time to stop and talk with people about topics of interest to them. The exception was a short period of time on the dementia unit during the morning when care staff danced and spoke with people in the lounge.

Staff told us it was not always possible to spend time with people to talk and listen to their stories because of the staffing levels. They described an approach to their work that was driven by tasks and not by the needs of each individual.

We asked people if they felt there were always staff around to support them. They told us: “Yes, they do have a crisis now and again.” “I think there is, we used to see more of them.” “I don’t see much of them.”

We observed several incidents of concern during the day where staff were not around to witness them or did not notice them due to being busy with other people. This included one person in the dementia lounge attempting to pull the lights off the Christmas tree which nearly toppled over onto them; A person attempting to pick a newspaper up of the floor – there were concerns they could fall over; A person slapping another person across the face because they came too close to them; A person losing their incontinence pad out of their trouser leg leaving this in the middle of the floor presenting a trip hazard to others walking around.

In addition to this we observed the lunchtimes on both floors. We saw a person on the frail elderly unit having a meal delivered to their room. The person did not eat their meal and staff did not question why this may be. We were told there were seven people living in the frail elderly unit that needed support to eat and there were three staff available.

Staff were not able to spend the time they needed with people to assist them to eat. We observed there were more people needing assistance than there were staff to do this.

In the dementia unit dining room we saw uneaten meals and meals going cold. We saw staff standing over people to put the odd mouthful of food into one person’s mouth before going to another to do the same. Staff were rushing in and out of the dining room. One person was attempting to get a drink from a fire extinguisher (this contained a protective cover so they were not at risk). One person was moving the food around the plate and putting some of this on the table. Staff observed them doing this but did not offer to help them eat. People were getting frustrated and shouting out. This increased noise levels in the dining room. This clearly impacted on one person who began to hum loudly as if to show their disapproval. Staff told us the person did not like noise.

There were no planned social activities for the people on the day of our visit. People were seen to sit in their bedroom or lounges listening to music and chatting to each other with occ