Random inspection report
Care homes for adults (18-65 years)
Name: Address: Bellerose Residential Home 14-16 Westland Road Watford Hertfordshire WD17 1QS two star good service 02/11/2009 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: Derek Brown Date: 1 8 0 2 2 0 1 0 Information about the care home
Name of care home: Address: Bellerose Residential Home 14-16 Westland Road Watford Hertfordshire WD17 1QS 01923466630 01923466630FP Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mastercare Residential Home Association care home 9 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: Date of last inspection Brief description of the care home 9 0 2 1 1 2 0 0 9 Bellerose is a three-storey house, located in a quiet street in a residential neighbourhood in Watford. The home is operated by Mastercare Residential Homes Association, and provides accommodation and care for adults of both sexes who have mental health problems. The building has no lift therefore service users must be physically able to manage stairs. There are seven spacious bedrooms on the ground and first floors, a comfortable lounge and domestic style kitchen on the ground floor and adequate bathing and toilet facilities. Some bedrooms have en-suite showers. The second floor has been converted to provide a semi-independent flat with separate kitchen, lounge and bathroom for two service users planning eventually to move on to fully independent living. Outside to the rear of the building is a small, enclosed paved garden with a small pre-fabricated out building for smokers to use. The home is within
Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home easy walking distance of Watford town centre with its shops and amenities, including bus terminals, two mainline railway stations and an underground station. The home has a statement of purpose and service users guide, which include contact details for the Care Quality Commission (CQC). A copy of the latest inspection report is also available in the home for service users and visitors. Weekly charges, which cover basic care and accommodation, are subject to individual assessment and range from approximately £700 to £1200. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
The reason for this inspection by a pharmacist inspector was to assess the practices and procedures for the safe use, handling, recording and administration of medicines. A requirement was made at the key inspection in November 2009 for there to be effective processes for the monitoring and administration of medication in the home. We also looked at progress towards meeting this requirement. We looked at medication storage and found that this was secure and medicines are safely stored away for the protection of residents. The temperature of the cupboard used to store medicines was satisfactory and is monitored daily by staff to ensure the quality of medicines stored there. There is a dedicated cupboard which can be used to store controlled drugs but none were in use at the time of this inspection. A register is used for the recording of controlled drugs and we saw that the entries made when controlled drugs had been in use were satisfactory. We could not assess the records for the ordering, receipt and disposal of medicines as this was not available. We looked at the medication and medication records for several people in the home and found these were of a good standard and no stock discrepancies were found. However, we noted that for one person who looks after and takes some of the medicines himself, the record made did not clearly identify this. We expect this to be managed rather than make a requirement on this occasion. The management undertake regular checks on the medication and medication records and this is good practice. We consider the requirement made on the last inspection to have been met. Where people store medicines in their rooms, they are provided with a small lockable safe, in their wardrobe, in which to store them. We saw that for one person, the safe was not secured to the wardrobe. Although we accept that it would be difficult to remove the safe, it is strongly recommended that these are properly secured. Medicines are only given to residents by trained staff and we saw evidence that staff had been assessed that they are competent to undertake this task. The home has detailed written policy and procedures for the safe use of medicines and these were last updated in August 2008. However, the detailed guidance from the Royal Pharmaceutical Society (The Handling of Medicines in Social Care) was not available as recommended on the last inspection. This recommendation has not been rolled forward in this report but it remains good practice to have this available. What the care home does well: What they could do better:
The safes provided for people to store medicines in their rooms should be secured so that they cannot be removed.
Care Homes for Adults (18-65 years) Page 4 of 8 The current guidance from the Royal Pharmaceutical Society should be available for staff in the home. 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 Adults (18-65 years) 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 Adults (18-65 years) 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 20 The safes provided for people to store medicines in their rooms should be secured so that they or not removable. Care Homes for Adults (18-65 years) 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 Adults (18-65 years) 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) 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!
