Inspection on 25/05/10 for Fix Anchor Ltd

This is the latest available inspection report for this service, carried out on 25th May 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 but made no statutory requirements on the home.

Other inspections for this house

Fix Anchor Ltd 14/01/10

Extracts from inspection reports are licensed from CQC, this page was updated on 04/09/2010.

Random inspection report Care homes for adults (18-65 years) Name: Address: Fix Anchor Ltd 119 Rochdale Road Milnrow Rochdale Lancs OL16 4DU one star adequate service 14/01/2010 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: Simon Hill Date: 2 5 0 5 2 0 1 0 Information about the care home Name of care home: Address: Fix Anchor Ltd 119 Rochdale Road Milnrow Rochdale Lancs OL16 4DU 01706750790 01706750790 anchor-ltd@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Fix Anchor Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 10 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: 10 The maximum number of service users who can be accommodated is: 10 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 needs on admission to the service are within the following category: Mental disorder, excluding learning disability or dementia - Code MD. Date of last inspection Brief description of the care home Oaklands House registered as a care home under the company name of Fix Anchor in August 2009. It is registered to provide accommodation, care and support to 10 people with a mental disorder. The home is an older detached property situated on the main Care Homes for Adults (18-65 years) Page 2 of 8 1 7 0 3 2 0 1 0 Brief description of the care home road between Rochdale and Milnrow. As such Rochdale and the nearby towns are easily accessible, as are the community facilities. The property is 3 storey with the communal areas being on the ground floor and all the bedrooms on the first and second floor. The bedrooms are all single and ensuite with tea and coffee making facilities, and some have an additional adjoining sitting area. The home has written information about the services and facilties, that is available to people to help them make a decision about whether or not they would like to live there. The fees charged for living in the home are individually assessed according to the support required and the social services financial assessment Care Homes for Adults (18-65 years) Page 3 of 8 What we found: We carried out this visit to check how medicines were being handled because we found some shortfalls on our last visit. A specialist pharmacist inspector carried out the visit and checked medicines records and stocks and spoke with two members of staff. Overall we found good improvements in the handling of medicines that meant they were handled in a much safer way. Since our last visit a different pharmacy was being used. This pharmacy now supplied suitable medicines records along with a special packaging system that made giving and checking medicines simple and easy to do. This system had only been used for the last two days so it was not possible to fully assess whether staff were using it properly. The manager said parts of the system were still being developed such as photographs of each person are to be printed on the records and packaging to help make sure the medicines are given to the right person. The manager also said that a new medicines procedure was being written that would describe how to use the new system properly. Records of medicines received into the home could now be made on the records supplied by the pharmacy and we gave some advice about how these should be done and how to carry forward any medicines to a new monthly cycle. Records of medicines given to people were now made on these new records and these were clearly presented. Medicines that were no longer required were to be returned to the pharmacy and the manager said a new book was to be provided by the pharmacy to make records of this. Having accurate records of medicines helps make sure they can be fully accounted for and helps show they are being given to people correctly. Our checks of the current records and stocks showed medicines were usually being given to people at the right and best time. We gave some advice about the recording of these times to help make sure medicines are given at the right time in relation to mealtimes. Giving medicines at the right time is important because it helps make sure they work properly. We checked how medicines were stored and found some improvements. We gave some further advice about securing the new medicines cabinet to the floor and making arrangements for the storage and recording of controlled drugs (medicines that can be misused). Overall medicines were stored more securely and were better organised. We looked at how when required medicines such as painkillers were used. There was no formal paperwork in place for recording detailed information about how these medicines should be used such as why and when they should be given. We gave some advice about how to develop the existing records and how to develop new paperwork because having detailed care plans about medicines is important to help make sure they are safely used. We looked at how staff were trained to handle medicines. All had attended two recent training sessions, one with a community pharmacy and another with a specialist training company. Further advice and training had been given by the new supplying pharmacy and the manager said the new pharmacy would be carrying out regular checks to make sure staff were using the new system correctly. The manager showed us paperwork that was to be used for assessing staff competence and she said this was to be repeated Care Homes for Adults (18-65 years) Page 4 of 8 regularly. We looked at how medicines were checked and audited and although it was evident that the manager carried out some checks we found there were no formal systems in place for this. We gave advice about how to develop the paperwork for this to help make sure mistakes and problems are promptly found so that suitable action can be taken to help prevent them happening again. Regular audits, good training and formal competency assessments help make sure staff have the necessary skills to handle medicines safely. 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 Adults (18-65 years) Page 5 of 8 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 34 19 Staff recruitment must be in 19/02/2010 accordance with the Care Homes Regulations, and staff must not commence work in the home without a criminal records bureau check being obtained. Also full employment histories must be recorded and gaps in employment explored and documented. To ensure that only suitable staff are employed, and that residents are protected. 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 9 Paperwork and systems should be developed for the auditing of medicines to help make sure they are always handled safely. 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. 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