Inspection on 06/04/09 for Meadow View Care Centre
Also see our care home review for Meadow View Care Centre for more information
This is the latest available inspection report for this service, carried out on 6th April 2009.
CQC found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.
Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Meadow View Care Centre Wharrage Road Alcester Warwickshire B49 6QY 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Debby Railton Date: 0 6 0 4 2 0 0 9 Information about the care home
Name of care home: Address: Meadow View Care Centre Wharrage Road Alcester Warwickshire B49 6QY 01789766739 01789763440 Telephone number: Fax number: Email address: Provider web address: info@prime-life.co.ukwww.prime-life.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Pamela Hemming Mrs Melanie Oliver Type of registration: Number of places registered: Conditions of registration: Category(ies) : Prime Life Ltd care home 42 Number of places (if applicable): Under 65 Over 65 25 42 dementia old age, not falling within any other category Conditions of registration: 0 0 Service users in the bungalows must have one member of staff available at all times, this member of staff clearly identified on the staff duty rota. Service users Service users placed in the bungalows must be assessed by social services and the Registered Manager as suitable for the bungalow style of living and not have primary diagnosis of dementia. Date of last inspection Care Homes for Older People Page 2 of 9 Brief description of the care home Meadow View Care Centre is a purpose built care home, situated in the town of Alcester. Meadow View can accommodate up to 42 older people including 25 older people in the dementia care category. The service provider offers long and short-term accommodation and services associated with meeting the personal care needs of service users in the above categories. The accommodation is on one level in two wings. The complex also includes several privately owned bungalows and a separate annex called Poppies. All clients are offered single bedroom accommodation with en-suite toilet and shower facility. Meadow View is spacious with a long wide corridor leading from the entrance to the communal and accommodation areas. The communal areas consist of a large lounge dining room with two smaller sitting rooms off the main room plus a lounge, which is based at the far end of a corridor. There are also seating areas in the corridors. The gardens are landscaped and very attractive and can be accessed by wheelchairs. The care centre is registered to provide personal care services only. The visiting district nurses treat residents needing nursing care. All placements at the Meadow View Care Centre are contracted through Warwickshire Social Services. Care Homes for Older People Page 3 of 9 What we found:
The pharmacist inspection lasted two hours. Four peoples medicines were looked at together with their Medicine Administration Record (MAR) charts and care plans. Two senior care assistants and the manager were spoken with during the inspection. There are no trained staff to administer medication at night so the day staff either stay late or come back to the home to administer the night time medication. This resulted in some staff working a 14 hour day. The time sheets did not always reflect this nor did the rotas. The practice of the day staff preparing the medication in named pots and leaving them for the night staff to administer has now ceased. All the medication is kept in either one of the two medication trolleys or locked cabinets. Some medication was also found in bags ready for the pharmacy to collect. Anyone that gained access to the room would have access to this medication. The room temperature was too hot to safely store the medication within which may compromise the stability of the medicines so they not work as intended. One medicine was found in the medicine trolley when it should have been stored in the medicine refrigerator. The temperature range of the refrigerator was too hot to safely store medicines inside. Audits indicated that the majority of medicines had been administered as prescribed. A few errors were seen for example some strong pain relieving patches had been applied a day too late. This may affect the level of pain control of the person receives which may be detrimental to the persons health and well being. Another error was found where the staff had not recorded the correct dose. This resulted in the person being offered pain relieving tablets three times a day and not every 4 to 6 hours as prescribed. The care plans recorded the clinical conditions of the people. This information would enable the care staff to support their clinical needs. One senior care assistant did not know what many of the medicines were for. Without such information it would be difficult fully support the peoples clinical needs. Further training had been booked. What the care home does well: What they could do better:
Staff knowledge of what some of the medicines were for was poor. The medicines were not stored in compliance with their product licenses so their stability may be affected and they may not work as intended. Staff must ensure that they follow the exact prescribed instructions at all times so all the people are administered their prescribed medicines as the doctor intended. Care Homes for Older People Page 4 of 9 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 9 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 7 15 (1)(2)(b) Care plans must be up to 01/09/2008 date, include correct information and describe the actions staff are to take to meet peoples? assessed needs. This is so staff know what care and support people require to make sure that their changing needs are met. Care Homes for Older People Page 6 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 9 13 All medication must be stored in compliance with their product licenses at all times and be stored in a locked cabinet at all times. This includes medicines awaiting return to the pharmacy. This is to ensure that the stability and safety of the medication is not compromised. 27/04/2009 2 9 13 All medication must be administered as prescribed at all times. Staff must ensure that they write the correct details on the MAR chart that reflect what the doctor has prescribed for staff to follow This is to ensure the health and wellbeing of the service users at all times. 27/04/2009 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 CSCI 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 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!
