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Inspection on 02/03/09 for Mount Olive Residential Care Home

Also see our care home review for Mount Olive Residential Care Home for more information

This is the latest available inspection report for this service, carried out on 2nd March 2009.

CSCI found this care home to be providing an Adequate 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The service had taken steps to improve its management and record keeping and was maintaining care records and financial records. The people living in the home continued to have a good quality of life and had their health and personal care needs met and attended a variety of social and religious activities.

What the care home could do better:

The financial records for the people living in the home need to be accurate so there is a clear audit trail of how their money is spent and what cash they have available. Handwritten medication records should be checked for accuracy to ensure the detail written on them matches what is on the instruction dispensed from the pharmacist.

Inspecting for better lives Random inspection report Care homes for adults (18-65 years) Name: Address: Mount Olive Residential Care Home 99 Shardlow Road Alvaston Derby DE24 0HJ one star adequate 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: Janet Morrow Date: 0 2 0 3 2 0 0 9 Information about the care home Name of care home: Address: Mount Olive Residential Care Home 99 Shardlow Road Alvaston Derby DE24 0HJ 01332571470 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) : Mrs Gloria Emphemia Holness care home 3 Number of places (if applicable): Under 65 Over 65 0 0 learning disability mental disorder, excluding learning disability or dementia Conditions of registration: Date of last inspection Brief description of the care home 3 1 Mount Olive Care Home is part of the `home? of the Registered Provider, who is also the Manager. It provides care for up to three service users and is situated on the South Eastern corner of Derby, in the area known as Alvaston. A lounge and dining area specifically for service users is provided, and each person has their own bedroom. The Home has a large garden available to service users. Information about the service is made available through the Service User Guide. Information provided in August 2008 stated that the weekly fees range from £370.00 to £419.70. The most recent inspection report can be obtained from the manager of the home or by accessing the Commission for Social Care Inspection website at www.csci.org.uk Care Homes for Adults (18-65 years) Page 2 of 8 Care Homes for Adults (18-65 years) Page 3 of 8 What we found: The purpose of this inspection visit was to check compliance with requirements made at the previous inspection visit in August 2008. The manager was spoken with and care records, training records, financial records and medication records were examined. Two peoples care records were examined. These showed that care had been reviewed and regular logs, completed every two to three days, were maintained. One persons record was signed as being reviewed in June 2008 and there were records from a review with the Local Authority. There was also a computerised record of health visits and action taken in response to advice from health professionals. A recent period of illness was documented in one persons daily records and the involvement of health professionals was also recorded. The medication administration record (MAR) charts for two people were also examined. This showed that a change in one persons medication had been recorded properly on the chart and the dosage and time of administration was also recorded. Generally the charts were completed accurately, although an error in recording the number of tablets administered for one drug on one persons chart was identified. The cessation of one medicine was recorded on the chart and this was verified in separate records related to health visits. Financial records were now being maintained for two people. These showed the amount of cash that the home was holding for the person and detailed the purchases undertaken by each person. Neither record was accurate and the amount of cash held was slightly less than the record stated. The manager stated that one person had received money that morning that had not yet been entered on the sheet. Receipts were available for some purchases. However, the entries on the record were not accurate; for example, a receipt gave a purchase as 45.97 but the entry in the record stated 44.95. Quality assurance processes were discussed with the manager. Due to the small size of the home, it was acknowledged that it was difficult to obtain a range of feedback from other people. However, the manager had made efforts to do this and had received a letter from a health professional that stated the manager was a most caring individual and puts the interest of her residents first. A second letter from a member of the local church stated that people living at the home were treated as members of their own family. The manager had also undertaken training with an external provider. Certificates seen showed that she had completed infection control, moving and handling and food hygiene training in September 2008. What the care home does well: The service had taken steps to improve its management and record keeping and was maintaining care records and financial records. The people living in the home continued to have a good quality of life and had their health and personal care needs met and attended a variety of social and religious activities. Care Homes for Adults (18-65 years) Page 4 of 8 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 requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action 1 39 24 A quality monitoring tool 30/09/2008 must be developed and used. This should include acquiring feedback from service users, relatives and external professionals. This will ensure that people using the service, and their representatives feel consulted and their views valued and acted upon. Previous timescale of 30/06/07 and 31/05/08 not met. 2 41 17 All required records must be 30/09/2008 in place and kept up to date. This will ensure that all required information is available. Previous timescale of 31/12/07 and 31/05/08 not met. 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, Care Homes 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 23 17 Service users financial records must be accurate and cash held must correspond with the written record. This is to ensure that peoples money is handled safely and legal requirements are met. 10/05/2009 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 Hand written medication administration record (MAR) charts should be checked for accuracy to minimise errors. Care Homes for Adults (18-65 years) Page 7 of 8 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 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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. 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