This is the latest available inspection report for this service, carried out on 25th February 2010.
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 1 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: Polebrook Nursing & Residential Home Morgans Close Polebrook Cambridgeshire PE8 5LU two star good service 20/04/2009 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: Naveeda Knopp Date: 2 5 0 2 2 0 1 0 Information about the care home
Name of care home: Address: Polebrook Nursing & Residential Home Morgans Close Polebrook Cambridgeshire PE8 5LU 01832273256 01832741970 Birchesterplc@yahoo.co.uk helenrussellrgn@AOL.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Helen Russell Type of registration: Number of places registered: Conditions of registration: Category(ies) : Birchester Medicare Ltd care home 51 Number of places (if applicable): Under 65 Over 65 51 51 51 dementia old age, not falling within any other category physical disability Conditions of registration: 0 0 0 The total number of service users accommodated at Polebrook Nursing and Residential Home must not exceed 51 To be able to admit the named person of category OP (under 65 years) named in variation application no. V34916 dated 7th September 2006 To provide care for one named service user under the age of 65 years Date of last inspection 2 0 0 4 2 0 0 9 Care Homes for Older People Page 2 of 8 Brief description of the care home Polebrook Residential and Nursing Home is a fifty one bedded purpose built care home located in the village of Polebrook, which is three miles from the town of Oundle. Birchester Medicare Ltd own the home. The home provides for older people requiring personal care, nursing care or dementia care. The accommodation is all located on the ground floor, with a mixture of single and double rooms , the majority of which have en-suite facilities. The home has several communal rooms and a large conservatory area. The following fees were provided by the registered manager as being current on 20 April 2009. Privately funded people are charged between £575 and £625 dependent on assessed need. Local Authorities who are funding residents are charged at the rate which is set in their contract and again this depends on peoples assessed needs. For people funded by a Local Authority a `top up fee is usually required to be payable by the person using the service. The fees include personal care and where applicable nursing care, meals and accommodation. Chiropody, hairdressing services, and newspapers can be arranged and are charged separately. Other costs would include clothing and toiletries. Care Homes for Older People Page 3 of 8 What we found:
The manager of the home would carry out monthly medication audits. The manager informed us that there would be a check carried out on the current medication administration records sheets, controlled drugs , general stock levels/boxes, prescriptions, carried forward balances, received medications and whether allergies were recorded. The record sheets would be used to record if any of these medicines were removed from the premises. All controlled drugs no longer needed are destroyed at the home using a doome kit and is documented. Audits carried out by the CQC Pharmacist inspector on all controlled drug medicines on the premises, showed that the home for two people were storing, administering and recording as legally required. For another person who was no longer alive, the home did not record when two ampoules of Diamorphine 10mgs had entered the home. This had yet to be highlighted from a managers audit. But none of the nursing staff had flagged the issue that a controlled drug had entered the premises and had not been legally recorded in to the register. These ampoules were not used but were being stored in the controlled drugs cabinet. For one person being prescribed a heart tablet (Digoxin), the directions that had been handwritten on to the record sheet had not been followed. The nurse explained that this could have been because there was a change made by the doctor. She explained that usually a fax is obtained from the doctors surgery giving the new instructions. If a fax is not issued that the update would go on the patients notes on the GPs computer. There was some confusion relating to whether a person had taken his Movicol sachets on the morning of the inspection. Records had been signed to say one sachet had been given but nurse had requested that he should have two due to his current symptoms. She was following a set protocol from the GP and not the directions on the record sheets. Audits carried out for Trimethoprim( antibiotic) and promazine( anti-psychotic) which had been prescribed for one person, showed stock levels and administration records tallied. What the care home does well: What they could do better:
There could be lockable facility for storing creams and ointments in everyones rooms. When medication regimes are changed mid-cycle by the GP, the homes need to ensure that a valid prescription is obtained without due delay.
Care Homes for Older People Page 4 of 8 All controlled drugs on the premises need to be accounted for in the controlled drugs register. 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 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 1 5A People must have 17/08/2009 information about the full range of fees and of any differences in charges between people who have their care paid for, and those who fund their own. This was not assessed by the Pharamcist Inspector on the 25/02/2010 This is to help people plan their finances and understand the charges. Care Homes for Older People 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 1 9 13 All Controlled drugs that 30/04/2010 enter, are administered or leave the home to be destroyed must be accounted for in a controlled drug register. This is to safeguard the health and wellbeing of people living at the home 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 There could be a lockable facility available in everyones room where medicated creams and ointments could be stored safely. All changes made to a current prescriptions mid- cycle should be backed up with a re-issue of a new prescription with the new directions. This ideally should be furnished by the GP surgery within a few days. 2 9 Care Homes for Older People 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 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People 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!
