Random inspection report
Care homes for older people
Name: Address: Probert Court Continuing Care Home Probert Road Oxley Wolverhampton West Midlands WV10 6UF 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 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: Ian Henderson Date: 0 4 0 2 2 0 1 0 Information about the care home
Name of care home: Address: Probert Court Continuing Care Home Probert Road Oxley Wolverhampton West Midlands WV10 6UF 01902444067 01902444068 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) : Heantun Care Housing Association Limited care home 25 Number of places (if applicable): Under 65 Over 65 25 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 25 The registered person may provide the following category of service only: Care Home with Nursing (Code N); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) 25 Date of last inspection Brief description of the care home Probert Court is a care home providing accommodation, personal and nursing care to 25 older people. It provides a service to people who have continuing care needs. The home has two designated respite care beds. It is owned by Heantun care Housing Assocation Ltd and people are generally admitted to the home direct from a hospital
Care Homes for Older People Page 2 of 8 1 1 1 1 2 0 0 9 Brief description of the care home setting with fees paid by the local Primary Care Trust. The home is situated in the Oxley area of Wolverhampton, a short distance away from local shops and amenities. The single storey building was purpose built, with twenty one single occupancy bedrooms and two double rooms. The communal areas inside the home are spacious and homely in character and the gardens are easily accessible for people. People can obtain information about this service from the home?s Statement of Purpose and Service User Guide. Inspection reports produced by CSCI can be obtained direct from the provider or are available on CSCI?s website at www.csci.org.uk. Care Homes for Older People Page 3 of 8 What we found:
The pharmacist inspector visited the home on the 4th February 2010 to assess what progress the home had made in meeting the Statutory Requirements Notice served on the 21st December 2009. We found that there had been improvements in the management of medicines within the home and concluded that the home had met the Statutory Requirements Notice. We found that the receipt administration and disposal of medicines were being recorded so that it could be seen that people who were using the service were receiving their medicines as prescribed. The home was regularly auditing the medication and as a further checking tool the home had introduced a running balance sheet for the anticoagulant medicines. We found that the home was recording the amount administered for those medicines that had been prescribed with a variable dose. We found that the home was identifying and recording the reasons for medicines not being administered. We did not find any medicines out of stock during the inspection. We found that information about medicines in the care plans had improved and it could be seen more clearly why medicines had been prescribed, altered and discontinued. We also found more details about the application of creams and ointments in the care plans. We found one person who was using the service was holding and administering part of their medication. We found that there was no documented assessment of the risks to either the person themselves or the other people living in the home associated with this activity. We also found that there was no monitoring programme in place to ensure that the person was administering the medication as prescribed by the doctor. We found that in order to ensure medicines were being handled and administered safely each nurse had been issued with the new policy and procedures for the safe handling of medicines and the Nursing and Midwifery Councils [NMC] guidelines. We found that each nurse had also been assessed for their competency to handle and administer medicines. The home had also introduced a form to record any significant practices events or near misses so that these issues could be shared with the other nursing staff as a learning opportunity. The home had also introduced an induction checklist to ensure that all essential information was passed on to the agency nurses before they started working in the home. We found that the security and storage conditions of medicines had improved. We found that the medicated creams and ointments had been removed from the rooms of the people who used the service and were now securely stored in the treatment room. We found that the fridge being used to store medicines that required cold storage conditions was being maintained within the required temperature range. What the care home does well: What they could do better:
The home needs to ensure that the self administration of medicines is carried out under a
Care Homes for Older People Page 4 of 8 risk assessment and is closely monitored. 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 30 18 (1)(c) (i) The registered person must 01/09/2008 ensure that the induction programme meets the Skills for Care standards. This is to ensure that new staff are trained and competent to do their jobs 2 33 26 The registered person or a 01/09/2008 representative of the organisation must visit the home at least once a month and prepare a written report on the conduct of the care home. This is to demonstrate that the quality of the service is continually monitored, so that action can be taken to improve the home?s performance and improve outcomes for people. 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 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 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. 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 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!
