This inspection was carried out on 8th January 2009.
CSCI found this care home to be providing an Poor 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.
Inspecting for better lives Random inspection report
Care homes for adults (18-65 years)
Name: Address: 52 Porthcawl Green 52 Porthcawl Green Tattenhoe Milton Keynes Buckinghamshire MK4 3AL The quality rating for this care home is: The rating was made on: zero star poor service 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: Geraldine Yates Date: 0 8 0 1 2 0 0 9 Information about the care home
Name of care home: Address: 52 Porthcawl Green 52 Porthcawl Green Tattenhoe Milton Keynes Buckinghamshire MK4 3AL 01908507149 01908508900 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: The Disabilities Trust care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability 3 Over 65 0 Conditions of registration: The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). The maximum number of service users to be accommodated is 3. Date of last inspection Brief description of the care home Porthcawl Green provides accommodation and support for three service users with Autistic Spectrum Disorders. The house is situated in a quiet residential area of Milton Keynes, close to the Westcroft centre where there are several shops and supermarkets. Local bus networks provide regular access to central Milton Keynes and Bletchley. There are main line rail stations in Milton Keynes and Bletchley giving access to London, the Midlands and the North. The home has three bedrooms, one en-suite, a staff sleep-in room, office and a bathroom on the first floor. On the ground floor there Care Homes for Adults (18-65 years)
Page 2 of 8 is a large lounge, dining room, space to use the computer, laundry and kitchen. There is a small enclosed back garden and parking at the front of the home. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
This inspection was a specialist pharmacist inspection to look at the handling of medicines in the home, following concerns raised at the last key inspection. People who use this service have their medicines given to them by designated care staff. Written procedures are available to staff to provide guidance and enable medicines to be handled consistently by all staff. No one was looking after their own medicines when we visited. The medication administration records, supplies and care plan were looked at for the one person prescribed medicines. Clear records were kept of medicines prescribed for people, received into the home and given to people. When we looked at the medication supplies we noted that Clozaril remained in the blister packs on the mornings of 23rd, 28th and 29th December and the evenings of 29th December and 6th January. The service user confirmed to the manager that he had had all of his Clozaril. The carer who had been on duty on the mornings in question confirmed that they had given the medicine from a box of Clozaril that had been left over from the previous months supply, before the home moved to the blister system. The carer who had been on duty on the evenings in question confirmed that they had given the medicine. As no record had been made of the stock that had remained when they changed over to the blister system it was not possible to confirm beyond doubt that the medicine had been given. A detailed care plan was available describing how one persons anxiety was to be managed. It described how to calm them without the use of medication and circumstances under which to give them medication. When people had been away over Christmas separate supplies of medicines had been provided from the pharmacy to cover the time away. All medicines were stored securely so as to protect the people who use the service. No Controlled Drugs were currently prescribed, nor had any been prescribed in the last year. 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 4 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 7 17 The discrepancies in peoples 30/11/2008 money tins is to be rectified and accurate records of transactions achieved and maintained. This is to ensure there is proper financial accounting. 2 22 22 A complaints procedure which is suitable for use at the home is to be put in place and made available in formats appropriate to the needs of people using the service. This is to make sure that they have the necessary information to hand to voice their concerns. 01/12/2008 3 22 17 A record of complaints and how they have been responded to is to be kept within the service. This is to show that people using the service and/or their representatives have been listened to and their concerns addressed. 01/12/2008 4 39 24 A quality assurance audit of care provision is to be undertaken, incorporating users and other relevant peoples views. 01/03/2009 Care Homes for Adults (18-65 years) Page 5 of 8 This is to ensure that satisfactory care is being provided to meet peoples needs. 5 39 26 Monitoring visits are to be undertaken by the provider at least once a month and reports of the findings made available at the home. This is to show that there is satisfactory oversight of care provision by the provider. 6 39 24 The manager must establish 28/02/2008 systems for reviewing and improving the quality of care provided. 01/12/2008 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 20 13 Records must be kept to allow medicines to be fully accounted for. So as to show that people receive their medicines. 16/02/2009 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 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. Care Homes for Adults (18-65 years) 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!
