Random inspection report
Care homes for adults (18-65 years)
Name: Address: 7 Newgate Lane 7 Newgate Lane Fareham Hampshire PO14 1BQ zero star poor service 12/09/2008 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: Craig Willis Date: 1 9 1 0 2 0 0 9 Information about the care home
Name of care home: Address: 7 Newgate Lane 7 Newgate Lane Fareham Hampshire PO14 1BQ 01329667041 01329667041 Telephone number: Fax number: Email address: Provider web address: www.c-i-c.co.uk Name of registered provider(s): Name of registered manager (if applicable) Community Integrated Care Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 4 Number of places (if applicable): Under 65 Over 65 0 0 learning disability physical disability Conditions of registration: 4 4 The maximum number of service users who can be accommodated is: 4 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 Date of last inspection Brief description of the care home 7 Newgate Lane is a care home that offers care for up to four people who have a learning disability and sensory disability. The property is owned by Knightstone Housing Association and is managed by Community Integrated Care.
Care Homes for Adults (18-65 years) Page 2 of 9 1 8 0 2 2 0 0 9 Brief description of the care home The home is situated in a residential area near to the town of Fareham and the village of Stubbington. The home has easy access to local recreational and health care facilities. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
We visited 7 Newgate Lane to ensure that they had complied with a statutory requirement notice we issued on 8 October. We issued the statutory requirement notice following our last key inspection on 10 September 2009 when we found that the system for managing medication was not safe and people were not always getting the medication they had been prescribed. We inspected the medication administration record for the current month for all four people living in the home and found that they had been fully completed. There were two occasions when staff at the home had not administered the medication people were prescribed, because the person was out at a day service. The medication administration record had been completed with the reason staff had not administered the medication and there was a record confirming that the medication had been sent to the day service for their staff to administer. The medication administration records also recorded all medication that was received into the home. A separate record was kept of all medication returned to the pharmacist for disposal. Medication was stored in a locked medication cabinet in the office. All of the medication listed on the medication administration record as prescribed to people was available in the home. All of the medication in the home was inspected and all was within its expiry date. Since the last inspection staff have completed additional medication training and have further training planned in November 2009. The manager reported that she and senior staff in Community Integrated Care have taken the issue of medication management very seriously and have introduced additional checks to ensure medication is administered safely. The manager confirmed that the organisations clinical governance manager had completed a review of the service and that an action plan had been developed. The manager also reported that the local service manager was visiting the home each week to ensure safe medication practices were being followed. During the visit we spoke to one support worker who was on shift. This staff member confirmed that staff were receiving additional training, that the issue had been discussed as part of their team meetings and that senior staff from the organisation had been involved in reviewing the service. The member of staff felt that the changes that had been made had made the medication practices safer. What the care home does well: What they could do better:
We did not identify any concerns about the way medication was being managed during this visit. During the key inspection of 10 September 2009 we also made requirements about care plans, risk assessments, safeguarding procedures and staff supervision. We did not
Care Homes for Adults (18-65 years) Page 4 of 9 assess these issues at this visit as the time-scale for the requirements to be complied with had not elapsed. We will check these at our next key inspection. The manager must ensure that all of the requirements made in the inspection report are complied with. 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 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 6 15 The registered person must 31/10/2009 ensure that care and support plans are regularly reviewed and kept up to date. This will ensure that staff receive accurate information about the support they need to provide to meet peoples needs. 2 9 13 The registered person must ensure risk assessments are regularly reviewed and kept up to date and action is taken to manage the identified risks. This will help to ensure that the risks people face are well managed. 31/10/2009 3 23 13 The registered person must ensure that all people working at the home have a clear understanding of the safeguarding procedures. This will ensure any allegations of abuse are dealt with appropriately and people are safeguarded. 31/10/2009 4 36 18 The registered person must ensure that staff members have regular, formal supervision sessions with 31/10/2009 Care Homes for Adults (18-65 years) Page 6 of 9 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 their manager. This will help to ensure all staff are working in the right way and receive the support they need to do their jobs effectively. Care Homes for Adults (18-65 years) Page 7 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 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 8 of 9 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 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: 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 Adults (18-65 years) 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!
