Inspection on 03/03/09 for Abingdon

This inspection was carried out on 3rd March 2009.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Abingdon 19/06/07

Abingdon 24/08/06

Abingdon 14/12/05

Abingdon 19/05/05

Abingdon 29/11/04

Abingdon 27/04/04

Abingdon 27/10/03

Abingdon 27/05/03

Abingdon 20/06/02

Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2009.

Inspecting for better lives Random inspection report Care homes for adults (18-65 years) Name: Address: Abingdon 48 Alexandra Road Southport Merseyside PR9 9HH 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 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: Maggy Howells Date: 0 3 0 3 2 0 0 9 Information about the care home Name of care home: Address: Abingdon 48 Alexandra Road Southport Merseyside PR9 9HH 01704533135 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) : Raglin Care Limited care home 9 Number of places (if applicable): Under 65 Over 65 0 0 learning disability mental disorder, excluding learning disability or dementia Conditions of registration: 9 9 The registered person may provide the following category of service only: Care home only - code 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 - Code LD, Mental disorder, excluding learning disability or dementia - Code MD. The maximum number of service users who can be accommodated is: 9 Date of last inspection Brief description of the care home Abingdon is a care home offering a service to nine people who have a learning disability. The service is managed by Gill Doyle. The home is in a residential area of Southport. It is within easy reach of Southports main shopping centre and close to local services. The home is a detached house with rooms spread over three floors. There are two large lounges, a dinning room and a games room on the ground floor. There is a large garden at the back of the house. There is a passenger lift but there are Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home no other aids or adaptations as these are not needed by the people living at the home at this time. The fees for living at the home are £1,224 per week. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: We visited the home because the manager had told us about a mistake that had happened when dealing with medicines. A pharmacist inspector carried out the visit, which lasted for two and a half hours and involved speaking with the team leader in charge, staff and people who use the service. We checked the medicines storage area, the procedures for giving medicines and medicines records. We gave detailed feedback to the team leader throughout the visit. Overall, we found that the manager and staff had worked hard to amend procedures and practice so that medicines were stored, recorded and administered correctly. Detailed information kept for each individual helped to protect the health and wellbeing of people who live in the home. Most, but not all, medicines were supplied by the pharmacy in blister packs with preprinted medication administration record charts. We were told that the service was working with the pharmacy to ensure that all medicines would be supplied like this to reduce the number of handwritten entries that staff had to make and also to reduce the risk of mistakes. We looked at the storage of medicines and found that all medicines were stored safely and securely. A special medicines trolley had been ordered to give the service more safe storage and more flexibility to give medicines in other areas of the home. Only senior staff had keys to the medicines cabinets. People are better protected when only authorised staff have access to the medication. We looked at a sample of records and stock and we found we could account for medicines easily. This meant that we could be sure they had been given to people correctly. Only trained staff were allowed to administer medicines. Once a person had asked for their medication, two members of staff would then check the records and prepare the medicine that was due. We saw that some service users were quite involved in this process and liked to confirm each item as it was prepared and pour their own water or juice according to choice. Staff selected medicines carefully and hygienically and supported service users to take their medication. Some people were prescribed medicines to be taken only when required e.g. painkillers. There was a system in place for recording detailed information about how and when these medicines were to be given. The information also told staff how best to approach each individual in order to take their needs and preferences into account. Having clear written information helps to ensure that people are given their medicines consistently and correctly. We looked at training and found that all senior and night staff had completed medication training in order to better understand how medicines should be handled and used. These staff had also attended a refresher course in January 2009 to keep their knowledge up to date. Well-trained staff are less likely to make mistakes. Systems were in place to ensure that service users were given their medicines when Care Homes for Adults (18-65 years) Page 4 of 8 they were going out for the day or spending periods away from the home. Care should be taken to make sure these medicines are correctly labelled and recorded so that each item can be identified and accounted for. Weekly audits (checks) of the medicines and records were carried out by senior staff. These records helped to show that no more mistakes had been made. Having a good audit system can help to maintain and improve standards. The manager and staff had worked hard to improve all aspects of the medication service offered to people living in this home. This meant that service users and staff were protected by the policies and procedures for handling, recording and administering medicines. 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 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R 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 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, 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 1 20 Medication supplied for administration away from the home should be fully labelled and recorded on leaving and/or reentering the home 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: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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