This inspection was carried out on 8th July 2009.
CQC found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report,
but 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: Archmoor Care Home Archmoor Care Home 116 Sandy Lane Middleton Manchester Greater Manchester M24 2FU two star good service 03/11/2008 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: Avril Frankl Date: 0 8 0 7 2 0 0 9 Information about the care home
Name of care home: Address: Archmoor Care Home Archmoor Care Home 116 Sandy Lane Middleton Manchester Greater Manchester M24 2FU 01616532454 01616536698 enquiries@archmoor.co.uk www.archmoor.co.uk 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) : Mrs Margaret Elizabeth Pilkington,Mr Andrew Pilkington care home 20 Number of places (if applicable): Under 65 Over 65 20 old age, not falling within any other category Conditions of registration: 0 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: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 20 Date of last inspection Brief description of the care home Archmoor provides personal care and accommodation for up to 20 older persons. Nursing care is not provided, except by arrangement with the district nursing service. The home is purpose built and accommodation is provided on two floors in 16 single and two double bedrooms. Seven bedrooms have the added provision of an en-suite
Care Homes for Older People Page 2 of 8 0 3 1 1 2 0 0 8 Brief description of the care home toilet. A passenger lift serves both floors. A lounge, dining area and conservatory are provided on the ground floor. A pleasant and attractive garden/patio area can be easily accessed from the rear of the home. Archmoor is situated approximately three miles from Middleton town centre. A regular bus service to the town centre can be accessed within several minutes walking distance of the home. A small car park is provided to the front of the home, and on street parking is also available. The homes Client Guide advises residents and their relatives that the most recent Commission for Social Care Inspection (CSCI) report is available in the office. Care Homes for Older People Page 3 of 8 What we found:
We visited the home because we had received some concerns that medicines were not being given to residents properly. The visit was carried out by a pharmacist inspector who only looked at issues relating to medication. It lasted approximately 4 hours during which time we looked at medication and records about medicines for half of the people living in the home. We talked to the manager and two senior carers and gave them detailed feedback at the end of the inspection. We found that almost all medication was stored safely and appropriately. However some prescribed creams were kept in residents bedrooms without staff checking if it was safe to keep them there. It is important that risk assessments, checks, are made so that residents health is not placed at risk. The records about medicines did not always show clearly that medication could be accounted for or that it had been given to residents as prescribed. Sometimes staff failed to record the quantity of medication when it arrived into the home, or the quantity of medication carried forward from the previous month. We also found that sometimes more medication had been signed for than had actually been given. There was little information recorded about how to give medication which had been prescribed either as a variable dose or when required. There was no information as to where to apply creams or how often to apply them. A number of residents were prescribed several creams for different skin conditions and there was a risk that the creams may be inappropriately applied. Staff did not have a way of formally identifying residents before giving medication. This is usually done by referring to photographs of residents; however only two residents had photographs on their medication files. The staff at the home knew the residents well, however it is important that photographs are available to refer to in the event of none regular staff working in the home. When the records of administration were looked at together with the tablets supplied in the monitored dose system we found that most medicines had been given to residents as prescribed. We saw that two residents had not been given their eye drops as prescribed .Staff explained that these residents chose to have their eye drops less often than prescribed. There was no record of this choice having been made nor was there a record showing that staff had given the residents any help in making theses choices, to make sure they understood what their medication was prescribed for. The manager told us that she and all the day time staff who looked after medication had had medication training the day before our inspection, night staff had had medicines training within the past 12 months. Training makes sure that staff understand how to handle medicines and make sure residents are given them safely. The manager also told us that she did regular audits, checks, on medicines to make sure they were being given properly. During the discussion she demonstrated that she had a good understanding of safe handling of medicines and the systems used in the home. We also saw records about medicines from previous months. They showed that medicines
Care Homes for Older People Page 4 of 8 could be accounted for. The manager assured us that improvements would be made in the standard of record keeping to ensure that medicines could be accounted for and that they would show medicines were always given properly. 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 Older People 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 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 records about all aspects of medicines handling must be clear and accurate. Records should show that medication can be accounted for, has been administered as prescribed and sufficient information had been recorded to make sure medicines can be given or applied safely. 31/07/2009 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 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!
