Inspection on 16/10/08 for Benridge
Also see our care home review for Benridge for more information
This inspection was carried out on 16th October 2008.
CSCI found this care home to be providing an Adequate 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 older people
Name: Address: Benridge 53 Queens Road Southport Merseyside PR9 9HB The quality rating for this care home is: The rating was made on: one star adequate 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: Simon Hill Date: 1 6 1 0 2 0 0 8 Information about the care home
Name of care home: Address: Benridge 53 Queens Road Southport Merseyside PR9 9HB 01704530378 Telephone number: Fax number: Email address: Provider web address: admin@benridge.demon.co.uk Name of registered provider(s): Type of registration: Number of places registered: Benridge Care Homes Ltd care home 27 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia 27 Over 65 0 Conditions of registration: 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: Dementia - Code DE The maximum number of service users who can be accommodated is: 27 Date of last inspection Brief description of the care home Benridge is a privately run residential care home registered for twenty-seven older people. Included within this registration are twenty-five places for those individuals with dementia and two in the category of old age. The home has been open for a number of years. Valerie Flint manages the home. The home is located in a residential area of Southport on one of the main roads leading from the town centre. As a result the home is close to local facilities and near to public transport routes. The home is operated from a detached building, which has amenities on three levels. A basement level provides bedroom and communal facilities. On the ground floor are further bedrooms as well as kitchen, dining room and two lounges. Further bedrooms are Care Homes for Older People Page 2 of 10 located on the upper floor. A number of bathrooms and toilets are also available. All areas are served by stair lifts. The current fees for the service are £450 per week. Care Homes for Older People Page 3 of 10 What we found:
The home was randomly selected for a visit by a CSCI pharmacist inspector to look at the arrangements for handling medicines. The visit lasted three hours and involved speaking with the manager and two care staff and looking at the arrangements for the storage and recording of medicines. We gave detailed feedback to the manager at the end of the visit. Overall we found some shortfalls in medicines handling that need to be addressed to make sure medicines are handled safely. We found the medicines stock and records to be well organized. Records of medicines brought into the home were usually clear and accurate. However when we checked the records of medicines given to people we found they were not always complete. This was common when people were not given their medicines, for example, if they were asleep or refused them. This also made it difficult to account for medicines that had been returned to the pharmacy when they were no longer required. The last record of medicines being returned to the pharmacy was made four months ago and there was a significant amount of medicines waiting to be sent back with no record being completed. Recording and returning medicines promptly helps make sure medicines are fully accounted for and prevents mishandling. Our checks on the medicines stock and records showed most medicines contained in the special packaging system had been given correctly. However when we checked medicines in traditional packets we found some had not always been given correctly. One person had missed three doses of their medicine for anxiety in the last three weeks and another had missed three of their iron tablets in the last week. We could not check a larger sample of medicines in packets because there was no clear system of carrying stock over or dating them on opening. Medicines must be fully accounted for to make sure they are given to people correctly. On the day of the visit people did not get their medicines until after 10am because the keys had been mislaid, this meant that some medicines were given over two hours late and at the wrong time in relation to food intake. Giving medicines at the wrong time can stop them working properly. We looked at a sample of care plans and records and found some information about how medicines were to be used because a general medicines risk assessment had been carried out. However their was no clear system of care planning for medicines given on a when required basis. One person that was prescribed two different painkillers had no information about which one to give and under what circumstances so staff could give the wrong one. We discussed this with the manager who agreed that some care plans lacked detail and she said that these would be reviewed and updated as soon as possible. This is important to help make sure people get their medicines when they need them. We looked at how medicines were stored and found the trolley to be clean and tidy. Medicines that required cold storage could not be locked away and we found some medicines in the fridge that did not need to be kept cold and a medicine in general stock that should have been kept in the fridge. Storing medicines at the wrong temperature can spoil them and prevent them working properly. Care Homes for Older People Page 4 of 10 We checked how controlled drugs (medicines that can be misused) were stored and recorded. The cupboard was secure and a suitable special register was used for record keeping. The entries seen were clear and accurate although the receipt of one controlled drug had not been witnessed by two staff. Having witnessed records and secure storage helps prevent mishandling and misuse. The manager said all staff had received training in the handling of medicines and that she had observed them give medicines on a regular basis to make sure they were doing it correctly. Since the last pharmacist visit the manager had begun to record some medicines audits. However, these were not detailed enough and did not record what had been looked at and what had been found. Our checks found numerous mistakes that the managers audits had not done. Having detailed audits helps make sure medicines are given to people correctly and helps make sure staff have the necessary skills to handle medicines safely. 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 10 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 15 Care plans must include 14/08/2008 more in-depth care interventions for all identified care needs so that these can be met effectively and evaluated regularly. In particular there is a need to review: One residents mobility needs One residents dietary needs One residents need for progressive socialisation As listed in the main body of the report. [Last requirement dates 01/01/07 and 01/08/07 not met]. 2 12 16(2) n A fuller programme of activities for residents must be made available and this must include access to outside space so that resident?s quality of life can be further developed. [Timescale 01/08/07 not met] 14/08/2008 3 18 13(6) Any allegation of mistreatment must be 14/08/2008 Care Homes for Older People Page 6 of 10 reported through using the agreed safeguarding procedures. All staff must receive adequate raining in particular there must be increased emphasis in the induction programme. This is so that residents can be assured of protection. 4 19 23(1) a The environment of the home must continue to be developed with reference to good practise guidelines for dementia care so that resident?s quality of life can be further improved. A development plan must be drawn up which addresses this need. [Timescale 01/08/07 not fully met.] 14/08/2008 5 29 19(1) All staff records must be 01/05/2008 complete with respect to any management decision to employ staff following the consideration of any issues relating to `fitness? to work with vulnerable people. With respect of the staff discussed a full note of the managers interview and risk assessment must be recorded. This helps ensure that residents are protected. 6 38 13(5) All staff must be adequately trained in moving and handling and the training must be approved and have a practical component. 14/08/2008 Care Homes for Older People Page 7 of 10 [See recommendation below regarding he training of a moving and handling assessor]. Care Homes for Older People Page 8 of 10 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 9 13 Medicines must be given to 17/11/2008 people correctly and an accurate record of medicines given and disposed of must be made. This is to help make sure the health and wellbeing of people is protected. 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 9 A clear system of medicines audit should be developed to make sure medicines are given to people correctly and to make sure staff have the necessary skills to handle medicines safely. Information in peoples care plans should be more detailed particularly for when required medicines to help make sure they are given correctly. 2 9 Care Homes for Older People Page 9 of 10 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 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: 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 © (2008) 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 Older People Page 10 of 10 - 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!
