This inspection was carried out on 13th October 2008.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.
The inspector found no outstanding requirements from the previous inspection report,
but made 3 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: Broadway Care Home 26 Broadway Blackpool Lancashire FY4 2HE The quality rating for this care home is: The rating was made on: new service which has yet to be given a quality rating 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 3 1 0 2 0 0 8 Information about the care home
Name of care home: Address: Broadway Care Home 26 Broadway Blackpool Lancashire FY4 2HE 01253401809 01253401809 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Julie Alison Eden Type of registration: Number of places registered: Priory Court Developments Limited care home 30 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category 14 0 Over 65 0 16 Conditions of registration: The registered person may provide the following category of service only: Care home with nursing - Code N 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 Dementia - Code DE (maximum number of places 14) The maximum number of service users who can be accommodated is: 30 Date of last inspection Brief description of the care home Care Homes for Older People Page 2 of 8 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 four hours and involved speaking with the manager and deputy manager 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. However when we checked the records of medicines brought into the home we found them not detailed enough to allow accurate checks to be carried out. Records of medicines given were not always complete because a clear record was not always made when people were not given their medicines, for example, if they were asleep or refused them. Some records were not accurate because the exact dose of medicine given was not clearly recorded, notably for medicines with a variable dose. We also found medicines for external use such as creams were not well recorded because the records were not kept in the rooms with the creams. Records of medicines disposal were not always complete for medicines that had been refused because the key code on the records was not used correctly. Our checks on the medicines stock and records showed most medicines had been given correctly as prescribed. However we found the times medicines were given were not always correct particularly for medicines that needed to be given before or after food. Giving medicines at the wrong time can stop them working properly. We looked at a sample of care plans and records and found they lacked information about how medicines prescribed as when required were to be given. We saw this with medicines used for anxiety and sleeping. One care plan for a medicine used to treat agitation did not state the dose and under what circumstances it was to be given and another was not clear when to omit the dose. A diabetic persons care plan did not have enough detail about how to use their insulin and how to monitor their blood sugars. 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 rooms and trolley to be clean and tidy. However on the day of visit the medicines room was left unlocked and unmanned whilst the medicines were being given out to people, which means some medicines were not kept safe. The fridge used for storing medicines was not lockable and contained several medicines that did not need to be kept cold. 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. However, not all entries in the register were properly witnessed by two staff. On the previous day one persons strong pain killer had run out of stock so staff had used someone elses, the manager said they had not ordered it in time so it was the only way to make sure this person got their prescribed dose. Using someone elses medicines is a breach of the law and could lead to misuse or mishandling when Care Homes for Older People Page 3 of 8 controlled drugs are involved. We looked at how medicines were checked and audited. The manager said some informal checks were carried out throughout the month but no formal recorded audits were made. Recorded audits and checks help make sure medicines are handled 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 4 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Older People Page 5 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 9 13 Medicines must be stored securely to make sure they are not mishandled or misused 14/11/2008 2 9 13 Records of medicines received into the home, administered to people and disposed of must be clear accurate and complete to make sure all medicines can be fully accounted for 14/11/2008 3 9 13 Controlled drugs must be 14/11/2008 handled according to the law to make sure they are not mishandled or misused 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 When necessary, information on how medicines should be used should form part of an individuals care plan to make sure they are given to people correctly. There should be an effective system in place to audit 2 9 Care Homes for Older People Page 6 of 8 medicines to make sure they are always handled safely. Care Homes for Older People 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 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 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!
