Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Brockhurst Brox Road Ottershaw Surrey KT16 0HQ The quality rating for this care home is: The rating was made on: two star good 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: Geraldine Yates Date: 3 0 0 9 2 0 0 8 Information about the care home
Name of care home: Address: Brockhurst Brox Road Ottershaw Surrey KT16 0HQ 01932 872635 01932 872862 tina.davis@surreycc.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable): Type of registration: Number of places registered: Surrey County Council - Adults & Community Care Mrs Tina Marie Davis care home 46 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category sensory impairment 0 0 1 Over 65 20 32 0 Conditions of registration: A maximum of 6 Services Users with Dementia may be cared for in other parts of this Home. Accommodation and Services may be provided to named persons aged 60 - 65 years with the prior written agreement of the NCSC. Camellia and Carnation Units will be used solely by Service Users who require Dementia Care. Intermediate Care may only be provided in Aster Unit for up to a maximum of 4 Service Users Respite Care may be provided to a maximum of 5 persons at any one time- these persons should be grouped into the same unit. Care Homes for Older People
Page 2 of 8 Date of last inspection Brief description of the care home Brockhurst provides care and accommodation for older people over the age of 65. It was purpose built in the 1970s and is owned and managed by Surrey County Council. It is located in Ottershaw, near Addlestone, in a quiet residential area, close to local amenities. Accommodation is arranged in seven units on two floors, all rooms being single. Each unit has its own bathroom and toilet facilities, a kitchenette, and a communal lounge/dining area. The reception area, main kitchen and laundry are on the ground floor and there are offices on both floors. There is a lift and stairs to the first floor. Care Homes for Older People Page 3 of 8 What we found:
This inspection was a specialist pharmacist inspection to look at the handling of medicines in the home following concerns that were brought to the attention of The Commission earlier this year. We looked at the storage of medicines, records kept in the home, staff training, policies and procedures and talked to staff. People who use this service are given their medicines by care staff who have been assessed as competent to handle medicines. Detailed written procedures are available to staff to provide additional guidance and to enable medicines to be handled consistently by all staff. No one was looking after their own medicines when we visited. This can be arranged if people wish to do this. Clear records were kept to show when people had their medicines. These showed that mostly people get their medicines correctly. However we did see that of the 14 people whose medicines we looked at one had not had one of their medicines for 4 days as the supply had run out; another person had not had a cream applied for a week when the supply had run out and they had not had a second medicine for 3 days when staff failed to find the supply that was in the home. This could have put these peoples health at risk. Clear records were being kept when Warfarin is given to people. When people are given this medicine a second carer checks and make additional records of what is given so as to ensure that it is given correctly. Warfarin dose changes are notified to the home in writing and a copy of this information is kept with the medicine records so staff can refer to it when they give the dose. When it was necessary to make additional entries on the record charts supplied by the pharmacy these were done accurately. It is however good practice to have these entries checked by a second carer to ensure that they are accurate and people get their medicines correctly. The home has a system for monitoring the medication administration record charts to check that people are getting their medicines. This had picked up a small number of issues. There was no evidence of the action that had been taken to deal with these and to prevent them from reoccurring. Medicines on the units were stored securely so as to protect the people who use the service. A Controlled Drugs cupboard was available to provide extra security to these medicines. This cupboard would comply with the Misuse of Drugs (Safe Custody) Regulations 1973 if it were correctly secured to a solid wall. Controlled drugs awaiting return to the pharmacy for disposal were not being kept in the controlled Drugs cupboard, as the law requires. Additional records were kept of the usage of Controlled Drugs so as to readily detect any loss. These were well maintained. What the care home does well: What they could do better:
Care Homes for Older People
Page 4 of 8 Robust ordering systems must be put in place to ensure that people have a continuous supply of medicines. 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. 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 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, 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 All Controlled Drugs must be 29/10/2008 stored at all times in a Controlled Drugs cupboard that meets the requirements of the Misuse of Drugs (Safe Custody) Regulations 1973 In order to comply with the law 2 9 13 Robust systems must be put 29/10/2008 in place so that the medicines that have been prescribed for people are available in the home and are given to them. So that people get the medicines that they have been prescribed. 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 it is necessary to hand write on the medication administration record charts it is good practice to have the entry checked for accuracy by a second carer, 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!
