Random inspection report
Care homes for older people
Name: Address: Brownhill House Lower Brownhill Road Maybush Southampton Hampshire SO16 9LA two star good service 23/12/2008 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: Geraldine Yates Date: 1 7 0 4 2 0 0 9 Information about the care home
Name of care home: Address: Brownhill House Lower Brownhill Road Maybush Southampton Hampshire SO16 9LA 02380771808 Telephone number: Fax number: Email address: Provider web address: beverley.kenchenten@southampton.gov.uk Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Southampton City Council care home 39 Number of places (if applicable): Under 65 Over 65 39 0 old age, not falling within any other category physical disability Conditions of registration: 0 39 The maximum number of service users to be accommodated is 39 The registered person may provide the following category/ies of service only: Care home only ? (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Physical disability (PD) Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Brownhill House operates as an older persons resource centre under the management of Southampton City Council. It is located in a suburb to the west of Southampton, Maybush with reasonable local transport links. 2 3 1 2 2 0 0 8 Care Homes for Older People Page 2 of 8 Brief description of the care home The home makes provision for three separate services, Orthopaedic Rehabilitation, Social Rehabilitation and Residential/Respite Care. The first two services are classified as intermediate care, whilst the later as stated is residential. All accommodation in the home is single occupancy with many rooms having en-suite facilities, especially those within the newer Orthopaedic Unit. Respite care costs are established following assessment, there is no charge for intermediate care (rehabilitation), services for up to six weeks. 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 brought to our attention. We looked at staff training, policies and procedures, records of medicines given to people and talked to the manager and care coordinators. All three units in the home were visited and the records of 9 people looked at in detail. People who use this service are encouraged and supported to be as independent as possible. If people are able to look after their own medicines they are supported to do this. When we visited everyone who we case tracked was receiving some support with their medicines. When people need support with their medicines this is given by designated trained care staff. Detailed written procedures are available to staff to provide additional guidance and to enable medicines to be handled consistently by all staff. Because of the number of problems that the home has had with medicines recently all staff who handle medicines have been retrained. The staff on duty all showed a good understanding of safe medicine handling and their new knowledge was being put into practice. This had enabled one member of staff to pick up a problem on the morning of our visit. She had contacted the GP for clarification. This resulted in her picking up an error made by the surgery when they had put the wrong dose on a repeat prescription for one person. This meant that the action of the staff ensured that this person continued to receive the correct dose of this medicine. The home has an open reporting culture when errors or problems are identified. These are then investigated and appropriate action taken. The records, medicines supplies and the homes own weekly audits showed us that people get their medicines correctly. As the home caters for intermediate and respite care all of the medication administration record charts are written in the home by the care staff. The carer writing the chart signs them to take responsibility for their accuracy and they are then checked by a second carer to ensure that they are correctly written. All those that we sampled were correctly written. Clear records were kept of all medicines given to people. If a medicine was not given this was recorded together with the reason why. There were no gaps or other discrepancies on the administration records we looked at. The home fully audits all medicines on a weekly basis to ensure that the correct amount of medication has been used and to ensure adequate supplies are available for the coming week. Clear records were being kept when Warfarin is given to people. Warfarin dose changes are notified to the home by fax from the doctors surgery and a copy of this information is kept with the medicine records so staff can refer to it when they give the dose. Again the records showed us that people were getting their Warfarin correctly. The home does not currently keep a stock of non prescribed homely remedies to treat minor ailments, such as Paracetamol for headaches. Whilst this is in line with their policy the manger must consider how they will deal with requests from people who have a headache and are not prescribed any analgesics, as to leave someone in pain would not be acceptable. A plan or procedure must be developed to deal with this situation should it occur. We watched one carer giving people some of their medicines at lunchtime. They followed
Care Homes for Older People Page 4 of 8 appropriate safe practices and treated people respectfully. People were asked whether they wanted their medicines and they were then given the time that they needed to take them. All medicines were stored securely so as to protect the people who use the service. Medicines needing cool storage were kept in a locked refrigerator and daily temperature records were kept. These showed it to be operating within the correct temperature range and so the medicines would be fit for use. Medicines that are liable to misuse, called Controlled Drugs, were stored in a cabinet that would comply with the law if it were correctly secured to a solid wall. Additional records were kept of the usage of Controlled Drugs so as to readily detect any loss. 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 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!
