Random inspection report
Care homes for adults (18-65 years)
Name: Address: Chatterton Hey Exchange Street Edenfield Ramsbottom Lancashire BL0 0QH zero star poor service 28/05/2009 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: Maggy Howells Date: 0 1 0 9 2 0 0 9 Information about the care home
Name of care home: Address: Chatterton Hey Exchange Street Edenfield Ramsbottom Lancashire BL0 0QH 01706824554 01706828761 Chatterton@langleyhousetrust.org www.langleyhousetrust.org 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) : Langley House Trust - Northern Regional Office care home 18 Number of places (if applicable): Under 65 Over 65 0 past or present drug dependence Conditions of registration: 18 The registered person may provide the following category of service only: care home only - Code PC To people of the following gender : male Whose primary care needs on admission to the home are within the follwoing categories: Past or present drug dependency - Code D The maximum number of people who can be accommodated is: 18 Date of last inspection Brief description of the care home Chatterton Hey is a large detached property in its own grounds and is situated in Edenfield on the outskirts of Rawtenstall. The home provides a programme of rehabilitation and accommodation for up to 18 men recovering from substance misuse. This rehabilitation programme usually lasts from 6 to 12 months. The house is comfortable with domestic style furnishings and fittings. The accommodation reflects normal living as far as possible and both single and twin-bedded rooms are available.
Care Homes for Adults (18-65 years) Page 2 of 8 2 8 0 5 2 0 0 9 Brief description of the care home Communal rooms are spacious and a television, music centre and snooker table are available for residents to use in their free time. Residents and staff liaise with local educational services to provide for residents educational needs. The current fee charged at Chatterton Hey is £525 per week. Additional charges are payable for personal items. A copy of the statement of purpose and service user guide is available to prospective service users and their relatives on request. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
We visited this service to see whether or not requirements made at the last key inspection had been met. We made an unannounced visit (this means that no-one knew we were coming) to check on the systems in place for the handling, recording and administation of medicines. During the visit we spoke to the manager and other members of staff. We looked at the storage, policies and procedures for handling medicines as well as a sample of medicines and records. Overall we found that many improvements had been made since our last visit and medicines were now stored, handled and recorded safely. This meant that generally, people using the service were given the correct medicines at the correct time and this was clearly recorded. The policies and procedures covered all aspects of managing medicines within this service. These documents had been recently reviewed and improvements made in order to protect people using this service. Medicines were stored in a locked trolley that was secured to the wall. Photographs had been attached to the medication administration record sheets (MARs) for staff to check. This reduces the risk of medicines being given to the wrong person. At the time of the visit, there were no Controlled Drugs (strong medicines that are at risk of being misused), although the service was able to store and record these correctly if needed. A separate fridge was available for medicines that needed to be kept cold. Keeping medication securely and at the correct temperature helps to protect the health and wellbeing of people using this service. An audit (check) of a sample of medicines and records showed that all medicines could be accounted for. The MARs clearly showed what medicines each person was taking and, where necessary, how these were to be given. The service had systems in place to make sure that peoples medicines were reviewed by a doctor soon after they were admitted to the home. New ordering procedures had been implemented to make sure that people had enough medicines at all times. Staff also made use of local pharmacy schemes in order to obtain supplies of over-the-counter medicines (medicines that you can buy without a prescription). We found that clear, accurate records were kept of all medicines that came into and left the service. However we also found that records of exactly what had been given to those people going on social leave or those who looked after their own medicines were less clear. People who use this service are best protected when all records referring to medication are clear and accurate. Only members of staff who had been trained and assessed as capable of dealing with medication safely were allowed to handle medicines. The health and wellbeing of people using the service is better protected when staff are well trained. Some residents looked after their own creams and inhalers. Risk assessments had been
Care Homes for Adults (18-65 years) Page 4 of 8 completed to make sure people received the support they needed to do this safely. We discussed how people could be supported to take more responsibility for their own medicines, especially as they came to the end of their stay at Chatterton Hey. This would enable people to develop vital skills to protect their health and wellbeing when they left the service. Regular checks (audits) were made on the medicines and records in order to make sure that they had been given correctly. Where risks or mistakes had been noticed the manager had dealt with them appropriately to prevent them from reoccurring. Where necessary, staff had been given further training and support to improve their skills. We discussed with the manager ways of further developing the audits to check other aspects of medicines management within the home. 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 Adults (18-65 years) 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 Adults (18-65 years) 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 1 20 There should be clear records kept when medication is passed to the care of the resident or provided for administration away from the home (e.g. on social leave) The service should support service users to manage their own medication whenever possible, particularly when someone is due to leave the service. Care Homes for Adults (18-65 years) 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 Adults (18-65 years) 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 Adults (18-65 years) 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!
