Random inspection report
Care homes for older people
Name: Address: Collingtree Park 110 Windingbrook Lane Northampton Northamptonshire NN4 0XN one star adequate service 05/10/2009 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: Naveeda Knopp Date: 2 4 0 3 2 0 1 0 Information about the care home
Name of care home: Address: Collingtree Park 110 Windingbrook Lane Northampton Northamptonshire NN4 0XN 01604763623 01604702820 Telephone number: Fax number: Email address: Provider web address: www.barchester.com Name of registered provider(s): Name of registered manager (if applicable) Mr Matthew Andrew Robert Bell Type of registration: Number of places registered: Conditions of registration: Category(ies) : Barchester Healthcare Homes Ltd care home 79 Number of places (if applicable): Under 65 Over 65 0 79 dementia old age, not falling within any other category Conditions of registration: 79 0 The maximum number of service users who can be accommodated is: 79 The registered person may provide the following categories 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 fall within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE Date of last inspection Brief description of the care home Collingtree Park is a purpose built residential care home in a quiet residential area, close to a golf course. The home is set within well-maintained grounds and is bright,
Care Homes for Older People Page 2 of 9 0 5 1 0 2 0 0 9 Brief description of the care home clean and modern in design. All areas of the home and gardens are accessible to people who use wheelchairs. All rooms have en-suite facilities and can be personalised with the peoples own furniture and belongings. There are attractive communal sitting rooms and dining areas on both the ground and the first floor. The first floor of the home provides care for people with dementia. There are additional assisted bathing and showering facilities for less able residents. The Statement of Purpose and Service Users Guide, giving information about the home, are provided for all new residents and are available on request. Fees range from 405 to 725 pounds per week, with additional charges for hairdressing and podaitry. Care Homes for Older People Page 3 of 9 What we found:
On the day of the inspection it had been brought to the our attention by a family member visiting, that an empty alcohol can and prescribed medication was found in their relatives room. This person is discouraged in consuming alcohol due to his medical condition. The three capsules found were identified as an antibiotic. These had been prescribed to this person January 2010 for a chest infection. The course was for 21 capsules and the administration record sheets signed by your staff indicated that 22 doses had been witnessed as taken by this person. The downstairs office used to store medication was not maintained at the correct temperature for medicines. This meant there was a risk to patients as there could be a reduction in the medicines effectiveness. Competency assessments are carried out by the head of the unit person. These were in depth assessments, that for example it looked at knowledge, skill , application of care plans, side effects of medicines, verbal requests, management of errors, storage , administration. The outcomes of this is built into a staff members action plan. Controlled drugs ( medicines that are legally required to be stored more securely and accurately accounted) were stored appropriately and all the accounting records and stock checks made were assessed to be in order. Two anomalies had been reported to the Commission relating to Controlled drugs. Due to the outcome of these findings the home now carried out weekly stock counts and ensures two people give out these medicines. It can be concluded after this visit that the anomalies in quantities were probably due to variable doses and carried forward balances not being recorded correctly. A person who administers is own medicines is carrying this out within a risk-managed framework. The risk assessments are reviewed every six months or earlier if there has been a change. There was no formal policy available to demonstrate how staff would deal with a person with a minor ailment. Generally staff would contact a GP , then arrange to purchase the product recommended from a local Pharmacy and record when given on the medication administration sheets. During the in depth review of four peoples medication records it could be seen that for a sedative and a pain relieving liquid (oramorph) the actual quantities given had not been recorded. In addition there was no further supporting information available in the individuals care plans to inform the carers how to best manage these treatment regimes on a day to day basis. What the care home does well:
Positive steps have been taken to demonstrate the competency of staff who give out medicines. The management of the home have shown commitment in improving their staffs knowledge and understanding of giving medicines to people in a care home setting.
Care Homes for Older People Page 4 of 9 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 9 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 9 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 1 7 12 For people living at the home 10/05/2010 there needs to be an up to date care plan which includes specific risk assessments on all aspects of their health care needs. Each care plan should clearly indicate what the staff are doing to minimise all potential risks. To safeguard the health and wellbeing of all people living at the home. 2 9 12 The environments used to 07/06/2010 store medication must be maintained at the desired temperature ranges to ensure that medicines do not lose their effectiveness This is to ensure that peoples health do not deteriorate due to medicines losing their therapeutic effectiveness. 3 9 13 Robust procedures must be put in place to ensure the safe and accurate 10/05/2010 Care Homes for Older People Page 7 of 9 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 administration and recording of all medication. To safeguard the health and wellbeing of all people living at the home. 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 2 9 9 All changes to medication regime need to be up dated on the persons care plans or medication profiles. A list of products used as homely remedies is approved by a GP for each person living at the home. Care Homes for Older People Page 8 of 9 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 9 of 9 - 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!
