Inspection on 16/11/09 for Edgelea Care Home Ltd

This inspection was carried out on 16th November 2009.

CQC found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Edgelea Care Home Ltd 14/10/09

Edgelea Care Home Ltd 06/08/09

Edgelea Care Home Ltd 03/03/09

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2010.

Random inspection report Care homes for older people Name: Address: Edgelea Care Home Ltd 14-16 Half Edge Lane Eccles Manchester M30 9GJ one star adequate service 03/03/2009 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: Simon Hill Date: 1 6 1 1 2 0 0 9 Information about the care home Name of care home: Address: Edgelea Care Home Ltd 14-16 Half Edge Lane Eccles Manchester M30 9GJ 01617890430 01617896000 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Edgelea Care Home Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 37 Number of places (if applicable): Under 65 Over 65 37 0 old age, not falling within any other category physical disability Conditions of registration: 0 37 The registered person may provide the following category of service only: Care home with nursing - Code N To people 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 Physical disability - Code PD The maximum number of people who can be accommodated is: 37 Date of last inspection Brief description of the care home Edgelea Nursing Home provides nursing and residential care for 37 older people or people with physical diabilities. Accommodation within the home is situated on the ground, first and second floors in single and double rooms. There is car parking space Care Homes for Older People Page 2 of 16 0 3 0 3 2 0 0 9 Brief description of the care home available at the front and the side of the home but this space is unsuitable for people to sit out in. Roof space has been converted to a roof garden. There is a Statement of Purpose/Service User Guide, which is given to all prospective residents. This written information explains the care service that is offered, who the owners and staff are, and what people can expect if they decide to live at the home. Information provided during this visit showed that the fees for the home are three hundred and seventy three pounds and eighty pence to four hundred and seventy six pounds and eighty pence per week with added expenses for hairdressing, chiropody, toiletries, newspapers and outings. Care Homes for Older People Page 3 of 16 What we found: We carried out this visit to make sure medicines were being handled safely because concerns were found on our last inspection. The visit was carried out by a pharmacist inspector and it lasted six hours. We checked medicines records and medicines stock and throughout the visit we took photocopies of the medicines records because we found serious shortfalls in the way medicines were being handled that were placing the health and wellbeing of people at unnecessary risk. When we arrived at the home the senior nurse on duty said that the morning medicines had all been given out from approximately 7:30am. When we checked the medicines records we found some medicines that needed to be given either before food or after food were not always given at the right time, this was also confirmed by the senior nurse on duty. Handwritten medicines did not highlight any special warnings so it meant there was a risk that these medicines might be given at the wrong time, this was particularly common for antibiotics. We tried to account for medicines by checking current stock against the medicines records but we found this impossible because there was no clear system of stock control in place. Medicines were not always properly recorded when received into the home and records of medicines disposed of were not always made even though this had been highlighted on our previous visit. Medicines were not recorded when carried over each month so it was not possible to know how much stock was being held in the home. Of particular concern was some poor recording practice at the beginning of the last medicines cycle which has resulted in numerous medicines being signed as given twice. The nurse on duty said this had been done because new records had arrived at the home. This made the records confusing and because we could not account for current stocks we could not be sure that all medicines had been given correctly. Poor recording of medicines can lead to serious mistakes that can affect the health and wellbeing of people who live in the home. We found numerous gaps on the records because staff had not signed them after giving the medicines. Insulin was not always signed for properly and one medicine had not been signed for eleven times in the last four weeks even though our checks showed it had probably been given. Of the stocks we could check we found some medicines could not be fully accounted for as they were missing so we told the managers about these specific concerns and gave some advice about how to manage this. We checked how controlled drugs (medicines that can be misused) were handled. We found not all controlled drugs were being properly stored in the controlled drug cupboard. Two currently prescribed medicines were unlawfully kept on a medicines shelf above the cupboard and another controlled drug had been disposed of without properly destroying it so it was also unsafely stored. No record of disposal had been made for this controlled drug and the controlled drug register had not been properly completed when this had been put in the disposal bin. Suitable storage and recording arrangements must be in place to help prevent mishandling and misuse. We looked at how the medicines were checked and found some audits had been carried out since our last visit. However, we found no formal internal audit systems in place that Care Homes for Older People Page 4 of 16 meant mistakes were not being identified promptly. Our findings show a lack of staff competence in record keeping and generally poor management of the medicines. The registered person told us about further planned audits and we gave some advice about how to make the necessary improvements. 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 16 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 7 13 All parts of the home to which service users have access are so far as possible free from hazards to their safety. Unecessary risks must be identified with the use of risk assessments and actions taken to eliminate those risks to people living in the home. 30/09/2009 2 7 13 Unless it is impracticle to 30/09/2009 carry out such consultation the registered person shall after consultation with the service user or a representative of his prepare a written plan the service user plan as to how the service users needs in respect to his health and welfare are to be met. The regiastered person shall make the service users plan available to the service user keep the service users plan under review where appropriate and unless it is impractical to do so carry out such consultation with the servicew user or a representative of his revise the service users plan and notify the service user of any such revision. Page 6 of 16 Care Homes for Older People 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 Each person living at the home must have a care plan that clearly identifies their care needs any identified risks and the action required to meet them. 3 7 15 Unless it is impractical to 30/09/2009 carry out such consultation the registered person shall after consultation with the service user or a representative of his prepare a written plan as to how the persons needs in respect of health and welfare are to be met. The plan must be kept under review, where appropriate and unless it is impracticable to carry out such consultation, after consultation with the service user or a representative of his revise the service users plan and notify the service user of any such revision. Care plans must contain sufficient detail on all aspects of a persons care needs to enable staff to offer appropriate support. 4 8 12 The registered person shall 30/09/2009 ensure that the care home is conducted so as to promote and make proper provision for the health and welfare of service users to make proper provision for the care and where appropriate treatment education and supervision of service users. The registered Page 7 of 16 Care Homes for Older People 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 person shall make suitable arrangements to ensure that the care home is conducted in a manner which respects the privacy and dignity of service users They must make sure that the peoples health and social care needs are fully met. 5 9 13 The registered person must 30/09/2009 make sure that medication is managed in a safe and appropriate manner to make sure prople are kept safe. In order to make sure that people receive their medication as prescribed they must make sure that medication records are kept up to date and accurate. 6 16 22 The registered person must ensure that any complaint made is fully investigated. All complaints must be recorded to show that they have been dealt with in line with the homes policies and procedures. 7 19 23 There must be adequate sitting, recreational and dining space provided seperately from the service users private accommodation. Advice must be taken from the local fire officer with regard to having a dining Care Homes for Older People Page 8 of 16 17/09/2009 21/09/2009 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 table placed in the corridor outside the lift to make sure people living in the home have a safe environment. 8 19 13 unecessary risks to the health and safety of service users are identified and so far as possible eliminated. Equipment used by people living at the home must be kept in good repair to minimise the risks of harm. 9 26 13 The registered person shall 30/09/2009 make suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home. There must be suitable risk assessments and actions taken to prevent infection and toxic conditions at the service. Actions must be taken regarding improving the cleaning schedules at the service. All areas that are unclean must be improved to reduce risks and improve the environment so that people are not put at risk. 10 27 18 The owner must make sure that there are enough staff to meet peoples needs. Staffing levels must be reviewed regarding the necessary resources and hours needed for developing and providing activities and for the ongoing cleaning of Care Homes for Older People Page 9 of 16 28/09/2009 05/10/2009 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 the service. They must assess the dependencies of the people at the service and how they measure the ongoing staffing levels to meet the needs of the people living there. 11 29 19 The registered person shall 21/09/2009 not employ people to work in the home unless he has obtained the information and documents specified in paragraphs 1-7 of schedule 2. To ensure the safety of people living at the home a robust recruitment procedure must be adhered to at all times. There must be evidence that thorough safety checks have been undertaken before anybody is offered work. 12 30 18 The registered person shall make sure that staff have the appropriate training for the work they are to perform. Staffing levels must be reviewed to make sure that there are enough staff available at all times to meet the health and social care needs of people living in the home and to ensure that the cleanliness of the home is maintained. 13 35 20 The registered person shall not pay money belonging to 28/09/2009 05/10/2009 Care Homes for Older People Page 10 of 16 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 service users into a bank account unless the account is in the name of the service user to which the money belongs and the account is not used by the registered person in connection with carrying on the management of the care home. There must be clear financial care plans and up to date policies relating to the management of the monies held on behalf of the people who live at the service. People should be supported with various options that meet their individual needs or advised as to how they can support them with their financial needs. 14 36 18 The registered person shall 30/09/2009 ensure that people working in the home are apprpriately supervised. In line with the homes policy and procedure staff must recive supervision. This must include night staff to make sure that good care practices are used. 15 38 23 The registered person after 28/09/2009 consulting with the fire authority shall make adequate precautions against the risk of fire including the provision of suitable fire equipment. Care Homes for Older People Page 11 of 16 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 Staff practices at the home must not compromise peoples health and safety. Care Homes for Older People Page 12 of 16 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 9 13 Effective arrangements must 17/12/2009 be put in place to ensure staff who administer medication are competent to do so. This will help make sure medicines are handled safely. 2 9 12 Effective arrangements must 17/12/2009 be put in place to ensure that service users have a sufficient supply of medication. This will make sure their treatment is continuous. 3 9 13 Effective arrangements must 17/12/2009 be put in place to ensure records of medicines received into the home, administered to people and disposed of are clear, accurate and complete. This is important so that all medicines can be fully accounted for. Care Homes for Older People Page 13 of 16 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 4 9 13 Effective systems must be put in place for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. This will make sure they are handled safely. 17/12/2009 5 9 13 Effective arrangements must 17/12/2009 be put in place to ensure that all medication is administered to service users in exact accordance with the prescribers instructions. This important because receiving medicines at the wrong time, wrong dose or not at all can seriously affect peoples health and wellbeing. 6 9 13 Controlled drugs (medicines 17/12/2009 that can be misused) must be stored securely, according to the law, at all times. This is important to help prevent mishandling and misuse. 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 Suitable procedures should be put in place to make sure medicines handling and staff competence are properly checked. Page 14 of 16 Care Homes for Older People 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 15 of 16 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 16 of 16 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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