Random inspection report
Care homes for older people
Name: Address: Farmhouse Rest Home 87 Water Lane Totton Southampton Hampshire SO40 3DJ zero star poor service 09/06/2009 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: Suni Chotai Date: 0 2 1 1 2 0 0 9 Information about the care home
Name of care home: Address: Farmhouse Rest Home 87 Water Lane Totton Southampton Hampshire SO40 3DJ 02380667071 02380868865 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Richard E Kitchen,Mrs Elizabeth Kitchen Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 20 Number of places (if applicable): Under 65 Over 65 0 20 dementia old age, not falling within any other category Conditions of registration: 20 0 The maximum number of service users to be accommodated is 20 The registered person may provide the following category 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 category: Dementia (DE) Old age, not falling within any other category (OP) Date of last inspection 1 9 0 8 2 0 0 9 Care Homes for Older People Page 2 of 11 Brief description of the care home Farmhouse is a registered care home providing personal support and accommodation for up to twenty older people who may have dementia. The home comprises of ten single and five shared bedrooms, eleven of which have en-suite facilities. Communal space includes two lounges and a dining room. Car parking and a small, enclosed patio can be found at the front of the property. The home is privately owned by Mr and Mrs Kitchen and Mrs Jean Hunt is the registered manager. Farmhouse is situated in a residential area on a main road close to the centre of Totton. The homes fees range from £504-£520 a week. Care Homes for Older People Page 3 of 11 What we found:
Pauline Long and Suni Chotai visited the home on 2nd November 2009 at 12:20 to check the progress made following an unmet statutory requirement notice [SRN] issued on 2nd September 2009 with a compliance date of 21st September 2009. At a previous visit on 28th September 2009, the elements of the above [SRN] notice found not to be met were [numbered as per the original notice]: (i) Ensure that clear and accurate records are kept in respect of all medicines administered at the Home. We looked at all the current and previous months Medicine Administration Record [MAR] charts and found that clear records were made of the administration of medicines, when medicines are not given the reason for the non administration was recorded, any changes in doses were clearly marked and a second person initials to indicate that these have been checked. (ii) Have a system in place to ensure that all medicines are signed for as soon as they are administered. We watched a carer giving medicines to people and noted that good practice was followed. The MAR charts were signed immediately after the medicine was given. (iii) Ensure that there is a system in place at the Home which will ensure that any gaps in staff signatures on the medication record sheets are identified and addressed in a timely fashion. We saw the audit sheet now in place to check daily that records have been completed. (iv) Ensure that all staff check the medication record sheet prior to administering the medicines, this will ensure that service users will get their medicine as prescribed. We watched a carer giving medicines to people and noted that good practice was followed. The MAR charts were checked before medicine were removed from the supply and given to people. (vii) Ensure that all of the staff at the Home who administer medication undertake up to date training in the safe handling of medicines and that they are competent to undertake the task. We checked the training records of the carer giving medicines on the day and found that she had completed a course in 2007. In practice we observed that she followed good practice. We noted that a new training package had been accessed from the local pharmacy which consists of a workbook and would require mentoring from a senior person qualified to do so. The work books were received the morning of the inspection and had been handed to staff present at the time. This training had not commenced. In conclusion, the Statutory Requirement Notice dated 2nd September 2009 has not been
Care Homes for Older People Page 4 of 11 met in full. This matter will be dealt separately from this report. 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 11 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 3 26 Reports of the monthly visits 30/09/2009 of the Registered Persons are to be forwarded to CQC. This is to demonstrate that management practices in the home are routinely monitored and issues addressed to improve the service to people living in the home. 2 3 14 People moving into the home 09/07/2009 must be provided with assurance that their specific needs can be met before moving in. This is to ensure that the home can meet assessed needs. 3 7 15 All care plans, daily records, 17/07/2008 risk assessments must be up to date with clear guidance for staff such as for when working with aggressive behaviour, or meeting all short and long-term health needs. Staff giving medicine to 21/09/2009 resident must be trained and deemed competant in handling medicine 4 9 13 Care Homes for Older People Page 6 of 11 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 so that safe practices are followed and the resident are protected from any risk of mismanagement around medicines. 5 9 13 to obtain a controlled drugs 20/11/2009 cupboard that complies with the Misuse of drugs Act 1973 and its amendments to comply with the law 6 9 18 The manager ensure that 09/07/2009 staff are competent before they are involved in administration of medication, and provide any additional training assessed as needed. This is to ensure that people living in the home are supported by correct medication procedures. 7 10 12 The registered person must 09/08/2009 ensure that the dignity and privacy of all people living in the home is maintained. . 8 23 37 Incidents occurring in the home must be reported to the relevant authorities so that procedures such as the local safeguarding procedures are followed. This is to ensure that people living in the home are offered protection. 12/09/2009 Care Homes for Older People Page 7 of 11 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 9 29 19 The manager must ensure 30/06/2009 that there is full evidence of employment checks available in the home including written references , employment gaps, and testimonials about why people left previous care employment. This is to ensure that people living in the home are safeguarded by the recruitment process. 10 29 19 You must have evidence of a 30/06/2009 POVA first check or a fully completed CRB check before people start working in the home. This is to ensure that the safety of people living in the home is safeguarded 11 30 18 The registered person must have clear records to demonstrate that staff are trained in relevant skills including infection control,adult protection and specific needs such as mental health and alcohol dependence. this is to ensure that staff have the skills required to meet needs. 30/07/2009 12 33 24 The manager must review 09/10/2009 information received in quality audits of the home and through consultation and ensure that it informs a plan for development and is made
Page 8 of 11 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 available to people living in the home or their representatives. This is to ensure that people are consulted and know that their views are taken into account. Care Homes for Older People Page 9 of 11 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 10 of 11 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 11 of 11 - 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!
