Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Fleetwood Hall Care Home Chatsworth Avenue Fleetwood Lancashire FY7 8RW The quality rating for this care home is: The rating was made on: two star good service 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: 0 4 1 2 2 0 0 8 Information about the care home
Name of care home: Address: Fleetwood Hall Care Home Chatsworth Avenue Fleetwood Lancashire FY7 8RW 08456032554 01253777158 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Orchard Care Homes.Com Limited care home 62 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 62 Conditions of registration: The registered person may provide the following categories of service only. Care home only code PC, to people of the following gender:- Either Whose primary care needs on admission to the home are within the category of Old age not falling within any other category ? Code OP (maximum number of places: 62) Date of last inspection Brief description of the care home Fleetwood Hall is a purpose built home, situated in an area of Fleetwood, which is close to local shops and amenities. The home is registered to accommodate a maximum of sixty-two persons over the age of 65 years of age. The accommodation, which is on the ground and first floor, consists of sixty-two single bedrooms all of which have ensuite toilet and shower facilities. The bedrooms are furnished to an excellent standard and also include, a fridge, television, DVD player and a telephone line and computer connection. There are lounge and dining areas on each floor that provide residents with the choice of where to sit and where to have their meals. There is a passenger lift, Care Homes for Older People Page 2 of 8 provided to ensure that all residents can gain access to and from the ground and first floor. A variety of aids are provided around the home to meet the needs of the residents. A copy of the homes Statement of Purpose/ Service User Guide is placed in each bedroom. This written information explains the care service that is offered, who the owners, manger and staff are and what the resident can expect if he or she decides to live at the home. Information received showed that the fees for care at the home ranged from £525.00 to £575.00 per week, with added expenses for hairdressing, newspapers and chiropody. Care Homes for Older People Page 3 of 8 What we found:
We visited the home because the manager had told us about a mistake that had happened when giving medicines. The visit was carried out by a pharmacist inspector. It lasted three and a half hours and involved speaking with the manager, two carers and one resident. We checked a sample of medicines stocks, medicines records and care plans. We gave detailed feedback to the manager at the end of the visit. Overall we found safe procedures for the handling of medicines that help protect the health and wellbeing of people who live in the home We found medicines stock to be well organised, records were clearly presented and spare stock was stored securely in clean and tidy rooms. When we checked the records of medicines given we found they were usually signed and up to date. We saw recorded checks that were carried out weekly to make sure staff were giving and recording medicines correctly. When any mistakes were found action was taken immediately to help prevent them happening again. We looked at a sample of care plans and records to check if medicines were properly reflected in them. We saw some good information about how when required medicines were to be given and we gave some further advice about keeping medicines and health information up to date. Having clear written care plans helps make sure people get their medicines when they need them. We looked at the times medicines were given and found the records did not always state the correct time in relation to food intake. Care staff confirmed that at least one medicine was being given with food instead of before. Giving medicines at the wrong time can stop them working properly. We checked how controlled drugs (medicines that can be misused) were handled. A suitable secure cupboard was used for storage and a special register was used for record keeping. A recent mistake had happened when a strong pain relief patch was replaced a day late, the manager had dealt with this immediately and took steps to help prevent this happening again. Having good arrangements for the handling of controlled drugs helps prevent them being mishandled and misused. We looked at how people were supported to look after their own medicines. People were encouraged and helped to do this whenever possible and on the day of the visit we saw several people managing their medicines safely. We gave some further advice about recording more health information in peoples care plans to help make sure they receive the right amount of support from staff. We looked at how staff were trained to handle medicines safely. All staff that handle medicines had attended formal medicines training given by the community pharmacy and all had completed a workbook. The manager said staff were watched and supervised until they were deemed competent but we saw no formal records of this. The manager also said as part of the weekly checks she would observe at least one medicines round. Suitable paperwork was available and the manager said she would carry out and record formal assessments as soon as possible. Regular competency checks on staff help make sure they have the necessary skills to handle medicines Care Homes for Older People Page 4 of 8 safely. 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 requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
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, Care Homes 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 9 Competency checks on staff for medicines handling should be recorded and regularly reviewed to help make sure they have the necessary skills. Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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 © (2008) Commission for Social Care Inspection (CSCI). 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 CSCI 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!
