Random inspection report
Care homes for older people
Name: Address: Forest Edge Rest Home Southampton Road Cadnam Hampshire SO40 2NF zero star poor service 17/04/2009 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: Vashti Maharaj Date: 0 1 0 9 2 0 0 9 Information about the care home
Name of care home: Address: Forest Edge Rest Home Southampton Road Cadnam Hampshire SO40 2NF 02380813334 02380814963 forest.edge@btinternet.com 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) : John Henry Hughes,Mrs Linda Susan Hughes care home 22 Number of places (if applicable): Under 65 Over 65 0 0 22 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 22 22 0 The maximum number of service users to be accommodated is 22 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) Mental disorder, excluding learning disability or dementia (MD) old age, not falling within any other category (OP) Date of last inspection 1 7 0 4 2 0 0 9 Care Homes for Older People Page 2 of 9 Brief description of the care home Forest Edge is a twenty-two bedded residential care home, opposite a garden centre, situated on the outskirts of the New Forest at Cadnam. The home is just less than four miles from the centre of Totton and close to the New Forest. The home is registered to accommodate twenty-two older people, including people with dementia or mental health problems. Forest Edge has twenty-two single bedrooms, all provided with an en suite toilet. Care Homes for Older People Page 3 of 9 What we found:
We carried out a random inspection at the home to inspect medication handling following on from a key CQC inspection in April 2009 which identified a number of areas where medication handling did not meet a safe standard. These included poor record keeping, staff unsure of medication procedures, no protocols for medicines given on as as required basis, no risk assessments for residents self-administering, and prescribed creams stored in a potentially unsafe manner in communal bathroom and residents rooms. A letter warning of possible enforcement was issued following this inspection if improvements were not made. We carried out a site visit, interviewed the manager and deputy manager, inspected medication records and storage areas, observed medication being given to residents and looked at arrangements for medication training. At this inspection, medication handling had improved. There is now a new manager in post, since August 2009, and the deputy manager has specific responsibilities for medication. Record keeping has improved. There were no gaps on medication records. All prescribed medicines were available at the home, and there was evidence residents are receiving medicines on time. The supplying pharmacist has completed a thorough audit of medication handling and is helping the home to address the issues found. The deputy manager is also now carrying out regular medication stock checks. Medication retraining for staff has been arranged and taken place. Staff who give medicines have been assessed as competent to do so by the manager. Prescribed creams are no longer kept in communal bathrooms. All medication is now stored securely and at the correct temperature ensuring residents are safe and medicines are fit for use, except for controlled drugs, which were being stored in a cupboard which does not comply with legal requirements. Records of medicines received and returned were available and accurate, ensuring all medicines kept for residents can be accounted for. Photographs are available for each resident in the medication folder, ensuring they can be identified before medicines are given, and allergy information is recorded to ensure residents safety. What the care home does well:
Medicines handling has improved since the last inspection, most of the issues found have been addressed and the home has made good progress on the remaining issues, however these must be addressed to ensure residents safety. As medication requirements have
Care Homes for Older People Page 4 of 9 been repeated, we will consider enforcement action if sustained and embedded improvement is not made in this area by the next key inspection. 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 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 15 Service user plans need to clearly state all a persons needs and state how these should be met. Clear support plans will ensure that a persons needs and choices will be met. 30/07/2009 2 9 13 The medication procedure 30/06/2009 regarding the storage, administration and recording of medication needs to be followed to ensure the safety of people. Following the medication procedure will ensure the safety of people in the home. Ths will ensure each person takes the medication they are prescribed, when it has been prescribed. 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 9 13 All medication administration 08/10/2009 records must have full clear instructions for use, in particular: -prescribed medicines must have the frequency of administration on the record and dispensed medicines -if medicines are discontinued, this must be clear from the records -if residents are selfadministering, this must be clear from the records To ensure that medicines are given accurately and as the prescriber intended. 2 9 13 Controlled drugs must be stored in a cupboard which meets the requirements of the Misuse of Drugs Safe Custody Regulations. To comply with the law and ensure the safety of residents 08/10/2009 Care Homes for Older People Page 7 of 9 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 If medicines are refused by residents on a regular basis, a care plan for non compliance should be written to show how the home will manage the residents health conditions in the absence of medication. Anticoagulant books should be kept at the home as a record of the dose to be given, and also to ensure residents safety when away from the home. 2 9 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. 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 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!
