Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Glenhurst Manor 44a West Cliff Road Bournemouth Dorset BH4 8BB 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: mary collier Date: 0 3 1 2 2 0 0 8 Information about the care home
Name of care home: Address: Glenhurst Manor 44a West Cliff Road Bournemouth Dorset BH4 8BB 01202761175 01202761164 info@glenhurstmanor.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Kevin Robin Ellis care home 36 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 36 Conditions of registration: The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (Code OP) The maximum number of service users who can be accommodated is 36. Date of last inspection Brief description of the care home Glenhurst Manor is registered to provide personal care and accommodation for a maximum of 36 people. The home is in the West Cliff area of Bournemouth, a short walk from the cliff top and not far from the facilities of the town centre and the Westbourne shopping area and is situated on a bus route for central Bournemouth. It is registered to Mr Ellis. The post of Registered Manager has been vacant since December 2006 but was filled in March this year by Mrs Lesley-Anne Clements RGN. Accommodation is arranged over three floors providing 29 single bedrooms and 4 Care Homes for Older People
Page 2 of 9 bedrooms that may be used as double rooms. All rooms except one have en suite facilities. A passenger lift provides level access to all areas of the home. There is a large lounge and a separate dining room; both have views of the rear garden. To the front and rear of the property are well-maintained grounds for the use of residents; there are car parking spaces at the front of the house. Fees range from #595 to #695 per week depending on room size and view. Care Homes for Older People Page 3 of 9 What we found:
The pharmacist inspector carried out an inspection of all the medication arrangements in the home . We looked at records relating to medication, storage of medicines, the procedure used by staff and the training they have received. We spoke to staff members and one resident during the inspection. All medicines were stored securely, however there were two areas that should be reviewed. Medicines that need to be stored in a fridge should be kept between 2c and 8c. The current cooler-type of fridge will not always maintain that temperature and alternative arrangements should be made. Controlled drugs were not kept in a cupboard that complies with current legislation for care homes. Medication administration records were printed by the pharmacy and any additions were signed and checked by two people. Photographs were used to help identify people. The records for the recording of medicines prescribed as required were less clear as they indicated that these medicines had been offered at regular times. On discusion with the staff it was stated that one of these medicines was being given regularly as this had been discussed with her doctor and agreed as a useful strategy for her care, however the prescription was still for use as required. The care staff also told us that another medicine was being used when the person requested it for pain relief but it was being recorded at regular times already allocated on the medication administration record and not the times that it was actually given. The care plans for these people that covered the use of medicines prescribed as required could not be seen at the time of the inspection but were found to be in place later. Care plans must be available and known to all staff on duty so that they can consistently follow the prescribers instructions. Many people were seen to manage some or all of their medicines according to their wishes and abilities. There was evidence of people being given choice in this matter when they came into the home and at other times during their stay. One resident said that she was happy to be able to do this and that staff were very supportive. Selfmedication should always be risk assessed and regularly reviewed on an individual basis and, although senior staff could describe the process of individual risk assessment there was no evidence on paper to support this. Care staff who handle medication have all been trained to do so and have a procedure to follow when administering medicines. Comprehensive records are kept of any involvement of doctors, nurses and other healthcare professionals in peoples care and we could see where doctors had been informed of illness or refusal to take medicines. Care staff treated people as individuals with their medication and health needs, but clearer records need to be kept to support some of the decisions that are taken about their care. What the care home does well: What they could do better:
Clear guidelines for the use of medicines prescribed as required must be available for care staff to follow and the records must accurately reflect the times of administration. Care Homes for Older People
Page 4 of 9 Individual risk assessments must be produced for all people who manage their own medicines. 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 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 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, 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 1 9 13 Care plans for all medicines 15/01/2009 prescribed as required must be available for all staff to follow and the exact time of administration must be recorded. This will ensure that all medicines are given safely in accordance with the prescribers instructions. 2 9 13 Individual risk assessments 15/01/2009 must be produced and regularly reviewed for all people who manage some or all of their own medicines. This will ensure that people are protected from harm when managing their own medicines in the home. 3 9 13 Controlled drugs must be 06/02/2009 stored in cupboards that comply with The Misuse of Drugs and Misuse of Drugs (Safe Custody)(Amendment) Regulations 2007 This is to ensure that all medicines are stored in accordance with current Care Homes for Older People Page 7 of 9 legislation 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 Consideration should be given to the storage of medicines that require refridgeration. Temperatures of this storage area should be monitored. Care Homes for Older People Page 8 of 9 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 © (2009) 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 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!
