Inspection on 09/12/09 for Gorway House
Also see our care home review for Gorway House for more information
This inspection was carried out on 9th December 2009.
CQC found this care home to be providing an Adequate service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
Random inspection report
Care homes for older people
Name: Address: Gorway House 40 Gorway Road Highgate Walsall West Midlands WS1 3BG one star adequate service 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: Ian Henderson Date: 0 9 1 2 2 0 0 9 Information about the care home
Name of care home: Address: Gorway House 40 Gorway Road Highgate Walsall West Midlands WS1 3BG 01922615515 01922725059 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) : Mrs Pamela Brown care home 28 Number of places (if applicable): Under 65 Over 65 28 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 28 The registered person may provide the following category of service only: Care Home Only (Code PC) To service users 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 (OP) 28 Date of last inspection Brief description of the care home Gorway House is a care home located in Walsall, West Midlands. The two-storey detached property is located in quiet residential area, close to local amenities. A wellmaintained garden is situated at the rear of the property. Ample car parking is located at the front of the home. Care Homes for Older People Page 2 of 7 What we found:
The reason for the inspection was to assess how the home was managing the medicines of the people who used the service. At the previous inspection on 2nd July 2009 we found that the management of medicine was still poor and following the CQC enforcement pathway copies of some medication records were removed for review by the Regional Enforcement Team [RET]. Due to internal changes within RET the review of the evidence did not take place within the timescale set down by CQC. As a consequence progress down the enforcement pathway did not occur within the required timescale and it was decided that to be fair the inspection of the home for compliance with safe handling of medicines should be started again. The reason therefore for the inspection on the 9th December was to reassess the management of medicines within the home. We found that there had been improvements in the management of medicines within the home. We found on the whole that the receipt administration and disposal of medicines were being recorded so that it could be seen that people who were using the service were receiving their medication as prescribed. The home was regularly auditing the medication and had introduced a running balance sheet for those medicines that were not packed into the Monitored Dosage System to ensure that these medicines were being administered as prescribed by the doctor. We found that the home was having difficulty auditing the liquid medication and as a result it appear that some of the liquid medicines were not being administered as prescribed. The home need to monitor the use of the liquid medication more closely to ensure that like the tablets and capsules people are having their liquid medication as prescribed. We found that information about medicines in the care plans had improved and it could be seen more clearly why medicines had been prescribed, altered and discontinued. We found that the home had introduced a competency assessment programme to ensure that all of the staff responsible for administering medicine were administering the medicines safely and accurately. We found however that the home was not ensuring that medicines requiring cold storage conditions were being kept at the correct temperature. We found that the home had been having problems maintaining the correct temperature of the medicines fridge and as a result had moved the medication to the kitchen fridge. We found that the maximum and minimum temperatures of the kitchen fridge were not being measured and recorded on a daily basis and therefore the home could not guarantee that the medication had been stored within the temperature ranged stated by the manufacturers. What the care home does well: What they could do better:
The home needs to ensure that the maximum and minimum temperatures of the fridge where medicines are being stored are being measured and recorded on a daily basis to ensure that the temperature of the fridge is maintained within the range specified by the
Care Homes for Older People Page 3 of 7 manufacturers. 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 4 of 7 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Older People Page 5 of 7 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 1 9 13 Regulation 13 [2]. Medicines 20/01/2010 requiring cold temperature conditions are stored within the correct temperature range. The home must evidence this by measuring and recording the maximum and minimum temperatures of the fridge where this medication is stored on a daily basis. This will ensure that the medicines are safe and effective to use. 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 6 of 7 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 7 of 7 - 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!
