This inspection was carried out on 20th November 2008.
CSCI found this care home to be providing an Excellent service.
The inspector found no outstanding requirements from the previous inspection report,
but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Grimsargh House Residential Home Preston Road Grimsargh Preston Lancashire PR2 5JE The quality rating for this care home is: The rating was made on: three star excellent 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: Stephanie West Date: 2 0 1 1 2 0 0 8 Information about the care home
Name of care home: Address: Grimsargh House Residential Home Preston Road Grimsargh Preston Lancashire PR2 5JE 01772651031 01772653994 info@grimsarghhouse.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Stanner Manufacturing Limited care home 28 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 28 Conditions of registration: 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 - Code OP The maximum number of Service Users who can be accommodated is: 28 Date of last inspection Brief description of the care home Grimsargh House is situated within extensive grounds in the village of Grimsargh. The home is registered for 28 service users and provides personal care to older people over the age of sixty-five years both male and female. The home is not purpose built and has three floors accessible by a lift. There is ample communal space with two conservatories as well as a large dining room and lounge. The service provided is intended for service users who are fairly dependent but do not require nursing care. 2 3 0 9 2 0 0 8 Care Homes for Older People Page 2 of 8 Care Homes for Older People Page 3 of 8 What we found:
This inspection was carried out to follow-up concerns about the handling of medication identified during the previous visit to the home. The visit lasted approximately two hours and involved discussing the handling of medication with the acting manager, examination of medicine records and storage arrangements. At the end of the inspection feedback was given to the acting manager. Overall we found that medication was mostly well managed. The acting manager had taken steps to address shortfalls seen at the previous visit. Care was taken to ensure adequate stocks of prescribed medicines were kept at the home so people do not miss doses because there are none to give. Records of medication administration were more clearly and accurately maintained, better supporting the safe administration of medicines and reducing the risk of mistakes. The doctor had reviewed several residents medicines; any changes were clearly recorded helping to ensure changes were properly made. The home has arrangements in place so that non-prescribed medicines for the treatment of minor ailments can be given. This benefits people at the service as they can receive treatment for conditions such as minor pain without delay and without the need to see the doctor. Records showing the administration of medication were generally up-to-date, clearly showing the treatment people had received. Most administration records were preprinted by the pharmacist but where handwritten entries were made these were not always signed and countersigned. This is recommended to help reduce the risk of errors. Records for the receipt and disposal of medication were generally clear and accurate and on the whole it was possible to track (account for) the safe handling of medicines at the home. However, it was of concern that if any tablets were left over from the previous month, they were put into the persons new box when the new monthly delivery arrived. To reduce the risk of mistakes medicines should be kept in, and administered from the original pharmacy-labelled container. The old supply should be finished before beginning the new box. Similarly, staff were administering one persons medicines from an unlabelled dosette box (weekly medicines tray). It is important that medicines are always administered from the original pharmacy-labelled container so that staff can be sure of which tablets they are giving, and so that the label instructions can be checked. We looked at how medicines were administered. Care is taken to ensure any special instructions such as before food are followed and there is some flexibility in the times that medicines are given, for example if people choose to get up later in the morning. We saw that some people were prescribed medicines when required. Staff spoken with were knowledgeable about when these may be needed, but consideration should be given to developing written information about these medicine and when they may be needed by that person, helping to ensure consistency in their use. We found that medicines including controlled drugs were stored securely. This helps to ensure that they are not misused or mishandled. Care Homes for Older People Page 4 of 8 A new medicines policy is being implemented to provide clearer guidance to staff about the handling of medicines in the home. It is recommended that staff competency assessments are then carried out to ensure staff understand and follow procedures for administering medication, helping to ensure medicines are handled 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 1 9 13 Prescribed medication must normally be administered from the original pharmacylablelled contianer to redcue the risk of mistakes. 22/12/2008 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 It is recommended that staff competency assessments are carried out to help ensure medicines are always safely handled in accordance with the homes medication policies and procedures. Where handwritten entries are made on the medication administration record they should be signed and countersigned to reduce the risk of mistakes. When medicines are prescribed when required there should be individual guidance to help ensure they are used appropriately when needed. 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!
