Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Hampton Court 34 Scarisbrick New Road Southport Merseyside PR8 6QE 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: 2 7 1 1 2 0 0 8 Information about the care home
Name of care home: Address: Hampton Court 34 Scarisbrick New Road Southport Merseyside PR8 6QE 01704532173 01704532172 finance@rhcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Ramos Healthcare Limited care home 20 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia 0 Over 65 20 Conditions of registration: Service users to include up to a maximum of 20 DE(E). The Service should employ a suitably qualified and experienced manager who is registered with the Commission For Social Care Inspection. Date of last inspection Brief description of the care home Hampton Court is a large detached house, which has undergone conversion to provide residential care for up to twenty older people who have a degree of mental health need. The building was originally a Victorian dwelling house set in its own grounds, situated on a regular bus route, about half a mile from the town centre of Southport. The accommodation is divided over three floors with the day facilities on the ground floor, with bedrooms on the ground and upper floors. The office is on the lower ground floor, as are the laundry and kitchen. Externally the grounds are secure with seating provided for residents. Ramos Healthcare Ltd own the home and the responsible person is Mr Roland Mangahas Ramos. Janet Marshall is the registered manager. The weekly fee for this service is £410.00 - £418.70. Care Homes for Older People
Page 2 of 9 Care Homes for Older People Page 3 of 9 What we found:
The home was randomly selected for a visit by a pharmacist inspector to look at the arrangements for handling medicines. The visit lasted approximately four hours and involved speaking with the manager and the registered providers. We looked at the arrangements for the storage and recording of medicines and gave detailed feedback at the end of the visit. Overall we found some shortfalls in medicines handling that need to be addressed to make sure medicines are handled safely. We looked at the records of medicines brought into the home and found these were not always complete, which made it difficult to check to see if they had been given to people correctly. There was no clear system of stock control, notably for medicines in traditional packets and bottles, so it was not always possible to check if medicines were being given to people correctly. When we checked the records we found some were inaccurately completed because the exact dose of medicine given was not clearly recorded, especially for medicines with a variable dose. We also found that the records were not always clear when medicines were not given to people, for example, if they were asleep or refused them. We checked a sample of short courses of treatment such as antibiotics and found they did not always add up correctly showing staff had signed the record but not administered the medicine. Detailed and accurate records of medicines given to people help make sure they can be fully accounted for and help prevent mishandling. We looked at how medicines were stored and found the rooms and trolley to be clean and tidy. A fridge was used for storing medicines that required cold storage but this was not fully secure and the temperature was too high on the day of the visit. Secure storage helps to make sure medicines are not mishandled. We looked at a sample of care plans and records and found missing information about how peoples agitation, anxiety and depression were to be managed. Although there was a section about peoples mental health this lacked the necessary detail to make sure they receive the right amount of support. When their medicines were prescribed as when required for these conditions there was little or no information about how and under what circumstances they should be given. We discussed specific examples with the manager who agreed that some care plans lacked detail and she said that these would be reviewed and updated as soon as possible. This is important to help make sure people get their medicines when they need them. We checked how controlled drugs (medicines that can be misused) were stored and recorded. The cupboard did not meet the requirements of the law and we gave some advice on how to put this right. A suitable special register was used for record keeping but we highlighted some minor record recording mistakes and gave some advice on how to make improvements. Having witnessed records and secure storage helps prevent mishandling and misuse. We looked at how a person was supported when they looked after one of their own creams. The paperwork was not up to date and not detailed enough. No formal risk assessment had been carried out and a care plan had not been written, which could Care Homes for Older People Page 4 of 9 mean they would not get the right amount of support to do this safely. The manager said she carried out informal monthly checks at the beginning of each medicines cycle. However, no recorded audits were carried out and most medicines were difficult to check because the current system of stock control was not good enough for this to happen. The manager also said no formal competency checks on staff were carried out although some medicines handling training had been provided by the community pharmacist in the past. Having detailed audits and regular checks of staff competency help make sure medicines are given to people correctly and help make sure staff have the necessary skills to handle medicines 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 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 A legally compliant controlled 01/03/2009 drug cupboard must be available to store controlled drugs. This will help prevent mishandling and misuse. 2 9 13 For people that look after their own medicines a risk assessment and a care plan must be carried out. This will help make sure people receive the right amount of support to do it safely. 05/12/2008 3 9 13 There should be an effective 05/12/2008 system in place to check medicines and staff competence. This will help make sure medicines are handled safely and make sure care staff have the necessary skills. Records of medicines received into the home and given to people must be accurate. 05/12/2008 4 9 13 Care Homes for Older People Page 7 of 9 This will help make sure all medicines can be fully accounted for and make sure people have their medicines administered correctly. 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 When necessary, information on how medicines should be used should form part of an individuals care plan to make sure they are given to people correctly. 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 © (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 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!
