Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Haven House Warwick Road Kineton Warwick Warwickshire CV35 0HN The quality rating for this care home is: The rating was made on: zero star poor 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: Debby Railton Date: 0 5 1 1 2 0 0 8 Information about the care home
Name of care home: Address: Haven House Warwick Road Kineton Warwick Warwickshire CV35 0HN 01926641714 01926641714 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Haven House Residential Limited care home 20 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 20 Conditions of registration: The Registered Manager must sucessfully complete the Registered Managers Award by April 2007. Date of last inspection Brief description of the care home Haven House is a conversion of three period houses in the large village of Kineton. There are twenty single bedrooms, nineteen of which have en-suite facilities. There is a shaft lift as well as two staircases, one at each end of the home. There are two sitting rooms and a dining room, and there is level access to the garden at the rear, which gives access to the car park. The car park is not in use at the present time due to building materials being stored. Haven House is within a few minutes walk of the village centre of Kineton, which has three churches, hairdressers, a variety of shops, restaurants, pubs, banks and a post office. Two doctors surgeries, a chiropodist, an optician and a dentist are all nearby. There is a limited bus service to Stratford-UponCare Homes for Older People
Page 2 of 11 Avon, Banbury, Leamington Spa and surrounding villages. Nursing care is not provided. Residents in need of attention from a nurse have access to the community nursing service, as they would in their own homes. Care Homes for Older People Page 3 of 11 What we found:
The medicine management had improved to a safe level since the last pharmacist inspection on 9th September 2008, where issues of serious concern were found. Four residents medication and medicine charts were looked at together with their care plans. All feedback was given to the manager present throughout the inspection The manager had installed a good system to check the prescriptions prior to dispensing and to check the dispensed medication received into the home. Audits indicated that the majority of medicines had been administered as prescribed and records reflected practice. A few errors were seen where medicines had been recorded as administered when they had not been. The manager has yet to install a robust quality assurance system to check individual staff practices and without such a system it is not possible to assess who is making the drug administration errors. Cream management was poor as staff do not routinely record if they have applied the cream as prescribed. One cream was to be applied three times a day as directed by the doctor but this was applied only once a day only so may not have effectively treated the skin condition as it was prescribed to do. The care plans were poor and did not record all the clinical conditions the residents have. Without such information care staff cannot support the clinical needs of the service user as well as they should do. Healthcare professional visits were not routinely recorded. Neither was the outcome of these visits so it was difficult to see why some medication had been prescribed. Again this information is important for staff to be able to fully support the residents clinical needs. Allergies were not always recorded on the medicine chart indicating that the pharmacist had not been told of these. This information may prevent a potential medicine being dispensed which may cause harm if administered. Residents are encouraged to self administer their own medication but there were no risk assessments to assess whether the resident could do so safely or any compliance checks to confirm that they do take them as the doctor prescribed. The home is in the process of opening a new medication room to keep all the medicines in, instead of the unsatisfactory areas were medicines are currently kept. One metal cabinet was identified to be used as a controlled drug cabinet. What the care home does well: What they could do better:
The manager must install a quality assurance system to assess staff competence in the safe handling of medicines. Further training is required to ensure that all staff understand what the medicines are Care Homes for Older People
Page 4 of 11 for and their common side effects. 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 11 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 7 13(4)(c) Risk assessments must be updated as and when peoples needs change. This is to make sure that any risks are assessed and staff know what action to take minimise any risks identified. Outstanding from 1st April 2008. 01/09/2008 2 8 13 All people living at the home 15/09/2008 must have access to professional staff in a timely manner to ensure that changes in their health and well being are dealt with promptly. 3 9 13(2) A quality assurance system 30/09/2008 must be installed to assess staff competence in their handling of medicines. Appropriate action must be taken when these indicate that medicines are not administered as prescribe and records do not reflect practice, to ensure that all medicines are administered as prescribed and this can be demonstrated. Care Homes for Older People Page 6 of 11 4 29 19 Robust process must be used 30/09/2008 when employing staff to ensure that they are fit to care for vulnerable adults. New staff must be supervised if a full Criminal records Bureau check has not been received. 5 30 13 An assessment of training needs must be undertaken and a training programme developed to ensure that all staff receive mandatory and specialist training to safely meet the needs of the residents 10/10/2008 6 38 18 Staff must undertake moving 30/09/2008 and handling training to ensure that they maintain the safety of residents and themselves. 7 38 18 Staff must be trained in fire safety and undertake fire drills. This is so that they know what to do in the event of a fire. Outstanding from 1st August 2008. 01/09/2008 8 38 23 (4)(a)(b)(c) A person experienced in fire risk assessment must complete a new fire risk assessment and the Fire Service and Building Control officer must be consulted 01/09/2008 Care Homes for Older People Page 7 of 11 about the new means of escape. This is to make sure that there is adequate means of escape from a fire in the kitchen. Not assessed during the random inspection 01/09/09 Care Homes for Older People Page 8 of 11 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 All service users must be risk 05/12/2008 assessed as able to self administer their own medication and regular compliance checks must be undertaken and documented. This is to ensure that they can handle and take their medication safely as the doctor prescribed. 2 9 13 The medicine chart must be 05/12/2008 referred to before the administration of the service users medicines and signed directly after the transaction and accurately record what has occurred. This includes preparations applied to the skin. This is to ensure that the service users receive their medication as prescribed at all times and records reflect practice 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. Care Homes for Older People
Page 9 of 11 No. Refer to Standard Good Practice Recommendations 1 2 9 9 It is recommended that all Controlled Drugs are stored in a separate lockable metal cabinet. It is recommended that a list of allergies any service user may have is related to the pharmacist. Care Homes for Older People Page 10 of 11 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 11 of 11 - 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!
