Random inspection report
Care homes for older people
Name: Address: Heathlands Station Road Pershore Worcs WR10 1NG three star excellent 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: Morag Ross Date: 1 2 0 1 2 0 1 0 Information about the care home
Name of care home: Address: Heathlands Station Road Pershore Worcs WR10 1NG 01386562220 01386550409 heathlands@heart-of-england.co.uk www.heart-of-england.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Heart of England Housing and Care Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 60 Number of places (if applicable): Under 65 Over 65 0 60 0 dementia old age, not falling within any other category physical disability Conditions of registration: 60 0 60 The maximum number of service users who can be accommodated is: 60 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) 60 Dementia (DE) 60 Physical Disability (PD) 60 Date of last inspection 0 5 0 5 2 0 0 9 Care Homes for Older People Page 2 of 8 Brief description of the care home Heathlands is a purpose built home situated close to the town centre of Pershore. It is located within walking distance of the town centre where there are shops, restaurants, public houses, churches and good pubic transport. The home is built on two floors with a passenger lift to each floor and is arranged in units. All bedrooms are single and with en-suite toilets and showers. Adapted bathrooms are available on each floor and each unit has a communal lounge, dining and kitchenette facilities. The home is registered to provide a residential care and respite service for up to sixty older people who may have physical disabilities and/or mental health needs. A separate eight-bedded unit provides a service to older people with dementia type illnesses. A separate day care unit provides a service five days each week to older people living in the community The registered providers are Heart of England Housing and Care Ltd. The registered manager is Dawn Hooper. Information regarding the home is available in their Statement of Purpose and Service Users Guide. Copies of these and the inspection reports are available in the homes reception and on request. Alternative formats can also be provided. The current fees are available upon request from the home. Care Homes for Older People Page 3 of 8 What we found:
The pharmacist inspector visited the home on 12th January 2010 to undertake a random inspection to check the management and control of medicines within the service. Two unannounced inspections on 5th May 2009 and 10th November 2009 had identified that medication management systems needed to be improved. We received an action plan from the service, which outlined what action would be taken by the service with a date for completion given as 22nd December 2009. The purpose of this inspection was to check compliance with the requirements relating to medication. We arrived at 12.00pm and stayed until 5.00pm. We looked at medication storage on all units, some care records and medication administration records. We spoke to two members of staff, the Acting Manager and a Support Manager. The Support Manager informed us that everyone was working hard to improve the management of medication in the home. The Support Manager informed us that medicines were now stored in rooms that were cooler to ensure medicines were stored at the correct temperature. We found that the storage temperatures of medicines was being monitored each day and medicines were being stored at the correct temperature. For example, on Bredon and Severn unit staff were monitoring the temperature of the room where medication was being stored on a daily basis. We saw temperature records for January 2010 which were between 21 to 23 degrees C. This means that peoples medication was stored within the recommended temperature ranges and the requirement for safe storage of medication at the correct temperature was met. We saw that the available storage for medication upstairs for Bredon and Severn Units was not adequate for the size of the home. Medication was stored in a small locked cupboard in a corridor. This was used to store two medicine trolleys and all the extra medication on shelves and there was poor access into the cupboard. We were informed that this arrangement was a temporary arrangement until suitable medication storage could be found to meet standards. However, this means that currently there was inadequate provision of suitable medication storage for the number of people living in the home. We looked at the medication administration record (MAR) charts and overall found that they were documented with a signature for administration or a reason was recorded if medication was not given. We saw a few occasions where the medicine records had not been documented, particularly in the evening and we discussed this with the manager. We saw current records for the receipt of medication and that the date of opening of boxes and bottles of medicines were recorded and balances of medication were usually carried forward from old records to new records. We found that the majority of counts and checks made on medication were accurate, which showed that people who live in the service were being given medication as prescribed by a medical practitioner. We found that information for the use of medication prescribed to be given when required was not always up to date although there were improvements since the previous inspection. We were informed that all care plans were being reviewed with regard to medication. For example, we saw that one person was prescribed a painkiller, a
Care Homes for Older People Page 4 of 8 cream and a medicine for anxiety, which were all prescribed to be given on a when required basis. We saw a care plan dated 8th January 2010 for the painkiller and the cream, however there was no information recorded about the medicine for anxiety. The care plan was not person centred and did not reflect the behavioural needs of the person. We discussed our findings with the two managers in the home and they agreed that further improvements would need to be made to the care plans. 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 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 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, 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 1 9 The service should make arrangements to ensure that adequate storage facilities are provided for the safe storage of peoples medication. The service should make arrangements to ensure that care plans include detailed information and instructions for staff in respect of the administration and management of medication including the reasons to give medicine on a when required basis and what constitutes needed for a named person. 2 9 Care Homes for Older People Page 7 of 8 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 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!
