This inspection was carried out on 30th November 2009.
CQC found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report,
but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: Linford Park Nursing Home Linford Road Linford Ringwood Hampshire BH24 3HX two star good service 09/06/2009 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: Geraldine Yates Date: 3 0 1 1 2 0 0 9 Information about the care home
Name of care home: Address: Linford Park Nursing Home Linford Road Linford Ringwood Hampshire BH24 3HX 01425471305 01425471306 linfordpark@googlemail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Terence Walter Bailey Type of registration: Number of places registered: Conditions of registration: Category(ies) : Northdown Estates Limited care home 80 Number of places (if applicable): Under 65 Over 65 0 80 0 dementia old age, not falling within any other category physical disability Conditions of registration: 80 0 80 The maximum number of service users to be accommodated is 80 The registered person may provide the following categories of service: Care home with nursing (N) to service users of the following gender; Either whose primary care needs on admission to the home are within the following categories: Physical disability (PD) Dementia (DE) Old age, not falling within any other category (OP) Date of last inspection 0 9 0 6 2 0 0 9 Care Homes for Older People Page 2 of 8 Brief description of the care home Linford Park nursing home is situated in Linford, a rural area of the New Forest, around three miles from the market town of Ringwood. The home is registered to provide care to people in the older person category with mental health needs, dementia, and physical disability. Accommodation is provided in two separate units and is over two floors. A passenger lift in provided. The current fee charged is between £586 - £950. These fees do not include hairdressing, chiropody and other personal items. Care Homes for Older People Page 3 of 8 What we found:
This inspection was a specialist pharmacist inspection to assess the handling of medicines in the home following concerns brought to the attention of The Commission. We looked at the supplies of medicines and their storage, records kept in the home, policies and procedures and talked to the appointed manager and staff. Two of the four units in the home were visited and the records of 10 people were looked at in detail. People who use the service have their medicines given to them by designated registered nurses. Written policies and procedures are available to staff to provide guidance and enable medicines to be handled consistently by all staff. No one was looking after their own medicines when we visited. The records and medicine supplies showed us that people were receiving their medicines correctly. Clear records were kept of all medicines coming into and leaving the home and of medicines given to people. When a variable dose of medicine was prescribed the actual dose given was being recorded very clearly on one unit but not on the other. If medicines were not given the reason why was clearly recorded on one unit but again this was not done consistently on the second unit. When it was necessary to make additional entries on the record charts supplied by the pharmacy these were done accurately. It is however good practice to have these entires checked by a second person to ensure that they are accurate and people get their medicines correctly. The home has a system for monitoring the medication administration recored charts to check that people are getting their medicines. The last audit had picked up one issue. There was no evidence of any action having been taken to deal with this. When people had medicines prescribed to be given only when needed (PRN medicines) records were kept to show when people had their medicines and what dose was given to them. We looked at the care plans for these people. None of them had a care plan that described to staff what the medicines were for, when they should be given and when they should not be given. Staff were able to describe to us when they would give people these medicines. However, the lack of care plans for these people and these medicines puts them at risk of not receiving the medicines when they need them or of being given the medicines when they dont need them. Some people had not had their morning medicines by 11.30 am on the day of our visit. Staff said that this was either because these people chose to wake late or because people had refused their medicines and staff were going to try to give them later to ensure that they got the medicines that they needed. Again there was nothing in these peoples care plans to describe to staff how to ensure that these people are given their prescribed medicines. Medicines on the units were stored securely so as to protect the people who use the service. Medicines requiring cool storage were kept in secure drug fridges. Daily temperature records were kept of the fridges. These showed that the fridge on one unit had been repeatedly operating outside of the required temperature range during the last four weeks. No action have been take by the staff team to correct this. Action was taken during the inspection. Storing medicines outside of the correct temperature range could result in them not being fit for use.
Care Homes for Older People Page 4 of 8 Medicines that are liable to misuse, called Controlled Drugs, were stored securely. On one unit they were stored correctly in a Controlled Drugs cabinet. On the second unit they were being stored in the drug trolley. All Controlled Drugs, including Temazepam, must be stored, at all times, in a cabinet that complies with the requirements of the Misuse of Drugs (Safe Custody) Regulations. Additional records were kept of the usage of Controlled Drugs so as to readily detect any loss. These records showed four medicines that should have been in stock but which were missing. When the manager checked with other records in the home she was able to show that all of these medicines had left the home with the service users or had been disposed of and that no medicines were missing. It is however recommended that the controlled drugs register is checked when the administration records are audited so that problems can be identified and dealt with. 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 1 9 13 All Controlled Drugs, including Temazepam, must be stored in a Controlled drugs cabinet at all times. So as to comply with the law 14/12/2009 2 9 13 Clear instructions and guidance must be given to staff in the care plans on when to administer medicines that are prescribed for service users on an as required or when needed basis. So that people receive their medicines in a way that meets their needs 31/12/2009 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 it is necessary to handwrite on the medication administration record charts it is good practice to have the entry checked for accuracy by a second person.
Page 7 of 8 Care Homes for Older People 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!
