Random inspection report
Care homes for older people
Name: Address: Manor Court 31 Churchfield Lane Darton Barnsley South Yorkshire S75 5DH zero star poor service 26/04/2010 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: Stephanie West Date: 0 6 0 7 2 0 1 0 Information about the care home
Name of care home: Address: Manor Court 31 Churchfield Lane Darton Barnsley South Yorkshire S75 5DH 01226382321 01226381299 manorcourt@schealthcare.co.uk www.schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Southern Cross Care Centres Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 32 Number of places (if applicable): Under 65 Over 65 0 22 dementia old age, not falling within any other category Conditions of registration: 10 0 The maximum number of service users who can be accommodated is: 32 The registered person may provide the following category of service: 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, maximum number of places: 22 Dementia - Code DE, maximum number of places: 10 Date of last inspection 2 6 0 4 2 0 1 0 Care Homes for Older People Page 2 of 8 Brief description of the care home Manor Court provides residential care for older people; the home has 32 beds. It is in the village of Darton with easy access to shops, post office, church, local village club and health centre and it is on the main bus route. The home accommodates people on two floors and there is a passenger lift. Manor Court has 28 single bedrooms, 7 of which are en suite and 2 double bedrooms. The upper floor accommodates 10 people. The home has 3 lounges and 2 dining rooms. There are extensive gardens, with lawns and an enclosed area, garden furniture and a water feature. There is parking at the front of the building. The scale of charges ranges from £356:77 to £535:87 per week. For further information about the service, its fees and admissions procedures please contact the manager of the home directly. Care Homes for Older People Page 3 of 8 What we found:
The purpose of this visit was to look at the homes arrangements for handling medication because although we found action had been taken to improve medicines handling at our previous visit, we had since received further concerns in this area. This visit focused on medicines handling, other areas were not examined on this occasion. We looked at care documentation within the home and the medication systems that were in place. We spoke with acting manager and staff responsible for medicines handling. Overall, we found that generally suitable arrangements were in place for handling peoples medicines and improvements in the handling of medication seen at our previous visit had been maintained. We looked at medicines administration. We found that although changes to the staff group since our last visit meant that there was a lack of carers trained in the handling of medicines; this had been addressed by the home. Qualified nurses had been brought in to administer night-time medicines. We were told that this would continue until further trained carers had been appointed. Daytime medicines were administered by staff who had completed certificated medicines training. The nurses also completed regular medicines audits (checks) to help ensure that should any shortfalls arise, they can be promptly identified and addressed. Staff spoken with were aware than some medicines had special label instructions such as before food and care was taken to ensure these were followed, so that people get the most benefit from their medicines. We found written guidance for staff about the use of when required medicines and external preparations (e.g. creams) was generally in place to help ensure consistency in their use, when needed. We found that records of medicines handling were generally clearly completed helping to support and evidence the safe administration of medication. But, we were concerned that on occasion records for the administration of liquid medicines impossibly showed that more doses had been administered than actually received into the home. It is important that this is addressed to ensure that these medicines are administered as prescribed and accurately recorded. We saw that changes to peoples medicines following for example, advice from a doctor, were generally clearly recorded and promptly carried out. But, we were concerned that although one persons record clearly showed that a tablet had been stopped, administration re-started when a new supply came to the home with the next monthly delivery. If changes to peoples medicines are made after the monthly prescription order has been placed, stopped medicines can sometimes still arrive at the home. To reduce the risk of mistakes, it is important that any unexpected changes to peoples medicines are confirmed when checking the new monthly medicines order. Action was taken to confirm whether the tablet should have re-started on the visit day. We found that all medicines including controlled drugs were safely stored helping to reduce the risk of mishandling or miss-use. A recent audit identified that a single controlled drug tablet had gone missing. The reason for this could not be identified but audits had continued to try and reduce the risk of re-occurrence. What the care home does well:
Regular medicines audits are completed to help ensure that should any shortfalls arise
Care Homes for Older People Page 4 of 8 they can be promptly identified and addressed. 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 There must be a complete, accurate and auditable record of currently prescribed medication for each person, the quantities received and the time and date of administration, to support and evidence the safe administration of medication. 09/08/2010 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 8 The homes procedures for checking the new monthly medicines delivery into the home should be reviewed to try and reduce the risk of errors. 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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!
