Inspection on 01/10/09 for Mapleford

This inspection was carried out on 1st October 2009.

CQC found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Mapleford 10/02/10

Mapleford 07/12/09

Mapleford 09/06/09

Similar services:

Sunny Bank (P.R.S.) Ltd

Ashwood Court Unit 1

Thornton Lodge

Alfred House Residential Care Home

Barkerhouse Road (123)

Fernhaven

Thames House

Creative Support

Extracts from inspection reports are licensed from CQC, this page was updated on 29/06/2010.

Random inspection report Care homes for older people Name: Address: Mapleford Bolton Avenue Accrington Lancs BB5 6HN one star adequate 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: Simon Hill Date: 0 1 1 0 2 0 0 9 Information about the care home Name of care home: Address: Mapleford Bolton Avenue Accrington Lancs BB5 6HN 01254871255 01254231768 mapleford@fsmail.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Julie Hammond Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mapleford (Nursing Home) Ltd care home 54 Number of places (if applicable): Under 65 Over 65 54 54 dementia mental disorder, excluding learning disability or dementia Conditions of registration: 54 54 The registered person may provide the following categories of service only: Care home nursing - Code N. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Mental Disorder, excluding learning disabilities or dementia - Code MD, Dementia - Code DE. Maximum number of service users who can be accommodated is: 54 Date of last inspection Brief description of the care home Mapleford is a purpose built care home set in its own grounds. It is situated in a residential area of Huncoat close to shops and a Church. It is on a bus route to the town of Accrington which is about 2 miles away. Care Homes for Older People Page 2 of 9 0 9 0 6 2 0 0 9 Brief description of the care home Mapleford provides 24 hour nursing and personal care for up 54 people suffering from dementia or mental health problems. Accommodation is provided in mostly single rooms and 7 double rooms. Some of the bedrooms have en-suite facilities. There are 3 lounges each with with a dining area. A passenger lift facilitates access to all areas of the home. The current fess charged at Mapleford are £430.50 - £1093.01 per week. A copy of the statement of purpose and service user guide is available to people who are considering using the service and their relatives on request. Care Homes for Older People Page 3 of 9 What we found: We carried out this visit to make sure medicines were being handled safely because at our last inspection we found serious shortfalls in the way medicines were being given and recorded. The visit was carried out by a pharmacist inspector and it lasted five and a half hours. We checked medicines records, medicines stock and spoke with three members of staff. Overall we found some poor practice when handling medicines that continues to place the health and wellbeing of people who live in the home at unnecessary risk. We checked medicines records and stock and found poor practice resulting in two out of date medicines being given to a person for the last week, this happened because staff had not checked the medicines properly every time they gave them and when they had been carried forward to a new medicines cycle. This person was also prescribed two different medicines as when required and both of these had passed their expiry date. We found ten medicines had not been correctly transferred to the new monthly cycle, which meant they were not written on the current list of medicines, this could lead to people not getting them when they need them. The receipt of most medicines was not properly carried out because the date they came into the home was not recorded, which means they could not be easily accounted for. The manager agreed that the medicines had not been properly checked into the home and stocks had not been properly carried forward even though she had highlighted similar issues following her last monthly audit. Poor practice when checking and receiving medicines can result in serious mistakes when giving them to people. We found four medicines to be out of stock over the last two weeks. One person went without their inhaler to help their breathing for four days and another person missed one of their medicines for the last five days. Another person was given someone elses liquid laxative because they had no stock available and another person missed two doses of their medicine to treat high cholesterol. This shows the general checking and stock control of medicines was not efficient and urgent action was not taken to obtain new supplies. Going without medicines can seriously affect a persons health and wellbeing. We checked a sample of care plans and records to make sure medicines were properly reflected in them. Good paperwork was in place for when required medicines but some of these needed reviewing to make sure they were fully up to date. We looked at a care plan for a person that was regularly refusing their medicine and found this did not have clear information about how this was to be managed so there was a risk that their rights might not be fully respected. We also looked at a persons care plan that was self medicating and found there was not enough information about how they were to be supported to do it safely, we highlighted this at our last visit but the paperwork had not been updated. Having clear written care plans helps make sure people receive the right amount of support. We looked at how controlled drugs (medicines that can be misused) were handled and found them to be securely stored and properly recorded. Having secure storage and witnessed records helps prevent them being misused and mishandled. The manager carried out regular audits (checks) of the medicines and these had highlighted some recording and stock control issues. Staff had been spoken with and Care Homes for Older People Page 4 of 9 some action had been taken to try and prevent further mistakes. However, our findings showed staff continued to make sloppy records, which could result in serious mistakes when giving medicines to people that could seriously affect their health and wellbeing. 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 R No £ 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 1 7 15 Care plans must accurately identify and address all the care needs of each person using the service. This will ensure that all the nurses and care workers will know what they need to do in order to fully meet the needs of each person using the service. 31/07/2009 2 8 13 Risk assessments for falls, 31/07/2009 nutrition and the development of pressure sores must be completed for each person using the service. This will ensure that risks are identified and effectively managed. 3 9 13 Medicines must be given to people as prescribed. This is important because receiving medicines at the wrong time, wrong dose or not at all can seriously affect a persons health and wellbeing. 31/07/2009 4 9 13 Records of medicines received into the home and given to people must be clear, accurate and 31/07/2009 Care Homes for Older People Page 6 of 9 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 complete. This will make sure all medicines can be fully accounted for. 5 19 13 Storerooms must be kept locked. This will prevent people using the service from being injured if they mistakenly enter these rooms. 6 22 13 Nurse calls must be accessible to people using the service in their bedrooms. This will enable people using the service to ask for help when needed. 7 26 16 The unpleasant odour in several bedrooms must be eliminated. This will ensure people using those rooms live in a homely and comfortable environment. 31/07/2009 28/08/2009 31/07/2009 Care Homes for Older People Page 7 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, 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 Care Homes for Older People Page 8 of 9 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 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!