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: 1 0 0 2 2 0 1 0 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 1 1 0 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 check how medicines were being handled because we found serious shortfalls on our last visit that resulted in us issuing a legal notice requiring the home to make urgent improvements. We checked medicines records, medicines stock and looked at a sample of care plans. Overall we found good improvements in the handling of medicines that meant our legal notice had been met. However, we found the records of external medicines such as creams were not always complete so we could not be sure they were always being applied properly. Records of medicines received into the home, given to people and disposed of were usually signed and up to date. We saw regular recorded checks that were carried out weekly and monthly to make sure nursing staff were giving and recording medicines correctly. When any mistakes were found action was taken immediately to help prevent them happening again. After each medicines round nursing staff were completing a self audit sheet to make sure all medicines and records had been handled properly. All nursing staff had carried out some medicines training in the last month and their competency was now being formally assessed by the manager. We saw evidence of staff meetings about medicines handling and new written policies and procedures that all nursing staff had been required to read. We saw no evidence of secondary dispensing as we had done on our previous visit, this is unsafely potting up several peoples medicines at once. Procedures for handling medicines had been formally reviewed and we found they were now being signed for and given in a safer way. We saw some good paperwork to support the use of when required medicines used for controlling agitation, pain and constipation. These were kept up to date and when any were used a clear record of why and when they were given was made. This information was then being used to help carry out medication and health reviews so that people receive the right amount of support and the correct treatment. Our detailed checks of the current stocks and records showed medicines were usually being given to people correctly. Medicines that needed to be given before food were now usually given at the right time, although we found two recent courses of antibiotics were given wrongly with food because staff had not read the instructions properly. We discussed this with the manager who took immediate steps to put this right because giving medicines at the wrong time can stop them working properly. We looked at how external medicines such as creams were given and recorded. The manager had developed some good care plans about how to use the creams properly and these were being reviewed regularly. However, we found the records of them being applied were not always complete. The manager said the person applying the creams would not always be the person signing for them, which had resulted in incomplete and often confused records. The manager said they had tried several different systems for this but none had been completely successful. We gave some more advice about how to make the necessary improvements so the records show that creams are being used properly. We checked how controlled drugs (medicines that can be misused) were handled. The
Care Homes for Older People Page 4 of 9 cupboard used for storage was suitable and were saw complete and accurate records. Stocks were correct and we witnessed two controlled drugs being given to a person following the correct recording procedures. Secure storage and accurate records help prevent the misuse and mishandling of controlled drugs. 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 19 13 Storerooms must be kept locked. This will prevent people using the service from being injured if they mistakenly enter these rooms. 31/07/2009 4 22 13 Nurse calls must be accessible to people using the service in their bedrooms. 28/08/2009 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 This will enable people using the service to ask for help when needed. 5 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 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 1 9 13 Records of external medicines such as creams should be accurate and be completed by the staff member applying them. Accurate records are important to show that medicines are being used properly. 11/03/2010 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 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. © 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 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!
