Random inspection report
Care homes for older people
Name: Address: Merstone Hall 20-22 Florence Road Bournemouth Dorset BH5 1HF one star adequate service 16/10/2008 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: mary collier Date: 0 4 0 6 2 0 0 9 Information about the care home
Name of care home: Address: Merstone Hall 20-22 Florence Road Bournemouth Dorset BH5 1HF 01202309813 01202304128 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Merstone Hall Ltd care home 45 Number of places (if applicable): Under 65 Over 65 0 0 45 0 0 learning disability mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability terminally ill Conditions of registration: 45 45 0 45 45 The maximum number of service users who can be accommodated is 45. The registered person may provide the following category of service only: Care home with Nursing - Code N to service users of either gender. Date of last inspection Brief description of the care home Merstone Hall was originally a hotel. It was then converted to a nursing home in 1992. 1 6 1 0 2 0 0 8 Care Homes for Older People Page 2 of 7 Brief description of the care home The home is registered to provide personal care for up to 45 older people, 32 of whom can require nursing care with a maximum of six younger adults. Mrs Sarah Fincher (Matron) is registered with the CSCI to manage the home on behalf of Mr Zamir Afghan. The property is located close to all the amenities in Boscombe and is a short level walk from these. There are outdoor seating areas to the front and rear of the building with easy level access for service users. Merstone Hall has a wide selection of accommodation set on three floors, all areas being serviced by a passenger lift. The rooms are of varying sizes and many have full ensuite facilities. The communal areas situated on the ground floor consist of two lounges, one of which is very large and a separate dining room. The large lounge is shaped to ensure those service users wishing not to participate in a larger group or organised activities can find quieter corners to sit in. In addition there is a sizeable reception area. All parts of the home are centrally heated.The fees range from 750 to 1500 pounds. The higher rate relates to residents who receive continuing care funded by health. Additional charges include hairdressing, chiropody and newspapers. See the following website for further guidance on fees and contracts: www.oft.gov.uk (Value for Money and Fair Terms in Contracts). Care Homes for Older People Page 3 of 7 What we found:
This visit was a random inspection of the medication arrangements in the home that was undertaken by a Pharmacist Inspector. No other ares were looked at at this inspection. The manager was available throughout the inspcetion, we also talked to staff and observed their interaction with people in the home. Medication was stored suitably and in line with current legislation. Each person had a printed medication administration record with a photograph for identification and a list of homely remedies that had been approved for use by their GP. In addition, people who had been prescribed medicines as required had guidelines for their use and separate recording sheets, although it was not always clear which dose had been given when a variable dose had been prescribed. All records were appropriately maintained, including records of receipt and disposal. We watched the medicines being given out at lunchtime. This was done by a nurse in line with the homes procedure for safe administration. The nurse gave one persons medicine to a senior carer so that they could help the person take it whilst they were assisting them to eat. Another person chose to have their medicines left with them to take later. On looking at their care plans it was discovered that no reference was made to these different systems of administration. This could mean that all staff are not aware of peoples individual needs. The medication administration recordes for these people were signed by the nurse who may not have seen whether the medicines were taken or not. The manager carries out regular audits to ensure that medication is given and recorded correctly. Staff have available to them procedures, guidance and information about medicines to help them in their duties and are offered various training courses. The home has good links with other healthcare professionals which was particularly in evidence when looking at the care they give to people in the terminal stages of a disease. 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 4 of 7 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 29 19 The home must ensure that all of the required documentation according to Schedule 2 is in place for all new employees before they start work. Recruitment policies and procedures must be followed to ensure that people are protected from unsuitable persons working in the home and minimising the risk of abuse. 13/12/2008 Care Homes for Older People Page 5 of 7 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 When medication is given in 24/07/2009 a way that does not conform to the homes procedures an individual care plan must be available for staff to follow and appropriate records kept. This will ensure that people receive their medicines in a way that is safe and suits their individual needs at all times. 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 Where a variable dose is prescribed, the dose actually given should be recorded on the medication administration record. Care Homes for Older People Page 6 of 7 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 7 of 7 - 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!
