This inspection was carried out on 22nd March 2010.
CQC found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: Morecambe Bay Care Home Gleneagles Drive Off St Andrews Grove Morecambe Lancashire LA4 5BN one star adequate service 03/11/2009 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: Stephanie West Date: 2 2 0 3 2 0 1 0 Information about the care home
Name of care home: Address: Morecambe Bay Care Home Gleneagles Drive Off St Andrews Grove Morecambe Lancashire LA4 5BN 01524400255 Telephone number: Fax number: Email address: Provider web address: morcambe.bay@sshc.co.uk Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Four Seasons (No 7) Limited care home 87 Number of places (if applicable): Under 65 Over 65 0 87 0 dementia old age, not falling within any other category physical disability Conditions of registration: 87 0 87 The registered person may provide the following category of service only: Care Home with 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: Old age, not falling within any other category - Code OP. Dementia - Code DE. Physical disability Code PD. The maximum number of service users who can be accommodated is: 87. Date of last inspection Brief description of the care home Morecambe Bay Care Home is owned and managed by Four Seasons, a company that operates a number of care services at various locations throughout the United Kingdom. Morecambe Bay Care Home is a Care Home with Nursing; it consists of 4 self-contained units. Torrisholme House and Bare House each offer care for 20 older
Care Homes for Older People Page 2 of 9 0 6 0 1 2 0 1 0 Brief description of the care home people with Dementia. All bedrooms are single and located around a landscaped courtyard. Grange House offers 30 ensuite bedrooms to older people who require nursing care. Cartmel House is registered to care for up to 17 adults with a physical disability. Each of the 4 units are staffed separately, with a qualified nurse in charge of each unit. There is an acting manager in post at the home. Morecambe Bay Care Home is situated relatively close to the Promenade in Morecambe. Each of the units/houses within the centre have their own lounge and dining room and other facilities, for example, bathrooms and toilets. Each unit is on the ground floor offering easy access to all the facilities. Only the central part of the home has a first floor where the Managers office is located and the administration office for the home. The staff room is also located on the first floor. Care Homes for Older People Page 3 of 9 What we found:
Previous visits to the service found weaknesses in medicines handling and we had issued a legal notice requiring the home to make improvements in this area. We looked at medicines management to see how requirements of our previous visit had been met. We looked at care documentation within the home and the medication systems that were in place. We spoke with nurses and the manager about the arrangements made for peoples medicines. Overall, we found improvements in the way medicines were being handled that meant the requirements of our legal notice were met. However, some of these improvements had only very recently been made so it is important that managers continue to audit medicines handling to ensure improvements are sustained. Additionally, we were concerned to find weaknesses in the handling and recording of prescribed external preparations e.g. creams remained to be addressed. Overall, we found that medicines stock control had improved helping to reduce the risk that doses of medication will be missed because there are none left to give. But, we were concerned to find examples of poor stock control on one unit right up to the current monthly medicines ordering cycle. However, there was evidence that medicines were now being re-ordered before the last dose was given, reducing the risk that they will run out. We compared a sample of medicines stocks and records. With the exception of a rare discrepancy we were generally able to account for (track) medicines handling in the home but as previously seen records showing the application of prescribed creams were not so well maintained and not always completed by the person who actually applied them. We were concerned to find some unlabelled creams and some creams that were no longer being used still kept in peoples rooms. This means that although it was evident that creams were being used, the records cannot be relied upon as being accurate records of the treatment people have received. The homes new procedures for handling external preparations described at our previous visit were still to be implemented. We similarly found that it was not always possible to account for (track) the use of prescribed nutritional supplements because any quantities carried forward to the new months records were not shown. We were concerned to find one example where a different inhaler was being administered from the one listed on the medicines administration record. We could not tell where the error lay, nursing staff took action to address this concern on the visit day. We looked at how care plans supported the safe use of medicines. We looked at the information kept about peoples medicines when they had PEG tubes (feeding tubes) in place. We saw that checks had been carried out to ensure that their medicines could be safely given this way, but as previously seen there were not always protocols in place describing how this was done in practice. This is recommended to help ensure there is consistency in the way these medicines are administered. Where people had chosen to self-administer medication we found risk assessments in place helping to ensure they receive any support they may need. Audits (checks) of medicines handling were carried out by staff at the home. It is important that these continue to help ensure that should any weaknesses arise, they can be promptly addressed. Care Homes for Older People Page 4 of 9 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 All residents care plans must 31/01/2009 provide an holistic picture of their care needs including care needs relating to social aspects of their lives. This is so people have a greater say in the way their care is provided. 2 7 15 Where actions are deemed 03/12/2009 as being necessary in a residents care plan, for example, that a resident needs to be weighed on a weekly basis, then they must be carried out at all times. This is to help ensure that people get the care they need. 3 7 15 A care plan must be in place for each resident that outlines all their care needs and how these are to be met. This is so that carers understand peoples needs and actions required. 03/12/2009 4 18 13 The homes safeguarding 03/12/2009 procedures must be followed at all times. 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 is to help ensure the safety and wellbeing of people using the service. 5 27 18 It must be ensured that 03/12/2009 there are adequate numbers of staff on duty at all times to meet the needs of residents. This is to help ensure the safety and wellbeing of people using the service. 6 31 8 The provider must propose a 03/05/2010 suitably qualified and experienced manager for registration with the Commission. This is to help ensure that the home is managed effectively. 7 36 18 All staff working at the home 03/02/2010 must be provided with adequate supervision. This is to help ensure that staff are able carry out their roles well. 8 38 13 Unnecessary risks to the health and safety of people who live at the home must be identified and minimised. This is to help ensure the safety and wellbeing of people who live at the home. 10/11/2009 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 All medication including prescribed external preparations e.g. creams must be administered as prescribed and their use supported by clear and accurate recored keeping. to help ensure peoples health and wellbeing. 30/04/2010 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!
