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 12/11/2008 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: Stephanie West Date: 0 6 0 1 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 10 1 2 1 1 2 0 0 8 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 10 What we found:
The purpose of this visit was to look at action taken to improve medicines handling in order to addresses weaknesses seen at previous visits and to meet with current requirements. 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 nursing staff and managers about the arrangements made for handling peoples medicines. We were concerned to find that although action was being taken to try and bring about improvement in the handling of medicines, people remained at risk of missing doses of their medication because there were none left in stock. We examined a sample of medicines records and stock. We again found that whilst the home had procedures in place for the safe receipt, storage, administration and disposal of medicines, these were not always followed properly by staff. We were concerned to again find some examples of people not being given their prescribed medication because the home had run out of stock. Going without prescribed medicines can seriously affect the health and wellbeing of residents. We also found some occasional examples of inaccurate record keeping and stock not adding up with records. For example, we saw that while records of medicines received into the home with the main monthly medicines delivery were mostly clearly made, entries were sometimes missed for medicines delivered at other times. This meant it was impossible to account for (track) the handling of these medicines. We found some inconsistency in recording advice from healthcare professionals, records were mostly clearly made and followed-up, helping to ensure any changes were promptly addressed. But, on occasion written records could not be found to support changes to peoples medicines. Similarly, there was inconsistency in the way records were completed when medicines were not given, with some but not all staff recording the reason in full. It is important that clear and accurate records are maintained to support and evidence the safe administration of medication. 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 there were no 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. We looked at care plans for two people who had chosen to self-administer some of their medication. We found that written assessments had been completed, but there could be more information about how this is supported. Similarly, information about the use of when required medicines could, in some cases, be usefully expanded. One care plan we looked at had not been updated when the self-administered medication had stopped. We found that all medicines including Controlled Drugs were safely locked away; this helps to ensure that they are not misused or mishandled. Since our previous visit staff competency assessments had been carried out to help ensure that staff understood and followed the homes written procedures for handling medicines. Further medicines training had been planned for some staff to help ensure their knowledge was up-to-date and a staff meeting was planned to share information
Care Homes for Older People Page 4 of 10 about the handling of medicines in the home. Audits (checks) of medicines handling were also carried out by staff at the home but this was done differently in different parts of the home. Consideration should be given to carrying out a broader audit across the home to help ensure learning is shared and ensure that should any weaknesses arise, they can be promptly addressed. 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 10 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 9 17 An accurate record of all 03/12/2009 medication received, administered and disposed of must be maintained in the home.
Page 6 of 10 Care Homes for Older People 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 health and wellbeing of people using the service. 5 9 13 Arrangements must be in place to ensure that people receive their medication as prescribed. This is to help ensure the health and wellbeing of people using the service. 6 18 13 The homes safeguarding 03/12/2009 procedures must be followed at all times. This is to help ensure the safety and wellbeing of people using the service. 7 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. 8 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. 9 36 18 All staff working at the home 03/02/2010 must be provided with
Page 7 of 10 03/12/2009 Care Homes for Older People 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 adequate supervision. This is to help ensure that staff are able carry out their roles well. 10 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 8 of 10 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 9 of 10 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 10 of 10 - 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!
