Random inspection report
Care homes for older people
Name: Address: Oaks Court Oaks Crescent Wolverhampton West Midlands WV3 9SA zero star poor service 04/03/2010 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: Morag Ross Date: 1 5 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Oaks Court Oaks Crescent Wolverhampton West Midlands WV3 9SA 01902715266 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Margaret Mary Sims Type of registration: Number of places registered: Conditions of registration: Category(ies) : Quality Homes (Midlands) Limited care home 41 Number of places (if applicable): Under 65 Over 65 34 41 dementia old age, not falling within any other category Conditions of registration: 0 0 The maximum number of service users accommodated is 41 The registered person may provider personal care to service users of both sexes whose primary care needs on admission to the home are within the following categories: Older People (OP) 41 Dementia over 55 years of age (DE)(E) 34 Date of last inspection Brief description of the care home Oaks Court is a purpose built residential home for 41 older people that was originally intended, and run for a short time, as a nursing home. It is situated in a quiet residential cul-de-sac close to Wolverhampton city centre. The building is on three
Care Homes for Older People Page 2 of 8 0 4 0 3 2 0 1 0 Brief description of the care home floors, which are serviced by a couple of lifts. All the bedrooms have en-suite facilities. The home has an enclosed garden at the side of the building and a large car parking area at the front. The most recent inspection report is available for people to read at the home if they wish. Current fees can be obtained from the home. Care Homes for Older People Page 3 of 8 What we found:
The pharmacist inspector visited the home on 15th June 2010 to check the management and control of medicines within the service. The purpose of this inspection was to check compliance with a requirement relating to medicines. The service had been asked to put systems in place to ensure that medicines are administered to people as prescribed. We looked at medication storage, some care records and medication administration records. We were in the service for two hours and we spoke to the Manager and the Deputy Manager. We found that there was good documentation and recording of medicine records. We looked at the majority of medication administration record (MAR) charts and overall found that they were documented with a signature for administration or a reason was recorded if medication was not given. We saw that the times of administering medicines were clearly highlighted on the MAR charts. We were shown records, which documented that regular weekly checks were made by the service on peoples medicines to ensure they were being given safely and as prescribed. This means that there were arrangements in place to ensure that medication is administered as directed by the prescriber to the person it was prescribed, labelled and supplied for. We looked at the medicine storage of peoples medicines. We saw that medicines were stored neatly and tidily, which made it easy to locate peoples medicines. We were shown room and refrigerator temperature records for the storage of medicines. The temperatures were all recorded daily and were within the recommended safe storage temperatures for medicines. We checked that medication which requires special storage in a controlled drug cabinet was stored safely and recorded correctly. We found that the storage arrangements met the safe storage requirements following the Misuse of Drugs (Safe Custody) Regulations and all the available records were up to date and correct. We looked at one persons medicine records and checked that the amount given matched the documented records. We saw that the person was prescribed ten different medicines. One of the medicines had been recently prescribed by a Doctor. The MAR chart had been hand written but it had not been signed by the person or checked to ensure it was correct. The medicine was prescribed to be given as a liquid, which we found in the medicine trolley. We found that the bottle had been opened but there was no date of opening documented to ensure checks could be made and also to ensure it was stored within its expiry date. We found that the checks for nine medicines were correct, however it was not possible to accurately check the liquid medicine. Overall, the records showed that the person had been given all of their medicines as prescribed. We looked at the care plan for this person and found that a Doctor had reviewed one of the medicines in March 2010. The medicine was prescribed on a when required or as needed basis for anxiety. We saw written information which explained when the medicine should be given to the person. The Deputy Manager was also able to provide detailed information about the medicine and under what circumstances it would be given. This means that information about peoples medicines were available to safeguard their health and welfare. We looked at the care plan for one person who was able to administer their own medicine
Care Homes for Older People Page 4 of 8 with prompts from staff. We found information about the persons medicine in their care plan which detailed that supervision from one carer was required. However, the information was not person centred or specific enough to support staff and to ensure that they were able to provide the right level of care and support to the person. We discussed this with the Deputy Manager who agreed that more detailed information would be written into the persons care plan. We gave feedback to the Manager and Deputy Manager and explained that the service had complied with the requirement relating to medicines, however we had made three recommendations following this inspection. 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 8 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Older People Page 6 of 8 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 1 9 The service needs to ensure that complete audits checks can be undertaken on all medicines to include recording the date of opening of medicines to ensure that medicines are being given as prescribed. Care plans relating to peoples individual medicine requirements need to be developed further to ensure they are more person centred and include specific details to help support staff to give the right level of care and support to the person. The service needs to ensure that any handwritten Medication Administration Record (MAR) charts are checked to ensure they are accurate and match the prescribers instructions. 2 9 3 9 Care Homes for Older People Page 7 of 8 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 8 of 8 - 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!
