Random inspection report
Care homes for older people
Name: Address: Park Hills Nursing Home 199 Chamber Road Oldham Lancashire OL8 4DJ zero star poor service 09/02/2010 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: Simon Hill Date: 1 7 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Park Hills Nursing Home 199 Chamber Road Oldham Lancashire OL8 4DJ 01616246671 F/P01616246671 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Barbara Rogers Type of registration: Number of places registered: Conditions of registration: Category(ies) : Ms Barbara Rogers care home 17 Number of places (if applicable): Under 65 Over 65 17 0 old age, not falling within any other category physical disability Conditions of registration: 0 17 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 Physical disability - Code PD The maximum number of service users who can be accommodated is: 17 Date of last inspection Brief description of the care home Park Hills Nursing Home provides 24 hour nursing care and accommodation for up to 17 people over the age of 65 years. 0 9 0 2 2 0 1 0 Care Homes for Older People Page 2 of 8 Brief description of the care home Mrs Barbara Rogers is the registered owner and manager of the home. The home is situated approximately one mile from Oldham town centre and is reasonably close to local amenities such as shops, pubs and local schools. Bus services are also available close by. The home is a Victorian property that has been extended at the rear. Entrance to the home is by a purpose built ramp at the side of the building. Well-maintained gardens are available outside the property. The home provides 17 single bedrooms, on both the ground and first floor and the majority of these are south facing. A passenger lift and other aids, such as hoists are available. There are three bathrooms. On the ground floor there is a choice of a large lounge/dining room or a smaller quiet lounge. A copy of the homes last inspection report was available from the main entrance area of the home. The weekly fees ranged from £338.70 to £535.81 dependent on the package of care required. Further details regarding fees and other information about the home are available from the manager. No additional charges are currently made. Care Homes for Older People Page 3 of 8 What we found:
We carried out this visit to check that medicines were being handled safely because three previous visits had found serious shortfalls that could seriously affect peoples health and wellbeing. The inspection was carried out by a pharmacist inspector who checked medicines stocks and records. Overall we found good improvements that meant medicines were now being handled in a much safer way. Our checks of the medicines stocks and records showed they were usually given to people correctly. We found medicines could be easily accounted for because the records of medicines received, administered and disposed of were usually clear, accurate and complete. Any medicines that needed to be carried forward to a new monthly cycle were properly recorded and all medicines were dated on opening so they could be easily checked. Medicines were usually given to people at the right time in relation to mealtimes because they had been properly organised and people were generally given their medicines at a time that fitted into their normal daily routine. Giving medicines at the right time and dose is important because it helps make sure they work properly. We checked how controlled drugs (medicines that can be misused) were handled. The cupboard used for storage was now of a suitable design and was legally compliant with the law. Records of controlled drugs handling were clear and accurate and all were properly witnessed. Secure storage and witnessed records of controlled drugs help prevent them being mishandled and misused. We looked at how when required medicines were handled and found little or no information about how they should be used. We gave some advice about how to improve this so there is clear guidance about how to use them. Having detailed plans about medicines helps make sure they are used properly. We looked at how medicines were checked by the managers and saw efficient recorded audits that found any mistakes. When mistakes were found suitable action was usually taken to help prevent them happening again. All staff had received regular medicines training and this was repeated on a regular basis. Formal competency assessments were now routinely carried out to help make sure staff were following the correct medicines handling procedures. Regular audits, good training and formal competency assessments help make sure staff have the necessary skills to handle medicines safely. What the care home does well: What they could do better:
Medicines prescribed as when required should have more information about how they are to be used to help make sure they are administered correctly.
Care Homes for Older People Page 4 of 8 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 Medicines prescribed as when required should have more information about how they are to be used to help make sure they are administered correctly. 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!
