Random inspection report
Care homes for older people
Name: Address: Park View Rest Home 56 Clayton Hall Road Clayton Manchester M11 4WH two star good service 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 4 1 1 2 0 0 9 Information about the care home
Name of care home: Address: Park View Rest Home 56 Clayton Hall Road Clayton Manchester M11 4WH 01612232099 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) : Russley Care Homes Ltd care home 24 Number of places (if applicable): Under 65 Over 65 24 old age, not falling within any other category Conditions of registration: 0 The registered person may provide the following categories of service only. Care home only - code PC, to people 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. The maximum number of people who can be accommodated is: 24 Date of last inspection Brief description of the care home Parkview is a residential home providing care for older people and is situated in Clayton, north of Manchester City Centre. Public transport links into the city centre are within easy reach. The home is a two storey converted house, set in its own grounds, which are accessible to residents. Parking space for visitors is available at the side of the building and on the road at the front of the house. There is a passenger lift to enable access to the first floor for those with poor mobility. Accessible toilets and bathrooms are located on both floors of the home. There is a large, bright, lounge
Care Homes for Older People Page 2 of 8 1 0 1 0 2 0 0 8 Brief description of the care home dining area. There are 4 single bedrooms, with an en-suite toilet and washbasin, 14 single and 3 double rooms all with a hand washbasin. Double rooms are provided with privacy screens. There are gardens to the front and side aspect. Care Homes for Older People Page 3 of 8 What we found:
This visit was carried out to look at the homes medication arrangements following receipt of a concern about the administration of medicines. The visit lasted approximately five hours and involved discussing the handling of medication with the Provider (owner), manager and senior staff, examination of medicine records and storage arrangements. This visit focused on medicines handling, other areas and requirements were not examined at this time. At the end of the inspection feedback was given to the provider and the manager. Overall, we found that action was being taken to improve medicines handling at the service but there were weaknesses that need to be addressed to reduce the risk of errors and to help ensure that the safe handling of medication is better supported. We looked at medicines administration. People wishing to self-administer medication were supported to do so helping to support peoples choices and independence. We spoke to someone who managed their own medicines, they were happy with the arrangements in place. All other medicines were administered by staff who had completed medication training. We observed part of the lunchtime medication round. We saw that records were completed at the time of administration to each person but were concerned to see that one person had not been given their morning medicines because they did not have a medication administration record. The medicines were given at lunchtime using a new medicines administration record but staff had not checked this for accuracy. This meant that no record was made to show the administration of two tablets because they were not listed on this record. The new medicines administration record also included two medicines that had not previously been administered at the home and no stock was available. It was of concern that these changes had not been queried at the time of administration. The manager said that these medicines had been re-started by the doctor, but there was no record of this consultation. It is important that medication records are accurately maintained to support the safe administration of medicines. We saw that changes had been made to the ordering system and regular audits were carried out to help ensure sufficient stocks of medicines were maintained to enable continuity of treatment. Staff had been enrolled on re-fresher medicines training and there were plans to enroll further staff to ensure trained staff were always on duty to administer medicines including throughout the night, if needed. We compared a sample of medicines records and stocks. Records showing the administration of medication were generally up-to-date but where quantities of medication were brought forward from a previous months delivery the quantity was not always clearly recorded. This made it difficult to account for (track) the safe handling of medicines at the home, this was particularly evident for liquid medicines. It was of concern that we saw examples where records impossibly showed that more doses had been administered than had gone from the quantity received. We found occasional errors where records showed that more doses had been administered than actually prescribed. This meant it was not always possible to tell whether medicines had been given correctly. We saw that records were made to show the application of prescribed creams but there was not always information for staff about the use of these creams, and when they may be needed, within peoples care plans. This is recommended to help ensure creams are applied correctly, when needed. Care Homes for Older People Page 4 of 8 Records for the receipt and disposal of medication were generally clearly made. But, it was of concern to find that records of communication with, and advice from healthcare professionals such as G.Ps were not always made. This meant it was not always possible to track changes to peoples medicines and so, to tell what medicines people should be having. For example, one persons medication administration records showed that a water tablet had finished but it was not clear whether these had been stopped, or if more should be ordered. It is important that clear records of doctors advice are made to ensure changes are promptly carried out and where needed, followed-up. We found that all medicines including Controlled Drugs were safely locked away; this helps to ensure that they are not misused or mishandled. However, consideration should be given to relocating the controlled drugs cupboard. The homes medication policy was available for reference but did not always offer clear guidance to staff in the handling of medicines at the home. The policy could be usefully updated to reflect both current good practice guidance and procedures within the home. 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 1 9 13 There must be a complete, clear and accurate list of currently prescribed medication for each person and of the time and date of administration to help support the safe administration of medication. 07/12/2009 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 Staff should make clear records of any GP or healthcare professional advice to ensure that any changes to peoples medicines are correctly carried out and where needed, followed-up. 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. 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 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!
