Random inspection report
Care homes for adults (18-65 years)
Name: Address: Peartree House Rehabilitation Centre 8a Peartree Avenue Bitterne Southampton Hampshire SO19 7JP one star adequate service 19/03/2009 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: Geraldine Yates Date: 2 2 0 9 2 0 0 9 Information about the care home
Name of care home: Address: Peartree House Rehabilitation Centre 8a Peartree Avenue Bitterne Southampton Hampshire SO19 7JP 02380448168 02380434260 lesley.humphrey@peartreerehab.co.uk 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) : Peartree House Rehabilitation Limited care home 46 Number of places (if applicable): Under 65 Over 65 0 physical disability Conditions of registration: 46 The maximum number of service users to be accommodated is 46. The registered person may provide the following category of service: Care home with nursing (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Physical disability (PD) Date of last inspection Brief description of the care home Peartree House Rehabilitation Centre consists of an extended house, 3 two-bedroomed bungalows and four self-contained flats and a four bedroomed house within the perimeter of the grounds. The home is situated on the outskirts of Southampton city and is within easy access of Bitterne and local amenities. The home is registered with the Care Quality Commission to provide nursing care and
Care Homes for Adults (18-65 years) Page 2 of 8 0 9 0 7 2 0 0 9 Brief description of the care home accommodation for up to forty-six people who have sustained an acquired brain injury. The service can accommodate people over the age of 18 years who have a physical disability on admisison. Service users who require only personal, emotional and living skills support and have no nursing needs are housed in the flats and bungalows with a dedicated team who enable these service users to live an independent life according to to their capabilities. Service users who need nursing care are accommodated in the main house and the four bedroomed house named Wyncroft. Peartree House employs a multidisciplinary team that comprises an occupational therapy team, physiotherapy, psychology, speech and language therapist, a rehabilitation consultant, dietician, registered nurses and care staff as well as a full housekeeping, maintenance and administration staff. The home is owned by Peartree House Rehabilitation Limited and does not have a registered manager. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
The reason for this inspection was to assess compliance with the statutory requirement notice dated 4 September 2009. You were required by 11 September 2009 to: 1. Ensure that staff are given clear instructions and guidance on when to administer medicines that are prescribed for service users on an as required basis. 2. Ensure that a system is in place to ensure service users receive their medicines as prescribed by their general practitioner. 3. Ensure that when a medicine has not been given, the reason for this omission must be clearly documented on the medication administration chart. 4. Ensure that clear and accurate records are kept in respect of all medicines received into the home. 5. Ensure that the procedures and policies in respect of the management of medicines are reviewed and updated. 6. Ensure that supplies of medicines for service users are available for administration as prescribed. At this visit we looked at the medication administration record charts for seven people living in the home, the care plans for three of these people, the storage of medicines, policies and procedures that related to the management of medicines and talked to the senior nurse on duty. Clear records were being kept of all medicines coming into the home and being given to people. There were no omissions or ambiguous entries in the medication administration records. The general practitioner had reviewed the use of any medicines that were prescribed to be given on an as required basis. Where such medicines remained in use, and people cannot clearly express their wishes, care plans had been produced to guide staff as to when to give these medicines. When people had difficulty in swallowing or were being fed other than by mouth the General practitioners had agreed to any medicines that are not available as liquid being crushed. Each person who has to have medicines crushed has their own named pill crusher to ensure that there is no cross contamination between one persons medicines and anthers. One person who regularly refuses their medicines had a care plan in place that stated the actions to be taken to encourage them to take their medicines, the minimum dose interval permitted between doses and when to contact the doctor if medicines were not being taken. This had been produced so as to recognise both this persons right to refuse medicines and their need to take the medicines to ensure that they remain healthy. Care Homes for Adults (18-65 years) Page 4 of 8 Procedures and policies relating to the management of medicines had been reviewed and updated. They provided staff with clearer instructions and elements identified at the last inspection as not being included had been added. All of the people whose records were looked at had been given their medicines as prescribed and no one had been left without a supply of their medicines. This included the person who had been without one of their medicines for three days when we visited last. A system has been put in place to ensure that this particular medicine is always available. Peoples allergies and sensitivities to medicines was now being recorded on their medication administration record charts. This is good practise to prevent someone being given a medicine that they are allergic or sensitive to. Medicines were being stored securely and at the correct temperature. A new drug fridge had been obtained and daily temperature records showed it to be operating within the correct temperature range. The statutory requirement notice of 4 September is found to have been met. 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 Adults (18-65 years) Page 5 of 8 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 19 12 The responsible person must 15/08/2009 ensure that all health and personal care needs are met and that there is evidence to demonstrate that this is the case. So that people are safe and have their needs met. 2 41 12 The responsible person must 15/08/2009 ensure that all records are accurately and fully completed. So that people are safe. Care Homes for Adults (18-65 years) 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 Care Homes for Adults (18-65 years) 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 Adults (18-65 years) 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 Adults (18-65 years) 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!
