This inspection was carried out on 13th July 2010.
CQC found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: Pendale Retirement Home 6/8 Greystoke Place Blackpool Lancashire FY4 1NR two star good service 04/05/2010 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: Stephanie West Date: 1 3 0 7 2 0 1 0 Information about the care home
Name of care home: Address: Pendale Retirement Home 6/8 Greystoke Place Blackpool Lancashire FY4 1NR 01253342191 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Pendale Care Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 23 Number of places (if applicable): Under 65 Over 65 23 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is 23. The registered person may provide the following category of service only: Care home only: Code PC, 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. Date of last inspection Brief description of the care home Pendale Care Home provides 24-hour care and accommodation to 23 older people of both sexes. The home is situated in a residential area in the south of Blackpool and is close to the sea front. There is a small parking area for visitors at the front of the building. The home has 23 single bedrooms all with an en-suite facility. The ground
Care Homes for Older People Page 2 of 9 0 4 0 5 2 0 1 0 Brief description of the care home floor comprises of two lounges and a dining room with the front lounge overlooking the Solarium Gardens and the promenade. The home has a passenger lift, which people can use independently. The home has a Statement of Purpose and Service User Guide providing information about the care provided, the qualifications and experience of the owners and staff and the services residents can expect if they choose to live at the home. A copy of the Service User Guide and most recent inspection report is available from the owner to help people make an informed choice whether to move into the home. The range of fees at the home are three hundred pounds to three hundred and sixty four pounds and seventy pence covering all aspects of care, food and accommodation. The Home owner provided this information on the 4th May 2010. Hairdressing is provided free of charge unless people wish to make their own arrangements. Care Homes for Older People Page 3 of 9 What we found:
The purpose of this visit was to look at the homes arrangements for the handling medication following receipt of a concern in this area. 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 new manager and staff responsible for medicines handling. Overall, we found shortfalls in the handling and recording of medicines that increased the risk of mistakes when administering peoples medicines. We looked at medicines administration and were concerned to find that planned staff rotas for the next week showed that on two days staff trained in the handling of medication were not always on duty, so medicines could not be safely given, if needed. Additionally, the new manager had only recently come to the home, but was unable to confirm that all staff handling medicines had completed certificated medicines training. We also found that the homes medicines policy needed to be reviewed to provide clearer guidance for staff in the handling of medicines at the home. And, there was no evidence that the competency of care staff was assessed to help make sure they have the necessary skills to handle medicines safely. We compared a sample of medicines records and stocks. We were concerned to find that although the manager told us on our arrival that peoples breakfast medicines had been administered the medicines administration records were blank. We asked the manager about this, and on checking with senior staff it was evident that the medicines had not been given. We then observed part of the medicines round and were concerned to see that staff took a sip feed (supplementary drink) to one person but this was not included on their list of currently prescribed medicines and no record of administration was made. Similarly no records were made when a supplementary drink was administered to a second person. We were very concerned to find that on two days no record was made to show that anyone had received any of their morning medicines. We asked the manager about this and were told they were not given because of concerns about the medicines system in place. New medicines deliveries had been received for most people but these new records did not always match with those currently in use. We queried why, given concerns about the safety of the current system, these had not been confirmed with the doctor and started as soon as possible. We found that it was difficult and sometimes impossible to check stock balances against the medicines records because although many medicines were supplied to the home in a monitored dosage system, this was not used as intended and in some cases old stock was still in use. This meant it was not generally possible to tell whether medicines had been given correctly, as prescribed. And, on occasion records impossibly showed that more doses had been given than had actually been taken from stock. We looked at how information within peoples care plans supported the safe administration of medication. We were concerned to find little or no information about how when required medicines were handled or about the use of prescribed external preparations (e.g. creams), where and when they may be needed. We looked at the homes arrangements for handling Warfarin and found that these fell short of advice from the NPSA (National Patient Safety Agency) on the handling of this medicine. The dose of Warfarin can change following regular checks but a clear dated record of the current
Care Homes for Older People Page 4 of 9 dosage regimen was not held at the home and it was not always possible to tell what dose had actually been given. The day before our visit no record of administration was made for this medicine because the pre-printed administration record had come to the end. We found that existing medicine practices were placing people at risk and we left a note requiring immediate action to confirm peoples current medicines with the doctor and to seek advice about any unexpected changes to peoples medicines. We later telephoned the manager to confirm that this had been done. We spoke with the manager about the issues we had found and the need to ensure safe administration of medicine in the home. We recommended a thorough review (audit) of how medicines are managed. This should include observation of staff and checking competencies, to help ensure medicines are handled safely. The manager said that she had previous experience of completing medicines audits and would ensure that these were carried out. Completing regular audits should help to ensure that any shortfalls can be promptly identified and 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 9 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 31 9 The person in day to day control of the home must apply to be registered with the Commission. This will ensure the home is being run for the benefit of the people who live there. 25/02/2010 Care Homes for Older People Page 6 of 9 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 Medicines must be administered as prescribed, supported by complete and clear record keeping to help protect peoples health and well-being. 16/08/2010 2 9 13 Suitably trained and competent staff must be on duty at all times to enable medicines to be safely administered, when needed. 16/08/2010 3 9 13 There must be a complete, 16/08/2010 clear and accurate list of currently prescribed medication for each person, to help ensure medicines can be safely administered as prescribed. Care Homes for Older People Page 7 of 9 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 Regular medicines audits and staff competency assessments should be completed to help ensure that any weaknesses can be promptly identified and addressed. Care Homes for Older People Page 8 of 9 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 9 of 9 - 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!
