This inspection was carried out on 18th August 2009.
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: Polebrook Nursing & Residential Home Morgans Close Polebrook Cambridgeshire PE8 5LU 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: Naveeda Knopp Date: 1 8 0 8 2 0 0 9 Information about the care home
Name of care home: Address: Polebrook Nursing & Residential Home Morgans Close Polebrook Cambridgeshire PE8 5LU 01832273256 01832741970 Birchesterplc@yahoo.co.uk helenrussellrgn@AOL.com 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) : Birchester Medicare Ltd care home 51 Number of places (if applicable): Under 65 Over 65 51 51 51 dementia old age, not falling within any other category physical disability Conditions of registration: 0 0 0 The total number of service users accommodated at Polebrook Nursing and Residential Home must not exceed 51 To be able to admit the named person of category OP (under 65 years) named in variation application no. V34916 dated 7th September 2006 To provide care for one named service user under the age of 65 years Date of last inspection Brief description of the care home Polebrook Residential and Nursing Home is a fifty one bedded purpose built care home located in the village of Polebrook, which is three miles from the town of Oundle. Birchester Medicare Ltd own the home. The home provides for older people requiring
Care Homes for Older People Page 2 of 9 Brief description of the care home personal care, nursing care or dementia care. The accommodation is all located on the ground floor, with a mixture of single and double rooms , the majority of which have en-suite facilities. The home has several communal rooms and a large conservatory area. The following fees were provided by the registered manager as being current on 20 April 2009. Privately funded people are charged between £575 and £625 dependent on assessed need. Local Authorities who are funding residents are charged at the rate which is set in their contract and again this depends on peoples assessed needs. For people funded by a Local Authority a `top up fee is usually required to be payable by the person using the service. The fees include personal care and where applicable nursing care, meals and accommodation. Chiropody, hairdressing services, and newspapers can be arranged and are charged separately. Other costs would include clothing and toiletries. Care Homes for Older People Page 3 of 9 What we found:
On arrival to the home the inspector found liquid medication for a person who use the services unattended in a communal area. On return to the medication tray, the nurse on duty was able to confirm to the inspector what was in each pot and that they were intended for one person. The home have a secure, designated treatment room to store all medication and a separate internal room to this to house all external creams and bulky items. The Controlled Drugs in the home are stored in a designated cabinet but this did not conform to The Misuse of Drugs Act 1973 ( safe custody). Apart from one of the Controlled Drugs kept at the home, the audits carried out tallied with the records made in the Controlled Drugs Register. The staff would manage most peoples medicines and would obtain these supplies mainly in a monitored dosage system. The administration to each person is documented on a record sheet. To ensure the right medicine is given to the right person a photograph is retained with the administration record sheets. For one person it was noted that a family member had given the home a cream to use. It had been documented in the daily notes when this had been applied to the bottom area but there was no supporting information on the administration sheets or in the care plans. A sample sheet of signatures to assist in noting which staff member gave out a particular medicines was not seen. To support the carers and nurses on individuals needs, medication profiles are kept within the care plans but it was evidence that these are not always updated. To ensure that all medicines supplied in via the supplying pharmacy are accounted for the nurses and carers were checking in medicines on the recording sheets. The homes recording systems were shown not to be robust as three medication audits carried out did show anomalies with quantities. It was evidenced that stock supplied in one month was not being accounted for in subsequent months even though it may have been given in those months. What the care home does well:
There is a system in place at the home to ensure that when a person needs to see a GP, that this is prompted quickly and all the records are to hand. Medication is stored securely at the home. The staff ensure continual supplies of prescribed medication are available to the people who use this facility. The staff have received relevant training in handling medicines in a care home setting and and follow the homes policy on handling medication. Care Homes for Older People Page 4 of 9 Medication profiles for individual people are made and kept in the care plans. Medication is administered as the Prescriber intended and also any additional actions that requires to be followed is being acted up on too. 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 1 5A People must have 17/08/2009 information about the full range of fees and of any differences in charges between people who have their care paid for, and those who fund their own. This was not assessed by the Pharamcist Inspector on the 18/08/2009 This is to help people plan their finances and understand the charges. 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 The registered person must 13/11/2009 ensure that accurate records are maintained for the accounting of all medicines for each person living at the home. This is to safeguard the welfare of all people living at the home. 2 9 13 All Controlled Drugs must be 13/11/2009 stored in a cabinet that complied with the Misuse Of Drugs Act 1973 (Safe Custody) This is to comply with legislation and to protect the people who use this home from harm. 3 9 13 The dates of administration 13/11/2009 of medicines must be clearly and accurately recorded for all people living at the home. This is the ensure the safety and welfare of people living at the home 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 2 9 9 A sample signature sheet could be kept with the medication administration sheets. All medicinal products that are being applied or given by staff at the home as a homely remedy is approved by their GP. The management at the home carries out regular medication audits to assess the accuracy of the recording of medication given and to ensure changes in regimes are complied with. 3 9 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. 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 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!
