Random inspection report
Care homes for adults (18-65 years)
Name: Address: Quince House 77 Adeyfield Road Hemel Hempstead Herts HP2 5DZ two star good service 08/04/2009 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: Derek Brown Date: 1 3 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Quince House 77 Adeyfield Road Hemel Hempstead Herts HP2 5DZ 01442248316 01582840023 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Complete Care Services Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: Date of last inspection Brief description of the care home 6 0 3 0 2 2 0 1 0 Quince House is a house in Adeyfield Road in Hemel Hempstead. It looks like all the other houses in the road. Six people live at the home. There is a train station near the home. There are also lots of different bus routes. This means that the people who live at the home can get around easily. Everybody who lives at the home has their own bedroom. Nobody has to share a room. Everyone shares the lounge, dining room and kitchen. Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home The accommodation charges for Quince House are from £1650 to £1950 per week. The Statement of Purpose and the Service Users Guide tell people about the home. The manager will give a copy of the CQC inspection report to people who want to see it. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
The reason for this inspection by a pharmacist inspector was to assess progress towards meeting the requirements following the inspection on 3rd February 2010. We have also received information alleging inappropriate administration of medicines. At the inspection on 3/02/10 we made a requirement that staff authorised to administer medicines must be trained and assessed as competent to do so. On this inspection we looked at the record of Medication Induction/Competence provided by the deputy manager. This recorded that people had been observed in the medication administration process on at least 4 occasions before being deemed competent and that 8 members of staff had achieved a satisfactory level of competence. We therefore consider this requirement to be met. We also made a requirement that records made of the receipt and administration of medicines must be clear, accurate and complete and include the balance of any remaining medication carried forward to a new recording period. The given timescale for compliance was 28/02/10 and this was a repeated requirement as the previous given timescale of 31/12/09 had not been met. On this inspection we looked at the current medication and medication records for all 6 residents along with the previous medication records back to 13/02/10. We found some problems with the records relating to 3 residents medication. We found that for two people the amount of medication which should be left if the records of administration were accurate did not tally. This may indicate that the record had been signed but medication not given, or the correct amount was not brought forward to the new recording period. For another person we found omissions in the records of administration and no reason for the omission was recorded either on the medication record or in the persons daily notes. The requirement has therefore not been met by the given timescale and we are considering enforcement action. We were informed that some peoples medication was not given as prescribed, on one occasion they were given more than is prescribed and on other occasions the medication was omitted without good reason. We looked at the medication records back to the previous inspection and could not find any record of these occurrences. We could not find any record that these identified errors had been reported to the prescriber. This may also indicate that the records of medication are inaccurate. We (The Commission) were also not informed under Regulation 37 of the Care Homes Regulations 2001 of these medication errors. What the care home does well: What they could do better:
There must be accurate records of medication received, carried forward to a new recording period and administered to residents so that a complete and accurate account can be made for all medicines in use and to demonstrate that people receive their medicines as prescribed.
Care Homes for Adults (18-65 years) Page 4 of 8 If medication is omitted for any reason, the reason must be clearly recorded. Any errors in the administration of medicines which may adversely effect the health and well-being of a resident must be reported promptly to the prescriber and the results of the discussions with the prescriber recorded in care notes. These must also be reported to the Commission under Regulation 37 of the Care Homes Regulations 2001. 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 20 13 Records made of the receipt 28/02/2010 and administration of medicines must be clear, accurate and complete and include the balance of any remaining medication carried forward to a new recording period. This will account for all medicines in use and demonstrate that people receive their medicines as prescribed. This requirement has not been fully met by the given timescales of 31/12/2009 and 28/02/10. A new timescale has been given and enforcement action is being considered. 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. © 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 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!
