Random inspection report
Care homes for older people
Name: Address: Riverslie 79 Crosby Road South Waterloo Liverpool Merseyside L21 1EW one star adequate 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: Simon Hill Date: 2 3 0 3 2 0 1 0 Information about the care home
Name of care home: Address: Riverslie 79 Crosby Road South Waterloo Liverpool Merseyside L21 1EW 01519283243 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Michelle King Type of registration: Number of places registered: Conditions of registration: Category(ies) : Innocare Limited care home 30 Number of places (if applicable): Under 65 Over 65 0 30 learning disability old age, not falling within any other category Conditions of registration: 1 0 The registered person may provide the following categories of service only: Care home with nursing - Code N, to people of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Learning disability - Code LD (Maximum number of places: 1) The maximum number of service users who may be accommodated is 30. Date of last inspection Brief description of the care home Riverslie is a Care Home with nursing and personal care only. In total the Home can provide care for 30 residents. There are 22 single rooms and four double rooms, some
Care Homes for Older People Page 2 of 9 Brief description of the care home of these with en-suites. Bedrooms are situated on all floors. There is a single lounge located on the ground floor and a dining area that has two separate sittings for lunch and dinner also located on the ground floor. Riverslie is a converted building on three storeys and provides a small passenger lift to all floors. There are gardens to the rear of the Home that are accessible from the ground floor. All areas of the Home are accessible to the residents and there are handrails and ramps provided throughout Riverslie for this purpose. Riverslie is situated in the Bootle area near to the local parks and the docks. The surrounding area is mainly residential. The Home is set back from a dual carriageway. Parking is available to the front of the building and there are main travel routes that provide easy access to the Home. Mike Dempsey is the Responsible Person and the current acting manager is Paula Claro. The range of fees provided at the last key inspection were from GBP 440 to GBP 593 per week. Care Homes for Older People Page 3 of 9 What we found:
We carried out this visit to check how medicines were being handled because we found some shortfalls on our last visit that meant some people were being placed at unnecessary risk. The visit was carried out by a Pharmacist Inspector and it lasted approximately four hours. Overall we found good improvements in the handling of medicines that meant medicines were now being handled more safely. Records of medicines received into the home, given to people and disposed of were usually signed and up to date. We saw regular recorded checks that were carried out weekly to make sure nursing staff were giving and recording medicines correctly. When any mistakes were found action was taken immediately to help prevent them happening again. We looked at how nursing staff had their competency assessed and saw some improvements in this. The manager said nursing staff had been observed handling medicines and medicines issues had been discussed in staff supervisions. We gave some advice about how to record these assessments so they are carried out in a consistent and efficient way. The manager also said the morning medicines round was soon to be carried out by two nursing staff to help improve the accuracy and speed at which medicines are given out. We saw some good paperwork to support the use of when required medicines used for controlling pain and gave some further advice about how to develop them so they are kept up to date. We looked at how a person was supported when they were looking after their own cream and found the paperwork was not fully up to date because the care plan and risk assessment had not been completed correctly. Having up to date information about medicines helps make sure they are handled safely. Our detailed checks of the current stocks and records showed medicines were usually being given to people correctly. Medicines that needed to be given before food were now usually given at the right time because a formal earlier medicines round had been arranged. However, we found two recently used medicines were given wrongly with food because staff had not read the instructions properly. We discussed this with the manager who said immediate steps would be taken to put this right because giving medicines at the wrong time can stop them working properly. We looked at how external medicines such as creams were given and recorded. Paperwork had been developed so that care staff could record medicines as they applied them in peoples own rooms. However, when we checked the records we found they were not always accurate because they did not record enough information. We gave some more advice about how to make the necessary improvements so the records show creams are being used properly. We checked how controlled drugs (medicines that can be misused) were handled. The cupboard used for storage was suitable and we saw complete and accurate records. Stocks were correct and we witnessed a controlled drug being given following the correct procedures. Secure storage and accurate records help prevent the misuse and mishandling of controlled drugs.
Care Homes for Older People Page 4 of 9 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 7 15 All care plans for people in 04/01/2010 the home must be maintained up to date and include all of the assessed care needs. This ensures that peoples care needs are effectively monitored. (This requirement has not been assessed at this visit previous timescale 01/10/09) 2 29 19 All staff must receive the 04/01/2010 appropriate pre employment checks and these must be evidenced in the staff files. This includes two written references and professional identification [PIN] number for trained nurse. All staff files must be audited against the requirements listed in schedule 2 of the care home regulations. This helps ensure that staff employed are fit to work with vulnerable people and they are protected. (This was not assessed at this visit and has a previous timescale of 01/10/09) Care Homes for Older People Page 6 of 9 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 3 37 37 All incidents relating to 04/01/2010 regulation 37 notifications must be reported through to the Care Quality Commission [CQC] so that the regulator is fully informed of incidents in the home. (This was not assessed at this visit and has a previous timescale of 10/09/09) 4 38 13 (4) The maintenance schedules 04/01/2010 do not include routine safety checks and risk assessments of the general environment. These must be carried out with reference to specific hazards and risks discussed. This will ensure that any risks to people living in the home are reduced. (This was not assessed at this visit and has a previous timescale of 10/09/09) Care Homes for Older People Page 7 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 Records of external medicines such as creams must be clear, accurate and complete. This will help make sure they are handled safely. 24/04/2010 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 Assessments of staff competence when handling medicines should be formally recorded to help make sure they have they necessary skills to handle medicines safely. 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!
