Random inspection report
Care homes for older people
Name: Address: Ryland View Arnhem Way Great Bridge West Midlands DY4 7HR zero star poor service 29/05/2009 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: Mandy Beck Date: 2 7 0 8 2 0 0 9 Information about the care home
Name of care home: Address: Ryland View Arnhem Way Great Bridge West Midlands DY4 7HR 01215201577 01215570859 Telephone number: Fax number: Email address: Provider web address: www.bupa.com Name of registered provider(s): Name of registered manager (if applicable) BUPA Care Homes (CFHCare) Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 140 Number of places (if applicable): Under 65 Over 65 0 54 0 dementia old age, not falling within any other category physical disability Conditions of registration: 60 0 26 The maximum number of service users who can be accommodated is: 140 The registered person may provide the following category of service only: Care Home with Nursing (Code N); 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 (OP) 54 Dementia (DE) 60 Physical Disability (26) Date of last inspection 2 9 0 5 2 0 0 9 Care Homes for Older People Page 2 of 8 Brief description of the care home Ryland View is a large nursing home owned by BUPA, with ample car parking in the grounds. It is located near to Tipton and is accessible by car and public transport. Each unit has its own garden area. Care can be provided for up to 140 people in five separate, purpose built and spacious bungalows, called Bloomfield, Haines, Manby, Palethorpe and Heronville. Bloomfield can have up to 24 people, who are 58 years old and above, 10 of whom may require palliative nursing care. Haines can have up to 30 frail older people needing nursing care. Manby and Heronville can each have up to 30 older people who have dementia. All bedrooms are single occupancy and there are 4 en suite bedrooms on Bloomfield. There are toilet and bathroom facilities near to bedrooms on other units. Each unit has a large communal lounge, dining room and small quiet lounge. Bloomfield and Palethorpe have an additional lounge. Bloomfield has a large meeting room also used for teaching sessions. Each unit has a small kitchenette, which can be used to make drinks and snacks. There are aids and adaptations such as grab rails, assisted baths and hoists available on each unit. The administration offices, central laundry and kitchen are situated in a separate block. Care Homes for Older People Page 3 of 8 What we found:
We visited the home to see if they had met the requirements of the Statutory Requirement Notice (SRN). The SRN was issued to the home because during our last key inspection, May 2009, we found that medication systems were not satisfactory and this meant the home was in breach of the Care Home Regulations 2001. We looked at the medication practises of three of the five units. We saw in all of the units there was an improvement in the ordering, administration and safe storage of medicines. The home has developed a new system for monitoring the ordering of peoples medication. This enables them to see when medication is due for reordering and prevents situations arising where people run out of medication. A new auditing system is currently being developed by BUPA because they found their current one was not identifying the shortfalls in the system we had discovered in our May 2009 visit. Staff who administer medication to people have all been reassessed to make sure they are competent to complete this task. The home manager also told us staff have been issued with the most up to date guidance from Nursing and Midwifery Council (NMC) in administering medication. This was also confirmed by the nursing staff we spoke to. We looked at a total of seven peoples medication, we found in four cases people had been given their medication as it had been prescribed by the doctor. We found in three cases this did not happen. We found evidence that showed us medication was still being given to people after the date it should have been stopped. We looked at seven peoples care plans in relation to the administration of their medication. We found that in the majority of cases the home staff have written care plans that described when people needed their medication and when they had developed a short term health problem, for example, a urinary tract infection. We continue to have concerns about the competency of nursing staff in relation to the administration of medicines. We are considering further enforcement action as a result of this visit. What the care home does well:
The home has further developed its own auditing systems to make sure they can monitor the regular ordering, administration and safe storage of medication. This means there are better safeguards in place for people and they are more likely to have their medication available to them and administered as the doctor has prescribed it. When people have been diagnosed with short term health problems such as a chest infection or urinary tract infection, staff have written a care plan to show how they will treat this. This plan includes the administration of antibiotics and pain killers where prescribed. We saw nursing staff preparing to administer controlled drugs to one person. This was done correctly and safely. All records relating to the administration of controlled drugs
Care Homes for Older People Page 4 of 8 were correct. We also looked at peoples care plans in relation to their need for pain relief. The plans were clear and kept under regular review by the home staff. There has been an improvement in record keeping throughout the home. We saw the medication administration records (MAR) were kept up to date and completed correctly in four cases. All administrations were signed for and peoples medication could be accounted for. The home has taken delivery of new drugs fridges and are recording temperatures of the fridge on a daily basis. This means that medication that requires cold storage can be kept at the recommended temperatures. 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 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 8 11 The registered persons must 01/07/2009 ensure that special care records such as food, fluid balance charts and turn charts are diligently completed with care provided accurately recorded and vigilantly monitored, and with care records updated as changes occur. This is to ensure each persons health and well being is maintained. Care Homes for Older People 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 Older People 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 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 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!
