Random inspection report
Care homes for older people
Name: Address: Salford House Station Road Salford Priors Evesham Worcesterhire WR11 8UX 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: Debby Railton Date: 1 6 0 6 2 0 0 9 Information about the care home
Name of care home: Address: Salford House Station Road Salford Priors Evesham Worcesterhire WR11 8UX 01789772461 01789778115 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) : Salford House Ltd care home 25 Number of places (if applicable): Under 65 Over 65 0 25 dementia old age, not falling within any other category Conditions of registration: 25 0 The maximum number of service users to be accommodated is 25 The registered person may provide the following category of service only: Care Home Only To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age (OP) 25 Dementia (DE) 25 Date of last inspection Brief description of the care home Salford House is a care home providing personal care and accommodation to frail elderly persons. The home is situated in the small Warwickshire village of Salford Priors, which is close to the Worcestershire border. The home itself is a large Georgian house that has been extended and adapted to meet the needs of elderly people. On
Care Homes for Older People Page 2 of 8 Brief description of the care home the ground floor there is a large lounge and dining room. Many of the ground floor rooms open out to a pleasant and secure garden. Access to the first floor is via a chair or shaft lift. Service users are encouraged to bring items in with them and can furnish and redecorate their private room to their own taste if they wish. The majority of bedrooms are en-suite and single. Limited car parking space is available at the front of the home. Service users who require nursing attention receive this from the community nursing team, as they would in their own homes. People should contact the home for information regarding fees. Care Homes for Older People Page 3 of 8 What we found:
The pharmacist inspection lasted three hours. Five people who live in the home medicine management was assessed. Their medication, medicine administration record (MAR) charts and care plans were looked at. Two members of staff were spoken with and feedback was given to the manager during and at the end of the inspection. The reason for the inspection was to investigate a previous incident involving theft of medication from a resident. Following a review of the MAR charts and returns book, (which records all the medicines sent back to the community pharmacy for destruction), medicines were unaccounted for, for many months and the manager had not identified this. In addition one resident constantly refused one medicine and no medication review had been requested to either reduce or discontinue the medicine. The manager acted appropriately once the situation came to light and launched a full investigation. She then installed systems to identify and prevent this from happening again. The home does not have a dedicated medication room due to lack of a suitable space. Instead the medication was stored in three medication trolleys. These were kept chained to a wall at all times when not in use. All prescriptions were seen prior to dispensing, checked and a photocopy made. These copies were used to check the medicines and MAR charts received into the home and then filed. The quantities of all medicines were recorded on the MAR charts enabling management to audit the medicines administered and recorded. Currently only four members of staff administer medicines and were undertaking an external training course in the safe handling of medicines. Audits indicated that the majority of medicines were administered as prescribed and records reflected practice. A few errors were seen where staff failed to record the reason why some medicines had been not been administered and subsequently destroyed. In light of the investigation regarding the theft of medicines all records must accurately reflect actual practice. All new residents who come to live in the home are immediately registered with the homes doctor, a blood test is booked and then following these results the doctor undertakes a full medication review. Care plans were well written and record the residents clinical condition and all doctors visits with the outcome of the visit. The home keeps a small stock of homely remedies for staff to administer for minor ailments. The was no supporting protocol detailing exactly when they should be administered but there were full audit sheets recording exactly when a resident received them. Currently there were no controlled drugs on the premises. The home used a safe to store controlled drugs. There was also a register available to record all controlled drug transactions. Care Homes for Older People Page 4 of 8 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 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 7 12, 13 Care plans must be available 31/08/2008 for each of the identified needs of residents. This is to make sure that peoples identified needs are met. 2 29 19(4)(c)sch 2 Two written references must 31/08/2008 be obtained before appointing a member of staff and any gaps in employment records must be explored. 12(1)18(1)(c) All staff must receive training 31/08/2008 appropriate to the work they perform. New staff must receive induction training in line with the specifications laid down by Skills for Care within 6 weeks of appointment to their posts This will ensure the safety of the people living at the home. 3 30 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 1 9 13 All reasons for non 15/07/2009 administration of medicines must be accurately recorded. This is to ensure that all medication is accounted for at all times 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 It is recommended that a quality assurance system to assess individual staff practice and overall practice is installed to ensure that staff administer all medicines as prescribed and records reflect practice. It is recommended that protocols and procedures are written for all when required prescribed medication, homely remedies and a self administration risk assessment. 2 9 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!
