Random inspection report
Care homes for older people
Name: Address: Sedgemoor Care Home 41 Sedgemoor Road Norris Green Liverpool L11 3BR 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: Simon Hill Date: 0 2 1 1 2 0 0 9 Information about the care home
Name of care home: Address: Sedgemoor Care Home 41 Sedgemoor Road Norris Green Liverpool L11 3BR 01512561810 01512268781 patricia.donnellan@liverpool.gov.uk 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) : Liverpool City Council care home 30 Number of places (if applicable): Under 65 Over 65 0 30 dementia old age, not falling within any other category Conditions of registration: 30 0 The registered person may provide the following category of service only: Care home only - Code PC. 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 - Code OP. Dementia - Code DE. The maximum number of service users who can be accommodated is: 30. Date of last inspection Brief description of the care home Sedgemoor is registered to provide personal care for thirty people. Residents who require respite care, short-term care as well as permanent residential care are accommodated. Day care can also be provided for people from the local community. Sedgemoor is a purpose built single storey building, which opened in 1993. The home
Care Homes for Older People Page 2 of 8 2 6 0 8 2 0 0 9 Brief description of the care home is owned and managed by Liverpool City Council and is located in the Norris Green area of Liverpool. Although the home is some distance from local shops and amenities, they are easily accessible via a bus service that stops directly outside the home. There are three separate units and an administration block which all open out from a central atrium (large spacious communal area). Each unit has ten single ensuite bedrooms, a self-contained kitchen/dining area and two lounges. Residents have the use of a call bell with an alarm facility and moving and handling equipment to assist them. A spacious garden has patio areas. The weekly fee rate for accommodation is based on an individual financial assessment, which is completed by Liverpool City Council. The fee rate is from £98.60 to £359.00 a week. Care Homes for Older People Page 3 of 8 What we found:
We carried out this visit to make sure medicines were being handled safely because we found serious shortfalls on our last visit that were placing the health and wellbeing of people at unnecessary risk. As a result of our last visit we issued a legal notice that required the home to improve their handling of medicines in a number of areas. The visit lasted five and a half hours and we checked medicines records, medicines stock and spoke with five members of staff and three residents. Overall we found significant improvements in the way medicines were being recorded and given to people that meant our legal notice had been met. 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 and monthly to make sure staff were giving and recording medicines correctly. When any mistakes were found action was taken immediately to help prevent them happening again. We gave some further advice about how to simplify the medicines records so that checking and auditing could be made simpler to do. We carried out detailed checks of the current stocks that showed medicines were being given to people correctly and we saw some improvements in the timings of giving medicines. We gave some general advice about how to improve the organisation of the medicines rounds so that people receive their medicines at the best time that fits into their normal routine. We looked at how creams and external medicines were handled and found the records were not always complete. One person that was prescribed a strong cream to be applied twice a day only had it recorded once a day for the last five days. Incomplete records can result in mistakes that can seriously affect peoples health and wellbeing. We looked at how medicines for people on respite (short stay) care were managed and found improved procedures. Records were more clearly made and they were routinely double-checked for accuracy by two care staff. Records of medicines received, given to people and returned to them on discharge were clearly made and our checks showed the current stocks of medicines were being given to people correctly. We spoke with two people that were looking after some of their own medicines. One person had been recently reviewed and they were now receiving the right amount of support to help manage their medicines safely, their paperwork was up to date and this was regularly reviewed. However, a new resident that came in for regular respite care did not have up to date paperwork about how their medicines were being managed. We saw immediate action from the managers to up date this persons care plan and when we spoke with them they were knowledgeable about how to manage their medicines safely. Supporting people to look after their own medicines helps them retain some of their independence. We looked at how staff were trained to handle medicines. Staff had attended medicines training in the last month and all had been formally assessed as competent. Audits (checks) by the managers were routinely carried out to make sure staff were following the correct procedures and action was being taken when staff failed to handle medicines safely. Regular training, competency checks on staff and detailed audits help make sure
Care Homes for Older People Page 4 of 8 care staff have the necessary skills to handle medicines safely. 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 9 12 Suitable paperwork and procedures must be in place for people that look after their own medicines. This will help make sure they receive the right amount of support to do it safely. 05/10/2009 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!
