This inspection was carried out on 26th August 2009.
CQC found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report,
but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.
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: 2 6 0 8 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/ies 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 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 9 What we found:
We carried out this visit to make sure medicines were being handled safely. The visit was carried out by a pharmacist inspector and it lasted six hours. We checked medicines records, medicines stock and spoke with two staff and two residents. We observed part of the morning medicines round and found best practice was not always being followed in that some medicines that needed to be given before food were being given with or just after, which could stop them working properly. One person was asked about their bowel habits in front of other residents, which meant their privacy was not being fully respected and the medicines round took over three hours to complete. We found three people that had been recently admitted to the home had no photograph kept with their medicines records, this is important to help identify them correctly so they receive the right medicines. We discussed these issues with the manager who agreed that they should not be happening. We checked a sample of peoples current medicines records and found some supplies had not been properly recorded when received into the home. One new resident had a box of medicine with the wrong tablets in it and several people had incomplete handwritten records. Detailed checks of current stock showed some medicines did not add up properly, which showed that they had not been given to people correctly. Over the last month several people had missed doses of medicines such as inhalers for breathing problems, pain killers, antidepressants, eye drops and vitamin supplements. We found medicines records were not always signed so we could not be sure they had been given to people and on the day of the visit we found some medicines had been omitted by mistake that morning and the evening before. Medicines must be given to people correctly to help make sure their health and wellbeing is protected. We found the records of medicines given to people were not always complete. Creams and other external medicines were not recorded when they had been applied and prescribed food supplements were not routinely recorded. We found numerous gaps on the medicines records and found several recording mistakes that showed staff were not giving and recording medicines in a safe way. We could not be sure that all medicines were being given to people correctly because the records were not always complete. Records of medicines disposed of, for example, when people were leaving the home were not made. On the day of our visit we saw a person leave the home but no record of what was given back to them was made, this meant their medicines could not be properly accounted for. Incomplete and inaccurate records of medicines can result in serious mistakes that could affect peoples health and wellbeing. We looked at a sample of care plans and records to check if medicines were properly reflected in them. We spoke with one person that was looking after their own medicines and found they were repacking their medicines in a different container to make it easier but staff were unaware of this as no formal risk assessment or care plan had been completed. This means they might not receive the right amount of support to help manage their medicines safely. We spoke with another person who was looking after their own medicines and found they were taking the wrong dose of one of their tablets, staff were unaware of this even though they carried out weekly checks. Having good paperwork and procedures for supporting people to look after their own medicines helps
Care Homes for Older People Page 4 of 9 people retain some of their independence in a safe way. We checked how controlled drugs (medicines that can be misused) were handled. The cupboard used for storing them did not meet the requirements of the law because it was not properly attached to the wall. A special register was used for record keeping and the entries we checked were usually witnessed, accurate and complete. Witnessed records and secure storage of controlled drugs help prevent mishandling and misuse. We saw an example of a recent audit that had been carried out but this had not found the mistakes that we had found. We gave some advice on how to improve this, the general stock control of medicines and assessing staff competence to help make sure medicines are given to people correctly and to help make sure staff have the necessary skills. 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 £ No R 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 Care Homes for Older People Page 6 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 medicines 05/10/2009 received, given to people and disposed of must be clear, accurate and complete. This is important so that all medicines can be fully accounted for. 2 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 3 9 13 Controlled drugs must be stored in a cupboard that meets the requirements of the law. This will help prevent mishandling and misuse. 02/12/2009 4 9 18 Staff must be competent to handle medicines. This will help make sure medicines are handled 05/10/2009 Care Homes for Older People Page 7 of 9 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 safely. 5 9 13 Medicines must be given to people correctly as prescribed. This helps make sure their health and wellbeing is protected. 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 05/10/2009 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. 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 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!
