Random inspection report
Care homes for older people
Name: Address: Shannon Court Portsmouth Road Hindhead Surrey GU26 6DA two star good service 27/07/2009 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: Geraldine Yates Date: 1 6 1 1 2 0 0 9 Information about the care home
Name of care home: Address: Shannon Court Portsmouth Road Hindhead Surrey GU26 6DA 01428604833 01428606422 mmaughan-otten@rmbi.org.uk www.rmbi.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Royal Masonic Benevolent Institution Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 53 Number of places (if applicable): Under 65 Over 65 0 0 53 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 53 53 0 The maximum number of service users to be accommodated is 53. The registered person may provide the following category of service only: Care home only (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 (OP) Dementia - (DE) Mental disorder, excluding learning disability or dementia (MD) Date of last inspection
Care Homes for Older People 2 7 0 7 2 0 0 9 Page 2 of 9 Brief description of the care home Shannon Court is a care home for older people and provides care for Freemasons and the dependent females of Freemasons. The large house offers accommodation for residents on two floors and is separated into five units. Each unit has its own dining room and lounge facilities. Access to the first floor is via passenger lifts. The units named Alvernia and Davis are specfically designed to provide accomodation and care to residents with dementia. All bedrooms throughout the home are single occupancy and have en-suite facilities. There is a large communal lounge in the main building with a licensed bar and a shop. Residents can purchase goods, for example toiletries, stamps and sweets and spend time socialising with friends and visitors in the communal areas if they choose. There is an activities room, a library and a hairdressing salon in the main building, all of which are accessible to residents. The well maintained private grounds are accessible to residents and there is ample car parking available to the front of the building. Care Homes for Older People Page 3 of 9 What we found:
This inspection was a specialist pharmacist inspection to look at the handling of medicines in the home following concerns that were brought to the attention of The Commission. We looked at the storage of medicines, records kept in the home, staff training, policies and procedures and talked to staff. We looked in detail at the medicines and records for 9 people living on two of the five units. People who use this service are supported to be as independent as possible. If people are able to look after their own medicines they are supported to do this. The risks associated with this have been assessed. When people need support with their medicines this is given by designated trained care staff. Detailed written procedures are available to staff to provide additional guidance and to enable medicines to be handled consistently by all staff. Copies were available in both the clinical rooms were looked in but both were old copies. This could means that staff are accessing outdated guidance. The homes own auditing systems had failed to identify this problem. The staff training records we saw showed that five staff who handle medicines are a month overdue on having their training updated. The senior person on duty when we visited told us that all staff who handle medicines are currently undertaking a distance learning program on the safe handling of medicines in care homes. Clear records were kept to show when people had their medicines. If a medicine was not given this was clearly recorded together with the reason why. These showed that mostly people get their medicines correctly. However we did see that two people, one living on each of the units we visited, had not had one of their medicines because their supply had run out. One person had been without a medicine for three days and the second person for four days. This could have put these peoples health and welfare at risk. Four of the people whose medicines we looked at were prescribed medicines to be given only when needed, with one of these being a sedative medicine prescribed to be given when the person was agitated. None of these people had care plans to describe to staff when the medicines were to be given. When we looked at the daily care records for the person prescribed the sedative medicine there was no indication of their having been agitated on the last three occasions when the medicine had been given. The lack of care plans for these people could mean that they are not given their medicines when they need them or that they are given them when they dont need them. The service undertake their own audits of medication handling processes. Their policy states that this must be done at a minimum of every four weeks. When we asked to see the audits on one unit the most recent one that could be found was dated 10 August 2009. All medicines were stored securely for the protection of people who use the service. Medicines needing cool storage were kept in a locked refrigerator and daily temperature records were kept. These showed it to be operating within the correct temperature range and so the medicines would be fit for use. We did find some dressing that were still in stock but were past their use by date. This is a concern as they should not be used to treat people. The homes own auditing systems had failed to identify this problem. 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 13 Arrangements must be made 30/10/2009 that where potential hazards are identified in a residents daily life that assessments of risks must be made and documented. In order to ensure the safety and well being of the resident. 2 14 12 It has been required that records must be stored in accordance with the current legislation. In order to promote and protect residnts rights to privacy and confidentiality. 30/09/2009 3 27 18 Arrangements must be made 30/10/2009 that the staffing levels in the home are maintained and regularly reviewed. In order that the residents receive the appropriate level of care and support in a timely way. 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 Robust ordering and stock monitoring systems must be put in place to ensure that supplies of medicines are always available in the home. So that people receive the treatment that they have been prescribed 14/12/2009 2 9 13 Clear written instructions and 14/12/2009 guidance must be provided to staff on when to administer medicines that are prescribed on an as required or only as needed basis. So that people receive their medicines in a consistent way that meets their needs. Care Homes for Older People Page 7 of 9 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 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!
