Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Sharston House Nursing Home Manor Park South Knutsford Cheshire WA16 8AQ The quality rating for this care home is: The rating was made on: three star excellent service 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Elaine Bray Date: 2 6 0 9 2 0 0 8 Information about the care home
Name of care home: Address: Sharston House Nursing Home Manor Park South Knutsford Cheshire WA16 8AQ 01565633022 01565650656 sharstonhouse@tiscali.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Mary Brennan Type of registration: Number of places registered: Drew Care Ltd care home 48 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability 0 1 Over 65 48 0 Conditions of registration: The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection This home is registered for a maximum of 48 service users to include: * Up to 48 service users in the category of OP (old age not falling within any other category * One named service user in the category of PD (physical disability under 65 years) Date of last inspection Brief description of the care home Sharston House is a Victorian detached two storey, converted property situated in its own grounds one mile from the centre of Knutsford. A large extension has been added to the existing premises to bring the total number of bedrooms to 48. The bedroom Care Homes for Older People
Page 2 of 8 accommodation consists of 36 single bedrooms with en-suite toilet facilities and 7 without en suites. There are 3 double bedrooms and one has en suite facilities. These rooms are usually used as single rooms but could also be used as doubles, for instance for married couples. Bedroom accommodation is provided on both floors. There are two passenger lifts and two staircases providing access to all levels. Some ground floor rooms have patio doors providing access to the rear garden. A call system is provided throughout the home. Wheelchair access is possible via the side entrance and to all parts of the home. Shared living space includes three lounges and a dining room. There are sitting areas in the grounds of the home. There is car parking space. Fees range from 450 pounds to 700 pounds per week. Care Homes for Older People Page 3 of 8 What we found:
This inspection was part of a random programme of inspections to see if medicines were handled safely. The inspection took about four hours and involved looking at residents medicines and in particular medicine records as this was reported to need improving at the last inspection. We found that poor practice in record keeping may be putting residents at risk from harm. We looked at how medicines were stored and found them secure in a medicine room and taken to the residents in a locked trolley. There is also a medicines fridge and a controlled drug cupboard. Each resident has a space in the cupboard to keep their medicines separate from other residents. This makes it easy to see how much medicine there is. This means that no unauthorised people can get to the medicines and staff can see at a glance what is needed. We looked closely at the medicine records, as, at the last inspection, it was reported that they needed to improve. The records about medicines were not always accurately completed so it was not always possible to tell if residents had been given their medicines properly. We found that sometimes nurses had not signed the medication records to show that they had given the medicines. When we tried to work out whether these medicines had been given this was not possible. This was because in some cases as there was no receipt record to compare with those given and those left. Some, like short courses of antibiotics, were easier to check. We found that the records of giving antibiotics sometimes showed that the number recorded given was not the same as the amount supplied. Residents are at risk from harm if medicines are not given and recorded correctly. When the doctor allowed the nurses discretion to vary the dose of medicines, like painkillers, according to need, the dose given was not recorded. If the records do not clearly show what has been given residents are at risk from overdose. When no printed record was supplied by the pharmacy the nurses did not sign and date their hand written records. Some of these did not include all the information required, such as the dose to give. Others were made difficult to understand as latin abbreviations were used. One residents medicine record was used to record personal hygeine procedures that should be in the care file. If hand written records are not clear and correct residents are at risk of having the wrong medicine or the wrong dose which puts them at risk from harm. We found that some residents were not given their prescribed medicines as directed by the doctor. This was because either nurses failed to follow the directions properly or because there were no detailed instructions for staff to refer to. When people are not given their medicines as intended by the doctor their health can be placed at risk from harm. Care Homes for Older People Page 4 of 8 When we looked at how medicines were accounted for we found that the records of receipt, giving and disposing of medicines were in many cases incomplete. This meant it was not possible to be sure that the medicines had been handled correctly. This audit trail of records, done correctly, shows that the medicines have been given. This poor record keeping puts residents health at risk from harm. 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 £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 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, Care Homes 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 Clear and accurate records of 31/10/2008 medicines received, given and disposed of by the home must be maintained. So that medicines are fully accounted for to show that they are being given correctly. 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 CSCI 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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 © (2008) Commission for Social Care Inspection (CSCI). 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 CSCI 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!
