Random inspection report
Care homes for older people
Name: Address: Sheraton Court Warren Road Hartlepool Co Cleveland TS24 9HA two star good service 07/10/2008 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: Janet Long Date: 1 3 0 7 2 0 0 9 Information about the care home
Name of care home: Address: Sheraton Court Warren Road Hartlepool Co Cleveland TS24 9HA 01429277365 Telephone number: Fax number: Email address: Provider web address: carolet@helenmcardle.net Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Helen McArdle Care Ltd care home 80 Number of places (if applicable): Under 65 Over 65 0 80 dementia old age, not falling within any other category Conditions of registration: 80 0 The maximum number of service users who can be accommodated is: 80 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: Dementia - Code DE, maximum number of places 80 Old age, not falling within any other category Code OP, maximum number of places 80 Date of last inspection 0 7 1 0 2 0 0 8 Care Homes for Older People Page 2 of 7 Brief description of the care home Sheraton Court is a purpose built three storey building that has recently opened. All bedrooms are single accommodation and offer ensuite toilet facilities. There are dining and lounge facilities on all floors. There is a passenger lift allowing those with disabilities access to all areas.The home is set in pleasant grounds, a number of ground floor bedrooms have patio doors giving direct access to the gardens. Care Homes for Older People Page 3 of 7 What we found:
This pharmacist inspection lasted 7 hours and was carried out following recent notifications of medication errors. During this visit we examined medication policy and procedure, the current medication administration record (MAR ) charts, and the medication ordering, storage and handling arrangements. There are very few administration gaps on the MAR charts meaning that people living in the home can expect to receive their prescribed medication correctly, however there were inconsistencies in handwritten entries and changes made to medication. There were MAR chart entries for creams which differed from the creams in use. The quantities of medicines received into the home and brought forward each month are clearly entered making it easy to check whether sufficient quantities are always available. On both floors there were people living in the home who were prescribed medication when required. Guidance about giving medicines prescribed when required was insufficiently clear to ensure such medicines would be given as intended. Individual medication care plans which reflect the personal preferences and lifestyle choices of people living in the home are not available for most people. Such care plans reduce the likelihood of people refusing their medication or of doses being missed. Some people living in the home were listed on the MAR charts as self administering medication, inhalers and creams. Not all of these had self-medication risk assessments within the care plan and there was no indication where people were assessed as medium risk what monitoring was done to assess this risk on an ongoing basis. Medicines are stored securely either in locked trolleys or locked cupboards. There were good records for fridge temperatures however the minimum maximum temperatures were not recorded or reset. The room temperature was not monitored or checked so staff do not know that medicines are stored correctly. Both trolleys contained medicines which did not have a date of opening marked on the container and there were some medicines stored at room temperature which should be stored in the fridge. There were medicines on the ground floor trolley loose in an elastic band with no pharmacy label. Correct medicine storage means that staff will know medicines are safe to use when needed. The cupboard used to store controlled drugs appeared to meet regulations and all stock balanced. Care should be taken to make sure that the page headings accurately reflect the brand supplied by the pharmacy or that the heading reflects the drug prescribed by the doctor. 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 4 of 7 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 5 of 7 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 1 9 The temperature of the medication room should be regularly monitored. This makes sure that medicines are being stored at the temperature recommended by the manufacturer The prescriber should be asked to provide information when medication has a dose or as directed or when required. This makes sure that medication is given correctly Handwritten entries and changes to MAR charts should be accurately recorded and detailed. This makes sure that the correct information is recorded so a person receives their medication as prescribed 2 9 3 9 Care Homes for Older People Page 6 of 7 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 7 of 7 - 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!
