This inspection was carried out on 7th May 2009.
CQC found this care home to be providing an Poor service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: Southover Care Home 397 Burton Road Derby DE23 6AN zero star poor 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: Denise Clark Date: 0 7 0 5 2 0 0 9 Information about the care home
Name of care home: Address: Southover Care Home 397 Burton Road Derby DE23 6AN 01332295428 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) : White Doves Residential Home Limited care home 22 Number of places (if applicable): Under 65 Over 65 22 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is 22 The registered provider may provide the following categories of service only: Care Home only - PC To service users of the following gender: Either Whose primary care needs on admission to the home fall within the following categories: Old age, not falling within any other category - Code OP Date of last inspection Brief description of the care home Southover is a two-storey building situated on the Burton Road, approximately a mile and half from Derby city centre. A passenger lift allows access for residents all around the Home. There is ample dining space, and leading from this large room are two sitting rooms. From one of these rooms there is access to a glass conservatory and from there to the large garden. Tables and seating are also provided in the garden. Ample parking space is available outside.
Care Homes for Older People Page 2 of 8 0 3 1 0 2 0 0 8 Brief description of the care home The range of fees for the home are between 350.00 to 380.00 GBP per week, extras include hairdressing, chiropodist, papers and some trips out. Copies of the inspection report can be gained through asking the manager and in the managers office there is a copy. Care Homes for Older People Page 3 of 8 What we found:
We found that the way in which medicines are handled has improved since the last inspection. Other requirements, not involving medicines, were not checked during this visit. We watched medicines being given to people at teatime and saw that national guidance on the administration of medicines was followed. We looked at the medication charts of all the people living in the home. We noted three omissions in administration records and saw that when staff had needed to write details of prescribed medicines on a chart by hand, some entries had not been signed. We found that the receipt of medicines and changes made by the persons doctor were recorded and signed. We looked at the care plan of one person who takes responsibility for their own medicines and found a record to say it was safe for this person to self-medicate. We asked about the training staff are given on medicines, and looked at staff training records. We found that staff who administer medicines had recently attended a medication course. We found that creams are kept in peoples rooms and a record of when the cream is applied is kept. Two people were prescribed creams that are only available on prescription or from a pharmacist; we were told that these creams may be applied by staff who do not otherwise give medicines. We found that the home has a separate cupboard for storing controlled drugs, but the cupboard does not meet legal requirements. We noted that the use of controlled drugs is recorded in a special register.We saw that the home has a separate refrigerator for storing medicines; however we found that the fridge temperature is not monitored over 24 hours. We noted that the reference book on medicines was an old edition,and that the homes medicine policy was dated 2005 and needed reviewing. 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 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 7 15 15(2)(b) Care plans and risk 30/11/2008 assessments must be kept up to date. This requirement had a timescale of 30/11/2008 which has not been met. Enforcement action is now being considered. This will ensure that staff are meeting peoples current needs. 2 38 13 13(4)(c) Substances 01/04/2009 hazardous to health must be stored, in properly labelled containers, in a cupboard that is kept locked at all times other than when in use. This requirement had a timescale of 01/04/2009, which has not been met. Enforcement action is now being considered. This will ensure that people are not exposed to the hazards associated with certain cleaning materials. Care Homes for Older People Page 5 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 1 9 13 Controlled drugs must be stored in a cupboard that complies with the Misuse of Drugs(Safe Custody) regulations for safety reasons and to meet legal requirements 30/06/2009 2 9 13 Medicines for external use 29/05/2009 (excluding emollients) must be administered and stored under the supervision of staff who are trained to handle medicines for safety reasons and to ensure that medicines are administered as precribed 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 current edition of the British National Formulary (BNF) or similar reference book on medicines should be available for staff use. Care Homes for Older People Page 6 of 8 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 2 3 4 9 9 9 The current, minimum and maximum temperatures of the medicine fridge should be recorded each day. The medicine policy should be reviewed and updated as necessary. Handwritten entries on medication records should be signed by two members of staff who are qualified to administer medicines 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!
