Random inspection report
Care homes for adults (18-65 years)
Name: Address: St Mark`s Road Care Home - Block A 24 St Marks Road Derby DE21 6AH one star adequate service 06/10/2008 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: Claire Williams Date: 1 0 0 6 2 0 0 9 Information about the care home
Name of care home: Address: St Mark`s Road Care Home - Block A 24 St Marks Road Derby DE21 6AH 01332294066 01332242338 robinia.24stmarks@hotmail.co.uk www.robinia.co.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) : The Robinia Group PLC care home 8 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: Date of last inspection Brief description of the care home 8 0 6 1 0 2 0 0 8 Robinia Care Group is the responsible provider for 24 St Marks Road. The home is located on the same site as another home owned by this organisation and the same Registered Manager is responsible for both homes. The home was purpose built to a high standard and registered in July 2005, to provide personal care and accommodation for up to 8 people in the category of learning disability, aged between 18 and 65 years of age. At the present time the group of people living at the home are all aged under 30 years. The home is situated in Chaddesden just outside Derby City centre and is close to local amenities. A car park in available at the front of the premises and a garden at the rear. The home provides a spacious environment with all rooms being of single occupancy with en-suite shower facilities. Care Homes for Adults (18-65 years) Page 2 of 8 What we found:
The main purpose of this visit was to check the progress made on addressing the requirements made at the last key inspection which was undertaken on the 6th October 2008. A pharmacy inspector accompanied us on this visit and they looked closely at the medication practices in this service. We also looked at the staff training records, complaints, fire records and the leadership within the service. We looked at the record of complaints and this indicated that two issues had been received since our last visit. One of these complaints was received recently and is currently being addressed. The second complaint was received verbally in December 2008. Although the complainant agreed to put their concerns in writing they did not follow up this action. The complaint was recorded but no action has been taken since it was received. The acting manager has since left the service and the operations manager is currently managing the service. She addressed the complaint during our visit and provided evidence of the outcome the day after our visit. She also provided in-house training to the staff during their team meeting in relation to the complaints procedure and how to complete the required documentation. An updated training matrix which reflected the training undertaken and outstanding for the current staff team was provided to us. This record demonstrated that staff have completed induction training which covers how to safeguard people from risks. The records demonstrated that four staff have not completed moving and handling training but training was now planned. There are ten staff who have not completed training in relation to epilepsy and four staff have not received training on how to support people with autism. This training is required as the people who live in this service have these support needs; therefore the staff should have the skills and knowledge, so they can provide appropriate support to these people. We were told that a new manager has been appointed and he will commence employment in the service in July 2009. When we checked the Fire records they demonstrated that weekly tests were now being undertaken to ensure the system is in good working order. We looked at the homes arrangements for storing and recording medicines, and how two peoples medical needs were met. We found that the home does not have a cupboard for storing controlled drugs, should these be prescribed for a person living in the home. We also found that the refrigerator that is available for storing medicines has no lock or thermometer for recording the fridge temperature over a 24 hour period. Other medicines were safely stored, and we saw that tablets supplied by the pharmacy in their original manufacturers packs were counted twice a day. We noted that records of the receipt and administration of medicines, on the current medication charts were complete. However we found that where changes in the dose of two medicines had been made, the persons chart did not show when or why this had happened. We saw that
Care Homes for Adults (18-65 years) Page 3 of 8 written information on how to care for two people with a particular medical need was available to staff. 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 Adults (18-65 years) Page 4 of 8 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 Adults (18-65 years) 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 20 13 Prescription changes made 03/07/2009 by the doctor must be clearly and fully recorded on medication administration records (MARs). This to minimise the risk of medication not being given as prescribed. 2 20 13 A cabinet that complies with 10/07/2009 the Misuse of Drugs (safe custody) regulations must be obtained and correctly installed. This is to ensure controlled drugs prescribed for people in the home can be safely and legally stored. 3 22 22 Complaints must be responded to within the timescale detailed in the procedure. This is to ensure all complaints are addressed within the required timescale. 10/07/2009 Care Homes for Adults (18-65 years) Page 6 of 8 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 4 33 18 The 4 staff identified at the inspection must attend Moving and handling training. This is to ensure they support people safely. 16/07/2009 5 33 18 The 4 staff identified on the inspection must attend training in relation to Epilespy. This is to ensure they know how to support and respond to people with these needs. 31/07/2009 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 20 The refrigerator used to store medicines should be locked and the fridge temperature should be monitored with a maximum,minimum thermometer. It would beneficial if the 10 staff identified at the inspection attend training in relation to autism. This is to ensure they have the required skills and knowledge to support people with these needs. 2 33 Care Homes for Adults (18-65 years) 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 Adults (18-65 years) 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 Adults (18-65 years) 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!
