Random inspection report
Care homes for older people
Name: Address: Sunnyside Rest Home Coupland Close Whitworth Lancashire OL12 8QQ one star adequate service 24/06/2009 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: Stephanie West Date: 2 7 0 1 2 0 1 0 Information about the care home
Name of care home: Address: Sunnyside Rest Home Coupland Close Whitworth Lancashire OL12 8QQ 01706659917 01706659917 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) : Whitworth Elderly And Disabled Care Trust care home 11 Number of places (if applicable): Under 65 Over 65 11 old age, not falling within any other category Conditions of registration: 0 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: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 11 Date of last inspection Brief description of the care home Sunnyside is a purpose built care home situated near to the local amenities in Whitworth. The home has a small garden for residents who wish to sit outside when the weather permits. There is also a small car park for staff and visitors. Sunnyside offers 24-hour personal care for up to 11 residents. Accommodation is provided in single and twin-bedded rooms. Communal rooms include a lounge and dining room. Sunnyside is linked to a busy and thriving day care centre, which plays an active part
Care Homes for Older People Page 2 of 8 2 9 0 9 2 0 0 9 Brief description of the care home in the close knit local community. Residents from Sunnyside are invited to participate in the activities available at the day care centre. The current fees charged at Sunnyside are £400 per week. Additional charges are payable for hairdressing and newspapers. A copy of the statement of purpose and service user guide is available to prospective service users and their relatives on request. Care Homes for Older People Page 3 of 8 What we found:
This visit was made to look at the homes medication arrangements and to look at the action taken to address the requirement of our previous visit. The visit lasted approximately two hours and involved discussion of medicines handling with the seniorin-charge and examination of medicines records and storage arrangements. This visit focused on medicines handling, other areas and requirements were not examined on this occasion. At the end of the visit feedback was given to the senior-in-charge. We found that although there were some areas for improvement overall suitable arrangements were in place for handling peoples medicines. We looked at medicines administration. We found that arrangements were in place to help ensure medicines were given at the right times of day. All staff handling medicines had completed certificated medicines training, but there were not always staff trained in medicines administration on duty at night. However, we were told that training was in progress and this would be addressed ensuring choice and flexibility in the times that medicines are administered. Where medicines were prescribed when required there was some written guidance for staff about when they may be needed and how this need may be communicated. But, in some cases this was quite brief and could be usefully expanded. This is particularly important when people may find it difficult to tell staff about their medicines needs. People wishing to self-administer medication were supported to do so helping to support peoples choices and independence. The home has a policy in place for the administration of homely remedies (medicines that can be purchased from a pharmacy). Additionally, Staff had been asked to administer a family purchased remedy to one person, when needed. Where staff are asked to administer purchased remedies checks should be made and recorded to ensure they are suitable with any prescribed medicines a person may be taking. We looked at how medicines were recorded and found recent records of receipt, administration and disposal to be generally up-to-date but there were some areas that should be addressed to improve their clarity: On occasion the reason was not fully recorded when medicine were not administered, showing only o-other. And, we saw examples where the administration records were used for greater than the intended 28 day period or where the administration signatures were not aligned to the pre-printed dates. To reduce the risk of errors pre-printed records should be used for a single continuous 28 day period. Most medicines administration records were pre-printed by the pharmacy but where handwritten entries were made these were not always checked and countersigned by a second carer. This is recommended to reduce the risk of errors. Information from healthcare professionals was mostly clearly recorded, so changes to peoples medicines could be tracked. But, it was not always clear whether a newly prescribed medication was a short course or if more needed to be ordered. We checked a sample of medicines stocks and records and found that with the exception of a rare discrepancy it was possible to track (account for) the handling of medicines in the home. We found that all medicines were safely locked away helping to ensure that they are not misused or mishandled. But, it was of concern that a bottle of eye drops that should have been kept in the fridge were kept at room temperature. Care needs to be taken to follow any storage instructions to ensure medicines are stored correctly. Care Homes for Older People Page 4 of 8 Regular audits were carried out to help ensure that should any weaknesses arise they will be promptly identified and addressed. 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 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 38 37 The registered manager must ensure that the Commission is notified of all occurrences listed under regulation 37 of the Care Homes Regulations 2001. This will enable the Commission to monitor any issues in order to ensure that they are being managed correctly. 14/08/2009 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, 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 To help ensure the completeness and clarity of the medicines administration records, they should not be used for greater than the 28-day period intended. Where medicines are not given, the reason should be clearly recorded. Some records of healthcare professional visits and advice could be more fully completed to include for example, whether a new medication is a short course, or needs to be reviewed. 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!
