This inspection was carried out on 14th September 2009.
CQC found this care home to be providing an Excellent service.
The inspector found no outstanding requirements from the previous inspection report,
but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for adults (18-65 years)
Name: Address: Teesside Cheshire Home Marske Hall Redcar Road Marske-by-Sea Redcar TS11 6AA three star excellent 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: Janet Long Date: 1 4 0 9 2 0 0 9 Information about the care home
Name of care home: Address: Teesside Cheshire Home Marske Hall Redcar Road Marske-by-Sea Redcar TS11 6AA 01642482672 01642759973 sue.obrien@LCDisability.org www.lcdisability.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Leonard Cheshire Disability Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 30 Number of places (if applicable): Under 65 Over 65 0 physical disability Conditions of registration: 30 The maximum number of service users who can be accommodated is: 30 The registered person may provide the following category of service only: Care home with nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Physical disability - Code PD, maximum number of places: 30 Date of last inspection Brief description of the care home Teesside Cheshire is a care home registered for 30 adults with a physical disability. Marske Hall is a grade 1 listed building situated in the centre of the village and is close to all local amenities such as pubs, leisure facilities, churches and shops. Transport
Care Homes for Adults (18-65 years) Page 2 of 7 Brief description of the care home facilities provide by the home are available to all residents. All rooms are single accommodation with a mixture of toilet ensuite and full ensuite facilities. There is a passenger lift giving access to the first floor. The home offers a range of communal areas including the atrium with fishpond, conservatory, lounge and dining room. There are extensive grounds which are accessible and include an aviary. The home offers a exercise room / gym and an occupational therapy services in a large and well equipped room. The home currently charges fees from #470 to #1304 per week. Care Homes for Adults (18-65 years) Page 3 of 7 What we found:
This pharmacist inspection lasted five hours and was carried out to follow up medication concerns after a number of notifications. During this visit we examined medication policy and proceedure, the current medicine administration records (MAR) and the medication ordering, storage and handling arrangements. There are few administration gaps on the MAR charts meaning that people living in the home can expect to receive their prescribed medicines correctly. However some medicines had pharmacy labels where the name and dosage had been obscured by felt tip pen and the holes holding the MAR charts in the folder had become torn making it difficult to read the directions. The quantities of medicines received into the home and brought forward are clearly entered. A number of medicines were listed on the MAR charts with a dose as directed or when required. The prescriber or pharmacist should be asked to provide information on the correct dosage to make sure that medicine is given correctly. Medicines are stored in one trolley and in a locked cupboard. There is insufficient space on the trolley to store all the medicines for each person and therefore medicines are administered from boxes which were not dispensed by the pharmacy for the person. The temperature of the medicine storage room are regularly monitored but the records show that the temperature was regularly recorded as above twenty five degrees centigrade. The records kept of fridge temperature were poor with only four records kept between 30/7/09 and 10/9/09. The date of opening was not added to all liquids, eye preparations and medicines with a limited use once open. Storing medicines at temperatures and conditions recommended by the manufacturer means that staff will know medicines are safe to use when needed. 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 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 Adults (18-65 years) 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 1 20 13 Medication must only be administered from the containers supplied by the pharmacy This will reduce the risk of mistakes 31/10/2009 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 prescriber or community pharmacist should be asked to provide information when medication has a dose of as directed or when required. This makes sure medication is given correctly The temperature of the medication room and fridge should be regularly monitored. This makes sure that medicines are being stored at the temperature recommended by the manufacturer. 2 20 Care Homes for Adults (18-65 years) 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 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 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!
