Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Thames Side Beldham Gardens West Molesey Surrey KT8 1TF The quality rating for this care home is: The rating was made on: two star good service 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Geraldine Yates Date: 1 6 1 0 2 0 0 8 Information about the care home
Name of care home: Address: Thames Side Beldham Gardens West Molesey Surrey KT8 1TF 02089393850 Telephone number: Fax number: Email address: Provider web address: tracey.kavanagh@anchor.org.uk Name of registered provider(s): Type of registration: Number of places registered: Anchor Trust care home 61 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category 61 0 Over 65 0 61 Conditions of registration: The registered person may provide the following category/ies of service only: Care home only - (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 (OP) Dementia (DE). The maximum number of service users to be accommodated is 61. Date of last inspection Brief description of the care home Thames Side is a purpose built residential care home to accommodate older people. It was opened January 2003 and the home is sited in its own grounds with good size, well-maintained gardens that are accessible to the residents. Car parking facilities are available at the front of the building. The home is well presented, providing accommodation for up to 60 residents over the age of 65 years. All bedrooms are for single occupancy and have en-suite facilities. The home has five separate units, each Care Homes for Older People
Page 2 of 8 with its own sitting room, dining room and kitchen. Stairs or passenger lift accesses the upstairs accommodation. At the time of this site visit the fees were from #457.52 to 741.60 per week. This does not include hairdressing, some chiropody, papers, toiletries and transport for trips. The cost to hire a vehicle for outings is #25.00 the cost is divided between the numbers of residents using the transport. Care Homes for Older People Page 3 of 8 What we found:
This inspection was a specialist pharmacist inspection to look at the handling of medicines in the home following concerns that were brought to the attention of The Commission. People who use the service have their medicines given to them by designated trained care staff. Written procedures are available to staff to provide guidance and to enable medicines to be handled consistently by all staff. No one was looking after their own medicines when we visited. This can be arranged if people wish to do this. The medication administration records, supplies and care plans were looked at on three of the five units. Clear records were kept to show when people had their medicines, including creams, ointments and nutritional supplements. These showed that people get their medicines correctly. However, one person had not been given one medicine at the correct dose interval on one occasion and this could have adversely affected their welfare. When a variable dose of medicine was prescribed the actual dose given was being recorded by some staff but not others. Clear records are kept when Warfarin is prescribed for people. Personalised care plans, describing how people like to take their medicines, were available for all of the people whose records we looked at. These should be expanded to describe how people are to be given any medicines prescribed to be given only when needed. The use of body maps to show where creams and ointments are to be applied was particularly helpful to the care staff. Peoples allergies to medicines were recorded on their medication administration record (MAR) charts, their medication care plans and their personal details. Sometimes these were not recorded consistently. For example. One persons care plan and personal details said that they were allergic to penicillin but this was not recorded on their MAR chart. Another person had an allergy to penicillin on their MAR chart but this was not included on their care plan or personal details. Allergies must be recorded accurately and consistently so as to prevent someone being given a medicine that they are allergic to. All medicines were stored securely so as to protect the people who use the service. A Controlled Drugs cupboard was available to provide extra security for these medicines. Additional records were kept of the usage of Controlled Drugs so as to readily detect any loss. The entries in these records were being initialed not signed. It is best practice to sign entries as these are less easily forged. What the care home does well: What they could do better:
Allergies must be recorded accurately and consistently so as to prevent someone being Care Homes for Older People
Page 4 of 8 given a medicine that they are allergic to. 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 £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 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, Care Homes 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 Allergies to medicines must be recorded accurately and consistently on care plans, peoples personal detail records and on the medication administration records So as to prevent people being given a medicine that they are allergic to. 21/11/2008 2 9 13 People must be given their medicines at the dose and frequency that their doctor prescribed for them. To ensure that they get the treatment their doctor intends. 21/11/2008 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 Entries in the Controlled Drugs register should be signed and not initialed as signed entries are less easily forged. Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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 © (2008) Commission for Social Care Inspection (CSCI). 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 CSCI 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!
