Random inspection report
Care homes for older people
Name: Address: The Noel St Boniface Road Ventnor Isle Of Wight PO38 1PN two star good service 30/01/2009 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: Geraldine Yates Date: 2 8 0 4 2 0 0 9 Information about the care home
Name of care home: Address: The Noel St Boniface Road Ventnor Isle Of Wight PO38 1PN 01983852292 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) : Miss Sandra Vivienne Phillips care home 12 Number of places (if applicable): Under 65 Over 65 12 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users to be accommodated is 12 The registered person may provide the following category 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 category : Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home The Noel is a residential care home providing care and accommodation for up to 12 older people. The home is owned and managed by Miss Sandra Phillips. The home is a period three-storey (including basement) detached house in Ventnor, near to the town centre, with its shops and amenities. Accommodation for the residents is arranged over the ground and first floors and a stair lift assists with access to rooms on the first floor. Rooms at the front enjoy fine sea views and those at the rear face St Boniface
Care Homes for Older People Page 2 of 8 3 0 0 1 2 0 0 9 Brief description of the care home Down. The home is registered to accommodate 12 older people, but the manager prefers to provide single room accommodation and therefore limits the occupancy to 8. Double rooms are used only if residents choose to share. There is off road parking to the front of the building. A stair lift is available to assist those with mobility difficulties to negotiate the steps up to the front door. Daily fees range from fifty three pounds 81 pence to sixty five pounds 93 pence depending on the level of care. Additional fees for chiropody etc are listed in the service user guide. 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 and to assess compliance with the requirement made following our inspection on 30 January 2009. We looked at medication records and supplies and talked to staff and the manager. The medication administration records were looked at for five people. The records were not able to show us that these people were receiving their medicines as they were prescribed by their doctors. This was due to inadequate record keeping. Three of the people whose records we looked at had printed medication administration records supplied by the dispensing pharmacy. Staff had failed to sign these records when medicines were due on 4 occasions during the last 2 weeks. One person, newly admitted to the home from hospital, had a medication administration record chart prepared in the home by the staff. The chart had not been signed by the person writing the chart, nor was it checked by a second person to ensure that it was correctly written, as is recommended in best practice guidance produced by the Royal Pharmaceutical Society. When we looked at the medicines supplied by the hospital and the discharge letter from the hospital we noted that one medicine was not included on the homes records and had not been given to them for three days since they arrived in the home. Another medicine prescribed to be given four times a day was only listed on the homes record to be given three times daily. A third medicines prescribed to be given three times daily was only listed on the homes record to be given once daily. Additionally, staff had failed to sign the records when medicines were due to be given on 18 occasions in the three days that this person had been in the home. No receipt records were available listing the amounts of medication received from the hospital and so it was not possible to tell whether this person had been given their medicines or not. The fifth person whose records we looked at also had a medication administration record chart prepared in the home by the staff. Again this had not been signed nor checked for accuracy. The strength of one medicines was not included on the records and so it is not possible to tell how much medicine this person has been given. There is no evidence on the records that any night time medicines have been offered or given in the three days since this person was admitted. There is no evidence that any medicines were given on the 26th April to this person and no evidence of any medicines being offered or given at supper time on the 26th or 27th April. Because the requirement, made at the last key inspection on 30 January 2009, to ensure that people living at The Noel receive their medicines safely has not been met the Commission will be using all aspects of the legislation available to it to secure compliance. What the care home does well:
There were no significant example of good practice in the handling of medication found at this service. Care Homes for Older People Page 4 of 8 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 9 13 The registered person must 31/03/2009 have safe systems in place for the storage, administration, dispensing, and disposal, of all medicines received into the home. Residents must receive their medication, as prescribed, at all times. 2 30 13 The registered person must 30/04/2009 make suitable arrangements to provide a safe system for moving and handling residents in the home. Residents and staff must be protected from the risk of unsafe practice in moving and handling. 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 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!
