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: 0 4 0 6 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:
The reason for this inspection was to assess compliance with the statutory requirement notice dated 22 May 2009. You were required by 1 June 2009 to: Ensure that all people using the service receive their medication as prescribed by their general practitioner at all times. Ensure that complete and accurate records are available in the home relating to each service users medication profile and the administration of medicines and treatments prescribed by their general practitioner at all times. At this visit we looked at the medication administration record charts for 4 people living in the home, at the medication supplies for these people, at the storage of medicines, staff training records and talked to the manager and one member of the staff team. The records and medicines supplies were not able to show us that people are receiving their medicines as they are prescribed by their doctors. One person had a medicine recorded on their medication administration records chart as having been given to them on the night of 2 June 2009 but the medicine was still in the blister pack supplied by the pharmacy. Another persons medicine remained in their blister pack on the night of 3 June. This dose had not been recorded as having being given, the entry on the medication administration record chart being left blank. On both of these occasions these people did not receive their prescribed medicines. One medicine had not been given since 14 March 2009. Miss Phillips told us that this medicine has been discontinued but she was not able to provide any evidence of this. One person has a laxative prescribed to be given twice each day. There was no record that this medicine was being given to this person. There were also a number of examples of poor record keeping. Four medicines had not been recorded as having been given to people on the 3 June 2009. For three of these the medicines had gone from the blister packs and one remained in the pack with no reason given as to why this medicine had not been given. No record had been made when four medicines had been received into the home. Adequate supplies of these medicine were available in the home when we visited. We looked at the staff training records to see who had received training in the safe handing of medicines. Miss Phillips told us that she and one of the nine staff in the home had completed a medication training course run by the Isle of Wight College. However she was only able to show us the certificate for the staff member and not for herself. Miss Phillips said that she assessed that staff were safe to handle medicines but again this had not been documented. None of the carers who had failed to complete the records on 3 June 2009 had documented evidence of having had any training in the safe handling of medicines. We asked one member of staff on duty how she gave medicines to people. The practice she described was appropriate and safe. Medicines were not all stored securely for the protection of people who use the service. One our arrival we saw two containers of Calcihew D3 Forte on a desk and a table in the
Care Homes for Older People Page 4 of 8 managers room. One of these was unlabeled and the other was labeled with the name of a person not resident in the home. Whilst these particular medicines present a low risk, the practice of leaving medicines out of the medicines cupboard is not safe and could put people at risk of harm. Written policies and procedures for the safe handling of medicines were available in the home. Because the statutory requirement notice of 22 May 2009 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: 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!
