Random inspection report
Care homes for older people
Name: Address: The Priory Springhill Wellington Telford Shropshire TF1 3NA zero star poor service 22/10/2009 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: Morag Ross Date: 3 0 0 6 2 0 1 0 Information about the care home
Name of care home: Address: The Priory Springhill Wellington Telford Shropshire TF1 3NA 01952242535 01952641577 thepriory.home@yahoo.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable): Wellcare Management Ltd The registered provider is responsible for running the service care home 37 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 37 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 37 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 categories: Old age, not falling within any other category (OP) 37 Date of last inspection Brief description of the care home The date of the last key Inspection was 22 October 2009. The Priory is care home for older people and also provides nursing care for individuals with complex nursing needs
Care Homes for Older People Page 2 of 8 0 2 0 2 2 0 1 0 Brief description of the care home due to their physical health condition. The home is located in residential area and is accessible via public transport and is nearby to local amenities, such as shops and pubs. The two storey property is situated within its own grounds, offering single bedrooms on both the ground and first floor. The majority of bedrooms are equipped with en suite. Bathrooms and toilets are provided on each floor and are nearby to communal areas. A lounge, dining room, kitchen and laundry is situated on the ground floor and are accessible to people who live there. Equipment and adaptations are in place for people with restricted mobility. These include a passenger lift, grab rails and lifting appliances. Staffing is provided throughout the day and night. The reader is advised to contact the service directly for information regarding fees.. Care Homes for Older People Page 3 of 8 What we found:
The pharmacist inspector visited the home on 30th June 2010 to check the management and control of medicines. The purpose of this inspection was to check compliance with a Statutory Requirement Notice (SRN) relating to medicines. An SRN is an enforcement notice, which is used when requirements have not been met. The final date for compliance of the SRN was 17th June 2010. We looked at medication storage, two peoplescare records and all of the Medication Administration Record (MAR) charts. We were in the service for three hours and we spoke to the Acting Manager and the nurse on duty. The Acting Manager told us that the management of medicines in the home had improved due to increased support and advice. We were told that the service was being supported by a team of consultants, which included help and advice from a pharmacist. We were told the service was also receiving support from the supplying pharmacy to the home and also from the pharmacists at the Primary Care Trust. This shows that the home had taken positive and immediate action to ensure that they were handling peoples medicines safely and correctly. Photocopies of peoples prescriptions were kept by the home to ensure that their medicines could be checked and were correct. This helped to ensure that all information relating to peoples medicines was available. We found that there was good documentation and recording of medicine records. We looked at all of the Medication Administration record (MAR) charts and overall found that they were documented with a signature for administration or a reason was recorded if medicines were not given. We saw that the times of administering medicines were clearly highlighted on the MAR charts. We were shown records, which documented that regular weekly checks were made by the service on peoples medicines to ensure they were being given safely and as prescribed. The last check was done on 21st June 2010. This means that there were arrangements in place to ensure that medication is administered as directed by the prescriber to the person it was prescribed, labelled and supplied for. We looked at the medicine storage of peoples medicines. The Acting Manager told us that the storage of medicines had now been moved to a dedicated secure room. We were shown a locked room, which had locked cupboards and two locked medicine trolleys. A cool air fan was in operation to keep the temperature below 25 degrees C for medicine storage. We saw that medicines were stored neatly and tidily, which made it easy to locate peoples medicines. We looked at one persons medicine records and checked that the amount given matched the documented records. We saw that the person was prescribed ten different medicines. Six of the medicines were tablets. We counted the amount remaining against the records documented on the MAR charts. We found that all six counts were correct. Two of the medicines were creams. We were shown a separate record chart that was used to record the application of creams. It had been recorded by carers every day. One medicine was a syrup. We saw that the date of opening of the bottle was recorded and the MAR chart was signed for administration three times a day. One medicine was a powder in a sachet. We counted the amount of sachets remaining against the MAR chart records. We found
Care Homes for Older People Page 4 of 8 the count was correct. The records showed that the person had been given all of their medicines as prescribed. We looked at the care plan for this person because they were prescribed a pain killer to be given when required. We found written information which explained when the medicine should be given to the person.This information was also available next to the persons MAR chart. This means that information about peoples medicines were available to safeguard their health and welfare. 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 £ 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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!
