Random inspection report
Care homes for older people
Name: Address: The Village Nursing Home 41 Church Road Banks Southport Lancashire PR9 8ET two star good service 09/10/2008 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: Simon Hill Date: 2 1 0 5 2 0 0 9 Information about the care home
Name of care home: Address: The Village Nursing Home 41 Church Road Banks Southport Lancashire PR9 8ET 01704220061 Telephone number: Fax number: Email address: Provider web address: village.manager@craegmoor.co.uk www.craegmoor.co.uk Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Parkcare Homes Ltd care home 40 Number of places (if applicable): Under 65 Over 65 38 0 old age, not falling within any other category physical disability Conditions of registration: 0 4 2 named service users in the category of PD (physical disability) Up to 2 service users in the category of PD (Physical Disability). Up to 20 service users in the category OP (Old Age) who need personal care only. Up to 38 service users in the category OP (Old Age) who need nursing care. Date of last inspection Brief description of the care home The Village is a forty-bedded, purpose built, care home, set in its own well-maintained grounds. It is located in the village of Banks and there are sufficient amenities of shops, a Church and public house nearby. Transport links to nearby towns of Southport and Liverpool can be accessed. There is ample car parking space alongside the home.
Care Homes for Older People Page 2 of 8 0 9 1 0 2 0 0 8 Brief description of the care home The home provides personal and nursing care for older people, and is well equipped to suit the needs of its residents. All accommodation is at ground floor level, and there is easy access for wheelchair users and the less mobile. All rooms have an en-suite facility and there are two shared rooms. Communal space for service users comprises a lounge, dining area and two small seating areas along the corridors. The home has a patio area to the front and garden and patio to the rear. Qualified nursing staff and care staff are provided over 24 hours, every day of the year. Residents receive information about the home in the form of the Statement of Purpose and the Service Users Guide. A small brochure is also given out to anyone making enquiries. As at October 2008 the fees charged ranged from £366.00 per week, to £550.00 per week, depending on the level of care needed. Care Homes for Older People Page 3 of 8 What we found:
We carried out this visit to make sure medicines were being handled safely. The inspection was carried out by a pharmacist inspector and it lasted three and a half hours. We checked medicines records, medicines stock and peoples care plans and spoke with staff. Overall we found good procedures for the recording and administration of medicines although we found some shortfalls in the way creams and eye drops were handled. We found medicines stock and records to be well organised. Our checks of the records and current stock showed medicines were usually being given and recorded correctly, a clear system of stock control was in place that helped make sure medicines did not run out of stock and helped make sure they could be fully accounted for. Medicines were regularly checked and detailed records of this were made, recent audits had found some problems but immediate action was taken to help make the necessary improvements. Staff were currently going through some formal assessments of their competence when handling medicines and we saw the paperwork to support this. Regular checks on medicines, relevant training and competency checks help make sure staff have the necessary skills to handle medicines safely. We found the records of medicines received into the home and given to people were usually accurate and complete and any changes in medicines doses were recorded correctly. Records of medicines disposed of were not always witnessed so we gave some general advice about how to improve this to help prevent mishandling. We looked at the times medicines were given and found they were usually given at the right and best time for people. An early medicines round had been organised that helped make sure people receive their medicines at the right time in relation to meal times. We gave some general advice about how to improve this as one medicine that should have been given before food was being given after. Medicines must be given at the right time to help make sure they work properly. We looked at a sample of peoples care plans and records and found some good information about their medicines and specific health problems. One person that suffered epileptic seizures had a clear plan about how these were to be managed and another person that had problems with swallowing had good information about how they were to be supported. People that had diabetes had a clear plan about how this was to be managed and records showed their blood sugar levels were regularly checked. However, we found external medicines such as creams were not properly highlighted in peoples care plans and there was no written information available to care staff to make sure they were used correctly. We also found the records of cream application were not always signed so we could not be sure that they were being used properly. Having clear written care plans helps make sure medicines are given to people as prescribed. We looked at how medicines were stored and found them to be generally secure and well organised. However, medicines for disposal were not locked away so there was a risk they might be mishandled. Controlled drugs (medicines that can be misused) were stored in a suitable cupboard and a witnessed register was used to help prevent mishandling. We found one strong pain relief patch was applied to a person a day late on two occasions, which could have caused them to suffer pain unnecessarily. We also found
Care Homes for Older People Page 4 of 8 several bottles of eye drops that were a few days out of date, which could have resulted in people suffering unnecessary eye infections. We discussed these issues with the acting manager at the end of our visit so that action would be taken to help prevent them happening again. 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 1 9 External medicines such as creams and lotions need to be recorded better and more information about how they should be used should be written into peoples care plans to help make sure they are handled correctly. 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!
