Random inspection report
Care homes for older people
Name: Address: Ward House Nursing Home Ward House Nursing Home 21 - 23 Alpine Road Ventnor Isle Of Wight PO38 1BT one star adequate service 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: Ward House Nursing Home Ward House Nursing Home 21 - 23 Alpine Road Ventnor Isle Of Wight PO38 1BT 01983854122 01983854410 matron.whl@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ward House Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 23 Number of places (if applicable): Under 65 Over 65 0 23 0 dementia old age, not falling within any other category physical disability Conditions of registration: 23 0 23 The maximum number of service users to be accommodated is 23 The registered person may provide the following category of service: Care home with nursing (N) to service users of the following gender; Either whose primary care needs on admission to the home are within the following category: Physical disability (PD) Dementia (DE) old age, not falling within any other category (OP) Date of last inspection Care Homes for Older People Page 2 of 9 Brief description of the care home Ward House is a registered care home providing personal and nursing care for up to twenty-three older people. The home has been converted from two older terraced properties to make one home. Accommodation is provided in thirteen single and five twin rooms, some with en-suite facilities. The home provides pleasant and comfortable communal space and has an enclosed rear garden with extensive sea views. There is outdoor seating for residents to enjoy the garden and sea views in the warmer months of the year. Limited car parking space is available at the front of the home. The building is accessible and there is a passenger lift for residents to access the upper floors. At the last key inspection fees were 100 pounds per day for a single room and 95.00 pounds per day for a double or shared room. Full details of current fees are available from the home The home was purchased by the current owners, Ward House Limited, in November 2005. The home is managed by the registered manager, Mrs Susan Davies. Care Homes for Older People Page 3 of 9 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 4 March 2009. We looked at staff training, policies and procedures, records of medicines given to people and talked to the manager and staff nurse on duty. We looked in detail at the records for 6 people People who use the service have their medicines given to them by registered nurses. Five of the nurses had recently undertaken a short course in the safe handling of medicines to refresh their knowledge and ensure that it is up to date. Written procedures are available to staff to provide guidance and to enable medicines to be handled consistently by all staff. These procedures were updated in March 2009 after staff had attend the training. 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 and supplies were looked at for six people. Clear records were kept to show when people had their medicines, including creams and ointments. Together with receipt and disposal records these showed that people get their medicines correctly. However,when a variable dose of medicines was prescribed the actual dose given was not being recorded. The actual dose given should be recorded so as to show how much of these medicines people have been given. Care plans were available for medicines prescribed to be given only when needed. However they lack any detailed information and instructions to enable staff to meet the needs of people who use the service. Examples of care plans include: Senna tablets. For constipation. One at night if needed. Phosphate enema. One rectally when needed for constipation. Temazepam 10mg tablets. One at night for sleeplessness as needed. Care plans must record detailed information and instructions to staff in respect of the administration and management of medicines, including the reasons for medicines prescribed to be given on an as and when required basis, and what constitutes needed for people. When it was necessary to make handwritten additions to the medication administration records charts produced by the pharmacy these were accurately transcribed. The entries were checked for accuracy by a second member of staff to ensure that they were written correctly. The manager is currently in the process of changing to a new pharmacy supplier who can provide a higher quality of medication administration record charts. We watched one staff nurse giving people some of their medicines. They followed appropriate safe practices and treated people respectfully. People were asked whether they wanted their medicines and were then given the time that they needed to take them. Care Homes for Older People Page 4 of 9 All medicines were stored securely for the protection of the people who use the service. Medicines requiring cool storage were kept in a locked refrigerator and daily temperature records were kept. These showed it to be operating within the correct temperature range and so the medicines would be fit for use. Creams and ointments that are kept in peoples en-suite bathrooms were all correctly labeled with the persons name. Medicines that are liable to misuse, called Controlled Drugs, were stored in a locked metal cupboard. This cupboard however did not comply with the law. Additional records were kept of the usage of Controlled Drugs so as to readily detect any loss. 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 9 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 7 Regulation 13 The manager must review 11/08/2008 the homes risk assessment process to ensuring that risks and plans to manage those risks are individually assessed and managed. Care Homes for Older People Page 6 of 9 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 1 9 13 Care plans must inculed 01/06/2009 detailed information and instructions for staff in repect of the adminsitration and management of medicines prescribed to be given on an as and when required basis, and what consitutes needed for people. To enable people to be given their medicines in a clear and consistent way that meets their needs 2 9 13 Controlled Drugs must be stored in a Controlled Drugs cupboard that complies with the Misuse of Drugs (Safe Custody) Regualtions 1973 In order to comply with the law 01/08/2009 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 Care Homes for Older People Page 7 of 9 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 8 of 9 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 9 of 9 - 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!
