Inspection on 28/06/10 for Willows Nursing Home Limited

This inspection was carried out on 28th June 2010.

CQC found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Willows Nursing Home Limited 21/04/10

Willows Nursing Home Limited 16/06/09

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/06/2011.

Random inspection report Care homes for older people Name: Address: Willows Nursing Home Limited 10 Weld Road Southport Merseyside PR8 2AZ one star adequate service 16/06/2009 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: Simon Hill Date: 2 8 0 6 2 0 1 0 Information about the care home Name of care home: Address: Willows Nursing Home Limited 10 Weld Road Southport Merseyside PR8 2AZ Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Willows Nursing Home Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 30 Number of places (if applicable): Under 65 Over 65 30 old age, not falling within any other category Conditions of registration: 0 The registered person may provide the following category/ies of service only: Care home with nursing- Code N to people 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- Code OP The maximum number of people who can be accommodated is: 30 Date of last inspection Brief description of the care home The Willows is an older detached property that has been converted into a care home providing nursing care for thirty older persons. It is situated close to the sea front at Birkdale and is also within walking distance of Birkdale village. The home provides accommodation over three floors with lift access to all three. One bedroom situated on Care Homes for Older People Page 2 of 10 1 6 0 6 2 0 0 9 Brief description of the care home a mezzanine level floor has stair access and is used for residents with no mobility problems. There are twenty four single bedrooms and three double bedrooms. The communal day space consists of one large sitting room and a conservatory extension attached. There is disabled access to the rear of the building and the garden can be accessed. There is a call bell system in the home. This service is operated by Mr & Mrs Jackson and the manager is Ms Benita Calderbank. The fee rate for accommodation is from £515.00 to £616.00 a week. Care Homes for Older People Page 3 of 10 What we found: We carried out this visit to look at how medicines were being handled because we found some shortfalls on our last inspection. The visit was carried out by a specialist pharmacist inspector who looked at medicines stocks, medicines records and observed part of the medicines rounds. Overall we found some improvements are needed to help make sure medicines are always given and recorded safely. When we arrived at the home the nurse on duty told us that she had given most people their morning medicines but had not signed the records to show this. This is poor practice because medicines should be signed for immediately after they have been taken so that accurate records are made. Later in the visit we saw one medicine signed for in advance of it being taken, it was then refused by the resident which then resulted in a scruffy illegible record being made. We found further recording mistakes and could not always be sure that medicines had been given to people correctly. A once weekly medicine was signed for twice in one week and a strong pain relief patch was recorded as given at the wrong dose. Poor record keeping can lead to serious mistakes that could harm the health and wellbeing of people who live in the home. We found the records of medicines received into home were not always accurately made. An inefficient and overly complex system of recording was used that made checking and auditing boxed medicines often difficult to do. We found some examples of medicines not being recorded at all and when medicines were carried forward to a new monthly cycle no record was made about this. Our checks of the current stock showed medicines contained in the specially dispensed system provided by the pharmacy were usually given to people correctly. However, we found some medicines that were packed in traditional boxes and bottles were occasionally missed because staff had forgotten to give them including painkillers and medicines to help prevent excess stomach acid. We also found one medicine used to help prevent blood clots had been missed on numerous occasions because it was not reordered in time, on the day of our visit this person had missed the previous five days. We discussed these issues with manager after our visit and gave some advice about how they could be prevented because failing to take medicines as prescribed can seriously affect the health and wellbeing of people who live in the home. We looked at how people were supported to look after their own medicines and found some improvements since our last visit because risk assessments and care plans had been updated. We spoke with two people that were currently being supported with their own medicines and both said they received the right amount of help from staff. However, it was not always possible to check when new supplies of medicines were given to people because a clear record was not made. We gave some advice about how this could be improved to help make sure people are given full support when managing their own medicines. We looked at how controlled drugs were handled and found the cupboard used to store them was secure. Records were made in a suitable register and these were properly witnessed. However, we found old controlled drugs were not promptly disposed of because the manager said they were waiting for a Primary Care Trust pharmacist to witness their destruction. The manager said this delayed disposal may have contributed to the recent loss of a controlled drug so we gave some advice about how this could be Care Homes for Older People Page 4 of 10 managed in safer way. Having secure storage and properly witnessed records help prevent the misuse and mishandling of controlled drugs. We looked at how the manager made sure staff were competent and made sure medicines were being handled safely. The manager said audits were carried out but she agreed that these had not always been effective at finding recording and administration mistakes. The manager also said she was planning to carry out formal assessments of staff competence but these had not been carried out in the past so she could not be sure nursing staff were always handling medicines in the safest way. Having regular effective audits and thorough assessments of staff competency help make sure medicines are handled safely by suitably skilled staff. 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 10 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 13 Medicines must only be given 31/05/2010 to a resident who has had them prescribed. Medicine must not be shared. Sharing medicines is unsure and places residents at risk. 2 7 13 Records must be kept of all medicines given to the residents. This will help to ensure they are receiving them correctly and safely. 31/05/2010 3 19 13 The two damp patches to the 01/06/2010 first floor and ground floor must be treated. Damp may be hazardous to the residents health and must be eliminated. 4 19 16 The carpet must be replaced 01/07/2010 in the conservatory, as there is adhesive tape over worn areas. This will help to provide suitable floor covering in this room. The use of adhesive tape may pose a trip hazard to people in this room. 5 19 23 The windows affected by condensation as the glass 01/07/2010 Care Homes for Older People Page 6 of 10 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 has blown must be replaced. This will help to ensure the room is suitable for the residents to sit in. 6 24 16 Bedrooms identified with the 01/07/2010 manager must be provided with new bedroom furniture, to include bedside tables. This will help to provide suitable furniture for the residents to use. 7 25 13 Checks of the hot water to the baths/showers must be undertaken and recorded This will help to ensure the hot water is delivered at a safe temperature for residents use. 8 26 16 The laundry room requires plastering and replacement of a chipped tile. This will help to improve the standard of infection control in this room 9 37 17 Staff files must be available for inspection. This will ensure recruitment practices are safe to protect people in the home. 11/08/2009 01/07/2010 01/06/2010 Care Homes for Older People Page 7 of 10 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 1 9 13 Records of medicines 05/08/2010 received into the home, given to people and disposed of must be clear, accurate and complete. This is important to help make sure medicines can be fully accounted for. 2 9 13 Medicines must be administered to people as prescribed. This is important because giving medicines at the wrong dose or not at all can seriously affect their health and wellbeing. 05/08/2010 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 The competency of nursing staff should be formally assessed to help make sure they have the necessary skills to handle medicines safely. Care Homes for Older People Page 8 of 10 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 Audits of the medicines should be improved to help make sure medicines are handled safely by suitably skilled staff. Care Homes for Older People Page 9 of 10 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. 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