Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Wynfield House 115 Newton Drive Blackpool Lancashire FY3 8LZ The quality rating for this care home is: The rating was made on: zero star poor service 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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 1 2 0 0 9 Information about the care home
Name of care home: Address: Wynfield House 115 Newton Drive Blackpool Lancashire FY3 8LZ 01253392183 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Blackpool & Fylde Society For The Deaf care home 19 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 sensory impairment 19 Over 65 0 Conditions of registration: The home is registered for a maximum of 19 service users to include: *up to 19 service users in the category of SI (Sensory Impairment) Date of last inspection Brief description of the care home Wynfield House is registered under the Care Standards Act 2000, to offer accommodation and personal care to up to 19 adults with a sensory impairment. The accommodation consists of 7 twin bedrooms and 5 rooms for single occupancy. There are 2 lounges on the ground floor and a dining room. A passenger lift operates between the ground and first floor. The home is relatively close to local amenities and facilities with good transport links. In appearance the premises blend in with the neighbourhood. There are spacious gardens to the rear of the property that are well maintained, some of the residents like to help in the gardening activities. The home has a Statement of Purpose and Service User Guide providing information about the care provided, the qualifications and experience of the owners and staff and the Care Homes for Older People
Page 2 of 9 2 1 1 0 2 0 0 8 services residents can expect if they choose to live at the home. The current fees per week are £367.78 Care Homes for Older People Page 3 of 9 What we found:
We visited the home to make sure medicines were being handled safely. The visit was carried out by a pharmacist inspector. It lasted three and a half hours and involved speaking with the senior carer in charge. We checked a sample of medicines stocks, medicines records and care plans. We gave detailed feedback to the senior carer at the end of the visit. Overall we found some poor practice when handling medicines that could seriously affect the health and wellbeing of people who live in the home. When we checked the medicines records we saw numerous missing signatures in the previous months records. Some action had been taken since the beginning of the new monthly cycle and no gaps on the records were seen for the previous ten days. However, we saw an example of very poor record keeping when a tablet that was prescribed one at night was also signed as given in the morning for 12 consecutive days even though no stock was available to give it at that time. This shows that some staff were not checking the records carefully when giving and signing for medicines. Poor record keeping can lead to mistakes that could seriously affect a persons health and wellbeing. When we checked a further sample of records and stock we found it very difficult to account for all medicines so we could not be sure they had been given to people correctly. There was no clear system of stock control because stock was not properly carried forward at the beginning of each month. We saw two different people run out of stock of their medicines and staff had not acted promptly to obtain a new supplies. One person went without two medicines used to lower blood pressure for twelve days. Missing medicines can seriously affect a persons health and wellbeing. We looked at the times medicines were given and found the records did not always state the correct time to take them. The senior carer confirmed that at least two people were being given a medicine with food instead of before. Giving medicines at the wrong time can stop them working properly. We saw no formal stock checks and no recorded audits of the medicines. Mistakes were not being found and acted upon to help prevent them happening again. We gave some advice to the senior carer on how to develop this. We checked how controlled drugs (medicines that can be misused) were handled. There was no controlled drug cupboard available but the senior carer said one had been ordered and was due to be delivered soon. A special register was used for record keeping but none had been handled recently so it was not possible to check whether staff understood how to use it properly. Having good arrangements for the handling of controlled drugs helps prevent them being mishandled and misused. We looked at how medicines were stored and found them to be reasonably secure but disorganised, the senior care said she was planning to tidy them up in the next few days. We saw old stock dating back four years and discontinued medicines not returned promptly. Of concern were some medicines kept in the current medicines stock not being recorded on the current records, this could result in them being missed and people not given them when they are needed. Care Homes for Older People Page 4 of 9 We looked at how staff were trained to handle medicines safely. All staff have attended formal medicines training sessions and we saw some evidence of this. The senior carer on duty said that she was not formally watched and supervised when giving medicines out and she was unaware if staff had their competency checked on a regular basis. Regular recorded competency checks on staff help make sure they have the necessary skills to handle medicines safely. 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 requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 38 23(2)(b) There must be evidence of 31/08/2008 the Gas system being serviced within the stated timescale of the most recent certificate so that it is safe for the health safety and protection of all users of the service. 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 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes 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 7 15 All residents should have 01/02/2009 their care plans reviewed at least once a month to update any changes and reflect their changing needs. Previous timescale 31/08/08 not assessed at this visit. 2 9 13 An accurate record of all medicines received into the home, given to people and disposed of must be kept. This will make sure all medicines can be fully accounted for and show they are being handled safely. 28/02/2009 3 9 13 There must be a controlled 28/04/2009 drug cupboard available that meets the requirements of the law. This will help prevent mishandling and misuse. 4 9 24 Suitable arrangements for the checking and auditing of medicines must be made. This will help make sure staff have the necessary skills and 28/02/2009 Care Homes for Older People Page 7 of 9 competence and will help make sure medicines are handled safely. 5 9 13 Medicines must be given to people as prescribed. This is improtant because receiving medicines at the wrong dose, wrong time or not at all can seriously affect a persons health and wellbeing. 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 28/02/2009 Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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) Commission for Social Care Inspection (CSCI). 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 CSCI 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!
