Random inspection report
Care homes for older people
Name: Address: Yohden Care Complex Hesleden Road Blackhall Hartlepool Cleveland TS27 4LH two star good 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: Janet Long Date: 1 6 0 8 2 0 1 0 Information about the care home
Name of care home: Address: Yohden Care Complex Hesleden Road Blackhall Hartlepool Cleveland TS27 4LH 01915860294 01915862868 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Maureen Priscilla Garrett Type of registration: Number of places registered: Conditions of registration: Category(ies) : Southern Cross OPCO Ltd care home 77 Number of places (if applicable): Under 65 Over 65 0 0 48 0 dementia learning disability old age, not falling within any other category physical disability Conditions of registration: 29 10 0 15 The maximum number of service users who can be accommodated is 77 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 - Code OP, maximum number of places 48 Dementia Code DE, maximum number of places 29 Physical Disability - Code PD, maximum number of places 15 Learning Disability - Code LD, maximum number of places 10
Care Homes for Older People Page 2 of 10 Date of last inspection Brief description of the care home Yohden Care Complex is a seventy seven bedded home situated in a quiet residential area of Blackhall, which is a village close to Peterlee. The home provides residential and nursing care. There is a separate unit for people with dementia who have been assessed as needing residential care. The home is split over two floors with lift access. Some of the bedrooms have en suite toilets with sufficient additional facilities located throughout the home. Communal bathing facilities are located throughout the home. These have specialised bathing equipment to support people who are less able. The home has a large central dining and lounge area as well as small lounge and dining areas within each unit. Fees range from £436:60p and £549:50 weekly, which does not include the free nursing care element. Additional charges are made for hairdressing, chiropody and personal newspapers. Care Homes for Older People Page 3 of 10 What we found:
The reason for this inspection was to assess compliance with medicine requirements made in a Statutory Requirement notice dated 6 July 2010 and with a compliance date of 23 July 1010. During the inspection we spent seven hours in the home, and the inspection involved looking at medication storage, stock control, administration and procedures relating to record keeping and medicine management in the home. We looked at the Medication Administration Record (MAR) and talked to the manager and staff about the systems in place. Records are kept of fridge and room temperature however medication in some units is stored at temperatures higher than those recommended by the manufacturer. For one person medication with a limited use once open was used past the expiry date recommended by the manufacturer. The record keeping had improved since the last inspection, however there were still some gaps in the MAR records. There were also some medicines which were prescribed with a variable dose where the actual dose at each administration was not recorded. There was inconsistency in the recording of the quantity of medication supplied and date received. The quantity of medication from one monthly cycle to another is not recorded on the new MAR. This makes it difficult to confirm that medication is given as prescribed and when checking stock levels. An audit of current stock and records showed that some medication had been signed for but not given. Records for inhalers and liquids showed that staff would benefit from addition training to cover this type of administration. The code N was used for non administration on a number of MARs. This code is only appropriate when medication is prescribed when required. For many of the entries this was not an appropriate code. It is important that a clear reason is given so there is accurate information on how a person is taking their medication. The prescriber, who may wish to review the medication, may also use this information. Medication for two people was recorded as not in stock and therefore had not been administered as prescribed, however for two medicines they were available in the home but not stored on the medication trolley. For one person who was on a medication which required regular monitoring good records were kept. Two people who were self medicating inhalers and creams had good risk assessments in place. From this visit it is clear that action has been taken to meet the requirements in the Statutory Requirement Notice but there is still some requirements that have not been fully met. Some requirements issued at the last inspection remain unmet. What the care home does well:
Care Homes for Older People Page 4 of 10 There were good records kept for people who are taking medications which require regular monitoring. Risk assessments were available for people who self administer medication 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 9 13 Put in place effective 23/07/2010 arrangements to ensure that the reasons for non administration of medication are recorded by the timely entry of an appropriate code or entry on the medication record, that the meaning of such codes are clearly explained on each record, and that the person administering the record completes the Medication Administration Record in respect of each individual service user at the time of administration. To ensure that an accurate record of non administration is maintained. 2 9 13 Put in place effective 23/07/2010 arrangements to ensure that all medication is administered as directed by the prescriber to the service user it was prescribed, labeled and prescribed for. So that medication is given as prescribed. 3 9 13 Put in place effective 23/07/2010 arrangements to ensure that medication administration
Page 6 of 10 Care Homes for Older People 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 records are accurately maintained. So that an accurate record of medication given is available. 4 9 12 Put in place effective 23/07/2010 arrangements at the home to request, obtain and retain adequate supplies of prescribed medicines for service users. So that they can be given them as prescribed. 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 A system must be in place to 30/09/2010 check expiry dates of medication with a limited use once open. This makes sure that medication is safe to administer by reducing the risk of contamination. 2 9 13 The temperature of the medication room should be regularly monitored. This makes sure that medicines are being stored at the temperature recommended by the manufacturers. 30/09/2010 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 prescriber should be asked to review the directions for people who regularly do not require their medicines. This makes sure that the medication is given correctly. 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 2 9 The record keeping for creams especially those applied by carers should be improved . This makes sure there is and accurate record Where medication is prescribed with a variable dose the amount administered should be recorded. 3 9 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. Care Homes for Older People Page 10 of 10 - 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!
