Care Home: Acorn Close

Similar services:

• Hillside
• Applegarth
• Trevayler Residential Care Home
• 122 Scorer Street
• Jubilee Villa Care Home
• Thornham Grove
• Beech Lodge
• 8 Thorndale Road (Homefield College)

What the care home does well The service has responded promptly and comprehensively to the requirements and recommendations made at the key inspection. All staff administering medication have received refresher training and supervision to ensure their competency in this area. The two staff members directly observed were competent in their administration and recording. Staff members only administer medication for 1 of the 3 Units in the home. This enables them to become familiar with people and their individual medication requirements. We examined all the Medication Administration Records (MAR) including the Controlled Drugs Register. These were completed accurately and correct codes had been used on MAR to indicate when a person, for example, had refused medication. An explanation of codes to be used is clearly displayed on the medication room wall and staff members spoken with said that they felt more confident about this aspect of recording. Clear risk assessments are in place for all people living in the home who administer their own medication. Procedures are in place to monitor their ongoing safety in doing this. All medication stored in the medication room is now stored in locked cabinets and the key to the controlled drugs cabinet is now stored securely. Dates when creams and lotions have been opened are now recorded and their administration is recorded on the MAR. Each person`s `as required` medication has been reviewed and excess stocks of this medication have been returned to the pharmacy. This medication is now stored appropriately and not in the Controlled Drugs Cabinet.All aspects of medication practice have been reviewed and a new medication policy has been formulated. At the time of the inspection some aspects of this did not directly apply to Acorn Close but this has now been rectified by the registered manager. The manager has also liaised with the pharmacist to ensure that administration information which appears on the reverse of the `Nomad` dispensing boxes, corresponds exactly to that which appears on the MAR. This is to ensure that there is no confusion about the medication that any individual is taking. What the care home could do better: The service has met all the requirements and recommendations made at the key inspection in relation to medication storage, administration and recording. The registered manager should continue to monitor the new systems in place, to ensure that the observed improvements are maintained. Random inspection report Care homes for adults (18-65 years) Name: Address: Acorn Close Sullington Road Shepshed Loughborough LE12 9JG one star adequate service 05/05/2009 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: Ruth Wood Date: 0 9 0 7 2 0 0 9 Information about the care home Name of care home: Address: Acorn Close Sullington Road Shepshed Loughborough LE12 9JG 01509504279 01509504279 acornclose@prime-life.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Prime Life Ltd care home 23 Number of places (if applicable): Under 65 Over 65 0 0 learning disability mental disorder, excluding learning disability or dementia Conditions of registration: 23 23 The maximum number of service users who can be accommodated is 23. The registered persons may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission are within the following category: Mental Disorder, excluding learning disability or dementia - Code MD. Learning Disability - Code LD. Date of last inspection Brief description of the care home Acorn Close is a newly built residential care home for a maximum of 23 people who have either mental health illnesses or learning disabilities. The home is purpose built. The home is located in Shepshed, Leicestershire and is close to the town centre and local amenities. 0 5 0 5 2 0 0 9 Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home All bedrooms are single and have full en-suite facilities. Bedrooms are located on the ground and first floors and first floor bedrooms can be accessed by passenger lift or stairs. The home is divided into three units, two for men and one for women, and these are separated by electronic locks. Each unit is self-contained with its own kitchen and living room area. The fees for the service start at £550.00 per week. More information is available in the Service User Guide available at the service. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: This random inspection took place on 9th July 2009 between 13:15 and 14:45. The purpose of the inspection was to monitor the services response to requirements made at the key inspection in relation to medication storage, administration and recording. Before this inspection the service had investigated a potential error in administration identified at the key inspection and ascertained that it was an error in recording. Copies of risk assessments relating to people living at Acorn Close who administer their own medication were forwarded to the Commission, together with minutes of staff meetings which recorded that additional training and supervision in medication administration would be arranged for staff. Information concerning change of practice was also sent to the Commission prior to our visit. This covered a range of issues such as security of storage, recording, and procedures for auditing. At the inspection visit we reviewed all aspects of medication storage, administration and recording and spoke to the registered manager at length about the changes in practice put in place. We directly observed two staff members administer medication and spoke to them about the changes instigated by the service in medication practice. What the care home does well: The service has responded promptly and comprehensively to the requirements and recommendations made at the key inspection. All staff administering medication have received refresher training and supervision to ensure their competency in this area. The two staff members directly observed were competent in their administration and recording. Staff members only administer medication for 1 of the 3 Units in the home. This enables them to become familiar with people and their individual medication requirements. We examined all the Medication Administration Records (MAR) including the Controlled Drugs Register. These were completed accurately and correct codes had been used on MAR to indicate when a person, for example, had refused medication. An explanation of codes to be used is clearly displayed on the medication room wall and staff members spoken with said that they felt more confident about this aspect of recording. Clear risk assessments are in place for all people living in the home who administer their own medication. Procedures are in place to monitor their ongoing safety in doing this. All medication stored in the medication room is now stored in locked cabinets and the key to the controlled drugs cabinet is now stored securely. Dates when creams and lotions have been opened are now recorded and their administration is recorded on the MAR. Each persons as required medication has been reviewed and excess stocks of this medication have been returned to the pharmacy. This medication is now stored appropriately and not in the Controlled Drugs Cabinet. Care Homes for Adults (18-65 years) Page 4 of 8 All aspects of medication practice have been reviewed and a new medication policy has been formulated. At the time of the inspection some aspects of this did not directly apply to Acorn Close but this has now been rectified by the registered manager. The manager has also liaised with the pharmacist to ensure that administration information which appears on the reverse of the Nomad dispensing boxes, corresponds exactly to that which appears on the MAR. This is to ensure that there is no confusion about the medication that any individual is taking. 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 Adults (18-65 years) 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 Adults (18-65 years) 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 Care Homes for Adults (18-65 years) 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 Adults (18-65 years) 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 Adults (18-65 years) 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!