Care Home: Avon View Residential & Nursing Home

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What the care home does well The home has a good audit process for medicines which is carried out diligently by senior staff. People we spoke to on the intermediate care unit were appreciative of the way staff had looked after them and organised their medicines for discharge.All the staff we spoke to had a clear understanding of the importance of accuracy and maintaining clear records when administering medicines. What the care home could do better: Where people`s medicines have been omitted due to their social commitments a record of the discussion with the person`s GP should be kept. Homely remedies should only be used for up to 3 days before seeking the guidance of the GP. Random inspection report Care homes for older people Name: Address: Avon View Residential & Nursing Home Loring Road Christchurch Dorset BH23 2GZ two star good service 21/05/2009 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: mary collier Date: 1 0 1 2 2 0 0 9 Information about the care home Name of care home: Address: Avon View Residential & Nursing Home Loring Road Christchurch Dorset BH23 2GZ 01202485170 01202482280 Telephone number: Fax number: Email address: Provider web address: www.dorsetforyou.com Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Dorset County Council care home 80 Number of places (if applicable): Under 65 Over 65 20 50 0 dementia old age, not falling within any other category physical disability Conditions of registration: 0 0 10 Staffing levels must be those determined in accordance with guidance recommended by the Department of Health. The home may accommodate a maximum of 25 service users who require nursing care. The home may from time to time, admit persons between the ages of 60 and 65. Date of last inspection Brief description of the care home The home is located in Christchurch and there are public transport links to the town centres of Bournemouth and Christchurch. The home was opened in October 2006 having transferred residents and staff from the old premises. The building offers Care Homes for Older People Page 2 of 8 2 1 0 5 2 0 0 9 Brief description of the care home accommodation to a maximum of 80 people, in the main building there are three floors; the ground floor offers a service to people needing specialist dementia care, the first floor is for older people and the second floor is a 25 bedded nursing unit. To the side of the building is another unit specialising in intermediate care helping people to return to independent living.The accommodation includes single rooms only and each has en-suite facilities including walk-in shower. There is a communal bath on each of the floors.To the rear of the premises there is a secure garden. Limited on site parking is available. All residents are referred through the local authority care management process. Care Homes for Older People Page 3 of 8 What we found: This inspection was a random inspection visit by the Pharmacist Inspector to look at all areas of medicine handling in the home. We looked at the arrangements for storage and record keeping on the nursing, residential, dementia and intermediate care wings and observed a medication round in the intermediate care unit. We talked to staff on all four units and some people who were being supported in the intermediate care unit prior to being discharged to their own homes. The home has a comprehensive audit procedure for medicines and we saw evidence of senior staff following up errors in documentation that had been made by nurses, senior carers and agency staff. Medicines on all four units are stored securely, including controlled drugs. Appropriate records are kept of medicines received, administered and returned to the pharmacy for disposal or given back to people when they return home. The medication round we observed was conducted accurately with regard to good practice and peoples individual needs. Separate records are made by the carers of any creams or lotions that are used in peoples care. Some people are supported to manage their own medicines, this can be particularly important on the intermediate care unit where they may be returning to their own homes and need to maintain the necessary skills. Risk assessments are carried out and reviewed regularly for these people and suitable lockable storage is available. The records we examined showed the instructions of other healthcare professionals had been recorded and put into practice. Care plans were drawn up for medicines, including those prescribed for use as required. People in the home take part in activities away from the home and for some people it was found by the nurses to be necessary to omit a dose of medicine to allow them to take part, there was no record of a discussion with the persons GP about this situation. The home has a comprehensive policy and procedure, information about medicines and training on the safe handling of medicines available to all staff. The list of homely remedies is small and appropriate. One person had been receiving homely remedies for longer than the recommended three days and the record of the medicine on their administration chart did not include the dose. This person should have been referred to their GP. The home has a safe and well managed system for handling medicines and people are allowed to exercise their own choices as to how those medicines are given to them. What the care home does well: The home has a good audit process for medicines which is carried out diligently by senior staff. People we spoke to on the intermediate care unit were appreciative of the way staff had looked after them and organised their medicines for discharge. Care Homes for Older People Page 4 of 8 All the staff we spoke to had a clear understanding of the importance of accuracy and maintaining clear records when administering medicines. 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 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 Older People 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 1 9 Where doses of medicines are omitted to enable people to fulfill their social engagements, a discussion with the GP should be had and the result recorded in their notes. Homely remedies should be written clearly on the medication administration record with the dose and inly used for up to 3 days before medical advice is sought. 2 9 Care Homes for Older People 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 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. 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