Latest Inspection
This is the latest available inspection report for this service, carried out on 28th April 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.
For extracts, read the latest CQC inspection for Breckside Park Residential Home.
What the care home does well The manager has watched staff handling medicines to check that they understand how to administer medicines safely. These competency checks are recorded. Written guidelines (protocols) are available to tell staff why painkillers have been prescribed and when they should be administered. What the care home could do better: There was no written assessment to say that a person who was administering his own inhalers could carry out this task safely. Random inspection report
Care homes for older people
Name: Address: Breckside Park Residential Home 10 Breckside Park Anfield Liverpool Merseyside L6 4DL one star adequate 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: Denise Clark Date: 2 8 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Breckside Park Residential Home 10 Breckside Park Anfield Liverpool Merseyside L6 4DL 01512606491 01512606491 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Kirti Khistria,Mr Keshav Khistria Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 26 Number of places (if applicable): Under 65 Over 65 26 old age, not falling within any other category Conditions of registration: 0 The registered person 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 to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 26 Date of last inspection Brief description of the care home Breckside Park is a registered care home providing personal care for up to 26 residents who are over the age of 65 years. The home has been granted variations to the
Care Homes for Older People Page 2 of 7 Brief description of the care home registered status to provide the care and support to named people who are under the age of 65 years. The home is situated in the Anfield area of Liverpool and is close to parks, shops and public transport routes. Communal space within the home consists of 2 lounges, a dining room and a large conservatory. The home has 26 single bedrooms five of which have an en-suite WC. The home benefits from a large enclosed rear garden and further garden areas to the side and front aspects of the home. A copy of a Service User Guide is displayed in the reception area of the home and a Statement of Purpose is stored in the office. These documents provide information on the service provided. The current fee for residing at Breckside Park is GBP 322.00 per week. Care Homes for Older People Page 3 of 7 What we found:
During the inspection we looked at the arrangements for recording and storing medicines. We saw that the home has a medicine policy, though the policy was not signed or dated. We asked about the training provided for staff who handle medicines and watched medicines being administered at lunchtime. We looked at medicine charts and found that there were no gaps in administration records. The receipt and disposal of medicines is recorded, so medicines can be accounted for. We chose four medicines and counted the amount in stock; we found that the quantities remaining matched the homes records of receipt and administration. We saw that medicines were administered in a safe and friendly way, and the medicine chart was signed after a person had taken their medicine(s). The application of emollient creams is recorded on a separate chart that is kept in the persons room. Written guidelines(protocols) were available to tell staff why painkillers had been prescribed and when they should be administered. We saw the certificates of staff who had recently attended a training course on medicines. After the course, the manager had watched staff handling medicines, to check that they understood how to administer medicines safely, and made a note of these competency checks. There were no controlled drugs (CDs) in stock but the home has a cupboard in which CDs can legally be stored. We found that medicines requiring refrigeration were correctly stored but that the temperature of the medicine fridge was not checked over 24 hours by using a minimum,maximum thermometer. One person administered his own, two inhalers. This person told us how often he used his inhalers but the dispensing labels both read use as directed. There was no written risk assessment to help decide whether this person was able to self-administer his inhalers safely. We found that the home had a 2009 edition of the British National Formulary (BNF) and some patient information leaflets for staff use. We found that a person with special medical needs was being regularly visited by healthcare professionals, and that these visits, along with hospital appointments, were recorded. 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 4 of 7 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 3 14 Comprehensive assessments 06/12/2009 of need should be undertaken when a new person is referred to the service. These must be undertaken by appropriately trained and competent staff. This is to ensure that only people whose needs can be met effectively and safely are admitted to the home and to ensure the home meets the conditions of registration. 2 7 15 Care plans must include up 06/01/2010 to date and accurate information on how to meet the needs of the person in all aspects of their health and wellbeing. To promote the persons health and wellbeing and ensure staff are aware of what actions they need to take to meet the persons needs. Care Homes for Older People Page 5 of 7 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 The temperature of the medicine fridge should be monitored over a 24 hour period with a minimum, maximum thermometer. Risk assessments should be carried out for people who wish to self-medicate. The result of the assessment should be recorded. The pharmacy should be asked to label all medicines, including inhalers dispensed for people who self-medicate, with full dosage instructions. A copy of the current edition of the British National Formulary (BNF) should be available for staff reference. The medicine policy should be dated and signed by the person authorising the policy. 2 9 3 9 4 5 9 9 Care Homes for Older People Page 6 of 7 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 7 of 7 - 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!