Care Home: CHAD Limited

What the care home does well The ordering, administration and recording of medicines is well managed and the MAR charts in use are suitable for dealing with the frequent and complex medication changes which may occur frequently with some service users. What the care home could do better: Medication storage could be improved, particularly for medicines requiring refrigeration. Random inspection report Care homes for adults (18-65 years) Name: Address: CHAD Limited Cordingley House 22 Linden Terrace Whitley Bay Tyne & Wear NE26 2AA 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: Michael Earnshaw Date: 1 9 0 5 2 0 0 9 Information about the care home Name of care home: Address: CHAD Limited Cordingley House 22 Linden Terrace Whitley Bay Tyne & Wear NE26 2AA 01912893621 Telephone number: Fax number: Email address: Provider web address: michelle@chadhomes.co.uk Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Care Homes for Adults with Disabilities Limited care home 4 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 4 The maximum number of service users who can be accommodated is: 4 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: Learning disability - Code LD, maximum number of places 4 Date of last inspection Brief description of the care home CHAD Limited is located at Cordingley House in Whitley Bay close to the town centre and seafront. The home is an Edwardian terraced house close to local amenities such as a library, swimming pool, shops and local transport. The home has two large rooms for lounging and activities and a large kitchenette used for dining and activities. There are four bedrooms, two bathrooms with showers and toilets and a separate toilet. The Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home home can provide accommodation for four people with a learning disability. CHAD Limited cannot provide nursing care. The range of fees charged is agreed with the local authority and are dependent on individual needs. Information about the home is readily available to interested people. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: The reason for the visit was to undertake a pharmacist inspection of the service. The visit lasted 2.5 hours and involved looking at arrangements within the service that support the safe handling and administration of medicines. We looked at the medication policy, medication records, storage, security and stock control. We gave verbal feedback to two directors of the provider company. Medicines storage in the service is generally secure and well managed although the fridge used to store medicines requiring refrigeration was very dirty and contained food products alongside medicines. Temperature monitoring of the fridge was inadequate to ensure that medicines are stored within the temperature range recommended by the manufacturer. The current Medication Administration record (MAR) charts were looked at. These charts are prepared as required by staff within the service and are designed to support the recording of all essential information on medication requirements for each service user. The front sheet of the record is used to record a summary of all the medication a person receives and subsequent sheets are printed off to record the administration of individual doses of medication to each service user. For one service user the summary of medication had not been updated to match the changes in medication recorded on the administration records. When the record sheet for a service user is full a new sheet is printed but there is no process in place to confirm that the printed entries are correct and that the document has been checked by a second person to confirm accuracy. Medication administration procedures within the service are well managed and involve two staff throughout the administration process. There were no significant gaps in the administration records, or any discrepancies between the quantities of medicines received, the number of doses recorded and the quantities of medicine remaining. This indicates that people are getting their medication as prescribed. Care plans for service users provide detailed guidance on how carers should meet the health care needs of service users including how to manage seizures, for example. There is no controlled drug cupboard in the service but there are currently no service users receiving controlled drugs requiring secure storage. The ordering and disposal of medication is well controlled , with no evidence of surplus medication in the home. All staff handling medication have received appropriate training and there is a programme of refresher medication training in place throughout the year to update staff. What the care home does well: The ordering, administration and recording of medicines is well managed and the MAR charts in use are suitable for dealing with the frequent and complex medication changes which may occur frequently with some service users. Care Homes for Adults (18-65 years) Page 4 of 9 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 9 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 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, 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 20 13 All medicines must be stored 19/07/2009 safely and securely and at the temperature recommended by the manufacturers. To safeguard the health and welfare of people living in the home 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 20 A list of signatures and initials of staff authorised to administer medicines should be maintained with the MAR charts. The summary of medication at the front of the MAR chart should be updated promptly when a service users medication is changed. The printed MAR charts should incorporate a space to record the signature of the person preparing the chart. A second person should check and sign the chart to confirm that the details are accurate and complete. The medicines policy should be updated to include the current practice of two carers being required for the Page 7 of 9 2 20 3 20 4 20 Care Homes for Adults (18-65 years) 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 administration of medicines and the use and monitoring of the medicines fridge 5 20 Audit of the medication system should be recorded and include checks on storage conditions and completion of medication records The date when medicines are received into the service should be recorded on the medication order sheet for each service user. The medicines fridge should be regularly cleaned,defrosted and used solely for the storage of medicines. Fridge temperatures should be measured and recorded daily to confirm that medication is stored within the appropriate temperature range recommended by the manufacturers 6 20 7 20 Care Homes for Adults (18-65 years) Page 8 of 9 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 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!