Care Home: Chadderton Total Care Unit Limited

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What the care home does well The manager and her deputies carry out regular "spot checks" on a sample of medicines and associated records. Medicine trolleys and cupboards were clean and well organised. What the care home could do better: There were a number of "gaps" in administration records and we found three instances where the administration record was signed but the medicine had not been given. Records of the receipt of medicines into the home were incomplete. Random inspection report Care homes for older people Name: Address: Chadderton Total Care Unit Limited Middlewood Court, Middleton Road Chadderton Oldham Lancashire OL9 9SR three star excellent 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: 1 2 0 5 2 0 1 0 Information about the care home Name of care home: Address: Chadderton Total Care Unit Limited Middlewood Court, Middleton Road Chadderton Oldham Lancashire OL9 9SR 01616270027 01616287769 mary@total-care.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Mary Alison Green Type of registration: Number of places registered: Conditions of registration: Category(ies) : Chadderton Total Care Unit Limited care home 151 Number of places (if applicable): Under 65 Over 65 0 151 0 dementia old age, not falling within any other category physical disability Conditions of registration: 151 0 151 The registered person may provide the following category/ies 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 Dementia - Code DE Physical disability - Code PD The maximum number of services users who can be accommodated is: 151 Date of last inspection Care Homes for Older People Page 2 of 8 Brief description of the care home Chadderton Total Care provides care and accommodation for 151 residents with a variety of needs. It is divided into five distinct suites, including care for older people with dementia Saddleworth Suite and Dale Suite, general nursing Lakeland and Middlewood Suites and a suite for younger adults with disabilities Pennine Suite. The suites are staffed separately with qualified staff who have the knowledge and skills to provide the appropriate care for each service user category. The home has its own physiotherapy unit and is able to offer exercise and therapy to those who require it. The home is owned by Chadderton Total Care Unit Limited, which is a private company, and is managed on a day-to-day basis by a registered manager who is also a nurse. Accommodation is provided on the ground floor throughout the home. Fiftyfive rooms are single en-suite, whilst a further 87 rooms are single and are furnished with a washbasin. Five double rooms are also available for couples or those who wish to share. The home has several courtyard areas accessible for wheelchair users and a pleasant garden with seating at the back of the building. The loungedining spaces are open plan and provide ample space for movement by wheelchair users. Disabled facilities are also provided. Fees for accommodation and care at the home range from GBP400 to GBP730 per week, depending on the degree of nursing care needed. Additional charges are also made for hairdressing, newspapers and personal toiletries. A service user guide is on display in the reception area of the home. Care Homes for Older People Page 3 of 8 What we found: At this inspection we looked at the arrangements for handling and recording medicines in three out of five suites within the home. We found that the manager and her deputies carry out regular spot checks on a sample of medicines and associated records. We saw that medicine trolleys and cupboards were clean and well organised. However, cash was kept in controlled drugs cabinets, and some medicine fridges were not locked. We saw that injections stored in the fridge were labelled use as directed by the pharmacy. We counted a small number of tablets and found that the quantities matched the homes records of the number of tablets supplied and administered. However, records of the receipt of medicines into the home were incomplete. We also found a significant number of gaps in administration records and three instances where the administration record was signed but the medicine had not been given. We found that the doses of two medicines, one of which was a strong painkiller, had been changed without a new prescription or other written confirmation from the doctor. One person had been prescribed a medicine when required but the pharmacy label did not say how often the medicine could be given. There were no extra written guidelines (protocols) to tell staff why medicines to be taken when required had been prescribed. We talked to one person who looks after and takes most of her medicines herself. This person described her medicines to us and showed us where she kept them in her room. We found that the home had not made a written assessment of whether this person could take her medicines safely without help. One medicine was missing from the homes record of the medicines this person was prescribed. The home did not keep a record of the quantities of medicines supplied to this person. 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 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 5 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 1 9 13 The receipt of all medicines 01/06/2010 into the home, including medicines for people who are self medicating, must be recorded. so that medicines can be accounted for 2 9 13 Controlled drugs cabinets must be used solely for the storage of controlled drugs. for security reasons 01/06/2010 3 9 13 Medicines must be 01/06/2010 administered as prescribed. This must be demonstrated by record keeping practices. for the health and well being of people living in the home Written confirmation of changes to the dose of a medicine must be obtained from the prescriber in accordance with the Nursing Midwifery Council (NMC) Guidelines for the Administration of Medicines. 01/06/2010 4 9 13 Care Homes for Older People Page 6 of 8 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 for the health and safety 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 2 3 4 9 9 9 9 Medicine fridges should be kept locked. The pharmacy should be asked to label all medicines with full dosage instructions. Protocols should be written to guide staff as to when medicines prescribed as required should be administered. Risk assessments should be carried out for people who wish to self-medicate. The assessment should be reviewed at appropriate intervals and an up-to-date record of prescribed medicines should be kept. 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. 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. 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