Care Home: Church View (Residential Home) Limited

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What the care home does well We found good information to support the use of `when required` medicines, which helps make sure they are used safely. What the care home could do better: The controlled drugs cupboard must be properly fixed to the wall so it meets the requirements of the law. Liquid medicines should be measured using the correct measuring equipment to help make sure they are given at the right dose. Records of medicines received into the home must be accurately made and must include the date the medicines are received. Random inspection report Care homes for older people Name: Address: Church View (Residential Home) Limited Church Street Oswaldtwistle Lancashire BB5 3QA 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: Simon Hill Date: 0 4 0 5 2 0 1 0 Information about the care home Name of care home: Address: Church View (Residential Home) Limited Church Street Oswaldtwistle Lancashire BB5 3QA 01254381652 01254239863 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Susan Lesley Burton Type of registration: Number of places registered: Conditions of registration: Category(ies) : Church View (Residential Home) Limited care home 32 Number of places (if applicable): Under 65 Over 65 32 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: 32 Date of last inspection Brief description of the care home Church View Care Home Oswaldtwistle was purpose built in 1988. It is a single storey building, with level access, situated in its own well-kept grounds. The home is in the centre of the town of Oswaldtwistle, close to all local amenities. Church View Care Care Homes for Older People Page 2 of 8 Brief description of the care home Home is registered to provide 24-hour personal care for up to 32 people. Accommodation is offered in single en-suite bedrooms. Communal rooms include 3 lounges and 2 dining rooms. The garden is easily accessible to all residents.The current fees charged at Church View range from GBP346 per week for those people who are funded by the local authority to GBP418 per week for people who are self funding. Additional charges are payable for hairdressing, newspapers and toiletries. A fee is also charged should people require a staff escort to attend appointments. The statement of purpose and service users guide were on display in the home. Care Homes for Older People Page 3 of 8 What we found: We carried out this inspection to check how medicines were being handled. A specialist pharmacist inspector carried out the visit and checked medicines records, medicines stocks and spoke with two members of staff. Overall we found medicines were usually given to people in a safe way and gave some advice to the manager about how to make further improvements. We found medicines records to be generally clear and accurate but found the records of medicines received into the home were not always properly dated, which made accounting for them sometimes difficult to do. We found medicines that needed to be carried forward to a new monthly cycle were properly recorded and all medicines were dated on opening so they could be easily checked. Running stock balances were used for some boxed medicines to help monitor their use and we advised this should be done for all so that the manager could easily check they were being given to people correctly. Records of medicines administered to people were usually signed and up to date and records of medicines disposed of when they were no longer required were clearly recorded and properly witnessed. Accurate record keeping is important because it helps to show medicines are being handled safely. Our checks of the records and stocks found medicines were usually given to people at the right time in relation to mealtimes because they had been properly organised. We found most medicines stocks added up showing they had been given to people correctly. However, we found some discrepancies with handwritten records, inhalers and liquids that we discussed with the manager and gave some advice about how these should be monitored and prevented. We raised concerns about the measuring of liquid medicines because some of the stocks did not add up, the manager agreed that the wrong measuring equipment was being used and said she would obtain the right measures as soon as possible. Giving medicines at the right time and dose is important because it helps make sure they work properly. We checked how controlled drugs (medicines that can be misused) were handled. The cupboard used for storage was reasonably secure but did not meet the requirements of the law so we gave some advice about how to put it right. We found some minor recording mistakes that we discussed with the manager and gave some advice about how to prevent them happening again. Secure storage and witnessed records of controlled drugs help prevent them being mishandled and misused. We check a sample of care plans and supporting paperwork and found some good information about the use of when required medicines such as painkillers and creams. On admission to the home records were made about each persons medicines including their common side effects and what they were used for. We found detailed information about the use of a medicine to help a person with swallowing difficulties and this was reviewed regularly. Having care plans about medicines is important to help make sure they are safely used. We looked at how medicines were checked by the manager and saw recorded audits that were carried out monthly. Mistakes had been found and we saw action had been taken to help prevent them happening again. We gave some further advice about how to improve Care Homes for Older People Page 4 of 8 these by having more running stock balances, checking the disposal of medicines, reducing the amount of medicines wastage and monitoring the use of liquids and creams more closely. Care staff that handled medicines had received regular medicines training, which included a formal session from an external training company and a DVD learning program provided in house by the manager. This was repeated on a regular basis as were formal competency assessments that included watching staff give and record medicines. Regular audits, good training and formal competency assessments help make sure staff have the necessary skills to handle medicines safely. 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 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 1 9 13 Controlled drugs (Medicines that can be misused) must be stored in a legally compliant cupboard. This will help prevent mishandling and misuse. 05/08/2010 2 9 12 Records of medicines 05/06/2010 received into the home must be accurate and must include the date they are received. This is important so that all medicines can be fully accounted for. 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 Liquid medicines should be measured using the correct measuring equipment to help make sure they are given at the right dose. 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. 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. 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