Care Home: Cornwallis Court Residential And Nursing Home

What the care home does well Medication is stored and administered in accordance with legal requirements and the prescribers` directions. The home`s medication records provide for audit of medication kept in the home. What the care home could do better: Information that would assist further with medicines administration should be available with the medicines administration record (MAR) charts. The monitoring of medicines cold storage could be improved with better use of the fridges` maximum/minimum thermometers. Random inspection report Care homes for older people Name: Address: Cornwallis Court Residential And Nursing Home Hospital Road Bury St Edmunds Suffolk IP33 3NH one star adequate service 27/05/2009 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: Lawrie Allum Date: 2 0 0 8 2 0 1 0 Information about the care home Name of care home: Address: Cornwallis Court Residential And Nursing Home Hospital Road Bury St Edmunds Suffolk IP33 3NH 01284768028 01284700709 Telephone number: Fax number: Email address: Provider web address: www.rmbi.org.uk Name of registered provider(s): Name of registered manager (if applicable) Miss Elizabeth MacIntyre Hunter Fleming Type of registration: Number of places registered: Conditions of registration: Category(ies) : Royal Masonic Benevolent Institution care home 74 Number of places (if applicable): Under 65 Over 65 10 64 dementia old age, not falling within any other category Conditions of registration: 0 0 1 Maximum of twelve people with nursing needs may be accommodated at Cornwallis Court. 2 Maximum of ten people with dememtia may be accommodated at Geoffrey Dicker House. Date of last inspection Brief description of the care home Cornwallis Court is situated in very well maintained grounds and gardens. It was originally part of the West Suffolk Hospital. Cornwallis Court opened in June 1981. The Care Homes for Older People Page 2 of 9 2 4 0 5 2 0 1 0 Brief description of the care home home can care for up to 74 residents, with up to 12 of those beds used for nursing care and up to 10 for people with dementia. The accommodation offers residents single bed sitting rooms with en-suite facilities. In the main building there were two lounges, one on the ground floor and one on the first floor, and a ground floor dining room. There are also other smaller areas for use by residents who may wish to sit on their own or in a small group. All rooms are comfortably furnished to a good standard, with a continuous program of decoration and upgrading. There is also a well-stocked library. There are bathrooms and WCs, which are well equipped to assist residents and staff. There are a number of kitchenettes for use by residents and their relatives to make hot drinks and snacks. There is also a small shop and hairdressing salon for use by residents. Ramps are provided and pathways maintained to allow residents to access the garden and to enable people wishing to walk around the grounds to do so safely. Geoffrey Dicker House is a self-contained home with lounge, dining room and kitchenette. There is a separate entrance to this part of the home. Fees at the home are dependent on the assessed needs of residents. Please contact the home for more details. Care Homes for Older People Page 3 of 9 What we found: The main purpose of this specialist inspection by a pharmacist inspector was to check the compliance of medicines related requirements made at the last CQC inspection of the home on 24th May 2010. Since the last inspection the homes management have decided to change their dispensing pharmacy. The homes manager stated that this change will be phased in during September and October this year. This will include changes to the storage of medication in the homes dementia unit, Geoffrey Dicker House. To address the finding from the last inspection concerning the temperature of medication storage in this unit being above the required temperature of 25 degrees Celsius, this unit has temporarily moved their residents medication storage from facilities in their rooms to central storage. The current storage temperature and records maintained indicated that the storage temperature was now meeting this requirement. Examination of medication records and audit of medication in all three of the homes units indicated that residents were receiving their medication as prescribed. Documentation also indicated that the requirements of the Mental Capacity Act were now being addressed for residents requiring covert administration of their medication. Although arrangements for the cold storage of medication in all three units met requirements with a current storage temperature between 2 and 8 degrees Celsius, it was found that one unit had been recording the minimum temperature of the fridge as opposed to the actual temperature. This was due to the maximum/minimum thermometer not set to display the Care Homes for Older People Page 4 of 9 current temperature reading and not being reset after the daily recording. It is therefore recommended that staff receive training in the use of the thermometers and it is good practice to include the maximum and minimum temperatures, in addition to the current temperature, in daily records as an indicator of the correct functioning of the fridges. There were occasions when including additional information with the medicines administration record (MAR) charts would assist with usage. This included where the prescribers directions required further information that was included in the documented notes for that resident, for example, when required, unless otherwise stated this should include such information as: the indication for administering, the dose, minimum interval between doses and maximum doses in a time period. Another example where information on the MAR chart would be helpful includes when a medicine requires handling precautions that is documented in the medication leaflet, for example, finasteride tablets. When the home relies on an outside professional to administer medication, such as a district nurse, then to ensure this is not overlooked, it would be useful to include the date due for the next dose on the MAR chart, for example, hydroxocobalamin injection to be administered every 3 months. What the care home does well: Medication is stored and administered in accordance with legal requirements and the prescribers directions. The homes medication records provide for audit of medication kept in the home. Care Homes for Older People Page 5 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 Older People Page 6 of 9 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 7 15 Care plans need to be 30/07/2010 written swiftly in order to ensure staff have clear instructions to safely care for residents. This will ensure the ongoing safety and welfare of residents Care Homes for Older People Page 7 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 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 To monitor the cold storage of medicines by the improved use of thermometers and temperature records. 2 9 To include further information with the medicines administration record (MAR) charts to assist with medicines administration. Care Homes for Older People 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 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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