Care Home: Faversham House

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What the care home does well Only members of staff who have been trained and assessed as capable of dealing with medication safely are allowed to handle medicines. Having well trained staff reduces the risk of mistakes happening. Staff respect the dignity and independence of people living in the home. People have the right to take their medicines at the time of their choice and to refuse medication if they so wish. Medicines, including controlled drugs, are stored safely at all times, reducing the risk of them being misused or mishandled. What the care home could do better: There should be clear, written information telling staff when and how to administer medication prescribed to be taken only when required. This helps to ensure that medicines are given correctly and consistently by all staff. There should be written records of checks (audits) made on all aspects of handling medicines. These should include what was checked, the findings and actions taken as a result of the audit. Dressings and other items that are no longer used, or that had been prescribed for people who no longer live in the home should be disposed of appropriately in order to prevent them from being misused. Random inspection report Care homes for older people Name: Address: Faversham House 59 Church Road Urmston Manchester M41 9EJ three star excellent service 20/01/2009 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: Maggy Howells Date: 1 2 1 0 2 0 0 9 Information about the care home Name of care home: Address: Faversham House 59 Church Road Urmston Manchester M41 9EJ 01617485998 01617494915 rachel@favershamhouse.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Rachel Hind care home 20 Number of places (if applicable): Under 65 Over 65 20 0 old age, not falling within any other category physical disability Conditions of registration: 0 5 A maximum of 20 service users who are over 60 years of age may be accommodated. A maximum of 5 service users who are below 60 years and over 50 years of age and who require care by reason of physical disability can be accommodated within the overall maximum number of 20. Date of last inspection Brief description of the care home Faversham House is a care home providing nursing care and accommodation for up to 20 older people. Five people between the age of 50 to 60 years may also be accommodated within the total number. The home is a converted two-storey property that includes a purpose built ground floor extension. There are eight single bedrooms and six double bedrooms. There are three communal toilets, two assisted bathrooms and a large ground floor shower room. The communal space on the ground floor Care Homes for Older People Page 2 of 9 2 0 0 1 2 0 0 9 Brief description of the care home comprises of two lounge areas and a new conservatory. The home is located in the Urmston area of Manchester. There are local shops, a market and other amenities within a short distance of the home. The home is close to Urmston train station. There is a well-maintained garden to the rear of the home. There is a car park at the rear of the property. Faversham House fees range from 525.00-600 pounds per week. There are additional charges for chiropody (private) and hairdressing. Care Homes for Older People Page 3 of 9 What we found: We visited this service because we had been told about a mistake that had been made whilst dealing with medicines. We made an unannounced visit (this meant that no one knew we were coming) to check on the systems in place for handling, recording and administering medicines. During the visit we spoke to the manager and two nurses who were on duty at the time. We looked at the storage, policies and procedures for handling medicines as well as a sample of medicines and records. The policies and procedures were regularly reviewed and covered all aspects of managing medicines within this service. Staff had read these documents and followed them in order to protect people using this service. Overall we found that medicines were stored, handled and recorded safely. This meant that generally, people using the service were given the correct medicines at the correct time and this was clearly recorded. Some people were prescribed medicines e.g. painkillers, that were to be taken only when required. Clear information about how to take these medicines had not always been recorded. This means that some people may be at risk of being given these medicines incorrectly and inconsistently. Medicines were stored safely and securely at all times. Controlled Drugs (strong medicines that are at risk of being misused) were stored in an appropriate cabinet and recorded in a controlled drugs register. Entries in the register had been double signed although the exact time of giving these medicines had not always been noted accurately. Keeping medicines securely helps to reduce the risk of them being mishandled or misused. Photographs had been attached to the medication administration record sheets (MARs) for staff to check. This reduced the risk of medicines being given to the wrong person. There was a sample of all staff signatures available so that it was easy to see exactly which member of staff had been responsible for giving any particular medicine. Some medicines need to be kept between 2 to 8C. Records were kept showing that the temperature of the separate medicines fridge was checked regularly to make sure that it was in the correct range. Storing medication at the correct temperature helps to ensure that it is safe to use and does not spoil. An audit of a sample of medicines and records showed that not all medicines could be accounted for. The MARs clearly showed what each person was prescribed and, whether or not medication had been signed for. We could not always see how much medication should have been in stock and this made it impossible to tell whether or not some medicines had been given correctly. Only members of staff who had been trained and assessed as capable of dealing with medication safely were allowed to handle medicines. The health and well being of people using the service is better protected when staff are well trained. Care Homes for Older People Page 4 of 9 We saw nurses giving out the morning medication. They did this carefully and hygienically. The staff were patient with people and offered encouragement where necessary. We heard one nurse clearly explaining what medicines were being offered and why it was important that they were taken. Peoples right to get up at the time of their choice was respected and they were offered their medicines accordingly. Some medicines have to be taken a specific time for example after food. Nurses were careful to ensure that these medicines were given correctly. Some checks (audits) were made on the medicines systems, but there were no records of these. This meant that it was not possible to see what had been checked, what the results were and how any issues had been dealt with in order to improve practice. We offered some advice about making audits more effective and using them in order to improve standards in the service. 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 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 Older People 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 9 13 Dressings and other items 27/11/2009 that are no longer used, or that have been prescribed for people who no longer live in the home must be disposed of appropriately and in a timely manner in order to prevent them from being misused. 2 9 13 Written records of regular 27/11/2009 checks (audit) on all aspects of the medicines system must be kept together with any action taken as a result of the audit in order to maintain and improve the standard of handling medicines and protect people living in the home . Care Homes for Older People Page 7 of 9 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 There should be clear, written information telling staff when and how to administer medication prescribed to be taken only when required. This helps to ensure that medicines are given correctly and consistently by all staff. 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. 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 Older People Page 9 of 9 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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