Care Home: First Step

Similar services:

• Park House
• Huntercombe Centre
• Wellburn House

What the care home does well People living in the home have a choice of both surgery and pharmacy who will supply their prescription medicines. What the care home could do better: The policy should be expanded so that staff have guidance on how to administer medication safely. Records of administration after medication has been given, this makes sure it is an accurate record. Random inspection report Care homes for adults (18-65 years) Name: Address: First Step 114 Marton Road Middlesbrough TS1 2DY two star good service 10/07/2009 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: Janet Long Date: 0 5 0 7 2 0 1 0 Information about the care home Name of care home: Address: First Step 114 Marton Road Middlesbrough TS1 2DY 01642231476 01642232239 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Gail Starling Type of registration: Number of places registered: Conditions of registration: Category(ies) : First Step Limited care home 15 Number of places (if applicable): Under 65 Over 65 0 0 past or present alcohol dependence past or present drug dependence Conditions of registration: Date of last inspection Brief description of the care home 15 15 1 0 0 7 2 0 0 9 First Step is housed in a large detached, converted vicarage, with some purpose built flats adjoining it, which have been taken over by the home. There is a small garden to the front of the property, and a private paved area to the rear where people can sit outside. It is situated on a busy main road close to Middlesbrough town centre, so is convenient for services required by the user group. Accommodation is provided for up to fifteen people in fifteen single bedrooms (seven with en-suite facilities) Of these rooms, three were under size requirements. However, the flats were spacious, with each person having their own kitchen, bed sitting room and bathroom. These Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home were used by people who had completed the first two stages of their rehabilitation programme, and were progressing towards eventual discharge. There are two lounges and a large dining/activity room as well as a counselling room in the main building. People are supported and encouraged to use both the kitchen and the laundry. The home offers a programme of rehabilitation that may include a period of detoxification for both drug and alcohol dependencies. Fees charged by the service range from £448.51 to £514.66 per week. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: The reason for the visit was to undertake a pharmacist inspection of the service to look at the arrangements within the home that support the safe handling of medicines. The visit lasted two hours and involved looking at medicine records, policy, storage and administration. Staff involved in the administration of medication had not any medicine training. This had been identified and training is planned for July 2010. The medication policy needs to be reviewed. The current policy does not provide enough information for staff on current legislation and guidance to make sure that safe practices are followed. Medication is stored in a locked cupboard in an office area. The office is multipurpose and there is now a process in place to prevent interruptions during medicine administration. A record of room temperature is kept but not all staff were sure how to read the thermometer. No fridge was currently available as no medicines required refrigeration. The home uses an in house medication administration record which has recently been updated on the advice of a visiting health care professional. The medicine administration records (MAR) contained some gaps in record keeping, and an audit of current stock and records showed that some medication had been signed for but not given. One person had a dose change noted on their MAR but when asked staff at the home could find no written confirmation of this change. To demonstrate medication is being given as prescribed the MAR should record each administration. One MAR chart had medication not given because there was no stock available. It is important to make sure that the quantity of medication is regularly checked so that a prescription can be ordered in plenty of time to prevent people being without. 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 Adults (18-65 years) 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 Adults (18-65 years) 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 All medication must be 31/08/2010 administered as prescribed and available to administer from. Accurate records must be kept for all medicines including controlled drugs. This will make sure that people receive their medication correctly and the treatment of their medication is not affected. 2 9 13 Additional training that 31/08/2010 reflects best practice guidelines must be provided to all staff involved in the administration of medication. Having well trained staff helps to reduce the risk of medication errors. Care Homes for Adults (18-65 years) Page 6 of 8 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 the temperature of the medication room should be regularly monitored. This makes sure that medicines are being stored at the temperature recommended by the manufacturer. The medication policy should be updated in line with current guidance . This means that staff understand how to handle and administer medication safely. 2 9 Care Homes for Adults (18-65 years) 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 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. © 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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