Care Home: Francis House

Similar services:

• Flint House
• The Ley Community
• Yeldall Manor
• Cherwood House Care Centre
• The Manor Clinic

What the care home does well Medicines are handled by trained staff who work to detailed written procedures. The service`s records were able to show that people receive the medicines that have been prescribed for them. What the care home could do better: Care planning for the administration of medicines prescribed to be given only when needed must be improved. They need to include detailed information and instructions to enable staff to met the need of people who use the service. Controlled Drugs must be stored in a cupboard that complies with the law. Random inspection report Care homes for adults (18-65 years) Name: Address: Francis House 2 Hulse Road Southampton Hampshire SO15 2JX 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: Geraldine Yates Date: 0 7 0 5 2 0 0 9 Information about the care home Name of care home: Address: Francis House 2 Hulse Road Southampton Hampshire SO15 2JX 02380224481 Telephone number: Fax number: Email address: Provider web address: peter.s@streetscener.org.uk Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : StreetScene Addiction Recovery care home 18 Number of places (if applicable): Under 65 Over 65 0 0 past or present alcohol dependence past or present drug dependence Conditions of registration: 18 18 The maximum number of service users to be accommodated is 18. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Past or present alcohol dependence (A) Past or present drug dependence (D). Drug dependence past/present (D). Date of last inspection Brief description of the care home Francis House is situated in a residential area of Southampton near to the city centre and Southampton common. The home is registered with the Commission for Social Care Inspection as a treatment centre to accommodate eighteen people with drug and alcohol related problems. Francis House is part of the Street Scene organisation with two other treatment centres in Bournemouth. The treatment programmes consist of Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home cognitive behavioural therapy, motivational enhancement and twelve-step therapy. The home offers both primary and secondary treatment courses. All adults over 18 years of age can be accommodated at the home and Francis House offers both shared and single bedrooms and a range of communal areas in a large period property with a garden. The ground floor is accessible but the upper floors are only accessible via stairs, the building does not have a lift. Fees are #530.00 per week. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: This inspection was a specialist pharmacist inspection to look at the safe handling of medicines in the service, following notification of two medicine errors in the last 6 months. We looked at staff training, policies and procedures, records of medicines given to people and talked to the manager and a senior support worker who has a lead role in medicine handling. We looked at the records of 12 people who were prescribed medicines. People who use this service are encouraged and supported to be as independent as possible. If people are able to look after any of their own medicines they are supported to do this. When we visited most people who were prescribed medication needed support from the staff. The only medicines being looked after by residents were low risk items such as inhalers and creams. When people looked after these medicines their ability to do so had been assessed. They did not however cover the risks that this activity might poss to other people nor how any risks could be minimised. This is an area that should be developed. Staff who support people with their medicines have been trained to do so and their competency has been assessed. However, the assessment is not done in a structured way and is not documented. Clear and detailed written procedures for the safe handling of medicines are available to guide staff further and to ensure that medicines are handled in the same way by all staff. The service has an open reporting culture when errors or problems are identified. Following the medication errors the manager produced a risk management plan to identify and address areas for improvement. New flexible shift patterns are being trialled in another home in the group with the aim of increasing the staffing level in the evenings. This will provide an additional member of staff during the evenings when medication deliveries are often received and will avoid the need for a lone worker to give out medicines at this time. The records, medicines supplies and the homes own audits showed us that people get their medicines correctly. The service has a robust audit system to reconcile medicine usage with records of medicines received, given to people and any medicines disposed of. These together with the services daily checks of their records provide an assurance that people are getting their medicines. When people are prescribed medicines to be given only when needed there was no information in their care plans informing staff as to when these medicines should be given. This could lead to people receiving their medicines differently from different staff. All medicines were stored securely for the protection of people who use the service. Medicines requiring cool storage were kept in a secure refrigerator. Whilst the thermometer show the fridge to be operating at the correct temperature when we visited daily temperature records were not being kept so we could not tell if had been outside of the correct temperature range, which could result in the medicine kept in it not being fit for use. Medicines that are liable to misuse, called Controlled Drugs, were stored in a locked cupboard. This cupboard did not comply with the law. Additional records were kept of the usage of Controlled Drugs so as to readily detect any loss. On two occasions recently the Care Homes for Adults (18-65 years) Page 4 of 8 records had not been properly completed. We checked with the records of medicines given to people and these assured us that this was an error in recording practice and that no medicines were missing. It is however recommended that the controlled drugs register is checked when the administration records are audited so that problems can be identified and dealt with. 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 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 Adults (18-65 years) 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 1 20 13 Controlled Drugs must be stored in a Controlled Drugs cupboard that complies with the Misuse of Drugs (Safe Custoday) Regualtions 1973 In order to comply with the law 19/08/2009 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 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. 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 Adults (18-65 years) Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!