Care Home: Glenhurst Manor

What the care home does well The home supports people to make their own choices with regard to their medicines where possible. Senior staff carry out regular audits of medicines and act on the results. What the care home could do better: All staff must be made aware of the importance of maintaining the fridge at an appropriate temperature and the actions needed if the temperature increases. Random inspection report Care homes for older people Name: Address: Glenhurst Manor 44a West Cliff Road Bournemouth Dorset BH4 8BB 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: mary collier Date: 1 5 0 2 2 0 1 0 Information about the care home Name of care home: Address: Glenhurst Manor 44a West Cliff Road Bournemouth Dorset BH4 8BB 01202761175 01202761164 info@glenhurstmanor.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) : Mr Kevin Robin Ellis care home 36 Number of places (if applicable): Under 65 Over 65 36 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is 36. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (Code OP) Date of last inspection Brief description of the care home Glenhurst Manor is registered to provide personal care and accommodation for a maximum of 36 people. The home is in the West Cliff area of Bournemouth, a short walk from the cliff top and not far from the facilities of the town centre and the Westbourne shopping area and is situated on a bus route for central Bournemouth. It is registered to Mr Ellis. The Registered Manager is Mrs Lesley-Anne Clements. 0 3 1 2 2 0 0 8 Care Homes for Older People Page 2 of 8 Brief description of the care home Accommodation is arranged over three floors providing 29 single bedrooms and 4 bedrooms that may be used as double rooms. All rooms except one have en suite facilities. A passenger lift provides level access to all areas of the home. There is a large lounge and a separate dining room; both have views of the rear garden. To the front and rear of the property are well-maintained grounds for the use of residents; there are car parking spaces at the front of the house. Fees range from #595 to #695 per week depending on room size and view. Care Homes for Older People Page 3 of 8 What we found: This inspection was carried out by our Pharmacist Inspector. It was an inspection of the arrangements for medicine handling in the home. We were assisted by the manager and deputy manager. The manager explained that they had recently agreed to a change of pharmacy. The new system would start the following week and would mean that the medicines would be supplied in a different packaging. This system would also be used for the people who manage their own medicines. The manager believed that the new packaging would make the medicines easier to audit including assisting staff when they check on people who look after their own medicines. The people who currently manage their own medicines had agreed to the change. We looked at the care plans for those people who manage their own medicines and saw that they had been assessed as able to manage and reviewed at two monthly intervals. The audits of medicines included where staff had checked the medicines of people who looked after their own. Medicine administration records were clear, where written additions had been made they were mostly signed by two members of staff, however we found some records where this had not been done. Some people were prescribed an anticoagulant medicine and , although the records were accurate and clear, the home was not following the guidance issued by the National Patient Safety Agency which we looked at during the inspection. We saw evidence of people exercising their choices about medicines in addition to managing their own medicines. Refusals were marked on one persons records and staff could clearly explain why that was the case and showed that the GP had been informed. Another person had requested that the home contact the GP to change some of their medicines. Medicines were all stored securely, however there were two concerns. The controlled drug cupboard must be secured to the wall with rag or rawl bolts to ensure that it complies with the legislation and the fridge had been turned off at the time of the inspection when there were medicines in it. The management of the home are pro actively improving the safety of medicines handling in the home whilst supporting people to maintain their Independence. What the care home does well: What they could do better: All staff must be made aware of the importance of maintaining the fridge at an appropriate temperature and the actions needed if the temperature increases. Care Homes for Older People Page 4 of 8 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 The controlled drug cupboard 24/03/2010 must be attached to a solid wall with rag or rawl bolts. This will ensure that it complies with current legislation. 2 9 13 The fridge must be 24/03/2010 maintained at an appropriate temperature and suitable action taken if there is any deviation. This will ensure that all medicines are stored safely and remain suitable for use. 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 Written additions to the medicines administration records should be signed, dated and checked by two members of staff. 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. 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