Care Home: Hadrian Park

What the care home does well Systems for the checking and auditing of medicines are efficient so that any mistakes are promptly found and action is taken to help prevent them happening again. What the care home could do better: Improvements in the way people are supported to look after their own medicines are needed so they receive the right amount of support to do it safely. Random inspection report Care homes for older people Name: Address: Hadrian Park Marsh House Avenue Billingham Stockton-on-Tees TS23 3DF 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: Simon Hill Date: 1 6 0 9 2 0 1 0 Information about the care home Name of care home: Address: Hadrian Park Marsh House Avenue Billingham Stockton-on-Tees TS23 3DF 01642566322 01642566744 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Lois Kate Morgan Type of registration: Number of places registered: Conditions of registration: Category(ies) : Southern Cross OPCO Ltd care home 73 Number of places (if applicable): Under 65 Over 65 24 49 dementia old age, not falling within any other category Conditions of registration: 0 0 The maximum number of service users who can be accommodated is: 73 The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia, over 65 years of age - Code DE(E), maximum number of places: 24 Old age, not falling within any other category - Code OP, maximum number of places: 49 Date of last inspection 0 3 0 6 2 0 1 0 Care Homes for Older People Page 2 of 8 Brief description of the care home Hadrian Park is a purpose-built home opened in 2004. There are 73 beds available, 24 of which are specifically for those suffering from dementia. The dementia unit is separate to the rest of the home, and is built around a courtyard, therefore enabling those who live at the home access to a secure, outdoor space, which has been landscaped. This unit is on the ground floor. The remainder of the home has both ground floor and first floor rooms, which are reached by a lift. All rooms are for single occupancy, and all have en-suite facilities consisting of a toilet and wash hand basin. Residents are able to personalise their rooms, according to preference and taste. Care Homes for Older People Page 3 of 8 What we found: We carried out this visit to look at how medicines were being handled because we found serious shortfalls on our last visit. A specialist pharmacist inspector checked a sample of medicines stocks, medicines records and care plans. We spoke with five care staff, two people who live in the home and gave detailed feedback to the registered manager at the end of our visit. Overall we found good improvements that meant medicines were now being handled in a much safer way. We found medicines records and stock to be well organised. Records of medicines received into the home, given to people and disposed of were accurate so medicines could easily be accounted for. Our checks and the homes own systems showed medicines were now being given and recorded in a much safer way. Medicines stocks were checked at most medicines rounds so that any mistakes were highlighted promptly so action could be taken to help prevent them happening again. Records had been improved because specific warnings about medicines such as taking them before food were now properly highlighted and our checks showed that these instructions were being correctly followed. Giving people their medicines at the right time and dose is important because it helps maintain their health and wellbeing. We saw good improvements in the recording and administration of medicines that were not taken, for example, when people were asleep or refused them. Staff usually returned to people to give them their medicines at a later time that fitted into their daily routine and respected their wishes. We found good improvements in the way when required medicines were handled because detailed care plans had been written that described how to use them properly and the manager said these were now being regularly reviewed. External medicines such as creams had clear plans about how to use them. However, we found the records of them being applied were not always signed by the care staff that applied them so there was a risk they might not be used properly. Some people were looking after their own medicines. One person that was managing their own inhalers did not have a risk assessment or care plan so there was a risk they might not receive the right amount of support to do it safely. When we checked their medicines stock and spoke with them it was difficult to know if they were using the inhalers properly because records were not clearly made when new supplies were given to them. We gave some advice to the manager and care staff about how to improve this because safely supporting people to look after their own medicines is important in helping them retain some of their independence. We checked how medicines liable to misuse, called controlled drugs, were handled. We found they were securely stored in suitable cupboards and when we checked the current stocks we found these were correct and all records were properly witnessed. Having secure storage and witnessed records helps prevent the mishandling and misuse of controlled drugs. Since our last visit the supplying pharmacy had carried out a detailed audit and the managers had strengthened the medicines checking and auditing systems so mistakes Care Homes for Older People Page 4 of 8 were now being promptly found. Care staff had received and were due to attend more medicines handing training in the next month or so. Staff competency assessments had been carried out in the past and medicines round were being regularly observed to make sure staff were following the correct procedures. 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 8 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 Where a need is identified a care plan must be in place. This will ensure peoples needs are being met. 28/07/2010 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 Improvements in the 22/10/2010 paperwork and systems must be made for people that look after their own medicines. This will help make sure they receive the right amount of support to do it safely. 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 Paperwork and systems for the recording of external medicines such as creams should be improved to help make sure they are used properly. 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. 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. Care Homes for Older People 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!