Care Home: Inglewood Nursing Homes Ltd

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What the care home does well . What the care home could do better: The staff must strictly follow the policies and procedures of the home to ensure safe handling of medicines. Having clear person centred care plan on self administration and medicines to be taken only when needed will benefit the resident`s health care needs. Random inspection report Care homes for older people Name: Address: Inglewood Nursing Homes Ltd 7 & 9 Nevill Avenue Hampden Park Eastbourne East Sussex BN22 9PR two star good service 28/05/2009 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: Suni Chotai Date: 0 1 0 4 2 0 1 0 Information about the care home Name of care home: Address: Inglewood Nursing Homes Ltd 7 & 9 Nevill Avenue Hampden Park Eastbourne East Sussex BN22 9PR 01323-501086 01323-500102 Info@Inglewood co uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Karen Mary Howell Type of registration: Number of places registered: Conditions of registration: Category(ies) : Inglewood Nursing Homes Limited care home 60 Number of places (if applicable): Under 65 Over 65 60 0 old age, not falling within any other category physical disability Conditions of registration: 0 60 The maximum number of service users to be accommodated is 60 The registered person may provide the following categories of service only: Care home with Nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - (OP) Physical Disability (PD) Date of last inspection 2 8 0 5 2 0 0 9 Care Homes for Older People Page 2 of 9 Brief description of the care home Inglewood is a registered care home providing nursing care for sixty residents, who meet the registration category of elderly and physically disabled The accommodation offered consists of fifty single rooms of which twenty-seven have an ensuite facility, five double rooms one of which has an ensuite facility There are ample communal bathrooms with specialist equipment to ensure the safety of residents whilst bathing The home has the necessary specialist equipment required to meet the varied needs of residents, including hoists, air mattresses and cushions There is level access to all parts of the home by passenger lifts The home is well maintained internally and externally, with well-tended gardens that are accessible for wheelchair users The home is situated in a residential area of Hampden Park, near to an attractive park and the local shops There are public transport amenities close to the home Inglewood is set back from the road and has parking facilities to the front for approximately ten cars Care Homes for Older People Page 3 of 9 What we found: The pharmacist inspector from CQC, Suni Chotai visited the home to check that there are safe systems in place to ensure that people receive their medicines as prescribed by their doctor There had been a four medication errors in recent months Two of these medication errors have been reported to the local safegaurding authority and are being investigated by them At this Inspection we only looked at medication management systems We looked at medicine storage facilities and we watched three people being given their medicines at lunch time We looked at 28 residents medicine administration record [MAR] charts out of the 55 residents in the home We looked at three care plans specifically for information relating to treatment and medicines Regarding storage we noted that there were adeqaute facilities to manage medicine safely The service has three medicines trolleys to manage safe administration of medicine ensuring that the medicine round is split so that it is not too long a round allowing people to get their medicine at the prescribed times Storage facility is provided for controlled drugs which are medicine that require more secure storage by law Two medicine fridges are available to store medicine that needs to be kept cool According to the fridge temperature records kept by the home one of the fridges was below the required recomended range The staff recording this temperature did not take any corrective action despite there being clear guidance on the fridge door informing them of the correct temperature range required for cool storage of medicines Two nurses had check the controlled drugs stocks against the records the previous day and we spot checked two items and found records to be accurate We observed a nurse giving medicines at lunch time follow good practice She observed good hygeine procedure and had a good manner with the residents We looked MAR charts for the previous cycle as the current cycle was on day five of the cycle and we would not have enough information to look at The records were completed and information such as next blood test, next due date for an injection or reason for omitting any medicine were clearly recorded However there was a discrepancy between the number of available doses against the number of signatures seen on the MAR for three medicines This means that from the records we cannot be certain that people received their medicines as prescribed There were no care plans on medicine prescribed to be taken only when needed This is required for a person centred approach and for consistency We noted that for two residents managing their own medicines as stated in the care plan there was no risk assessment or a person specific procedure on the management of that medicine As one of the errors was around leaving medicines for a resident to take later we discussed with the staff how this could be managed as a partial self administration procedure under a risk assessment and clear detailed care plan We were informed that since the errors in medicine the home had put on two refresher Care Homes for Older People Page 4 of 9 training programs 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 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 Care plans are to be reviewed and updated on a regular basis and when the needs of the residents change To ensure the care and support provided meets their individual needs 31/07/2009 2 26 13 Training in the control of 31/08/2009 infection to be reviewed and updated as required to ensure staff follow the homes policies and procedures To ensure residents are protected from unnecessary risks to their health and safety 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 To have a person centred care plan on the use of medicine prescribed to be taken only when needed or are self administered including a detailed risk assessment where necessary So that there is consistency in the use of medicines and medicine are given safely 28/05/2010 2 9 13 To ensure staff follow the homes own policy and procedures in relation to medicine management and to maintain true and accurate records of medicines given to people So that there is a common approach, consistency and maintenance of the standards expected in the home 30/04/2010 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 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 © 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 9 of 9 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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