Care Home: Limecroft Resource Centre

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Ruskin Lodge
• Bushell House
• Langrigg House
• Parkside
• Dystlegh Grange
• Thornton Lodge

What the care home does well Only members of staff who have been trained and assessed as capable of dealing with medication safely are allowed to handle medicines. Having well trained staff reduces the risk of mistakes happening. Regular checks (audits) are made on the medicines and records in order to make sure that they have been given correctly. Where risks or mistakes are noticed the manager deals with these appropriately to prevent them from reoccurring. Records are clear and accurate, showing exactly what medicines have been given, including creams and food supplements. Medicines are stored safely, reducing the risk of them being misused or mishandled. Medicines are checked and given out by two members of staff to reduce the risk of mistakes being made. What the care home could do better: The manager should ensure that all medicines are labelled correctly by the pharmacy so that staff can easily identify each different medicine before giving it to a person using the service. Random inspection report Care homes for older people Name: Address: Limecroft Resource Centre Whitebank Road Limeside Oldham OL8 3JL three star excellent 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: Maggy Howells Date: 2 3 0 7 2 0 0 9 Information about the care home Name of care home: Address: Limecroft Resource Centre Whitebank Road Limeside Oldham OL8 3JL 01619113490 01619113501 limecroft.RC@oldham.gov.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) : Oldham M.B.C. care home 21 Number of places (if applicable): Under 65 Over 65 0 21 dementia old age, not falling within any other category Conditions of registration: 21 0 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: Old age, not falling within any other category - Code OP Dementia - Code DE The maximum number of service users who can be accommodated is: 21 Date of last inspection Brief description of the care home Limecroft is a large, purpose built establishment managed by Oldham Metropolitan Borough Council. The home has been adapted to provide short-stay accommodation for up to 21 older people, some of who may have dementia or a physical disability. The people who use the services of Limecroft return to their own homes at the end of Care Homes for Older People Page 2 of 8 Brief description of the care home their stay. The short breaks can also be part of a larger package of care arranged by a social worker in order that the service user is maintained within the local community. A day care facility also operates from the same building but is not subject to inspection. Both the respite and day care service provided by Limecroft supports large numbers of people in the local community. The establishment is well maintained and provides single accommodation over two floors. Eight bedrooms have en-suite facilities. Each floor provides small domestic style living and dining areas. The dining areas are fitted with kitchens for the service users to make themselves snacks and drinks. Adapted baths and toilets are located on both floors and there is a full passenger lift. The building is located within a residential area, close to shops and other community resources. It is understood that the establishment is well served by public transport. There are grounds to the front and side of the building and off road parking is to the front of the property. Fees for accommodation and care at the establishment are subject to a financial assessment the upper limit being £360. Care Homes for Older People Page 3 of 8 What we found: We visited this service as we had been told about a number of mistakes that had been made whilst dealing with medicines. We made an unannounced visit (this means that noone knew we were coming) to check on the systems in place for the handling, recording and administering medicines. During the visit we spoke to the manager and other members of staff. We looked at the storage, policies and procedures for handling medicines as well as a sample of medicines and records. The policies and procedures covered all aspects of managing medicines within this service. These documents were regularly reviewed and improvements made in order to protect people using this service. Overall we found that medicines were stored, handled and recorded safely. This meant that generally, people using the service were given the correct medicines at the correct time and that this was clearly recorded. Medicines were stored in a locked room. Medicines currently being used were kept in individually named tubs within locked trolleys. Photographs had been attached to the tubs, medication administration record sheets (MARs) and, where possible, to the blister packs for staff to check. This reduced the risk of medicines being given to the wrong person. We found that not all blister packs of medicines brought into the service had been labelled correctly by the supplying pharmacies. This meant that staff could not always tell what medicines were in each blister. There is more risk of mistakes being made if staff cannot easily identify each different medicine before administering it. At the time of the visit, there were no Controlled Drugs (strong medicines that are at risk of being misused), although the service was able to store and record these correctly if needed. Separate fridges were available for medicines that needed to be kept cold. All medicines were administered by teams of two staff from a quiet area of the home. Having two staff check each dose, with few distractions helps to reduce the risk of making mistakes. Administering medicines from a quiet area also means that peoples privacy and dignity are maintained. An audit of a sample of medicines and records showed that all medicines could be accounted for. The MARs clearly showed what medicines each person was taking and, where necessary, how these were to be given. The service had systems in place to make sure that peoples medicines were checked before or, in the case of emergency admissions, as soon as possible after they arrived at the home. There were also procedures to ensure that people had enough medicines to last throughout their stay. Records were kept of all medicines that came into and left the service. Only members of staff who had been trained and assessed as capable of dealing with medication safely were allowed to handle medicines. The health and well being of people Care Homes for Older People Page 4 of 8 using the service is better protected when staff are well trained. Regular checks (audits) were made on the medicines and records in order to make sure that they had been given correctly. Where risks or mistakes had been noticed the manager had dealt with them appropriately to prevent them from reoccurring. Where necessary, staff had been given further training and support to improve their skills. 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 £ 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 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 manager should ensure that all medicines are labelled correctly by the pharmacy so that staff can easily identify each different medicine before giving it to a person using the service. 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. 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 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!