Care Home: Marsden Grange

What the care home does well Medicines are well organised making it simple to accurately account for them all. What the care home could do better: Staff competency when handling medicines should be regularly assessed to help make sure they have the necessary skills. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Marsden Grange 239 Barkerhouse Road Nelson Lancashire BB9 9NL 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: 2 0 0 4 2 0 0 9 Information about the care home Name of care home: Address: Marsden Grange 239 Barkerhouse Road Nelson Lancashire BB9 9NL 01282618226 01282613382 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) : Mrs Eileen Frances Littlewood care home 40 Number of places (if applicable): Under 65 Over 65 40 old age, not falling within any other category Conditions of registration: 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 The maximum number of Service Users who can be accommodated is: 40 Date of last inspection Brief description of the care home Marsden Grange is located in Nelson, set back off the main road in its own grounds. There is a bus stop outside the home, on route to the town centre. Accommodation is offered for twenty-four people in single and double rooms in the main house. The upper floor is accessed via stair lifts. There are aids and adaptations provided to assist people to maintain their independence. All rooms have a call system for residents to summon staff assistance. There is a purpose built extension to the rear of the home that accommodates sixteen people. Bedrooms in this extension are single and have en Care Homes for Older People Page 2 of 8 1 9 0 1 2 0 0 9 Brief description of the care home suite facilities. There is car parking space to the front and rear of the home. Information about the service is available from the home for potential residents in a Statement of purpose and Service User Guide. Weekly charges for personal care and accommodation range between £373:50 and £423:50. Residents are responsible for purchasing optional extras such as hairdressing, and private chiropody. Care Homes for Older People Page 3 of 8 What we found: We visited the home because a previous inspection found medicines were not always being handled safely. The visit was carried out by a pharmacist inspector and lasted approximately three hours. We looked at medicines records, medicines stock and their storage arrangements. Overall we found some good improvements in the way medicines were handled that helped make sure medicines were being given to people correctly. We looked at the records of medicines given to people and found significant improvements. Records of medicines received into the home were properly recorded and there was a clear system of stock control that made accounting for medicines simple and easy to do. The general arrangements for medicines returned to the pharmacy were improved and records were accurately made. Stock was promptly disposed of when no longer required to help prevent any mishandling. We looked at a more detailed sample of medicines, particularly medicines not contained in the specially dispensed system (this is made by the pharmacy to make giving medicines simpler to do). We found two examples of medicines not adding up showing they had probably not been given to people correctly. We discussed these mistakes with the manager and gave advice on how to prevent this happening again. We looked at the times medicines were given and found some medicines were not given at the right and best time for people. Records were not always clearly highlighted with the right time and we saw two specific examples when medicines that should be given before food were given after. Giving medicines at the wrong time can stop them working properly. We checked how controlled drugs (medicines that can be misused) were handled. The cupboard used for storage was now properly attached to the wall making it secure. A special register was used for record keeping and this was usually completed correctly with all entries properly witnessed. Secure storage and detailed records help prevent mishandling and misuse. The arrangements for the storage of medicines had been further improved since our last visit and all medicines were now properly and securely stored. We saw an example of a medicines audit (checks on the medicines) that had been completed the month before. We gave some advice on how to develop this further to help make sure all medicines handling procedures are regularly and thoroughly checked. We looked at how staff were trained and how their competency when handling medicines was assessed. On our previous visit we had advised the manager to record any formal observations of staff when handling medicines but no paperwork to support this had been developed. We gave some advice on how to do this because regular recorded competency assessments on staff help make sure they have the necessary skills to handle medicines safely. Care Homes for Older People Page 4 of 8 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 9 13 Medicines must always be given as prescribed. Because receiving medicines at the wrong time, wrong dose or not at all can seriously affect a persons health and wellbeing. This requirement was not fully met. 27/02/2009 2 9 24 Suitable arrangements 27/02/2009 should be put in place for checking medicines and staff competence. This will help make sure staff have the necessary skills and will help make sure medicines are handled safely. This requirement was not fully met. 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 Care Homes for Older People Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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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