Care Home: Mount Pleasant Care Home

What the care home does well Staff who administer medicines have received training and their ability to carry out this role has been assessed. During the inspection, medicines were given to people in a safe and courteous manner. Steps have been taken to ensure that accurate records of the use of medicines are kept. The receipt of medication into the home was accurately recorded. What the care home could do better: Best practice is not followed in all aspects of the management of controlled drugs. It is not always clear from the medication administration record (MAR) when a medicine has been discontinued by the doctor. There is no written procedure on supplying medicines to people leaving the home temporarily on social visits. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Mount Pleasant Care Home Off Hollow Lane Winshill Burton On Trent Staffordshire DE15 0DR zero star poor service 04/11/2008 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: Denise Clark Date: 0 4 0 3 2 0 0 9 Information about the care home Name of care home: Address: Mount Pleasant Care Home Off Hollow Lane Winshill Burton On Trent Staffordshire DE15 0DR (01283)546777 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) : Willow Care Limited care home 50 Number of places (if applicable): Under 65 Over 65 50 0 old age, not falling within any other category physical disability Conditions of registration: 0 5 The maximum number of service users who can be accommodated is: 50 The Provider may provide the following category of service only:- Care home - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category - Code OP Physical disability persons aged 55 years and over Code PD (maximum number of places - 5) Date of last inspection Brief description of the care home Mount Pleasant is a Care Home registered to provide personal care and accommodation for up to 50 people in the category of Older Persons. Mount Pleasant is also registered to provide 5 places for people with a physical disability. Mount Pleasant is a purpose built building which is located on the outskirts of Burton-on Trent. The Care Homes for Older People Page 2 of 9 0 4 1 1 2 0 0 8 Brief description of the care home Home is set in spacious grounds, and has a car park. The Home has all single rooms, all with ensuite facilities. A variety of lounge and dinning room space is provided. There are sufficient bathing facilities to meet the needs of the service user group. Information provided by the company, in November 2008, stated that the scale of fees for 2008 were 368 pound per week to 446 pounds per week. There are additional costs for hairdressing, some social activities, chiropody, private telephones, room service and personal items. Details of previous inspection reports can be found on the Commission for Social Care Inspections website: www.csci.org.uk Care Homes for Older People Page 3 of 9 What we found: We found that staff had recently received training on medicines and were putting what they had learned into practice. Each member of staff who administered medicines had a training file which confirmed their ability to handle medicines safely. A list of specimen signatures and initials of staff authorised to give medicines was kept with the medicine charts, so that staff signing the charts could be easily identified. We watched the lunch-time medicine round and saw that the procedure for administering medicines followed good practice guidance. Each person prescribed pain relievers when required was asked if they needed the medicine at that time. We found that accurate records of the receipt and disposal of medicines are kept. Medicine charts are audited by the manager to make sure that administration records are properly completed. Medicines supplied to the home in boxes or bottles are dated when first opened so that the amount of medicine remaining can be checked against the record of administration. We noted that medicines that were no longer prescribed by the doctor were still listed on some peoples medication charts, with the comment none supplied this month. Allergies were recorded for some people, but there were no statements on the charts of other people to confirm that they had no known allergies to medicines.We spoke to two people who took responsibility for taking their medicines themselves, and saw the lockable drawers for storing medicines in their rooms. We saw that storage facilities for medicines were clean and tidy. Medicines in current use are stored in medicine trolleys that can be chained to the wall of the medical room. The room is kept locked. Some medicines were stored in a metal stationery cupboard which, although fitted with an extra lock, was not very secure. The home had no paperwork to show that the cupboard used to store controlled drugs met legal requirements. We carried out a stock check of a sample of controlled drugs kept in the home and found that the stock levels matched the records. We noted that the home does not routinely carry out stock checks of its controlled drugs, nor is a kit available for destroying controlled drugs no longer required. A record of the return of a controlled drug to the supplying pharmacy was only signed by one person. The companys medicine policy and an up-to-date reference book on medicines (the British National Formulary) are available for staff use.We asked about arrangements for people to take one or more doses of medicine while away from the home, and were told that medicines are sometimes given to people going out during the day in envelopes.There was no written guidance for staff on how medicines should be supplied for social leave. What the care home does well: What they could do better: Care Homes for Older People Page 4 of 9 Best practice is not followed in all aspects of the management of controlled drugs. It is not always clear from the medication administration record (MAR) when a medicine has been discontinued by the doctor. There is no written procedure on supplying medicines to people leaving the home temporarily on social visits. 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 £ 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 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 Documentation to show that 30/04/2009 the cupboard for storing controlled drugs meets the specification of the Misuse of Drugs (Safe Custody) regulations must be available in the home. To ensure that controlled drugs are securely stored and that legal requirements are met 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 registered provider should write a policy and procedure on the supply of medication for social leave, to ensure consistent and safe practice. Stocks of controlled drugs should be checked regularly by two members of staff with responsibility for medicines, in addition to checks made at the time of administration, and the stock check should be recorded. The absence of any known allergies should be written on the medication record of each person, to reduce the risk of a potentially serious allergy being overlooked. Page 7 of 9 2 9 3 9 Care Homes for Older People 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 4 9 The pharmacy should be asked to remove details of discontinued medicines from medication administration records, to minimise the risk of medicines being incorrectly administered or omitted in error. The registered provider should make suitable, safe arrangements for the destruction of unwanted controlled drugs, and the record in the CD register should be signed by two people. The registered provider should risk assess the storage facilities for medicines to ensure that all medicines are securely stored. 5 9 6 9 Care Homes for Older People Page 8 of 9 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. 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