Care Home: New Thursby Nursing Home

What the care home does well Staff receive regular training and competency assessment to make sure they handle medicines safely. What the care home could do better: Information in the care plans and with the medicines records should be regularly reviewed to make sure medicines are given to people correctly. Inspecting for better lives Random inspection report Care homes for older people Name: Address: New Thursby Nursing Home 604 Clifton Drive North Lytham St Annes Lancashire FY8 2RN one star adequate 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 4 1 1 2 0 0 8 Information about the care home Name of care home: Address: New Thursby Nursing Home 604 Clifton Drive North Lytham St Annes Lancashire FY8 2RN 01253780088 01253723313 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) : Century Healthcare Limited 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 categories of service only. Care home with Nursing- code N, to people 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 people who can be accommodated is: 40 Date of last inspection Brief description of the care home The New Thursby is registered with the Commission for Social Care Inspection to provide care and accommodation for up to 40 older people who require nursing care. The home is situated on Clifton Drive in St Annes, near Blackpool. There are 32 single bedrooms and 17 of these have en-suite facilities. Of the four double bedrooms, one has en-suite facilities. There are two lounges, two dining rooms and a large conservatory. All rooms and communal areas are furnished to a good standard and there are adequate toilets and bathrooms. Care is provided on a 24 hour basis Care Homes for Older People Page 2 of 9 Brief description of the care home including waking watch care throughout the night. The registered provider of the home is Century Healthcare who operate a number of care homes in the area. At the time of our key inspection we were advised that fees for care and accommodation at the home range from £412 to £636 and are assessed in accordance with individual need. All this information and more can be found in the Service User Guide which is available on request from the home. Care Homes for Older People Page 3 of 9 What we found: We visited the home because previous inspections had found some shortfalls in the way medicines were handled. The visit was carried out by a pharmacist inspector and lasted five and a half hours. The new acting manager, the director of nursing services for Century Healthcare and two nurses were spoken with. Overall we found improvements in the way medicines were handled that helped make sure people were getting their medicines correctly. We found some general improvements in the way medicines records and stock were organised. Records of medicines received, given to people and disposed of were usually clear and accurate. When we checked the stocks of medicines against the records we found that these usually added up showing medicines were given to people correctly. We looked at the times medicines were given and found continued improvements in the general organisation of the medicines rounds. Medicines were being given at the right time in relation to food intake and clear records were being made to show that this was happening. Giving medicines correctly and at the right time helps make sure the health and wellbeing of people is protected. We looked at a sample of care plans and records and found continued improvements in the way information was recorded for when required medicines. In particular we saw some good information about how painkillers were to be used. However a care plan and the general information about how someones insulin was to be used was not clear enough and on three occasions in the last week the wrong dose was given. Another medicine used for treating seizures was not recorded on a persons current list of medicines even though it was in stock and highlighted in their care plan. Having up to date information about medicines helps make sure they are given to people correctly. We checked how controlled drugs (medicines that can be misused) were stored and recorded. A secure cupboard was used for storing them and suitably witnessed records were being made. However, we found three occasions in the last two months when staff had forgotten to replace some strong pain relief patches at the right time, this could have resulted in these people suffering unnecessary pain. We looked at how medicines were checked and audited. We saw two formally recorded audits that were suitably detailed, these had found mistakes and discrepancies that the manager had then acted upon to help prevent them happening again. Further medicines handling training had been provided to all nursing staff since the last inspection and all nursing staff had been formally assessed by the manager as competent in handling medicines. Efficient recorded checks of the medicines and regular training and competency assessment help make sure medicines are handled safely and help make sure staff have the necessary skills. What the care home does well: What they could do better: Care Homes for Older People Page 4 of 9 Information in the care plans and with the medicines records should be regularly reviewed to make sure medicines are given to people correctly. 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 requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action 1 1 6 (a) The homes Service User Guide must be kept under regular review so that it provides up to date and accurate information. 31/07/2008 2 1 5 (1) (a f) The homes Service User 31/07/2008 Guide must include all the information as stated in regulation 5 (a-f) to help ensure that people can make an informed decision about moving to the home. Residents care plans must provide an accurate and up to date picture of their care needs so that carers understand the level of support they require. 31/07/2008 3 7 15 (1) & (2) (a-d) 4 16 22 (3) Any complaints or concerns 31/05/2008 raised must be recorded and dealt with appropriately in line with the companys written complaints procedures. The homes Safeguarding 30/06/2008 policy and procedures must outline the correct processes and be relevant for all staff members to help ensure that residents are protected from abuse. Page 6 of 9 5 18 13 (6) Care Homes for Older People 6 28 18 (1) (c) (i) A minimum of 50 of care staff must hold National Vocational Qualifications in care at level 2 or above to help ensure that people receive their care from suitably qualified carers. 31/03/2009 7 29 19 (1) (c ) Sources of references for 31/05/2008 potential employees must be ascertained to help safeguard residents. Care Homes for Older People Page 7 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, Care Homes 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 Further review of the care plans and records should be made to make sure all information is clear and up to date so that medicines are given to people correctly. 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. 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. 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