Care Home: Petersham Centre Care Home

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What the care home does well The centre has a well-written policy telling staff how to order and administer medicines, and what to do if a mistake involving a medicine is made. There were no missing signatures in the administration records on current medicine charts. All staff have attended training on medicines and further training is planned. What the care home could do better: The receipt of medicines into the centre was not consistently recorded. Records in the CD register of the return of CDs when people left the centre were sometimes incomplete. A prescribed medicine had been omitted from one person`s current medicine chart. Random inspection report Care homes for adults (18-65 years) Name: Address: Petersham Centre Care Home 58 - 60 Petersham Road Long Eaton Nottingham Nottinghamshire NG10 4DD two star good service 16/09/2008 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 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: Denise Clark Date: 0 9 0 4 2 0 1 0 Information about the care home Name of care home: Address: Petersham Centre Care Home 58 - 60 Petersham Road Long Eaton Nottingham Nottinghamshire NG10 4DD 01158791695 Telephone number: Fax number: Email address: Provider web address: richard.grant@derbyshire.gov.uk www.derbyshire.gov.uk Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Derbyshire County Council care home 16 Number of places (if applicable): Under 65 Over 65 0 0 learning disability physical disability Conditions of registration: 16 3 The maximum number of service users who can be accommodated is 16 The registered provider may provide the following categories 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 fall within the following categories: Learning Disability - Code LD Physical Disability - Code PD (3 places) Date of last inspection Brief description of the care home Petersham Care centre is a purpose built single storey building located in a residential area. It is run by Derbyshire County Council and provides services for individuals with learning disabilities. The home is separated into 3 units; some individuals reside in the home on a long-term basis whilst other individuals access the home for short-term respite care. Care Homes for Adults (18-65 years) Page 2 of 9 1 6 0 9 2 0 0 8 Brief description of the care home Information about the service is provided in the Statement of Purpose and Service User Guide; both of these documents are made available to individuals and their families/representatives. Items not covered in the fees include toiletries, transport and holidays. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: We saw that the centre has a written policy telling staff how to order and administer medicines, and what to do if a mistake involving a medicine is made. We watched some medicines being given to people at tea-time and saw that this was done in the correct way. We looked at medicine charts and found that there were no missing signatures in the administration records. We were told that the charts are checked by the deputy manager every day, and that a more detailed check on medicines is carried out each month: We looked at the record of last months check. We saw that the disposal of medicines was recorded. However, we found that the receipt of medicines into the home was not always recorded, so some medicines could not be accounted for. We noticed that an injection was labelled use as directed by the pharmacy, with no dose stated. We spoke to the person for whom the injection was prescribed; the person told us that he administered the injection himself and that he knew what dose to take. He also told us that a nurse visited him every two weeks. We asked the manager if the centre had a written assessment about the support this person needed from staff to inject himself safely, and were told no. We found that another person was prescribed a painkiller when required. There was no written guidance (protocol) to help staff decide when these tablets should be offered to this person. We saw that the centre has two cabinets for storing controlled drugs (CDs); both cabinets met legal requirements. When we looked in the CD register we found several instances where the return of CDs when people left the centre was not recorded clearly. We found that the medicine fridge was not locked; the temperature was checked daily but there were no records of minimum and maximum daily temperature readings. We read the care plans of two people and found that the necessary information about these peoples complex medical needs was recorded. We saw that tablets for one of these two people were packed by the pharmacy in a multidose blister pack, with different tablets to be taken at the same time of day in the same bubblein the pack. The labels did not describe all the tablets (shape,colour etc) so some tablets could not be identified. This person was also prescribed a cream and painkillers. The label on the cream did not say how the cream should be applied; this information had been written on the persons medicine chart by a member of staff at the centre but there was no record in the care plan confirming the doctors instructions. The information on the chart had not been signed by the member of staff concerned. We found a box of painkillers dispensed for this person in the medicine cupboard. The manager told us that the painkillers were still prescribed by the doctor but they were not written on the current medicine chart. We found that all staff had attended training on medicines and that further training has been arranged. The manager told us that she is trying to find a suitably qualified person to check each staff members ability to handle medicines safely. What the care home does well: The centre has a well-written policy telling staff how to order and administer medicines, and what to do if a mistake involving a medicine is made. There were no missing signatures in the administration records on current medicine charts. All staff have attended training on medicines and further training is planned. Care Homes for Adults (18-65 years) Page 4 of 9 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 Adults (18-65 years) 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 Adults (18-65 years) 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 20 13 All medicines must be administered as prescribed. this must be demonstrated by record keeping practices for the health and well being of people staying at the centre 30/04/2010 2 20 13 The quantities of all medicines received into the centre must be recorded so that medicines can be accounted for 30/04/2010 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 20 A stock balance of zero should be recorded in the controlled drugs (CD) register when CDs are returned to people leaving the centre. The medicine fridge should be kept locked, and the fridge temperature should be monitored over a 24 hour period with a minimum, maximum thermometer. 2 20 Care Homes for Adults (18-65 years) 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 3 20 Protocols should be written to guide staff as to the circumstances when painkillers prescribed as required should be administered. Arrangements should be made to assess the competency of staff who administer medicines. The pharmacy should be asked to label all medicines with full dosage instructions, and to include a description on the labels of all tablets and capsules packed in Medisure packs. Risk assessments should be carried out to determine the appropriate type of support for people who wish to selfmedicate. The result of the assessment should be recorded. 4 5 20 20 6 20 Care Homes for Adults (18-65 years) 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 Adults (18-65 years) 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. 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