Latest Inspection
This is the latest available inspection report for this service, carried out on 3rd August 2010. CQC found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report,
but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Prince of Wales House.
What the care home does well The home undertake regular audits of medication and where deficiencies are found, they promptly take action to resolve these. What the care home could do better: All medicines must be locked away when not in use. The cupboard used to store controlled drugs must be fixed in way which complies with the legal requirements. Where medicines are given at different times to those printed on the medication record, the actual time they are given must be recorded. The temperature of the fridge used to store medicines should be monitored and recorded using a maximum/minimum thermometer. Hand-written changes or additions to medication records should be signed and dated by the person making the entry and signed as checked for accuracy by a second person. Staff authorised to administer medicines must be assessed as competent to do so. Random inspection report
Care homes for older people
Name: Address: Prince of Wales House 18 Prince of Wales Drive Ipswich Suffolk IP2 8PY two star good 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: Derek Brown Date: 0 3 0 8 2 0 1 0 Information about the care home
Name of care home: Address: Prince of Wales House 18 Prince of Wales Drive Ipswich Suffolk IP2 8PY 01473687129 01473604869 moya.blake@tpic.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Moya Elizabeth Blake Type of registration: Number of places registered: Conditions of registration: Category(ies) : The Partnership in Care Limited care home 49 Number of places (if applicable): Under 65 Over 65 27 38 dementia old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 0 The home is situated in a residential area of Ipswich about three miles from the town centre. There is a parade of local shops nearby and regular buses into the town. The accommodation is on two floors with passenger lift access for people unable to manage stairs. On the ground floor is a special needs unit for ten residents with a diagnosis of dementia. There is a large enclosed garden that is accessible by separate doors from the special needs unit and the main house. The bedrooms are single occupancy with bathrooms and toilets placed throughout the home within easy reach. There is a large lounge and dining room on the ground floor and smaller quiet lounges available if
Care Homes for Older People Page 2 of 9 Brief description of the care home preferred. The special needs unit has a lounge, dining area and kitchen, with access to an enclosed part of the garden. Care Homes for Older People Page 3 of 9 What we found:
The reason for this inspection by a pharmacist inspector was to assess practices and procedures for the safe handling, use and recording of medicines, following information received by the Commission. During this inspection, which was undertaken over just under 3 hours, we watched medicines being given to some people, we toured the home and talked to staff and residents. We looked at the medication storage, peoples medication and medication records. The majority of medicines are stored securely for the protection of residents but we saw during the morning that a box containing prescribed medicines was left unattended in the dining room where people were having their breakfast. The large quantity of medicines held means these are not able to be securely stored in the medicines trolley and the alternative box is used, but this must be secure to prevent people having access to medicines not prescribed for them. The main medicines storage room was secure and the temperature monitored to ensure medicines are of suitable quality. The temperature of the fridge used to store medicines is also monitored and recorded regularly and was acceptable, but only the current temperature is recorded not the maximum or minimum the fridge has reach during the recording period which is good practice. We toured the home and visited people in their rooms. We did not find any medicines unsecured in peoples rooms or communal areas. The cupboard used to store controlled drugs is not fixed to the wall in a way which is required by the Misuse of Drugs (Safe Custody) Regulations as it is only screwed to the wall, not bolted. The records made of controlled drugs carried an entry to indicate that some had been returned to the supplying pharmacy for disposal, but they were still in the cupboard. We discussed this with the manager who was aware of this recording error. We looked at the records made when medicines are received into the home, when they are given to people and when they are disposed of. These were in good order, with very few omissions, and demonstrate that people receive their medicines as prescribed. However, when medicines are given at different times to those printed on the record sheet, the actual time it is given is not recorded and this could result in people being given medicines too close together. Where there are hand-written changes or entries to medication records, these are not signed and dated by the person making the entry and are not signed to indicate they have been checked by a second person, which is good practice. We watched medicines being given to some people during the morning and this was done with a good level of professional practice taking into account peoples dignity and personal choice. Medicines are only given to people by trained care staff and the level of training is of a
Care Homes for Older People Page 4 of 9 good standard. However, there is no assessment that, following training, staff are competent to perform this task. We expect this to be managed by the home rather than make a requirement on this occasion. 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 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 The cupboard used to store controlled drugs must be fixed in a way which complies with the Misuse of Drugs Act 1971 and associated Regulations. This will prevent unauthorised access and comply with legal requirements. 31/08/2010 2 9 13 When medicines are given at 19/08/2010 different times to those printed on the medication record, the actual time it is given must be recorded. This will ensure people are not given medicines too close together. 3 9 13 All medicines must be locked 19/08/2010 away when not in use. This will protect people from harm and ensure they do not have access to medicines not prescribed for them. Care Homes for Older People 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 1 9 The temperature of the fridge used to store medicines should be recorded using a maximum/minimum thermometer which should be re-set after each recording period. Hand-written changes or additions to medication records should be signed and dated by the person making the entry and signed as checked for accuracy by a second person. 2 9 Care Homes for Older People 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 9 of 9 - 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!
