Care Home: Royal Garden Hotel

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What the care home does well People receive their medicine as prescribed by their doctor. What the care home could do better: To have a clear policy and guidelines for consistency and a person centered approach. Random inspection report Care homes for older people Name: Address: Royal Garden Hotel 1 Princess Avenue Bognor Regis West Sussex PO21 2QT 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 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: Suni Chotai Date: 2 1 0 9 2 0 0 9 Information about the care home Name of care home: Address: Royal Garden Hotel 1 Princess Avenue Bognor Regis West Sussex PO21 2QT 01243841026 Telephone number: Fax number: Email address: Provider web address: martin@royalgarden.net www.royalgarden.net Name of registered provider(s): Name of registered manager (if applicable) Mr Martin Glass Type of registration: Number of places registered: Conditions of registration: Category(ies) : Crescentworth Limited care home 36 Number of places (if applicable): Under 65 Over 65 36 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users to be accommodated is 36 The registered person may provide the following category of service only; Care home only (PC) to service users of the following gender: Either whose primary care need on admission to the home are within the following category: Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home The Royal Garden Hotel is a care home providing personal care and accommodation for thirty-six persons (OP) of old age not falling within any other category. Crescentworth Limited owns the home. The responsible individual on behalf of the company is Mr C Lindsell. The Royal Gardens Hotel is purpose built and provides a high standard of Care Homes for Older People Page 2 of 9 Brief description of the care home accommodation throughout. It is positioned in Bognor Regis over looking the Marine Gardens and sea front. Shops and other local amenities are close by. The property is equipped with a 12-person passenger lift to all floors and has an assisted spa bath and shower units. Care Homes for Older People Page 3 of 9 What we found: Suni Chotai, pharmacist inspector visited the service on 21.9.09 to assess the medicine management procedures. The Medicines are kept in a store room area with additional lockable metal grid for medicine. Storage temperature of medicine areas are not monitored to ensure that medicines are kept in their required storage conditions. The Medicine storage area is quite small to allow for a safe working environment. Medicine keys are in the office under double lock and not with the main responsible member of staff. This could be a risk to the safe keeping of medicines. A Controlled drugs cupboard and register is available. There were no controlled drugs in the service at the time and the cupboard was used to store other medicines. We were not able to assess whether this cupboard is attached to the wall in accordance with the law. We checked the medicines training certificate for staff. Several Staff had recent training on medicines. Six people manage there own medicines and the mini care plan did not have the required detail around this activity to enable staff to manage this in a consistent and safe way. We observed lunch time medicines being given and found good practice being followed. Medicine Administration Record [MAR] chart and care plan check showed that several people who were prescribed medicine to take only when needed did not have a care plan on its use. Several MAR charts were hand written and not initialed and dated. These were checked for accuracy and found to be correct. Staff must take responsibility for their work. One person had gone away for a few days and the medicine were managed well. There was no policy on this and staff would not be consistent when managing medicine when people are away from the service. The MAR had no profile and no photos. This is nessary for identification so that risk is minimised and the right people get their medidines. 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 4 of 9 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 1 14 Pre-admission assessments 29/07/2009 must be reviewed, amended accordingly and acted upon to ensure peoples needs can be fully met. This includes people staying at the home for short stay respite. To protect people from harm or injury and ensure their needs are fully met. 2 7 15 Care plans must be kept up to date when a persons needs change. This includes all risks to service users, such as going out on their own. To protect people from harm. 05/09/2009 3 9 13 In the interests of safe 13/06/2009 medication handling all medication must be administered directly from the original labeled container to the service user and not place into any secondary container for later administration.. To protect residents from errors of administering. 4 9 13 In the interests of safe medication handling all medication must be 05/09/2009 Care Homes for Older People Page 5 of 9 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 administered directly from the original labeled container to the service user and not placed into any secondary container for later administration. To protect residents from errors of administering. 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 To have a policy for managing medicine when people are away from the home so that continuity of treatment is maintained in a safe manner 31/10/2009 2 9 13 To have a person centered care plan on the use of medicines prescribed to be given only when needed. for consistency 31/10/2009 3 9 13 To have a care plan for people who manage their own medicines which incorporates a risk assessment and detailed procedure. so that there is a person centered approach and safe practice around this activity 31/10/2009 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 To ensure that staff initial and date any information added to Medicine administration chart for completeness and to take responsibility. To have photos on medicine administration chart for identification purpose so that risk of mistakes is minimized. To review the medicine key management to minimise any risk of misappropriation To verify that the Controlled drugs cupboard is fixed to the wall in accordance with the requirements of the law. 2 3 4 9 9 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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