Care Home: Seaview

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What the care home does well Homely Remedies are kept enabling people to receive prompt treatment for minorailments. What the care home could do better: Further consideration needs to be given to how peoples medication needs can be best met when they are away from the home. Random inspection report Care homes for adults (18-65 years) Name: Address: Seaview Blundell Avenue Freshfield Formby Merseyside L37 1PH 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: Stephanie West Date: 1 8 0 5 2 0 1 0 Information about the care home Name of care home: Address: Seaview Blundell Avenue Freshfield Formby Merseyside L37 1PH 01704872155 01704872155 jeanpugh@gotadsl.co.uk www.ftf.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Hilary Tasker Type of registration: Number of places registered: Conditions of registration: Category(ies) : Frances Taylor Foundation care home 12 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 12 The registered person may provide the following category/ies of service only: Care home with nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 12 Date of last inspection Brief description of the care home Seaview is owned and operated by the Francis Taylor Foundation, a national organisation that provides services for people with a variety of support needs. Located in the middle of Formby Pinewoods, Seaview shares a site with two other registered care homes, a day centre for 65 people and a convent. All the services are for adults Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home who have a learning disability. The services share main kitchen facilities, extensive grounds and a hydrotherapy pool. Seaview provides accommodation and support with nursing care for 12 adults who have a learning disability. Many of the people living there also have physical disabilities and the service provides aids and adaptations to meet their needs. There are care staff available 24 hours a day, to support people in all areas of their daily lives. Most of the bedrooms are single rooms; where two people share, there are screens provided for privacy. The people living there all have their own toilet. This is either in or near to their bedroom and is adapted to meet their needs. There are two shared lounges, a large dining room and bathrooms and a small kitchen available for people to use. Outside there is a small private courtyard and the home shares large grounds with the rest of the site. The weekly fee for living at Seaview is based on peoples individual support needs, with a basic cost of GBP950 per week Care Homes for Adults (18-65 years) Page 3 of 8 What we found: We carried out this visit to look at the homes medication arrangements following receipt of a concern about medicines handling. The visit lasted approximately three hours and involved discussing the handling of medication with the nurse-in-charge, and examination of medicines records and storage arrangements. At the end of the visit feedback was given to the manager. We found that action had been taken to address the concern raised about medicines handling and that overall suitable arrangements were in place for handling peoples medicines. But, further consideration needs to be given to how peoples medication needs can be best met when they are away from the home. We looked at medicines administration. We saw that records were referred to and completed at the time of administration to each person helping to reduce the risk of errors. There was information within peoples care plans about any help they may need when taking their medicines helping to ensure people receive any support they may need to take their medicines safely. However, we found that there could usefully be more information about the use of external preparations (e.g. creams). Similarly, where prescribed nutritional supplements (sip feeds) were administered when people were away from the home the arrangements made should be recorded and kept under review. We saw that arrangements were in place for the use of homely remedies enabling people to receive prompt treatment for minor ailments without a prescription. The homes medication policy was available for reference and in response to the concern raised, an information sheet had been written providing additional guidance to new or agency staff giving an overview of a day in the home, helping to ensure consistency in medicines handling. We looked at how medicines were recorded and found recent records of receipt, administration and disposal to be generally clear and accurate. But, we were concerned to find that on occasion records showed that where doses of the same medicine were repeated throughout the day a dose was missed, because the morning dose was given late. The nurse-in-charge explained that there was a risk of this happening when people were away from the home as doses could not be staggered throughout the day. The arrangements for administering medication need to be reviewed to help ensure that peoples medication needs can be best met when they are away from the home. We found that records showing the use of nutritional supplements (sip feeds) were not so well completed. This needs to be addressed to better support and evidence their correct use as prescribed. We found that medicines including Controlled Drugs were stored securely. This helps to ensure that they are not misused or mishandled. Since our previous visit a new medicines fridge had been purchased to help ensure medicines needing refrigerated storage are kept at the right temperature. Regular medication audits are carried out to help ensure that should any weaknesses be identified, that they can be promptly addressed. What the care home does well: Homely Remedies are kept enabling people to receive prompt treatment for minor Care Homes for Adults (18-65 years) Page 4 of 8 ailments. 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 8 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 8 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 Consideration must be given 21/06/2010 to how peoples medication needs can be best met when they are away from the home to help ensure that medicines are safely administered as prescribed. 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 Care Homes for Adults (18-65 years) Page 7 of 8 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. 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. 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