Care Home: Shakespeare House

Similar services:

• Claremont House
• Oak Ridge
• Sun Court Nursing Home
• Ashville House
• Bramley Avenue (73)
• Bilney Hall
• Hill Barn
• Mabbs Hall Nursing Home

What the care home does well Medicines are stored securely for the protection of residents.Medicines are given to people in a way which takes account of their privacy and personal choice. What the care home could do better: Medication must be stored under suitable environmental conditions and records kept to evidence this. The cupboard used to store controlled drugs must be fixed in a way which complies with the Misuse of Drugs (Safe Custody) Regulations. There must be an accurate record made when medicines are received into the home and include the date of receipt, quantity received and the signature of the recipient. There must be sufficient supplies of medicines held in the home for the continued treatment of residents. Where people are given medicines in variable doses e.g. "one or two tablets" the actual quantity given must be recorded. Records made when medicines are given to people must be accurate, and completed at the appropriate time. If people are given medicines at times other than those printed on the record sheet, the actual time given must be recorded. When the expiry date of medicines is shortened on opening the containers, the date of must be recorded. Random inspection report Care homes for older people Name: Address: Shakespeare House 19 Shakespeare Road Bedford Bedfordshire MK40 2DZ zero star poor service 30/06/2010 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: 1 4 0 7 2 0 1 0 Information about the care home Name of care home: Address: Shakespeare House 19 Shakespeare Road Bedford Bedfordshire MK40 2DZ 01234359224 F/P01234359224 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Sada Camiah,Mrs Vijama Camiah Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 18 Number of places (if applicable): Under 65 Over 65 18 18 18 dementia old age, not falling within any other category physical disability Conditions of registration: Date of last inspection Brief description of the care home 0 0 0 1 7 0 5 2 0 1 0 Shakespeare House is registered to provide care for eighteen people who are 65 years of age or over who may also have physical disabilities and/or dementia. Mr and Mrs Camiah have owned the home for a number of years and participated in the operation of the home as financial manager and care practice advisor. Care Homes for Older People Page 2 of 12 Brief description of the care home The home is located on a busy road in Bedford within walking distance of the towns amenities including bus and train links. The physical environment has been adapted internally to meet the needs of older people, although some of the bedrooms are rather small for people who need equipment to assist them to move. Accommodation is arranged over three floors with seventeen bedrooms, one of which could be used for two people. Access is provided to the upper floors via a shaft lift. The lounge and conservatory/dining room are on the ground floor. There are bathrooms and toilets on all floors, although not all bathrooms are used, and there is a main kitchen, laundry and office. There is a small, enclosed garden to the rear of the home, and 2/3 parking spaces at the front. Meter parking is available in the road opposite the home. Care Homes for Older People Page 3 of 12 What we found: The reason for this inspection by a pharmacist inspector was to assess progress towards meeting the immediate requirement notice served at the inspection on 30th June 2010. You were required, by 2nd July 2010, to make sure that medication is recorded, handled, stored, administered and disposed of safely. On this inspection we looked at the facilities provided for the storage of medicines. We found that all medicines were stored securely for the protection of residents but that there was no monitoring of the environmental temperatures of the areas were medicines are stored. We measured this at above the recommended maximum of 25C. We also found that there was no monitoring of the temperature of the fridge used to store medicines but it was measured at an acceptable level. It is important to ensure that medicines are stored under suitable environmental conditions as this could affect the quality of the medicines people take. We also found that when the expiry date of medicines is shortened on opening the containers, the dated of opening is not always recorded and this could result in people receiving medication of unsuitable quality. The cupboard used for the storage of controlled drugs is not fixed to the wall in a way which is required but the Regulations, although no controlled drugs were in use at the time. We looked at the records made when medicines were given to people and these were of a reasonably good standard with very few unexplained omissions. But we did see that a few people had not had their medication as supplies had been out of stock; for one person this was for a period of 6 days. It is important that there are sufficient supplies of medicines held in the home for the continuous treatment of residents. We also saw that when people are given medicines in variable doses e.g. one or two tablets the actual quantity given is not always recorded, this could result in people receiving too much or too little medication. We looked at the records made when medicines are received into the home and when they are disposed of. The records of disposal were of a reasonable standard but the records of receipt often did not indicate a date of receipt, or who received them into the home. This is important to be able to account for all medicines in use in the home. We watched medicines being given to some people during the morning and saw that this was done with due regard to peoples privacy and personal choice. However, we saw that the record made to indicate people had been given their medicines was signed when the medicines were assembled, not when they had been taken. We also saw that some people were given their medicines late in the morning, but the record was signed to indicate these had been given at 08:00. This could result in people receiving medicines too close together. We also saw that a member of staff signed the record to indicate creams had been administered to a resident but she had not actually administered the medication herself, it was another member of staff who had done so. What the care home does well: Medicines are stored securely for the protection of residents. Care Homes for Older People Page 4 of 12 Medicines are given to people in a way which takes account of their privacy and personal choice. 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 12 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 5 Information about the home 31/07/2010 must be up to date and must reflect what the home offers. So that people who are thinking of moving here know what to expect. 2 3 14 Full assessments of peoples needs must be carried out. So that people can be assured that their needs will be met. 31/07/2010 3 7 15 Care plans must give sufficient information and guidance for staff. So that people can be sure their individual needs will be met. This requirement is repeated: the previous timescale of 31/07/09 had not been met. 31/07/2010 4 9 13 Medication must be recorded, handled, stored, administered and disposed of, safely. So that peoples health is maintained and they are kept safe. 02/07/2010 5 16 22 The complaints procedure must be up to date, and 31/07/2010 Care Homes for Older People Page 6 of 12 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 available to people. So that people know how and to whom they can raise any concerns. 6 18 13 Safeguarding procedures and 31/07/2010 protocols must be followed. To make sure people who live here are kept safe from harm. 7 18 13 Evidence must be available to show that all staff have undergone training in safeguarding adults. So that the people who live here are protected from harm or abuse. 8 29 19 Information about the checks 01/07/2010 required before a staff member can start to work at the home must be obtained for all staff working in the home, including staff supplied by an agency. So that the home is sure that staff are suitable to work with vulnerable older people. This requirement is repeated: the previous timescale of 31/07/09 had not been met. 9 30 18 Staff must receive sufficient 30/09/2010 training from people who are qualified to train others. So that training is of good quality so that staff can do Care Homes for Older People Page 7 of 12 31/08/2010 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 their jobs well. This requirement is repeated: the previous timescale of 31/07/09 had not been met. 10 31 9 A person who is fit to do so must be employed to manage the home. So that the people who live here have good quality, safe lives. 11 33 26 The provider must visit the 31/07/2010 home at least monthly and write a report of that visit, in accordance with this regulation. So that the provider is assured that the home is being run well, in accordance with all the standards and regulations which apply. 12 38 13 There must be a person 31/08/2010 trained in first aid on duty at all times. So that first aid can be given quickly when needed. 31/07/2010 Care Homes for Older People Page 8 of 12 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 Where people are given medicines in variable doses e.g. one or two tablets the actual quantity given must be recorded. This will ensure people do not receive too much or too little medication. 31/07/2010 2 9 13 Records made when 31/07/2010 medicines are given to people must be accurate and completed at the appropriate time. If people are given medicines at times other than those printed on the record sheet, the actual time given must be recorded. This will demonstrate that people receive their medicines as prescribed and ensure they are not given medicines too close together. 3 9 13 There must be an accurate 31/07/2010 record made when medicines are received into the home and include the date of receipt, quantity received Page 9 of 12 Care Homes for Older People 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 and the signature of the recipient. This will ensure all medicine can be correctly accounted for. 4 9 13 There must be sufficient 31/07/2010 supplies of medicines held in the home for the continued treatment of residents. his will ensure people receive their medicines as prescribed. 5 9 13 Medication must be stored 31/07/2010 under suitable environmental conditions and records kept to evidence this. This will guarantee the quality of medicines people take. 6 9 13 The cupboard used to store controlled drugs must be fixed in a way which complies with the Misuse of Drugs (Safe Custody) Regulations. This will prevent unauthorised access and comply with legal requirements. 31/08/2010 Care Homes for Older People Page 10 of 12 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 Older People Page 11 of 12 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 12 of 12 - 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!