Latest Inspection
This is the latest available inspection report for this service, carried out on 11th May 2010. CQC found this care home to be providing an Adequate service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Shoreline Nursing Home.
What the care home does well Shoreline Nursing Home provides people that use the service with a purpose built and well maintained home. Many of the communal ares and bedrooms benefit from beautiful views of the sea front. Care files of people that use the service that were looked at during the visit contained a good assessment of care and well written care plans. Care plans had been reviewed and updated on a monthly basis. People that use the service are happy with the care and service provided. Food provided is enjoyed. Comments made by people that use the service included; "I am happy here. I have a wonderful view of the sea from my bedroom." "The food is wonderful, the cook is great. I never turn anything away that she cooks, I eat it all." "The staff are great and they look after me very well. Staff are very kind and thoughtful." "I couldn`t ask for better, staff really do care." What the care home could do better: Since last inspection of the service there has been lots of progress in the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. This inspection highlighted some other good practice improvements that could be made. A current photograph of each person should be attached to their Medication Administration Record. This helps reduce the risk of medication being given to the wrong person. The medication policy should be updated in line with current practice and guidance so that staff understand how to handle and administer medicines safely. Creams should be applied as prescribed and a record made at the time so that people are treated correctly and their medical condition is not affected.Care plans should contain up to date information about a person`s medication and medical condition. Any monitoring visits or result of test should be added when necessary. Risk assessments for those people self administering their medication should be done to make sure the person is able to safely administer their medication as intended. Only medicines that have been agreed by the GP and bought should be used for homely remedies. Liquid medication should be measured in an oral dose syringe or on a medicine spoon to improve accuracy. A bed rail risk assessment should be signed by a multi disciplinary to confirm that the use of bed rails is the safest option. A manager should be appointed and apply for registration with the Care Quality Commission. Random inspection report
Care homes for older people
Name: Address: Shoreline Nursing Home 2A Park Avenue Redcar TS10 3AT one star adequate service 02/06/2009 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: Katherine Acheson Date: 1 1 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Shoreline Nursing Home 2A Park Avenue Redcar TS10 3AT 01642488277 F/P01642494582 shorelinenursing@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Shoreline Private Home Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 44 Number of places (if applicable): Under 65 Over 65 44 old age, not falling within any other category Conditions of registration: 0 The home can admit 20 service users age 55 . Date of last inspection Brief description of the care home Shoreline Nursing Home is registered to provide personal and nursing care to a maximum number of 44 people. The home is situated on the sea front and is close to Redcar town centre where there are pubs, shops and other local amenities. The home is two storey, modern and purpose built. The ground floor of the home accommodates twenty people; there are eighteen single
Care Homes for Older People Page 2 of 12 0 2 0 6 2 0 0 9 Brief description of the care home rooms and one double room. The first floor of the home accommodates twenty-four people; there are twenty single rooms and two double rooms. Thirty five of the bedrooms have en-suite facilities, which comprises of a toilet and hand washbasin, the remainder have a sink. All bedrooms meet the required amount of space. The ground floor of the home has a combined lounge/diner; the first floor of the home has both a lounge and dining room. Toilet and bathing facilities are on each floor. The cost of care at the time of the inspection visit was £463.90 for personal care and £574.20 for nursing care. Care Homes for Older People Page 3 of 12 What we found:
What we found This unannounced random inspection took place on 11 May 2010. A pharmacy inspection to look at medication systems and practice also took place on 11 May 2010. The reason for the inspection was to follow up on requirements and recommendations made at last inspection of the service on the 2 June 2009. The acting manager completed and returned an Annual Quality Assurance Assessment, (AQAA). The AQAA is the services self assessment of how they think they are meeting national minimum standards. This information was received before the inspection and was used as part of the inspection process. Before the inspection surveys for people that use the service and surveys for staff were sent out to the home for the acting manager to distribute. Surveys sent to people that use the service were asked to comment on care received. Surveys sent to staff were asked to comment on what it was like working at the home and training received. We received four surveys from people that use the service. We received five surveys from staff. Numerous records were examined including care records of people living at the home, risk assessments, medication systems and practice, fire tests and fire drill records, quality assurance and staffing. People living the home were spoken to and discussions also took place with the acting manager, deputy manager, cook and a senior care assistant. Health and personal care The care files of two people that use the service were looked at during the inspection. It was evident that the acting manager and staff have worked very hard since last inspection to review and update care plans for people that use the service. Care plans are a record used by care services to show what sort of help each person needs and how staff will provide that care. Care files looked at contained a detailed assessment of needs, risk assessments, nutritional assessments and informative care plans. One plan of care detailed how a person preferred a shower to a bath how the person could independently clean their teeth and have a shave. The plan of care clearly detailed the help the person needed from staff. Care plans had been reviewed and updated on a monthly basis. One care file looked at highlighted that a person had been assessed as needing bed rails to maintain safety. This care file contained a risk assessment, which detailed safety checks that had taken place before using the bed rails and safety checks that are to take place on a regular basis whilst the bed rails are in use. The acting manager said that a multi disciplinary team had been involved in making a decision that bed rails were appropriate for the person, however the risk assessment had not been signed to confirm
Care Homes for Older People Page 4 of 12 that this was the case. There was clear evidence of involvement of GPs, district nurses and other health care professionals such as chiropodists and dentists. People living at the home confirmed that if they were feeling unwell, the GP would be called. During the inspection the acting manager and staff were observed to interact well with people that use the service and visitors. Staff approached people in a supportive and respectful way People spoken to during the visit and surveys received were complimentary about life in the home and care received. Comments made included; It is beautiful, I have only been in the home for four months but everything is going well. I think that it is very good. They have always been good with me. I have always had good service and friendliness. The staff are lovely I couldnt ask for better. They have a good sense of humour as well as being kind. The staff and home have surprised me there is nothing to be unhappy about. At this inspection we looked at the arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. We looked at service users medication. Examination of medication records and discussion with staff highlighted that progress has been made since last inspection of the service. The medicine policy has been updated meaning that staff have access to up to date information and guidance, however there is still room for improvement and changes need to be made to reflect current practice in the home. Copies are kept of prescriptions and the home has sight of these before sending to the pharmacy. Records are also kept of medicines returned to pharmacy or disposed of. A basket of medicines labelled as homely remedies were found in medicine rooms. Some of these medicines had been prescribed and supplied for people that use the service. Only medicines that have been agreed by the GP and bought should be used for homely remedies. There was also a record of co-codamol tablets being supplied, which were not listed in the medicines to be used. There was good documentation from the surgeries of people living in the home, authorising the use of homely remedies for their patients. Records were available to confirm that the medication fridge and medicine rooms temperatures are taken on a regular basis to ensure that medicine is stored at the correct temperature and safe to use. The morning medication round was observed to be in accordance with recommended guidance. Pots were used to hand medication to the person and water was offered to help with the taking of medicines. Time was spent with each person and encouragement given to help them take their medication. Care Homes for Older People Page 5 of 12 Some people self-administer medication, mostly creams, eye drops or inhalers. One person that was self administering medication did not have a risk assessment. It is important that a thorough risk assessment is done to make sure the person is able to safely administer their medication as intended. There were very few administration gaps on the Medication Administration Records meaning that people living in the home can expect to receive their prescribed medication correctly. An audit of current stock and records showed that tablets were mostly given as prescribed. There was some discrepancies with liquid medication which are currently measured using graduated plastic medicine pots. Measuring liquid medication in an oral dose syringe or on a medicine spoon would improve accuracy. This inspection highlighted that carers were applying prescription only creams. Senior staff rather than carers should apply prescription only creams. Medication Administration Records should be signed after cream has been applied. There is now greater consistency in handwritten entries and changes made to medication on Medication Administration Records. Further improvements could be made in adding the date of any changes and detailing the name of the person making the change, and making sure that the quantity of medication brought forward is recorded. The quantities of medicines received into the home and brought forward each month are now clearly entered on each persons Medication Administration Record making it easy to check whether sufficient quantities are always available. There were a number of photographs missing from the dividers between the Medication Administration Records. It is important to have photographs to reduce the risk of medication being given to the wrong person. The care plans for a number of people were looked at during the visit. Further information could be provided on the persons medication, medical condition and visits from health care professionals. Information for people who require regular monitoring should be kept up to date. Staffing At the time of the inspection visit there were thirty eight people using the service. Fourteen people were receiving nursing care and twenty four people were receiving personal care. Duty rotas for the personal care unit that were looked at during the visit showed that there is one senior carer and three carers from 8am until 8pm. Duty rotas for the nursing unit showed that there is one nurse and three carers on duty from 8am until 8pm. On night duty there is one nurse and four carers. The acting manager of the home works five days a week, most of which are supernumerary. Management and Administration The home has been without a Registered Manager since November 2009. The acting manager is a Registered General Nurse who has worked at Shoreline for a number of years. Appropriate quality monitoring systems are now in place. Since last inspection of the service surveys have been sent out to people that use the service and relatives to seek their views on care and the service provided. The acting manager said that she is to do a
Care Homes for Older People Page 6 of 12 report of the findings of the survey and give to people. Meetings for people that use the service and relatives take place on average every three to four months. Notes of meetings were available for inspection. A sample of health and safety records were sampled and found to be in order. Water temperatures of baths and showers are taken on average weekly to make sure that the water temperature is within normal limits and is safe to use. Tests of the fire alarm system take place on a regular basis to make sure that it is in working order. What the care home does well: What they could do better:
Since last inspection of the service there has been lots of progress in the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. This inspection highlighted some other good practice improvements that could be made. A current photograph of each person should be attached to their Medication Administration Record. This helps reduce the risk of medication being given to the wrong person. The medication policy should be updated in line with current practice and guidance so that staff understand how to handle and administer medicines safely. Creams should be applied as prescribed and a record made at the time so that people are treated correctly and their medical condition is not affected.
Care Homes for Older People Page 7 of 12 Care plans should contain up to date information about a persons medication and medical condition. Any monitoring visits or result of test should be added when necessary. Risk assessments for those people self administering their medication should be done to make sure the person is able to safely administer their medication as intended. Only medicines that have been agreed by the GP and bought should be used for homely remedies. Liquid medication should be measured in an oral dose syringe or on a medicine spoon to improve accuracy. A bed rail risk assessment should be signed by a multi disciplinary to confirm that the use of bed rails is the safest option. A manager should be appointed and apply for registration with the Care Quality Commission. 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 8 of 12 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 9 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 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 8 A bed rail risk assessment should be signed by a multi disciplinary team to confirm that the use of bed rails is the safest option. A current photograph of each person should be attached to their MAR chart. This helps reduce the risk of medication being given to the wrong person. The medication policy should be updated in line with current practice and guidance so that staff understand how to handle and administer medicines safely. Creams should be applied as prescribed and a record made at the time so that people are treated correctly and their medical condition is not affected. Care plans should contain up to date information about a persons medication and medical condition. Any monitoring visits or result of test should be added when necessary. Risk assessments for those people self administering their medication should be done to make sure the person is able to safely administer their medication as intended.
Page 10 of 12 2 9 3 9 4 9 5 9 6 9 Care Homes for Older People 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 7 8 9 9 9 31 Only medicines that have been agreed by the GP and bought should be used for homely remedies. Liquid medication should be measured in an oral dose syringe or on a medicine spoon to improve accuracy. A manager should be appointed and apply for registration with the Care Quality Commission. 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!
