Latest Inspection
This is the latest available inspection report for this service, carried out on 6th April 2010. CQC found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for St Christopher`s Home.
What the care home does well The staff at the home are given opportunities to gain knowledge and expertise in handling medication in the care home setting. The medication administration sheets were organised with a photograph of the individual and a medication profile. This would ensure that the right medicines were given to the right person. A GP approved homely remedy list had been set up at the home so ifanyone suffered with a minor ailment a product could be appropriately used without delay. Controlled drugs are stored safely and are accurately accounted for at the home. What the care home could do better: When a medicines are not administered as prescribed a record should be made to explain why this had occurred. This is to safeguard the health and welfare of the people using this service. More thorough information should be contained within the care plan as to what situations a cream or ointment is being applied. Also it is beneficial for staff to have all the information available in how to deal with a medicine that has been prescribed on a when required basis. The home should demonstrate that the environments used to store medicines is maintained at the correct temperature as to prevent any medicines losing their effectiveness. Random inspection report
Care homes for older people
Name: Address: St Christopher`s Home Abington Park Crescent Northampton Northants NN3 3AD 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: Naveeda Knopp Date: 0 6 0 4 2 0 1 0 Information about the care home
Name of care home: Address: St Christopher`s Home Abington Park Crescent Northampton Northants NN3 3AD 01604637125 01604604114 manager@stchristopherscofehome.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Cheryle Suzanne Horne Type of registration: Number of places registered: Conditions of registration: Category(ies) : The Chairman care home 54 Number of places (if applicable): Under 65 Over 65 54 54 old age, not falling within any other category physical disability Conditions of registration: 0 0 The maximum number of service users who can be accommodated is: 54. The registered person may provide the following category of service only: Care Home Code PC To service users of the following gender: Either Whose primary care needs on admission to the home within the following categories: Old Age, not falling within any other category - Code OP Physical Disability - Code PD & PD(E). Date of last inspection Brief description of the care home St Christophers is a large Home close to Abington Park in Northampton. The Home is a converted vicarage, which has been extensively extended on the ground floor level and
Care Homes for Older People Page 2 of 9 Brief description of the care home refurbished throughout. The Home now provides care and personal support for up to 54 older people with needs arising out of old age and physical disability. St Christophers is set in two acres of landscaped grounds, which are well maintained, and are accessible to the people who use the service. People are accommodated in single rooms with en-suite facilities. There are 9 bedrooms upstairs, which are accessed, by a stair lift or a passenger lift. The remaining bedrooms and a choice of communal rooms are on the ground floor. Other facilities offered within the home include a hairdressing room; a small shop; a newly formed library and two Chapels. St Christophers is registered as a Church of England War Memorial home. A copy of the last inspection report is kept in the home, and is made available to prospective residents. Currently the fees are between 550:00 pounds and 600:00 pounds per week with additional charges for hairdressing, toiletries, newspapers, private chiropody and outings at variable cost. The CQC Quality Rating for this service is 2 Star Good, this judgement was made at the last Key Inspection dated 19th June 2007. Care Homes for Older People Page 3 of 9 What we found:
During the observation of medicines being given out during the lunch time period it was seen that some people where given their medicines in a routine manner. A person was given rather than offered a when required pain relief medicines, which may have not actually be needed on this occasion. The staff member was responding kindly towards the people using this service but she seemed a little rushed. The medication trolley was not always secured during this medication round. Controlled drugs ( medicines that are legally required to be stored more securely) were stored appropriately and all the accounting records and stock checks made were assessed to be accurate. For most of the people using this service the administration records showed that the carers gave out the medication as prescribed by their doctors. On occasions tablets and creams were not recorded as given as prescribed. In these instances the daily notes were also viewed but the apparent reasons for these omissions had not been recorded. For two people living at the home their wishes to self -administer their own medicines was happening within a risk- managed framework. It was seen that for these two people medicines had not ran out in the last two months or that they suffered any decline in the their well being. The room temperatures where medicines are being stored are routinely checked. But in the last month these readings taken are not always within the range to ensure that the medicines do not change in their effectiveness. This could lead to a decline in someones health as the medicines may not work as it should. For the fridge used to keep medicines only the monitoring of maximum temperature was being carried out. The system adopted by the staff to maintain the records of all the medicines in the home for individual people was not always accurate as it did not reflect what truly was held at the home until the carried forward balances where added at the checking stage. This system did lead to overstocks of creams for people at the home. There was a lack of information seen in individuals care plans that related to medication or how to handle a when required oral medicine or external cream/ointment. The staff had been given opportunity to gain a wealth of knowledge of how to handling medicines and individuals health care needs in the care homes setting. In addition the management of the home carried out regular competency assessments on staff and medication audits on records maintained. What the care home does well:
The staff at the home are given opportunities to gain knowledge and expertise in handling medication in the care home setting. The medication administration sheets were organised with a photograph of the individual and a medication profile. This would ensure that the right medicines were given to the right person. A GP approved homely remedy list had been set up at the home so if
Care Homes for Older People Page 4 of 9 anyone suffered with a minor ailment a product could be appropriately used without delay. Controlled drugs are stored safely and are accurately accounted for at the home. 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 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 4&6 The Statement of Purpose, 30/07/2007 which sets out the latest aims, objectives and philosophy of the home, must be brought up to date and distributed to prospective residents in the home. This is to ensure all residents have appropriate information prior to entering the home. This was not assessed on the Pharmacists inspection on 06/04/2010 2 38 23 (4) The execution and recording 16/07/2007 of the emergency light tests must be done in line with nationally produced guidelines. This to ensure emergency lights are in good working order if an emergency occurs. This was not assessed on the Pharmacists inspection on 06/04/2010 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 12 The care plans for individuals 07/06/2010 should contain specific information relating to the maintaining of a healthy skin integrity. This is maintain the health of the individual and to prevent the development of pressure sores. 2 9 13 The staff should have 07/06/2010 information available to them in an individuals care plan in how to deal appropriately with a when required medicine. This is to safeguard the health and welfare of an individual using these services. 3 9 13 All prescribed oral medicines 07/06/2010 and cream/ ointmets should be given or applied as prescribed and any reasons for omissions should be recorded. This is to safeguard the health and welfare of an
Page 7 of 9 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 individual using these services. 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 Due to the ink fading on the Pharmacy dispensary labels this should be referred back the the supplying Pharmacist for action. There could be options given to people who use this service in when and where they would like to take their medicines. A system should be adopted to ensure that any medicines that are re-ordered from the GP is not overstocked by the home. 2 3 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. © 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!
