Latest Inspection
This is the latest available inspection report for this service, carried out on 26th August 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 but made no statutory requirements on the home.
For extracts, read the latest CQC inspection for St Georges Care Home.
What the care home does well People are able to look after their own medicines if this is appropriate. Medicines are given using safe practice. Records are kept of the receipt, administration and disposal of medicines. Suitable secure storage is available for medicines. Other areas of care were not looked at during this inspection. What the care home could do better: Improvements should be made to the disposal of medicines so that records are made when medicines are transferred for disposal. A record should be made when the disposal company collects waste medicines from the home. This is so that there is a clear audit trail for medicines leaving the home. Systems in place should allow the accurate audit of medicines to check that they have been given correctly. Action should be taken to address any discrepancies found. Random inspection report
Care homes for older people
Name: Address: St Georges Care Home Kenn Road St George Bristol BS5 7PD two star good service 07/04/2010 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: Sue Fuller Date: 2 6 0 8 2 0 1 0 Information about the care home
Name of care home: Address: St Georges Care Home Kenn Road St George Bristol BS5 7PD 01179541234 01179542233 stgeorgecarecentre@tiscali.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Helen Marshall Type of registration: Number of places registered: Conditions of registration: Category(ies) : St Georges Care Home Ltd care home 68 Number of places (if applicable): Under 65 Over 65 68 old age, not falling within any other category Conditions of registration: 0 Manager must be a RN on parts 1 or 12 of the NMC register. May accommodate up to 68 persons aged 50 years and over requiring nursing care. Staffing Notice dated 22/06/2001 applies Date of last inspection Brief description of the care home St. George Care Centre is registered to care for a maximum of 68 people requiring nursing care. The home is situated in a residential area, with easy access to local community facilities. It is less than 3 miles to the city centre. The home is purpose built, providing a mix of double and single en-suite rooms. Care is provided over two floors, the first being for the more dependent service users. Each floor offers
Care Homes for Older People Page 2 of 8 0 7 0 4 2 0 1 0 Brief description of the care home bedrooms, a communal lounge and dining room as well as bathroom facilities. There are pleasant gardens to the rear and side of the property. Passenger lifts provide access to all areas. Care Homes for Older People Page 3 of 8 What we found:
The pharmacist inspector carried out this inspection to look at how medicines are handled in the home. We (the Care Quality Commission) spoke to nursing staff on each floor of the home and saw some lunch time medicines being given. We looked at the arrangements for storing medicines and the records kept of their receipt, administration and disposal. We spoke to one person who looks after some of their own medicines. Most people living in the home are registered with a doctor from the nearby surgery. Staff told us that a doctor from here visits three times a week to see people as needed. Prescriptions are received from the surgery and checked by nurses before being sent to the pharmacy for dispensing. This is good practice to help ensure that people receive the correct medicines. People living in the home can choose to look after their own medicines. Risk assessments are used to check that people are able to look after their medicines safely. We spoke to one person who looked after some of their own medicines and was happy with this arrangement. Nurses look after and give most of the medicines used in the home. The pharmacy provides printed medicines administration record (mar) sheets for staff to complete when they have given medicines. Photos of people are kept with their mar sheet to help ensure that medicines are given to the correct people. We saw some medicines given at lunchtime using safe practice. However we noticed that one person had no record of having been given a night time dose of one of their medicines for approximately 3 weeks. It appeared that this was because a mistake had been made completing the record sheet at the beginning of the month. Action was taken to ensure that this was corrected. We saw that suitable records are kept for the administration of medicines. Handwritten additions to the mar sheets are signed and dated and checked by a second person to reduce the risk of mistakes being made. When medicines have been prescribed with a variable dose, staff record the amount that they have given so that it is clear how much medicine the person has needed. Protocols are in place for medicines prescribed to be given when required. These provide information to help staff give these medicines appropriately and consistently. Suitable information is available about the dose of one medicine which needs special monitoring. We had a discussion with staff about how skin creams and ointments should be recorded. Nurses told us that these preparations are often applied by care staff. Action should be taken to ensure that records are kept of the use of all prescribed skin preparations. We checked some sample blister packs on both floors and saw that the medicines missing corresponded with the administration records. However it was more difficult to check the medicines supplied in standard packs. Nurses told us that new packs were started at the beginning of each month and any excess stock disposed of at the end of the month. They
Care Homes for Older People Page 4 of 8 have started keeping a running total for each pack of one medicine prescribed for a number of people living in the home. This is to ensure that people are given the medicine from their own supply. We checked two of these packs and found that they were correct. We checked four peoples medicines which had been supplied in original packs. One person had three medicines and they were all correct. One persons record showed that 3 tablets were unaccounted for. Two other peoples records showed that 1 tablet was unaccounted for. Nursing staff could not explain the discrepancies and systems in place did not allow for accurate audit. Nurses told us that they do not have a system for checking that unused medicines at the end of each month, which are sent for disposal, agree with the administration records. This means that it is difficult to check that medicines supplied in standard packs have been given correctly. Action should be taken to address this. Records are kept of the receipt and disposal of medicines in the home. We saw a number of medicines awaiting disposal that had not been added to the record and recommended that the record should be completed as an on-going process. A record should be made of when the disposal company remove the medicines. This is so that it is clear which medicines are awaiting disposal and which have been removed. Suitable secure storage for medicines is available on each floor of the home. 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 5 of 8 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 30 18 The registered provider must 30/09/2010 ensure that all staff receive training that is relevant to their role and enables them to meet the needs of the people they are looking after. This is so that people receive care and support from staff who have the necessary skills and competencies to meet their individual needs. Care Homes for Older People 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 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 Improvements should be made to the disposal of medicines so that records are made when medicines are transferred for disposal. A record should be made when the disposal company collects waste medicines from the home. This is so that there is a clear audit trail for medicines leaving the home. Systems in place should allow auditing of all medicines to check that they have been given correctly. 2 9 Care Homes for Older People 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 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 8 of 8 - 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!
