Care Home: Stainton Way Care Home

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What the care home does well We find that the requirements are met What the care home could do better: Medication should be stored at temperatures recommended by the manufacturer. The home should take action to ensure that all containers supplied by the pharmacy have clear and readable labels Random inspection report Care homes for older people Name: Address: Stainton Way Care Home Stainton Way Hemlington Middlesbrough TS8 9LX zero star poor service 18/11/2009 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: Janet Long Date: 2 4 0 5 2 0 1 0 Information about the care home Name of care home: Address: Stainton Way Care Home Stainton Way Hemlington Middlesbrough TS8 9LX 01642599157 01642596481 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Beverley Ann Stubbs Type of registration: Number of places registered: Conditions of registration: Category(ies) : North East Care Homes Ltd care home 67 Number of places (if applicable): Under 65 Over 65 0 49 dementia old age, not falling within any other category Conditions of registration: 18 0 The maximum number of service users who can be accommodated is: 67 The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, maximum number of places: 49 Dementia - Code DE, maximum number of places: 18 over age of 55 years Date of last inspection 1 8 1 1 2 0 0 9 Care Homes for Older People Page 2 of 9 Brief description of the care home Stainton Way Care Home is situated in the village of Stainton on the outskirts of Middlesbrough. The home is purpose built and registered to provide care to a maximum number of 67 older people, 18 of whom may have dementia. The home is divided into four units. Each unit has lounge, dining facilites, toilets and bathing facilities. Bedrooms are single in nature and have ensuite toilet facilities. A Passenger lift enables accesss to the first floor. The cost of care at the time of the inspection visit ranged from £428 to £435 a week. Care Homes for Older People Page 3 of 9 What we found: The reason for the inspection was to assess compliance with the requirements made in a warning letter dated 6 April 2010. A warning letter is a legal notice , which is served on the provider when there has been a breach of regulations. The letter describes which regulations have been broken and what the provider must do to put right the breach; it also gives the date by which this must be done. We then follow up the notice by visiting the service to make sure that actions have been taken to meet the requirements and regulations. The requirements in the notice was to make sure that residents health was not at risk from poor medication practises. A pharmacist inspector spent six hours in the home and the inspection involved looking at medication storage, stock control, policies and procedures relating to managing medicines in the home and examination of medication administration records( MARs). There were very few administration gaps on the medication administration records. An audit of stock and records showed very few differences. This means that people living in the home can expect to receive their prescribed medication correctly. There is now greater consistency in handwritten entries and changes made to medication. Further improvements could be made by asking the prescribed to review medication which had a dose of as directed or which is being given when required on a regular basis. This makes sure that medication is given correctly. The quantities of medication received into the home and brought forward each month are now clearly entered on each persons record making it easy to check whether sufficient quantities are always available. Some medication in the home had handwritten labels because the labels supplied by the pharmacy had become unreadable. Advice had been sought from the Primary Care Trust. Further action needs to be taken by the home and the pharmacy to prevent this from happening in the future. This will reduce the risk of mistakes. Medicines are stored securely either in locked trolleys or locked cupboards. Good records are kept of fridge and room temperature, however the rooms used to store medication were warm and had no ventilation. Correctly storing medicines at temperatures recommended by the manufacturer means that staff will know that they are safe to administer. The date of opening is now consistently added to medicines with a limited use once. For one person who self-administered creams there was no 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. The care plan for one person who had been recently discharged from hospital was looked at and there was good information recorded about ongoing monitoring that would be required. This provides staff with up to date information on the care requirements for this person. Other care plans were in the process of being updated. What the care home does well: We find that the requirements are met Care Homes for Older People Page 4 of 9 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 30 18 All staff working at the home 31/05/2010 must be up to date with mandatory training. This will help to ensure they have the appropriate knowledge and skills to carry out their work. 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 13 The temperature of the 15/08/2010 medication room should be regularly monitored and action taken when it exceeds that recommended by the manufacturers. This makes sure that medicines are stored correctly and are safe to administer 2 9 13 All medication must only be administered from the containers supplied by the pharmacy with a clear readable label This will reduce the risk of mistakes 15/07/2010 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 13 The prescriber should be asked to provide information when medication has a dose of as directed or when required. This makes sure that medication is given Page 7 of 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 correctly. 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. 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