Care Home: Sunrise Operations Bassett Ltd (Assisted Living)

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What the care home does well The service is quick to implement audit tools to pick up any shortfalls noted in meeting the needs of the people in the home. What the care home could do better: The service can improve care plan guidance for medicine that is self administered or to be given only when needed. The service could proivide clear information on MAR charts for medicines dose changes. Random inspection report Care homes for older people Name: Address: Sunrise Operations Bassett Ltd (Assisted Living) 111 Burgess Road Southampton Hampshire SO16 7AG one star adequate 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: Suni Chotai Date: 0 9 0 8 2 0 1 0 Information about the care home Name of care home: Address: Sunrise Operations Bassett Ltd (Assisted Living) 111 Burgess Road Southampton Hampshire SO16 7AG 02380706050 02380706051 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Sunrise Operations Bassett Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 104 Number of places (if applicable): Under 65 Over 65 0 104 dementia old age, not falling within any other category Conditions of registration: 104 0 The maximum number of service users to be accommodated is: 104. The registered person may provide the following category of service only: Care home with nursing - Code N - 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. Dementia - Code DE. Date of last inspection Brief description of the care home Sunrise Operations Bassett Ltd Assisted Living is a registered nursing home able to provide nursing care and accommodation for up to 75 older people. The nursing home Care Homes for Older People Page 2 of 8 Brief description of the care home is located on the lower three floors of a large complex which also provides a separate residential home for people with dementia on the upper fourth floor. The nursing home was registered on the 30th September 2008 and provides all single rooms with either en-suites or shared with one other room bathroom and WC facilities. Communal facilities are provided including a spacious dining room, and large lounge divided into two sections one with a bar area providing hot and cold drinks. A separate activities room is provided on the second floor. A small car park area is provided to the side of the home and to the rear there is an accessible garden. All areas of the home are accessible via a passenger lift. The home is owned by Sunrise Operations Bassett Ltd and at the time of this key inspection did not have a registered manager. Additional charges are made for hairdressing, chiropody, manicure, newspapers and some other services. Full information about current fees is available from the home. Care Homes for Older People Page 3 of 8 What we found: The pharmacist inspector visited this service as we had information of a few medicine errors and the Adult safeguarding team had raised concerns. We visited the home to check that medicine management systems are safe and the health and welfare of all the people in the home is protected. The service has good facility to manage medicines well. There is adequate storage space which is kept at the required temperature. Medicines that require more secure storage and additional records by law known as Controlled Drugs are also managed correctly. There are four medicines trolleys which are used during administration rounds. We watched the end of a medicine round and saw that safe practices are used. The records relating to medicine were checked. We saw records of a daily audit for medicines given. This record showed that any concerns picked up by the audit are dealt with and a record kept of the action taken. This means there is a check to ensure medicines are given as prescribed. We saw that when medicines instructions are hand written there is a check by a second person to ensure the accuracy of the directions before commencing the medicine. On one occasion additions to the medicine administration record [MAR] chart was not initialled, dated or checked. This particular record was very confusing and the manager could not explain what had happened. With regards to information in care plans on the use of medicine to be taken only when needed we saw guidance for staff but some of these guidance lacked sufficient information to give clear guidance to staff to be able to make a judgement when to use that medicine. Clear guidance would mean that there is consistency in the use of this medicine. This was pointed out to the lead wellness nurse who said that she would take this on board. This person is new in post. Similarly the self administration documentation seen did not incorporate a risk assessment and procedure of the exact method to manage the self administration. Training records of staff authorised to give medicines were available. We asked what the staff thought could be the reason for the errors noted. We were informed that there is a high turnover of staff and communication could be the root cause for the errors. Evidence seen suggests this to be the case. What the care home does well: What they could do better: The service can improve care plan guidance for medicine that is self administered or to be given only when needed. The service could proivide clear information on MAR charts for medicines dose changes. Care Homes for Older People Page 4 of 8 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 7 15 The responsible person must 12/01/2010 ensure that all care plans fully document all actions taken to meet service users 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 1 9 13 The registered person must 31/08/2010 ensure that hand written information added to medicine administration record charts is clear, signed and dated and clear. So that staff have robust information to give the correct medicine as prescribed 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 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. 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