Care Home: Talbot Street, 72

What the care home does well Medicines can be fully accounted for because the records and stock are well organised, this helps show that they are being given to people correctly. What the care home could do better: Handwritten records of medicines should be more accurate to help make sure medicines are given to people correctly. Inspecting for better lives Random inspection report Care homes for adults (18-65 years) Name: Address: Talbot Street, 72 72 Talbot Street Southport Merseyside PR8 1LX three star excellent 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Simon Hill Date: 1 2 0 2 2 0 0 9 Information about the care home Name of care home: Address: Talbot Street, 72 72 Talbot Street Southport Merseyside PR8 1LX 01704501145 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Autism Initiatives care home 3 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 3 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: Learning disability - Code LD The maximum number of service users who can be accommodated is: 3 Date of last inspection Brief description of the care home 72, Talbot Street is a small care home that is registered to provide personal care and support for up to three adults with a learning disability. The service is provided by Autism Initiatives, a national charity specialising in the care of people with Autism and the property is owned and maintained by Liverpool Housing Trust. The home is a large detached property situated in a quiet road not too far from the centre of Southport and all its amenities, with public transport and shops close by. The property is well maintained and spacious. It comprises of four single bedrooms, two Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home lounges and a dining / kitchen area. There is a well-maintained garden at the front, incorporating a patio area and a further patio area at the rear, which is used extensively during the summer months. Fees range from £1019.73 to £1055.01 per week. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: We visited the home to make sure medicines were being handled safely. The visit was carried out by a pharmacist inspector. It lasted two hours and involved speaking with the senior carer on duty. We checked the current medicines stocks, medicines records and care plans and we gave feedback to the manager by phone. We found the medicines records and stock to be well-organised and securely kept. Records of medicines received into the home and given to people were usually complete and there was a good system in place that made it simple to account for all medicines that were received into the home. Running stock balances of all medicines were kept on the records, which helped show medicines were being given to people correctly as prescribed. However, when we checked a further sample of the records dating back over the last year we found some discrepencies and recording mistakes. A recent course of antibiotics for one person was not clearly recorded because the name of the medicine was not written onto the records and there were some gaps where staff had forgotten to sign when giving it. The carer on duty confirmed it was an antibiotic that should be given before food but this was not highlighted on the records, which means it could have been given at the wrong time. On another persons record we found several recording mistakes when staff had signed the records by mistake even though they had not given the medicine. This same person had recently went without one of their medicines for two days because new stock had not been obtained in time. The manager said that this had happened because the pharmacist usually ordered the medicines and so staff rarely saw the original prescriptions, ordering the medicines and seeing the signed prescriptions helps make sure medicines are correct and helps make sure new supplies are obtained in time. We looked at how visits to the doctor and other health professionals were organsied and recorded. We found clear detailed records and good systems in place for reminding staff to organise checks ups and health reviews. We found good information about the current medicines and what they were used for and this was clearly presented so staff understood how to give them safely. We looked at the arrangements for handling controlled drugs and found no formal procedures in place. Although nobody was prescribed controlled drugs or had been in the past recent changes to the law require all care homes to have suitable storage arrangements in place. Having good arrangements for the handling of controlled drugs helps prevent them being mishandled and misused. We looked at how staff were trained to handle medicines safely. The senior carer on duty said and the manager later confirmed that all staff have attended formal in house medicines training sessions and this was repeated every year. Regular training helps make sure staff have the necessary skills to handle medicines safely. What the care home does well: Medicines can be fully accounted for because the records and stock are well organised, this helps show that they are being given to people correctly. Care Homes for Adults (18-65 years) Page 4 of 8 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 Adults (18-65 years) Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) 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, Care Homes 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 Procedures and paperwork for handwritten medicines records should be improved to help make sure medicines are safely handled. Care Homes for Adults (18-65 years) Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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 Adults (18-65 years) 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. 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