Care Home: Taunton House

What the care home does well Having met all of the outstanding requirements on medication handling the home can now demonstrate that they are handling medicines properly and that people are getting their medicines and treatments as prescribed by their general practitioners. What the care home could do better: Ensure that the new standards of medication handling continue to be maintained. Inspecting for better lives Random inspection report Care homes for adults (18-65 years) Name: Address: Taunton House 26 Marlborough Road Ryde Isle Of Wight PO33 1AB zero star poor service 13/11/2008 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: Geraldine Yates Date: 1 3 0 2 2 0 0 9 Information about the care home Name of care home: Address: Taunton House 26 Marlborough Road Ryde Isle Of Wight PO33 1AB 01983611250 F/P01983611250 davjak@dialstart.net 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) : Mr David John Knowles care home 5 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: 5 The maximum number of service users to be accommodated is 5 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs admission to the home are within the following category: Mental disorder, excluding learning disability or dementia (MD) Date of last inspection Brief description of the care home Taunton House is a family run care home registered to provide care and accommodation for up to five adults who have mental health difficulties. The house is a detached period building in Ryde and has been converted to provide single bedroom accommodation for the residents and separate accommodation for the provider. There is parking space at the front of the building and a large garden to the rear of the property. The home is close to public transport or residents can walk to the nearby shops or town centre. Care Homes for Adults (18-65 years) Page 2 of 9 1 3 1 1 2 0 0 8 Brief description of the care home Mr David Knowles is the registered provider and Mrs Jackie Knowles is the registered manager. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: The reason for this inspection was to assess compliance with the statutory requirement notice dated 23 January 2009. You were required by 2 February to: 1. Have a system in place to ensure that all people using the service receive their medication as prescribed by their general practitioner at all times. 2. The system for the administration of medication must ensure that medication is administered and stored safely. The practice of secondary dispensing of medication must cease. 3. Ensure that complete and accurate records are available in the home relating to each service users medication and the administration of medicines and treatments prescribed by their general practitioner at all times. 4. Ensure all guidelines for the administration of medication to service users are clear, up to date and give specific instructions to staff that accurately reflect the support service users require with medication. 5. Ensure that all care staff are suitably trained in the safe administration of medicines. At this inspection we looked at care plans and the medication administration records for all of the people living in the home. We also looked at the medication supplies for people. The records and medicine supplies showed us that people were receiving their medicines as prescribed by their general practitioners . People were receiving their medicines at the correct dose and times and there had been no times when medicines had not been given to people. The medication profiles and records of administration were well kept. There were no blank entries, nor any ambiguous entries. When people were prescribed a medicines to be given only when needed they had guidelines in telling care staff what circumstances the medicine should be given. No medication is now being preprepared or secondary dispensed to be given later. The person whose medicine had been prepared and given later when we last inspected was now being supported to look after and take their medicine themselves. The risks associated with this had been assessed and were being minimised where possible and monitored. This is a positive step to increasing this persons independence. Staff have undertaken a training course in the safe handling of medication and obtained up to date guidance on the handling of medication in social care from the Royal Pharmaceutical Society of Great Britain. They were able to demonstrate an Care Homes for Adults (18-65 years) Page 4 of 9 understanding of safe practice. We found that the statutory requirement had been met. 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 Adults (18-65 years) 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 31 17 The registered person must develop and put in place a duty roster for persons working at the care home and a record of whether the roster was actually worked. So that you can ensure that there are adequate staff to meet the needs of people living at the home. 26/12/2008 2 33 19 The registered person must ensure that all necessary staff checks are completed prior to employment and records of these are maintained at the service. So that you can ensure that people accommodated are not put at risk of harm or abuse. 26/12/2008 3 36 18 The registered person must 26/12/2008 ensure that there is a structured supervision programme in place and staff are supervised as part of their practice. staff So that you can ensure that staff fulfil their role when providing care and will assist you in identifying the carers development needs. Care Homes for Adults (18-65 years) Page 6 of 9 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 4 41 18 The registered person must 26/12/2008 ensure that the home complies with the care standards act and regulation to ensure the health and safety of the service users are protected at all times. So that you can ensure that the service users are not put at risk of poor practice or abuse. Care Homes for Adults (18-65 years) Page 7 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 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 Adults (18-65 years) Page 8 of 9 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. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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