Care Home: The Glade

What the care home does well When people are able to look after their own medicines staff support them to do this safely. What the care home could do better: Records of controlled drug (medicines that can be misused) handling must be accurate to help prevent mishandling and misuse. Checks (audits) of the medicines should be recorded to help make sure they are handled safely and to help make sure staff have the necessary skills. Inspecting for better lives Random inspection report Care homes for older people Name: Address: The Glade 32 Lancaster Road Southport Merseyside PR8 2LE two star good 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: 0 9 0 3 2 0 0 9 Information about the care home Name of care home: Address: The Glade 32 Lancaster Road Southport Merseyside PR8 2LE 01704566699 01704566698 Noemail 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) : Mrs Susan Jackson,Mr David Winston Jackson care home 25 Number of places (if applicable): Under 65 Over 65 25 old age, not falling within any other category Conditions of registration: 0 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 The maximum number of service users who can be accommodated is: 25 Date of last inspection Brief description of the care home The Glade is an older property that has been converted into a care home and is registered to provide personal care and support for up to 25 older people. It is situated in a leafy part of Southport close to public transport and within easy reach of the amenities that serve the area. The home provides accommodation over four floors and has lift access. The communal space contains one large dining room and one large sitting room. Toileting and bathing facilities are located throughout. The home has had 1 8 1 2 2 0 0 8 Care Homes for Older People Page 2 of 8 Brief description of the care home adaptations such as handrails, hoists, specialist bathing facilities and ramps to suit the needs of the residents. There is a call-bell system throughout the home. The front garden is accessible via a ramp and suitable garden furniture is available for the residents and their visitors. The Glade is part of a small group of homes privately owned by Mr and Mrs Jackson. Weekly fees range from £379-£480. Care Homes for Older People Page 3 of 8 What we found: We visited the home because at our last visit we found some shortfalls in the way medicines were handled. The visit was carried out by a pharmacist inspector. It lasted four and a half hours and involved speaking with the acting manager, observing part of the medicines round and checking a sample of medicines stocks, medicines records and care plans. We found some good improvements in most areas of medicines handling but still found some weaknesses, notably with controlled drugs (medicines that can be misused) and record keeping. We looked at how people were supported to look after their own medicines and we saw improved procedures. People were encouraged and helped to do this and we saw several people managing their medicines safely with suitable paperwork in place to help make sure they receive the right amount of support. We found medicines stock and records to be well organised. Current and spare stock was stored securely and a special secure trolley was used to transport medicines safely around the home. A simple system of stock control had been developed that made checking and accounting for medicines much easier to do. When we checked the records of medicines given we found they were usually signed and up to date. Adequate stocks of medicines were kept in the home and records of receipt and disposal were usually accurate and complete. However, our checks showed that some staff were still not always following the correct procedures when giving medicines that had resulted in some poor record keeping and at least one boxed medicine being missed. We also found it difficult to fully account for all medicines because the records did not always explain why they had not been given, for example, if they refused to take them. Mistakes with record keeping keeping can lead to medicines being given to people incorrectly. We checked how controlled drugs (medicines that can be misused) were handled. A special cupboard was used for storage and this had now been properly fixed to the wall so that it met the requirements of the law. A special register was used for record keeping but we found some poor practice that had resulted in confused and messy records. Records were not always properly witnessed and the stock of one controlled drug was wrong for several entries showing staff had not given and recorded it correctly. The manager agreed that this was poor practice and said that all staff involved would be spoken with as soon as possible to help prevent it happening again. Having secure storage and witnessed records helps prevent the misuse of controlled drugs. We observed medicines being given in an organised and calm way just after people had eaten their breakfast. We looked in more detail at the times medicines were given and these were now better organised, any medicines that needed to be given before food were now clearly highlighted on the records and on special reminder cards that the new manager had made. Giving medicines at the right time helps make sure they work properly. The manager said she now carried out random checks of the records and stock to help Care Homes for Older People Page 4 of 8 make sure staff were giving and recording medicines correctly, however, no records of this were made. The manager showed us some paperwork that was to be used and we gave some advice on how to best use and adapt this. We discussed how staff were trained and assessed to be competent and the manager said she was planning to do some formal assessments of staff by watching them give and record medicines. We looked at a sample of care plans and records to check if medicines were properly reflected in them. We saw some care plans had been updated with recent changes to medication and we gave some advice on how to improve the records of when required medicines such as painkillers and medicines used for agitation. Having up to date clear written care plans helps to make sure people get their medicines when they need them. 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 9 13 An efficent system of checking and auditing medicines must be in place. This will make sure medicines are handled safely and make sure staff have the necessary skills. 19/01/2009 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 Care Homes for Older People 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 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. 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