Care Home: The Leys

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What the care home does well Staff training has been arranged for the staff. Medicines are given to people throughout the day, and some medication is recorded more accurately than is required. Fire drills and instruction for staff is done regularly. What the care home could do better: Liquid medication could be measured more accurately. Information on medicines carried forward from one month to another could be recorded to ensure medication audits are performed accurately. A systematic check of medicines could be undertaken regularly. Random inspection report Care homes for older people Name: Address: The Leys 63 Booth Rise Boothville Northampton Northants NN3 6HP 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 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: Keith Williamson Date: 2 4 0 9 2 0 0 9 Information about the care home Name of care home: Address: The Leys 63 Booth Rise Boothville Northampton Northants NN3 6HP 01604642030 01604670028 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 Sheila Samuels care home 18 Number of places (if applicable): Under 65 Over 65 18 2 old age, not falling within any other category physical disability Conditions of registration: 0 0 No person falling in the category PD (E) can be admitted where there are 2 persons of category PD (E) already in the home No person falling within the category OP can be admitted where there are 18 persons of category OP already in the home. The home limits its services to the following Service User Categories To enable the home to admit persons who are in the category old age (OP) To limit the number of persons accommodated in the home To limit the number of persons to be admitted under the category OP To limit the number of persons to be admitted under the category PD (E) Total number of Service Users in the home must not exceed 18 Care Homes for Older People Page 2 of 8 Date of last inspection Brief description of the care home The Leys is a converted and extended dormer bungalow providing care for 18 older people two of whom may have a physical disability. The Leys is situated on the outskirts of Northampton, close to local amenities and can be reached by both public and private transport. There is parking available at the front of the house. It has been owned by Mrs. Sheila Samuels for many years. There is currently an acting manager in post Mrs. Maureen McDonagh, who has recently applied to be the Registered Manager. There is a large lounge, and a bright dining room and conservatory on the ground floor and there are plans to update the kitchen. The home has bedrooms on the ground and first floors, each of which has en-suite facilities; three of these include a bath. Stairs or a stair-lift access the two bedrooms on the first floor. There is a large, pleasant, well-maintained garden with a small patio area that has tables and chairs. This is accessible for all residents. The home can be contacted by telephone or fax. The weekly fees range from £395 to £495 for a large en-suite room. There are additional costs for hairdressing, dry cleaning, chiropody and toiletries. The registration certificate, the certificate of insurance and the latest inspection report are available in the reception area. Copies of the latest Care Quality Commission reports are available from the manager. Care Homes for Older People Page 3 of 8 What we found: The reason for this inspection was to follow-up issues and comments received from an anonymous complaint, about poor medication administration for the group of residents. We also had concerns passed to us regarding the fire and evacuation system. We visited the home on a weekday morning, and the visit lasted three and a half hours. We had a tour of the home, and spoke to some residents, staff and the manager. We looked at the medication storage and operating system, the fire and evacuation system, policies and procedures. We looked at the training for staff to enable them to care for people safely. The staff are trained to give people medication, from a supply delivered by the chemist on a weekly basis. Medication is given in liquid, tablet and capsule form, and staff have policies and procedures explaining how they should give the medicines. Staff are expected to record accurately what medicines people have been given, and return what is not required to the pharmacy. Some of the liquid medication is signed for by two staff, this is over and above what we expect, however staff are not measuring the liquid medication in a consistent way. People receive medicines regularly throughout the day, some of the doses vary, in line with information passed on by medical staff. These were accurately recorded and administered in line with the medical information provided. However there was no way to check what amount of medicine is carried forward from month to month. Staff do not perform regular checks or audits on the system to ensure all medicine is given appropriately. Staff spoke of the training they had undertaken recently, these included medication, health and safety, moving and handling, and the prevention of abuse (known as poca or pova). These were also confirmed when looking at the staff training records. We also looked at the fire and evacuation system, and the files used to back up the staff information and training. Since the Fire Officer visited, updates have taken place on the Fire Risk Assessment and other associated paperwork. Staff fire and evacuation training and fire drills are carried out periodically, and this information is recorded in the files. What the care home does well: What they could do better: Liquid medication could be measured more accurately. Information on medicines carried forward from one month to another could be recorded to ensure medication audits are performed accurately. A systematic check of medicines could be undertaken regularly. 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 £ No R 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 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 shall make arrangements for the recording, handling, safe keeping, safe administration and disposal of medicines received into the home. This is to ensure people receive the correct medication. 17/11/2009 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 The details and numbers of medicines that are transferred from one prescribing month to another could be transferred from one MAR chart to another aiding any audit of medicines. Staff could audit the MAR charts and medicines, to ensure they are administered appropriatly. Liquid medication could be measured in an appropriate syringe before being administered. This would ensure an accurate dose. 2 3 9 9 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. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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