Care Home: Wray Park Care Home

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What the care home does well Medicines are handled by trained care staff. Staff were seen to treat people respectfully. Clear records are kept of the medicines that have been given to people who use the service. What the care home could do better: Care planning must include how and when to give people medicines prescribed to begiven only when needed. They need to include detailed information and instructions to enable staff to meet the needs of people who use the service. Random inspection report Care homes for older people Name: Address: Wray Park Care Home 55 Alma Road Reigate Surrey RH2 0DN two star good service 08/04/2009 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: Geraldine Yates Date: 1 8 0 2 2 0 1 0 Information about the care home Name of care home: Address: Wray Park Care Home 55 Alma Road Reigate Surrey RH2 0DN 01737242778 01737221521 wraypark@btconnect.com,www.carehomesofdisti nction.com 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 Antony Coomb care home 24 Number of places (if applicable): Under 65 Over 65 0 0 24 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 24 24 0 The maximum number of service users who can be accommodated is: 24 The registered person may provide the following category/ies of service only: Care home only - 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 - OP Dementia - DE Mental Disorder, excluding learning disability or dementia Date of last inspection 0 8 0 4 2 0 0 9 Care Homes for Older People Page 2 of 9 Brief description of the care home Wray Park Care Home is a substantial Georgian detached listed property that has been converted to provide accommodation for twenty-four older people. . The home has been owned and operated since 1992 by Mr Antony Coomb who is also the registered manager. The provider also owns two other registered care establishments in the Surrey area. The home is located just off Reigate Hill, near the M25. Access to shops, church, public transport and other local services is within easy reach. The home is presented across four floors, with the lower ground, ground and first floor providing resident accommodation and the top floor providing staff accommodation. Residents accommodation consists of twenty two single bedrooms and one shared bedroom. The vast majority of bedrooms provide en suite facilities. Access to the first and ground floors is via stairs or a stair lifts. Communal space consists of large lounge and dining room on the ground floor. There is a further Georgian room that is in the main used for social events, reading room or a quiet area for residents. The home is located in substantial grounds with a large garden. The homes literature state that its aims to ensure the highest standards of care and support to service users and to provide an environment which is stimulating, provides independence and safeguards privacy. Care Homes for Older People Page 3 of 9 What we found: This inspection was a specialist pharmacist inspection to look at the handling of medicines in the home following concerns that were brought to the attention of the Commission. We looked at the storage of medicines, records kept in the home, care plans, policies and procedures and talked to the deputy manager and a care assistant. People who use this service have their medicines given to them by designated trained care staff. Written procedures are available to staff to provide guidance. They did not however include sufficient detail to enable staff to know how tasks were to be performed or documented in this specific service. We watched one member of staff giving people some of their medicines. They followed appropriate safe practices and treated people respectfully. People were given the time that they needed to take their medicines. No one was looking after their own medicines when we visited. This can be arranged if people wish to do this. The medication administration records and supplies were looked at in detail for six people. Clear records were kept to show when people had their medicines. Together with receipt records these showed that people get their medicines correctly. However, when a variable dose of medicine was prescribed the actual dose given was not being recorded on all occasions. This should be done to show exactly how much medication people have been given. When a medicine was not given the reason why was not always clearly recorded and so it was not possible to tell on those occasions if the reason for the medicine being omitted was valid. Personalised care plans, describing how people like to take their medicines, were available for all of the people whose records we looked at. Some of the people whose records we looked at were prescribed medicines to be given only when needed, PRN medicines. The homes own policy and procedures incorporates instructions to staff that PRN medicines should be included in their care plans and reviewed regularly with the GP. However, detailed information was not available in the care plans describing when these medicines are to be given. Clear guidance must be provided to the staff on when such medicines are to be given and when they are not so that people receive their medicines in a way that is consistent and meets their needs at all times. All medicines were stored securely so as to protect the people who use the service. Medicines that are liable to misuse, called controlled Drugs, were stored in a metal cabinet. This cabinet would comply with the law if it were correctly secured to a solid wall. Additional records were kept of the usage of Controlled Drugs so as to readily detect any loss. What the care home does well: What they could do better: Care planning must include how and when to give people medicines prescribed to be Care Homes for Older People Page 4 of 9 given only when needed. They need to include detailed information and instructions to enable staff to meet the needs of people who use the service. 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 9 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 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 1 9 13 Care plans must include 25/03/2010 detailed information and instructions for staff in respect of the administration and management of medicines prescribed to be given on an as and when required basis and what constitutes needed for people. To enable people to be given their medicines in a clear and consistent way that meets their needs. 2 9 13 Controlled Drugs must be stored in a Controlled Drugs cabinet that complies with the Misuse of Drugs (Safe Custody) Regulations. In order to comply with the law. 25/03/2010 Care Homes for Older People Page 7 of 9 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 8 of 9 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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