Nursing Home Inspection Report

Transcription

1 Nursing Home Omega Private Nursing Home Number of Residents 21 Registered for 22 Nursing Home Address Proprietor Proprietor s Address (if different from above) Commons, Belturbet Co Cavan Michael & Maureen Anne Dennehy Inspection Report Person-in-Charge of Nursing Home Date and Time of Inspection(s) Maureen Anne Dennehy 24/07/2008 Date report issued 11/08/ Summary of previous report findings Compliance status The previous inspection from 06/05/2008 showed the nursing home not to be substantially compliant with current nursing home inspectorate regulations at the time of inspection. However non compliance 14 (b), 27 (a), 11.1 (i), 12 (e) and 19.1 (b) have been addressed. Current Inspection Summary Findings Findings of latest unannounced inspection which took place on 24/07/2008. The inspectors findings based on the current nursing home inspectorate regulations are as follows: Findings 1

2 Under Care & Staffing the nursing home was compliant with 19 out of 21 regulations. On the basis of this inspection and under current nursing home regulations, there are issues that need to be addressed as outlined below in relation to the Care and Staffing. Under Management the nursing home was compliant with 27 out of 27 regulations. On the basis of this inspection and under current nursing home regulations, there are issues that need to be addressed as outlined below in relation to Management. Summary Findings of Current Nursing Home Inspection Under Physical Environment the nursing home was compliant with 8 out of 11 regulations. On the basis of this inspection and under current nursing home regulations, there are issues that need to be addressed as outlined below in relation to the Physical Environment. Article 29 (b): The registered proprietor and the person in charge of the nursing home shall ensure that the treatment and medication prescribed by the medical practitioner of a dependent person is correctly administered and recorded. Resident ** had Difene 50mg tid x 10 days dated 27/06/08 and signed by the General Practitioner. This prescription was signed as given by staff from 1 st July th July 2008, therefore not administered as per signed prescription. The registered proprietor and person in charge: 1. To update the medication management policy to include the An Bord Altranais Guidance to Nurses and Midwives on Medication Management (July 2007). 2. To ensure all staff adhere to An Bord Altranais Guidance to Nurses and Midwives on Medication Management (July 2007) as per updated policy when administering medications to residents. Within one week of receipt of this report. Compliance/Non Compliance Article 19.1 (f) In every nursing home the following particulars shall be kept in a safe place in respect of each dependent person a record of drugs and medicines administered giving the date of the prescription, dosage, signed and dated by a medical 2

3 practitioner and the nurse administering the drugs and medicines. Pre-printed drug charts for residents **, **, **, ** and ** did not have each individual drug signed and dated by the General Practitioner. The pre-printed chart was signed on the bottom right hand corner by the General Practitioner. On resident ** drug chart it appeared that Piriton 10mg od dated 15/07/2008 had been transcribed and administered it had been increased to 10mg bd on the 17/07/2008 and again signed as administered. There was no record that this was a telephone order. The registered proprietor and person in charge: To ensure each individual drug is signed and dated by the General Practitioner prior to been administered to by staff. To ensure all staff adhere to updated up-dated medication management policy. To ensure all staff adhere to An Bord Altranais Guidance to Nurses and Midwives on Medication Management (July 2007) as per updated policy when administering medications to residents. Within one week of receipt of this report. Article 12 (a): The registered proprietor and the person in charge of the nursing home shall take precautions against the risk of accidents to any dependent person in the nursing home and in the grounds of the nursing home; 1. There were portable Dimplex Heaters in some residents bedrooms. They pose a risk to residents when in use as they are very hot to touch. 2. There was a free standing fire extinguisher sitting on the floor opposite the dining room door. The registered proprietor and person in charge: 1. To review the need for Dimplex heaters in all resident bed. To assess the risk of having these heaters in the bedrooms of residents and take appropriate action. 2. To ensure the fire extinguisher is fixed to the wall. 3

4 . EHO EHO EHO 1. Within one month of receipt of this report. 2. Within one month of receipt of this report. Article 14 (a): The registered proprietor and the person in charge of the nursing home shall ensure that the nursing home and its curtilage is maintained in a proper state of repair and in a clean and hygienic condition 1. The hoist store is substandard. 2. The Laundry walls are in need of repainting. 1. This store to be upgraded - unnecessary timber to be removed and the walls, floor and ceiling to be upgraded. 2. The Laundry walls to be painted with a suitable paint. 1. Within one month of receipt of this report. 2. Within one month of receipt of this report. Article 11.2 (f): In every nursing home there shall be provided suitable and sufficient accommodation which meets the minimum standards as follows suitable and sufficient equipment and facilities having regard to the nature and extent of the dependency of the persons maintained in the nursing home 1. The unit beneath the laundry sink was showing evidence of disrepair. 2. The power point at the wheelchair store was loose 1. This unit to be replaced 2. This power point to be stabilised to the wall. 1. Within one month of receipt of this report 2. Forthwith Article 14 (b): The proprietor and the person in charge of the nursing home shall make adequate arrangements for the prevention of infection, infestation, toxic conditions, or spread of infection and infestation at the nursing home 1. The tap cap of the sluice room sink unit was missing. 2. Two care attendants were viewed by Designated Officers going from one room to another attending to residents wearing the same aprons and gloves. 3. A of clean pads were been stored on a shelve in the sluice room. The registered proprietor and person in charge to ensure: 1. This cap to be replaced. 2. That all staff read and adhere to the infection 4

5 control policy that has been implemented in the Nursing Home. 3. To remove these clean pads from the sluice room and store in a clean store cupboard. Within 7 days of receipt of this report. All regulations, their reference s and the details of those regulations can be viewed in Nursing Homes (Care and Welfare) s, Comments and recommendations made by the inspection team as a result of the inspection Comments and Recommendations EHO Comments and Recommendations: The proprietor advised me that he has a programme in place for replacing the bedroom floors as necessary and when it is reasonably practicable to do so. I recommend written conformation of this plan to be forwarded to us priority to be given to the replacement of the bedroom floor at rooms * and **. I understand that this is a re-registration inspection and I would recommend that all the above be complied with prior to the granting of registration and the proprietor be so informed. Designated Officers request the following be submitted prior to the 25 th August 2008 A copy of the rota clearly indicating the hours all staff including the person in charge is rostered to be on duty for. This rota should be written with black ink. A copy of the relief panel of workers available to cover sick/annual leave for each discipline working in the Nursing Home. Submit a re-furbishment plan prior to the 25 th August if move to new Nursing Home is not going to take place within six months of receipt of this report. Review all pressure relieving equipment to ensure they are set as per manufacturers instructions. Submit a training record for all staff employed in the Nursing Home to include mandatory fire and manual handling training one month prior to registration. Submit an up to date list of all policies implemented in the Nursing Home. Ensure all policies reflect practice within Omega Nursing Home, have an implementation and a review date. Please submit one month prior to registration expiry date. Submit remaining outstanding items required for re-registration as requested within one month of receipt of this report. Comment-All entries in residents Nursing documentation should be used using the 24hour clock not am and pm. 5

6 This report has been completed/issued by Noel Mulvihill, LHO Author 6