Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Clough House 7 Worden Lane Leyland Lancashire PR25 3EL 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: Stephanie West Date: 1 1 1 1 2 0 0 8 Information about the care home
Name of care home: Address: Clough House 7 Worden Lane Leyland Lancashire PR25 3EL 01772436890 01772436890 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) : Clough House Residential Home Limited care home 14 Number of places (if applicable): Under 65 Over 65 14 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: 14 Date of last inspection Brief description of the care home Clough House is a residential home providing personal care and accommodation for 14 older people of both sexes aged 65 or over and is owned by Clough House Residential Limited. The home is situated in a conservation area in Leyland close to local shops and other facilities and is on a main bus route. Accommodation is provided on two floors with twelve single rooms and one shared room. The first floor is accessed by two stair lifts sited at each end of the building. Communal rooms are all sited on the Care Homes for Older People Page 2 of 9 Brief description of the care home ground floor.Information about the service including current weekly charges is available from the home. Care Homes for Older People Page 3 of 9 What we found:
The home was randomly selected for a visit to look at the arrangements for handling medication. The visit lasted approximately two and a half hours and involved discussing the handling of medication with the Senior Carer, examination of medicine records and storage arrangements. At the end of the inspection feedback was given to the Senior-in-charge. Overall, we found some weaknesses in the arrangements for the handling of medication at the home that need to be addressed to ensure people are best protected. Medicines policies provided guidance to staff in the handling of medicines at the home and staff have completed certificated training in the safe handling of medication. But, it was of concern that everyones night-time doses of medicines were pre-prepared into named pots. This is known as secondary dispensing and should be avoided as it can lead to accidental errors and mix-ups. People were supported to manage their own medication should they wish to, and this promotes their independence. Care plans recorded when people were self-administering medication but there should be more information about how this is supported by care staff. The medication administration records were generally up-to-date and clearly showed the treatment people had received. But, it was of concern that we saw two examples where short courses of medication had not been used properly. Records showed that the treatment had not continued for the full four weeks prescribed, with eye drops being used for only sixteen days and a cream for only three weeks. The cream and the eye drops had not been written onto the new medication administration record started when the new main monthly delivery arrived. Additionally, one person had chosen to buy some supplement capsules. Staff at the home administered these capsules, but no record was made of this. Records must be completed for all medicines administered by care staff. When staff are asked to administer purchased medicines checks should be made and recorded, to ensure any purchased medicines are safe and suitable. Most medication administration records were pre-printed by the pharmacy but where handwritten entries were made they were not signed, checked and countersigned by a second person. This is recommended to reduce the risk of making errors. We saw one completely handwritten record, which was not fully completed to include the month and year of administration. The pre-printed medication administration records did not include the actual times of administration showing only e.g. Morning, Lunch etc. The supplying pharmacist should be approached to see if the actual times can be printed on. All medicines were safely stored. The home did not handle Controlled Drugs, but no arrangements were in place for the handling of these medicines. The law about the storage of Controlled Drugs has changed and the manager is advised to look into this to ensure appropriate arrangements can be made. Staff were not aware of any regular audits (checks) of medication handling. This is recommended to help ensure that should any weaknesses arise they can be quickly addressed. What the care home does well:
Care Homes for Older People
Page 4 of 9 People who lived at the service were able to look after and take their own medication if they wanted and were able to, and this helped them remain independent. 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 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
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, Care Homes 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 Where people choose to self- 29/12/2008 administer medication there should be a risk assessment and written care plan to help ensure people receive any support they may need to do so safely. 2 9 13 Medication administration records must be kept up-todate and medicines must be administered from the original labeled container to help support the safe administration of medication and reduce the risk of mistakes. 15/12/2008 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 Regular audits (checks) of medication handling should be completed to help ensure medicines are well managed and that where weaknesses are identified they can be quickly addressed. Handwritten entries on the medication administration Care Homes for Older People Page 7 of 9 records should be signed, checked and countersigned to reduce the risk of mistakes. Care Homes for Older People 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 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: 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. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
