Random inspection report
Care homes for older people
Name: Address: Aberdeen House Residential Home 20 Stockerston Road Uppingham Rutland LE15 9UD 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: Denise Clark Date: 1 6 0 9 2 0 0 9 Information about the care home
Name of care home: Address: Aberdeen House Residential Home 20 Stockerston Road Uppingham Rutland LE15 9UD 01572823308 F/P01572823308 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 Linda-Jane Thornalley care home 18 Number of places (if applicable): Under 65 Over 65 18 1 old age, not falling within any other category physical disability Conditions of registration: No additional conditions of registration. Date of last inspection Brief description of the care home 0 0 Aberdeen House is an 18-bedded residential care home for older people. The home, which is a converted farmhouse, is situated in Uppingham, close to the centre of this rural village. Service Users rooms are located on two floors with a shaft lift and a stair lift providing access to upstairs facilities. Service Users have access to a communal lounge / dining room, a conservatory and a quiet lounge. There is a well-maintained patio garden outside. The weekly fee currently ranges from £390 to £490, and there are additional costs for Care Homes for Older People Page 2 of 8 Brief description of the care home hairdressing, toiletries, transport, chiropody and dry cleaning. Care Homes for Older People Page 3 of 8 What we found:
We looked at the arrangements for storing and administering medicines, and the management of controlled drugs. We talked to the manager and the homes owner during the visit. Medicines were stored in a lightweight metal cupboard in an unlocked room which is also the linen store. We were told that medicines are carried to the dining area by hand; packets and bottles are put in an open container (large biscuit box) and blister packs are carried on a metal clip-ring. We were told that the medicines are placed on a table in the dining room during administration, and medicine charts are left in the kitchen. Medicines are administered to a number of people,and then the administration records are signed. We were informed that medicines are also taken to peoples rooms, in their containers, by hand. Medicines were being administered to one person from compartments in an unlabelled container, called a dosette box. The manager explained that she had transfered the tablets from the labelled boxes supplied by the pharmacy (this practice is known as secondary dispensing). We looked at medication administration records and saw that one person was not receiving their pain killers as prescribed. We found that there was no record of the application of a cream prescribed for another person. The cream was prescribed to be used twice daily but we were told that the cream was only applied in the mornings. There were no records of the administration of controlled drugs on peoples medicine charts. We were told that it was normal practice to only record the administration of a controlled drug in the controlled drugs register. We saw records of the receipt of medicines into the home, and of the return of unwanted medicines to the pharmacy. In the returns record, controlled drugs were not distinguished from other medicines. Records of the disposal of controlled drugs in the controlled drugs register were incomplete. We also noticed that a small number of entries in the register had been covered by sticky labels. We were told that staff did not carry out regular stock checks of controlled drugs.We found that the cupboard in which controlled drugs were stored did not meet legal requirements regarding the level of security it provided. We found that the home does not have a medicines fridge. However, no medicines requiring cold storage were currently in use in the home. 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 4 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 5 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 Medicines must be administered as prescribed. This must be demonstrated by record keeping practices to ensure the health and well being of people living in the home 16/10/2009 2 9 13 Controlled drugs must be stored in a cupboard that complies with the Misuse of Drugs (safe custody) regulations for security reasons and to meet legal requirements 30/10/2009 3 9 13 Medicines must be securely 16/10/2009 stored at medicine administration times and when transported around the home. The home must risk assess its storage arrangements for medicines at other times for security reasons and to ensure the safety of people living in the home Care Homes for Older People Page 6 of 8 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 4 9 13 National guidance must be 16/10/2009 followed when administering medicines to ensure the safety and well being of people living in the home 5 9 13 There must be a clear audit 16/10/2009 trail for the use and disposal of controlled drugs for security reasons and to meet legal requirements. 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 Stocks of controlled drugs should be checked regularly and the stock check should be recorded. 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). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - 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!
