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: Naveeda Knopp Date: 3 0 1 1 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): Name of registered manager (if applicable) Mrs Joanne Chapman 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 1 6 0 9 2 0 0 9 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.
Care Homes for Older People Page 2 of 9 Brief description of the care home Details about the weekly fees can be obtained from the Registered Manager or provider, there are additional costs for hairdressing, toiletries, transport, chiropody and dry cleaning. Care Homes for Older People Page 3 of 9 What we found:
This inspection focused on the handling of medicines at the home. Administration records, the Controlled Drug register and places where medicines where stored were viewed. In addition staff and people at the home where spoken to. A trainee GP who had come to carry out a routine visit for one person was also spoken to by the inspector. The inspection also included visiting up to 3 people in their rooms. Case tracking was carried out for two people living at the home. Medicines were being given to people as prescribed by their doctor. Staff were able to demonstrate that they could follow the Prescribers instructions for a person taking Warfarin. On occasions there was an option for one or two tablets/capsules to be given of a pain relieving medicine, it was not always clear from the records kept what the amount was that was given. The records kept for the accounting of medicines in the home for each person were inaccurate. The register used to indicate when a Controlled Drug entered the home had not been filled out on the day this medicine was received, which made auditing of controlled drugs difficult. Medicines that required cold storage were not stored appropriately as to prevent the decline in their effectiveness. Controlled drugs medicines (that have additional legal requirements on their safe storage) were not stored in a secure cupboard but this had been acted upon my the owner of the home on the day of the inspection. Medicines were being transported around the home in a safer way than previously identified. A new designated room to be used to keep the medication trolley when not in use, had not been fully set up for use. The care plans contained limited information to support the carers to deal with the medication needs of individuals appropriately. Visible prompts where seen stuck on the wall in an individuals room to remind staff to give the person their inhalers. Not all current best practises of handling medicines in a social care setting where being followed. It was seen that not all medicines with a short in use date would have the date of opening marked on them. This increased the risk of an out of date medicines being used. Creams or ointments that where no longer in current use were seen in two individuals rooms. For two people there was excess stocks levels of two of their prescribed medicines. Staff who give out medicines are trained internally by the management team. Their practical competencies of handling medicines had been assessed in August 2009. Senior carers would have a NVQ 2 Qualification in health and social care. What the care home does well:
Medication that was observed to be given to people was administered showing respect and dignity. Medicines are given to people following the Prescribers instructions. A trainee GP commented that she finds that the staff have no problems with the medication
Care Homes for Older People Page 4 of 9 regimes and that if antibiotics where prescribed that these would be given accordingly. 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 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 National guidance on the 22/01/2010 handling of medicines in the social care settings should be followed at the home. This is to safeguard the health and welfare of all people living at the home. 2 9 13 The home must ensure that 22/01/2010 accurate records are made to account for all medicines kept on the premises for all people living or staying at the home. This is to safeguard the health and welfare of all people living at the home. 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 All people aged 75 or over on 4 or more medicines could have a medication review by the GP every six months. 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 2 9 All staff who give out medication could have accredited medication handling training. 3 4 9 9 All staff could have their medication handling competency reassessed yearly. All people living at the home could have a medication profile in their care plans. 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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!
