Random inspection report
Care homes for older people
Name: Address: Acorn Lodge Nursing Home Guido Street Failsworth Oldham Lancashire M35 0AL zero star poor 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: Avril Frankl Date: 1 3 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Acorn Lodge Nursing Home Guido Street Failsworth Oldham Lancashire M35 0AL 01616818000 01616888088 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Goinden Kuppan Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Aneerood Goorwappa care home 85 Number of places (if applicable): Under 65 Over 65 0 0 60 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 35 25 0 The registered person may provide the following category of service only: Care home with nursing - Code N To people of either gender whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP (maximum number of places: 60) Dementia - Code DE (maximum number of places: 35) Mental disorder, excluding learning disability or dementia - Code MD (maximum number of places: 25) The maximum number of people who can be accommodated is 85. Care Homes for Older People Page 2 of 9 Date of last inspection Brief description of the care home Acorn Lodge is a purpose built home situated on a main road close to the Failsworth/Manchester border, owned by Mr Goorwappa. The home provides accommodation for up to 85 people. The majority of bedrooms are single en-suite. One double room is provided people who wish to share. Seven lounge/dining rooms, two quiet lounges and two conservatories offer a variety of settings in which people living at the home are able to receive visitors, socialise and participate in activities.The home is on a main bus route with a bus stop outside. There is ample parking for visitors cars.Fees for accommodation and care at the home range from GBP360 to GBP516 per week. Additional charges are also made for hairdressing and chiropody services, newspapers and personal toiletries. Care Homes for Older People Page 3 of 9 What we found:
The reason for this specialist pharmacist inspection visit was to look at how well medicines were handled to make sure that people who live in the home were being given their medicines properly and their health was protected. This was because at the previous inspection there were concerns that medicines were not always given properly or handled safely. During the inspection looked at a sample of medication and records about medicines for residents who live in all three units in the home. We talked to the senior carer and the nurses in charge of their units and who had responsibility for medication on the day of the visit. We also spoke to the manager, the consultant who had been helping to improve the safely of medication handling in the home and the provider and the end of the inspection we gave full feedback to them. Following our inspection visits in November and December 2009 an action plan was sent to us outlining the improvements which would be made to ensure the safe handling of medication. During this inspection we found that major improvements had been made and that residents were given their medication properly and medication was handled safely. At previous inspections we found that staff had failed to give medicines properly either because they had failed to follow directions on prescribed medication or because medication was not available in the home. At this inspection we found that staff now followed directions fully and gave all medication as prescribed. We also found that all medication was available to be administered. We looked at medication for a resident who had just come to live the home and we found that all his medication had been confirmed with his doctor to make sure that he was being given the correct medication. This resident was admitted to hospital shortly after coming to live at the home and some of his medication was changed during his stay in hospital. The records showed that the staff had carefully followed the new directions and stock counts of medication on the day of the inspection showed that he had been given all of his medication as prescribed. At this inspection we found that the standard of record keeping had improved. There were full records of all the medication in the home for each resident and the records of unwanted mediation awaiting destruction were clear and accurate. When all the records were looked at about medication they clearly demonstrated that medication could be accounted for fully. The records about administration of medication had also improved and they showed clearly exactly what medication had been administered and if the medication had not been given an explanation was recorded. There were also good records made when changes in medication were made by the prescribers, this made sure that residents were given the new doses properly or not given medication in error when it had been discontinued. A system had been developed to record why medication which was prescribed on a when required basis, was needed. Records clearly showed if medication had been prescribed for agitation or pain. During the inspection it was discussed that this information could be developed further to give staff clearer guidelines on how to tell if a resident , with poor
Care Homes for Older People Page 4 of 9 communication skills, was agitated or in pain. It was also discussed that further information was needed to help staff decide which dose to give when a variable dose was prescribed. Staff made good records of how well medication, which was prescribed, when required worked. This information could be used in the future to detect trends or patterns and to make sure residents got good quality care. The staff clearly recorded the use of thickeners, prescribed to prevent choking, in drinks and soups. This is good practice as it helps to protect the health and wellbeing of residents who have swallowing problems. We looked at the storage of medicines in the home and found that the arrangements for storage of all types of medication were appropriate this included those medicines which needed to be stored in a fridge. The temperatures of the storage areas were monitored and recorded to make sure all medicines were stored at the temperatures recommended by the manufacturers. The manager told us that the staff had all received medication training and had individual training when it was needed. All staff had been assessed as competent to handle medication safely and these competency assessments had been repeated to ensure staff continued to look after medication safely. Some staff we spoke to said they felt now more confident in handling medication safely and enjoyed the support and training available to them. A new effective system of auditing, checking, medication was done on a daily basis by staff and on a weekly and monthly basis by the management team. By regular checking of medication staff told us they felt confident that they were handling medication safely. The manager and consultant to the home told us that the audits had improved the safe handling of medication and had enabled them to ensure that medication was handled safely. No requirements about medication were made as a result of this inspection. Requirements which were not about medication were not looked at during this specialist pharmacist inspection 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 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 7 13 To ensure that people are not placed at unnecessary risk the risk assessment for the use of bed rails must be further developed to include the risk of entrapment. 08/01/2010 2 7 15 To ensure that the health 08/01/2010 and welfare of people living at the home are fully met, residents receive the care and support they need at a time and frequency that is needed a detailed plan of care, which includes peoples personal choice and preferences, must be implemented for each identified care need. Previous timescale 09/03/09 had not been met. All staff files must include all 08/01/2010 the details listed in Schedule 2 to ensure the recruitment procedure protects residents. Previous time scale of 09/03/09 had not been met. To provide safeguards to residents and staff and to comply with regulations. Ensure all staff have a criminal record bureau
Page 6 of 9 3 29 19 and schedule 2 Care Homes for Older People 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 disclosure before they start work at Acorn Lodge. 4 30 18 Provide all grades of nursing 31/01/2010 and care staff with training and updates to training which supports them to do there job well and maintains the health, safety and wellbeing of residents. The registered person must notify the Commission of all events in the home that affect the health safety and wellbeing of residents as defined in regulation 37 07/12/2009 5 38 37 Care Homes for Older People Page 7 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 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. © 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!
