Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Ashwood Care Centre 1a Derwent Drive Hayes Middlesex UB4 8DR The quality rating for this care home is: The rating was made on: zero star poor service 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: Jane Shaw Date: 0 9 1 0 2 0 0 8 Information about the care home
Name of care home: Address: Ashwood Care Centre 1a Derwent Drive Hayes Middlesex UB4 8DR 02085731313 02085731124 ashwood@lifestylecare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Southern Cross (LSC) Ltd care home 70 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category 70 0 Over 65 0 70 Conditions of registration: 23 Older people with dementia - personal care. 32 Elderly Frail, of which 24 beds are for nursing and 8 are personal care or nursing 15 Elderly Personal Care Minimum Staffing notice. Date of last inspection Brief description of the care home The home is situated between Uxbridge and Hayes. It is a purpose built home and there are 3 floors accommodating residents, with 2 units on the ground floor and 1 unit on each of the 1st and 2nd floors. The home can accommodate a total of 70 residents. There are 68 single rooms and one double room, all with en suite facilities. There are local shops, bank and post office facilities nearby. The Beck Theatre is near the home, as are local pubs and restaurants. The home can be accessed by bus and main line Care Homes for Older People
Page 2 of 8 train services. The home has one GP practice and there are weekly visits to the home, and other healthcare services can be accessed by the home for the residents. A Devotional Meeting is held regularly and religious and clergy visits are arranged as required. The home has a Manager, plus a Deputy Manager who also works as a registered nurse within the home. There is also a Head of Care in charge of the personal care units. The fees range from three hundred and ninety four pounds to seven hundred and eighty seven pounds and 97 pence per week. Care Homes for Older People Page 3 of 8 What we found:
The reason for this pharmacist inspection was to further check compliance and progress made in relation to the Statutory Enforcement Notice served on 9th June 2008 and a further pharmacist inspection on 25th July 2008. The Statutory Enforcement Notice served on 9th June 2008 with a compliance date of 3rd July 2008 required the home to: Ensure the proper recording,handling,safekeeping,safe administration and disposal of service users medicines that are received into the home. We inspected medication on the first floor and looked at storage and recording and the daily audits. We checked the Controlled Drugs and noted that they were stored correctly and balances were accurate. The home was using individual professional lancets for checking the blood glucose of those residents with diabetes.The clinical room was clean and tidy and well organised and there was evidence that all temperatures including the fridge were within the required limits. We were satisfied therefore that the residents were not at risk from the transmission of infection and that medicines were stored correctly to maintain their potency. We noticed that one resident was self-medicating his inhaler.This was clearly documented on the MAR( Medication Administration Record) and there was a risk assessment in his care plan. We met the resident and he showed us where he kept his inhaler and how he took it. We looked at the care plan of a resident who was prescribed strong painkillers.There were pain charts in place and evidence of review of analgesia and referral to the palliative care team who had visited and provided support in line with the Gold Standards Framework. We looked at all the Medication Administration Records (MAR) and noticed that medicines were recorded when received into the home.Nurses were now doing daily counts of medicines and we were able to check these to see if records of administration could be reconciled against balances of stock.All samples taken indicated accurate recording. We noticed that when tablets were left in the Monitored Dosage System that the correct endorsement for not giving was used. We noticed that no medicines were recorded as not available .We checked the discharge letter of a resident recently returned from hospital and this correlated with the MAR. The findings from this inspection of medication confirm that the home has complied with the Statutory Enforcement Notice of 9th June 2008 in relation to medication. What the care home does well:
The service has worked hard to improve medication management on the first floor. Overall we were therefore very pleased that improvements had been made in ensuring accuracy in recording and ensuring safe administration.We were particularly impressed Care Homes for Older People
Page 4 of 8 with the new prompts introduced for reminding nurses which topical products were to be used for dressings. 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 8 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 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, 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 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 7 of 8 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 © (2008) 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 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!
