Inspecting for better lives Thematic inspection report
Care homes for older people
Name: Address: Autumn Grange Care Home 19-29 Herbert Road Sherwood Rise Nottingham NG5 1BS The quality rating for this care home is: The rating was made on: one star adequate 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 thematic 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: Denise Clark Date: 0 2 1 0 2 0 0 8 Information about the care home
Name of care home: Address: Autumn Grange Care Home 19-29 Herbert Road Sherwood Rise Nottingham NG5 1BS 01158417475 01159620061 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Sherwood Rise Ltd Type of registration: Number of places registered: care home 76 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category 0 0 Over 65 51 25 Conditions of registration: That the identified bedroom to be only used for residents who by virtue of their needs are unable to use an ensuite facility. Registered Manager must be full time and have full time supernumery hours of work Three Senior Carers to be in charge, one on each unit (three in total) from 08:0020:00 for 76 service users at least 7 (seven) care assistants must be provided from 08:0020:00 Date of last inspection Brief description of the care home Care Homes for Older People Page 2 of 9 The home is located in a quiet residential area of Nottingham (Sherwood Rise) with access to local amenities. The city centre of Nottingham is about 1 mile away and there is a direct bus route to and from the city centre with a bus stop about 300m metres from the care home. A park and ride service is available, about 500 metres from the care home. The home is split into three units, two of which provide up to fifty-one (51) places for people who may have a Dementia related illness (residential, non-nursing). The other unit provides personal care (residential care, non-nursing) for up to twenty-five (25) older people. There is a choice of lounges and combined dining room areas. The building is wheelchair accessible with adaptations and equipment appropriate to the needs of the service users. The garden area to the front of the premises has an enclosed safe garden to enable residents to access it safely. Parking is limited at the front of the building but there is more space available at the rear of the building itself as well on the road parking. The current basic weekly fees for the service is #329. The most recent inspection report can be found in the entrance hall. Care Homes for Older People Page 3 of 9 What we found:
We found some evidence of improvement in the handling of medicines in that the receipt and disposal of medicines is recorded. However, the quantity of a medicine remaining when a new supply is received is not clear from the records and medicines could not be accounted for. During the inspection we conducted audits of some medicines and found six discrepancies. Some medicines were stored in unlocked cupboards or medicine refrigerators; these cupboards and fridges were in locked rooms that only staff allowed to administer medicines could enter. Thermometers used to check the fridge temperatures were not the maximum/minimum type. The temperature of one refrigerator was recorded each morning and afternoon. There were no temperature records for the second refrigerator, and the temperature was above the recommended maximum at the time of the inspection. Cupboards for storing controlled drugs complied with the relevant regulations. However, the key for one of these cupboards was missing and some controlled drugs were being illegally stored. A locksmith arrived at the home during the inspection to put a new lock on this cupboard. Controlled drugs records were being kept in a file, and not in a bound book with numbered pages, as required. Controlled drugs no longer needed had not been disposed of promptly. One person looked after her own medicines, with support from her family. There was no up-to-date assessment of this persons ability to self-medicate in her care plan. 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 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a thematic 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 1 7 13(4,c) Risk assessments must be in 30/08/2008 place for all identified risks to ensure that people using the service remain safe. People using the service 30/08/2008 must have plans of care in place for complex care needs such as diabetes mellitus and dementia to ensure that they are supported appropriately and their care needs are fully met. Arrangements must be made 30/08/2008 for the safe administration and recording of medication to ensure that people using the service are protected and receive their medication as prescribed. People using the service must be consulted with to make arrangements for stimulating activities to ensure that their needs are met. Further training in safeguarding adults must be arranged to ensure that people using the service remain safe. 22/10/2008 2 7 15(1) 3 9 13(2) 4 12 16(2,m,n) 5 16 13(6) 30/08/2008 Care Homes for Older People Page 5 of 9 6 30 18(1,c,i) Further training in 22/10/2008 mandatory areas must take place to ensure that staff have the necessary skills and knowledge to meet the needs of the people using the service. The acting manager must 30/08/2008 make an application to the Commission for social care Inspection to become the registered manager to ensure that people using the service live in a home that is managed by a person who is fit to be in charge. 7 31 8(1) 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 Controlled drugs must be stored and recorded in accordance with the Misuse of Drugs regulations Legal requirements relating to controlled drugs must be met for security reasons 30/01/2009 2 9 13 Medicines requiring 30/01/2009 refrigeration must be stored within the correct temperature range.This must be demonstrated by daily records. Medicines must be stored in accordance with manufacturers instructions to ensure their efficacy and safety 3 9 13 Medicines must be given in line with prescribed instructions. This must be demonstrated by recordkeeping practices. The health and well-being of people living in the home must be protected. 30/01/2009 4 9 13 Risk assessments must be carried out when enabling 30/01/2009 Care Homes for Older People Page 7 of 9 people to look after and take their own medicines. These assessments must be regularly reviewed. The health and well-being of people living in the home must be protected. 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 The registered provider should review arrangements for the disposal of unwanted and waste medication to ensure that medicines are disposed of promptly. The registered provider should ensure that the maximum and minimum temperatures of medicine fridges are recorded daily, to show that medicines are stored at the correct temperature at all times. The registered provider should risk assess the storage facilities for medicines to ensure that medicines are securely stored 2 9 3 9 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 © (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 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!
