This inspection was carried out on 10th August 2009.
CQC found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: Blakesley House Nursing Home 7 Blakesley Avenue Ealing London W5 2DN one star adequate 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: Jane Shaw Date: 1 0 0 8 2 0 0 9 Information about the care home
Name of care home: Address: Blakesley House Nursing Home 7 Blakesley Avenue Ealing London W5 2DN 02089912364 02089915256 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 Margaret Nyambura Lane care home 22 Number of places (if applicable): Under 65 Over 65 22 0 old age, not falling within any other category physical disability Conditions of registration: 0 22 The maximum number of service users who can be accommodated is: 22 The registered person may provide the following category of service only: Care Home with nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Physical disability - Code PD (E) Date of last inspection Brief description of the care home Blakesley House is a care home for twenty-two older people. There are sixteen beds for older people who need nursing care and six beds for service users who require personal care. The Registered Manager is also the owner of the home which is a four storey detached
Care Homes for Older People Page 2 of 9 Brief description of the care home house located in a quiet residential area of Ealing. The home is close to Ealing Broadway, with its shopping centre, buses, and underground and main line station. There are eleven shared bedrooms and five bathrooms within the home. The lounge, separate meeting room, kitchen and conservatory, which is also used as a dining area, are situated on the ground floor. There are no communal areas on the upper floors. The home has a passenger lift and it can be accessed from the lounge via steps or a portable ramp. Laundry facilities and a food store are within an out-building that is located in the rear garden. The fees are approximately #500 per week for personal care and #600 per week for nursing care. Care Homes for Older People Page 3 of 9 What we found:
We looked at the safe management of medication in the home to see what progress had been made following the concerns raised at the key inspection in April 2009. We inspected the recording of receipts, administration and disposal of medication, and counted several tablets to check the accuracy of the records. All the audits carried out were accurate with the exception of folic acid for one resident when we found one too many tablets left. Nurses were counting stock on a daily basis and we did notice that sometimes the deductions were incorrect. We noticed that there were records for all receipts of medication and that disposal by the pharmacists waste company was also recorded. One resident was self -medicating including oxygen and there were risk assessments in place. This resident showed us where the medicines were kept in a locked bedside drawer and also told us what he was taking and for what reason. We looked at the lancets used for testing blood glucose and noticed that they were of the professional type to prevent the spread of infection. Storage in the office was secure and the trolley was locked and padlocked to the wall.There were warning signs on the door where oxygen was kept to prevent the risk of fire. We looked at the controlled drugs. Balances were correct but nurses were recording disposal before actually denaturing in a Doop Kit. Also the CD cupboard was used to store other items besides controlled drugs. We noticed in the register that the GP had removed two controlled drugs and we were concerned about this irregular practice. This was followed up with primary care trust after the 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 4 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 Following any falls, the falls risk assessment and all related documentation must be updated. This is to ensure appropriate action is taken to minimise the recurrence of falls. 30/06/2009 2 7 13 Written consent must be availabe for the use of bedrails. This is to ensure the use of bedrails has ben fully discussed and identified as appropriate for use. 30/06/2009 3 7 18 Correction fluid must never 30/06/2009 be used on legal documents. This is to ensure compliance with relevant legislation 4 9 13 Further work must be carried 30/06/2009 out to provide a comprehensive medications policy for the home, in line with current legislation and guidance. To ensure medications are managed effectively. 5 9 13 All entries in the controlled drugs register must be signed by 2 staff. 15/06/2009 Care Homes for Older People Page 5 of 9 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 To ensure they are checked by 2 staff. 6 9 13 Medications must be disposed of in line with current legislation. To ensure medications are disposed of correctly. 7 11 12 There must be evidence that 30/06/2009 residents and their families have been offered the opportunity to discuss their wishes in respect of health deterioration and end of life care, and the outcome of such discussion must be recorded. This is so that their wishes are known and can be respected. 8 12 16 The Registered Person must make sure that a range of activities in which residents are able to take part are organised in the home and also within the community. This is to ensure that their social needs needs are being met. 9 18 13 The Registered Person must ensure that residents in the lounge are at all times supervised. To ensure that their needs are being met. 17/06/2009 30/06/2009 30/06/2009 Care Homes for Older People Page 6 of 9 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 10 19 16 The Registered Person must ensure that chairs provided to residents are of good quality, comfortable and appropriate to their needs. To ensure that residents needs are being met. 30/06/2009 11 19 16 The Registered Person must 30/06/2009 make sure that residents are at all times provided with appropriately comfortable chairs. This is to ensure that there needs are being met. 12 27 19 The Registered Person must 17/06/2009 make sure that suitably qualified, competent and experienced staff are at all times employed at the home. This is to ensure that the needs of residents are being met. 13 31 12 The Registered Manager 30/06/2009 must make sure that there is sufficent calibre of senior staff are employed at the home. This is to ensure that the overall needs of residents are being met. 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 1 9 13 That the home continues to carry out weekly audits and stock checks of medication. To ensure accurate record keeping of medication in the home and safe management. 01/09/2009 2 9 13 That controlled drug storage 01/09/2009 complies with the Misuse of Drugs Act. and waste controlled drugs are disposed of according to the European Waste Regulations. To comply with the appropriate legal regulations 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. 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 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!
