Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Bowles Lodge All Saints Road Hawkhurst Kent TN18 4HT The quality rating for this care home is: The rating was made on: two star good 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: Suni Chotai Date: 2 4 0 9 2 0 0 8 Information about the care home
Name of care home: Address: Bowles Lodge All Saints Road Hawkhurst Kent TN18 4HT 01580752775 01580754622 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Beverley Seal Type of registration: Number of places registered: Kent County Council care home 36 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 36 Conditions of registration: Date of last inspection Brief description of the care home Bowles Lodge is a Linked Service Centre owned and operated by Kent County Council. It offers residential care for 36 older people and there is a day centre on the site. The Home is a detached, purpose built, premises on one level with 34 single bedrooms and one shared bedroom. There are staff call points and television points in all bedrooms. There are telephone points in some bedrooms and at other places around the Home. There is a large garden to the rear of the building and car parking to the front. Bowles Lodge is located near to the centre of Hawkhurst village with easy access to bus services. The nearest shops and other amenities including churches, library, chemist, post office and public houses are within half a mile.The Homes senior staffing team comprises the Manager, a Senior Team Leader and Team Leaders. The Home employs Care Homes for Older People
Page 2 of 8 Care Workers who work a roster that gives 24-hour cover and additional staff for catering, domestic and administration duties. Care Homes for Older People Page 3 of 8 What we found:
The pharmacist inspector from CSCI visited the home following a concern raised around medicine in the home. There were a few issues that will need addressing. The controlled drugs cupboard was not fixed to the wall in accordance with the requirement of the law. Controlled drugs were not being stored in the more secure inner cupboard. The fridge used for storage of medicines was not lockable. The records around medicine management for audit purposes were good. The home needs to include the total balance in the controlled drugs register as zero when medicines are returned to pharmacy for disposal. Administration procedure follows good practice. One resident was prescribed antibiotic. This treatment was commenced on Monday when the medicine was received, but the medicine had been dispensed on the Friday according to the label. Another medicine was marked out of stock the previous day and records showed it had been ordered. This was an ongoing repeat prescription item and continuity of supply should be maintained. Special instructions for a particular medicine to be taken before food were not being adhered to. Medicine that required frequent dose changes following blood tests were being managed well. Risk assessments were available for any medicine which was self administered. 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 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 5 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 1 9 13 To ensure the controlled drugs cupboard is fixed to the wall in the correct manner and is used to store controlled drugs To comply with the Misuse of drugs regulation 1973 and its amendments 30/11/2008 2 9 13 The home should have systems in place to ensure supplies of prescribed medicines are available to commence or continue treatment in order to ensure continuity of treatment and meet the healthcare needs of residents 17/10/2008 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 Medicine prescribed on a ‘when required’ basis should have guidelines in the care plan which give criteria to use for when to administer this medicine. This would ensure a common approach in the use of this medicine. Care Homes for Older People Page 6 of 8 2 9 To follow any special instructions on how to give medicines to be found on patient information leaflets to gain optimum benefit for the residents 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!
