Inspection on 23/03/10 for Chasewood Lodge

This inspection was carried out on 23rd March 2010.

CQC found this care home to be providing an Poor service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Chasewood Lodge 06/01/10

Chasewood Lodge 17/01/09

Chasewood Lodge 12/12/07

Chasewood Lodge 23/11/06

Chasewood Lodge 13/04/06

Chasewood Lodge 02/02/06

Chasewood Lodge 09/06/05

Chasewood Lodge 04/10/04

Chasewood Lodge 18/05/04

Similar services:

Coton Hill House

Doddington Lodge

Far Croft

Churchill House Nursing and Residential Home

Field Farm House

Church Terrace Nursing & Residential Home

Fountain Court

The Forbury

Extracts from inspection reports are licensed from CQC, this page was updated on 16/05/2010.

Random inspection report Care homes for older people Name: Address: Chasewood Lodge Mcdonnell Drive Exhall Coventry West Midlands CV7 9GE zero star poor service 07/01/2010 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: Julie McGarry Date: 2 3 0 3 2 0 1 0 Information about the care home Name of care home: Address: Chasewood Lodge Mcdonnell Drive Exhall Coventry West Midlands CV7 9GE 02476644320 02476645866 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Maria Christine Edwards Type of registration: Number of places registered: Conditions of registration: Category(ies) : Chasewood Care Ltd care home 107 Number of places (if applicable): Under 65 Over 65 95 dementia Conditions of registration: 12 The maximum number of service users to be accommodated 107 The registered person may provide the following category of service only: Care Home Only (Code PC) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) 12 Dementia over 65 years of age (DE) 95 Date of last inspection Brief description of the care home Chasewood Lodge Care Home is a registered care home, providing care to older men and women with a diagnosis of dementia, with a facility to take younger adults with early onset dementia. The home is situated in a cul-de-sac and lies next to the M6 with Care Homes for Older People Page 2 of 9 0 7 0 1 2 0 1 0 Brief description of the care home easy access to Nuneaton, Coventry and Bedworth. There are local shops, which are accessible and the nearest town is Bedworth. There is local bus service to the home. The home is registered to provide care for a 107 people. Ninety-five beds are registered for older people with dementia and 12 beds for younger adults with early onset dementia. The old and new buildings are linked. The home provides unitised care in both the new and old buildings; each unit has separate lounge, dining, assisted bathrooms and toilet facilities. Residents are free to walk around the building and use facilities on any of the units. Throughout the home there are also additional quiet communal areas and a hairdressing salon is located on the ground floor. The service has now has a spiritual room and gym facility at the home. Information about the home is available in a document entitled Information book and this contains information and photographs of both Chasewood Lodge and the new home known as Chasewood Manor. There are parking facilities at the front of the building, and further spaces at the entrances to both the new and old buildings. The manager has advised that the current fees for a place in the home is between £420.16 and £435.16 per week for dementia care for people over 65 years. Weekly fees for younger adults with dementia start from £500. Other additional charges include the hairdresser, chiropody, personal toiletries, newspapers and magazines. The fee information given applied at the time of the inspection; persons may wish to obtain more up to date information from the service. Care Homes for Older People Page 3 of 9 What we found: At the last inspection carried out in January 2010, we found areas of concern which could have potentially placed people using the service at risk. As a result we made a number of requirements and set timescales for action by the registered persons. This unannounced inspection which was undertaken by a regulation inspector and a pharmacy inspector was to assess the actions taken, and the homes compliance with these requirements. The registered manager and the deputy manager were on duty when we arrived at the home. The owner of the home was also present. People at the home and staff assisted us in our inspection and supplied us with the information we requested. MEDICATION : Requirements two, three, four, five and six in our previous report. The pharmacist inspection lasted two hours. The reason for the inspection was to check compliance with the five requirements and one recommendation left at the last inspection on 6th January 2010 regarding medication. A selection of peoples medicines on three of the six units were looked at. A total of ten peoples medicines were looked at together with their Medicine Administration record (MAR) chart. The manager has worked hard to improve the standard of medicine management in the home, and this was evidenced by all the requirements and recommendations being fully met. This was commended. The manager was in the process of changing the supplying community pharmacist and has determined what improved systems they need to further improve the medicine management further. New medicine trolleys and cabinets were to be provided along with new medicine refrigerators. Currently the manager employs an independent person to undertake audits to ensure that the medicines have been administered as prescribed. This was to cease following this inspection, and internal audits were to replace this as well as a regular audit by the new community pharmacist. All the medicines were stored on each individual unit. The temperature of the medication rooms were checked daily as well as the temperature in the medicine refrigerator to ensure that the medicines were stored at the correct temperature to maintain their stability. The home now sees all the prescriptions prior to dispensing and uses a copy of them to check the medicines and MAR charts received into the home. The quantity of all medicines received had been recorded enabling audits to take place to demonstrate that the medicines had been administered as prescribed and records reflected practice. Audits indicated that the medicines had been administered as prescribed in the majority of instances. Hand written MAR charts were well written and all new supplies of medicines to the home were clearly documented and checked by a second member of staff for accuracy. Care Homes for Older People Page 4 of 9 The staff had been fully trained and understood the correct procedures to ensure that the medicines are administered as prescribed. All staff has access to a medicine reference book for information regarding the medicines they administered. One care assistant spoken with had a very good understanding of what the medicines were for. This was commended. Medication reviews had taken place and many of the anti psychotics seen at the last inspection on one unit were no longer prescribed. All controlled drugs balances were correct and we the commission were assured that the home was to receive new CD cabinets from the community pharmacy to ensure that they will be stored in compliance with current regulations. The regulation inspection lasted five hours. The reason for the inspection was to check compliance with the requirements left at the last inspection on 6th January 2010 regarding care planning, risk management, staff training and record management. Six peoples care records on three of the six units were looked at, we spoke to people who live at the home, we looked at staff files, and spoke with staff and the manager. CARE PLANNING AND RISK ASSESSMENTS - Requirement one in our previous report, and outstanding Requirements one and two from our inspection in January 2009. At the inspection in January 2009, the home was require to ensure that they took appropriate action and maintain records for the use of bed rails. At this visit we looked at the care files of all three people who have been assessed as requiring bed rails. Records show that assessments are being carried out to help the home determine the appropriate use of bed rails for people. Consent forms were also seen to show that people/ their representatives are in agreement to the use of the rails. When bed rails are not appropriate, alternative approaches to ensure peoples safety are being used when in their beds. The plans also inform that the assessment for the use of bed rails was made in conjunction with the local district nursing team to ensure that the bed rails are used appropriately to maintain safety and not to restrain. Staff spoken to were knowledgeable about the need and the risk associated with the use of bed rails. This meets the requirement made. Also at the inspection in January 2009, the home were required to ensure care plans state actions to be taken to minimise risk for those individuals who have been assessed as being at risk. We looked at three peoples care plans and found improvements in the homes records and in staff knowledge about risk management. Records for falls, moving and handling were in place within the files looked at. Completed risk assessments for nutritional screening and manual handling risk assessments are also in place. These will help to minimise any risks. Good risk assessments were seen for the prevention of pressure sores and challenging behaviours. When the outcome of the assessment identifies an increased risk, action is implemented to minimise the risk. For example, one person was identified as having an increased risk of developing pressure sores; a care plan was developed to minimise the risk and included the use of a pressure relieving mattress. We saw this in use for the person. Care Homes for Older People Page 5 of 9 Two of the files seen show that strategies to monitoring and supporting people with any challenging behaviours have been included in individual care plans. Information in the care files identify the areas of risk, state the object of the plan, and detail of how staff should respond when certain behaviours are displayed. The home has demonstrated that it has met requirement one in our previous report, and outstanding requirements one and two from our inspection in January 2009. STAFF TRAINING : Requirement seven in our previous report. We looked at staff files and records at the home. We found that the home has taken steps to provide staff with training in the protection of vulnerable adults. A training matrix is in place to ensure all staff receive refresher / up to date training in safeguarding. Discussions were held with three members of staff regarding suspected abuse. Each member of staff was aware of the action to take and of the correct reporting procedure if continued abuse is suspected. Staff confirmed that they had undertaken training regarding protection of vulnerable adults and was aware of the homes whistle blowing procedure. Staff spoke positively of training opportunities. The home has demonstrated that it has met requirement seven in our previous report. RECORD MANAGEMENT- Requirement eight in our previous inspection. Throughout the inspection, the home provided both the regulation inspector and pharmacy inspection with all documents requested. This meets this requirement eight in our previous inspection. The manager has worked hard to improve the standard of medicine management, care planning, risk management and staff training in the home and this was evidenced by all the requirements being fully met. This was commended. 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 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R 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 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. 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