Random inspection report
Care homes for older people
Name: Address: Clarondene Residential Care Home View Road Lyme Regis Dorset DT7 3AA 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: Lorna Somerville Date: 1 8 0 6 2 0 0 9 Information about the care home
Name of care home: Address: Clarondene Residential Care Home View Road Lyme Regis Dorset DT7 3AA 01297442876 01297442025 clarondene@hotmail.co.uk 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) : Ms Mary Alison Curtis care home 12 Number of places (if applicable): Under 65 Over 65 12 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 Clarondene residential care home is registered to provide care and accommodation for up to twelve older people who require assistance with personal care. The home is situated in a quiet residential area of Lyme Regis. All but one bedrooms are situated on the ground floor. Communal facilities comprise of a large lounge dining room. There is also a large bathroom and shower room with appropriate adaptations. The home has a small garden with seating provided, that can be accessed from the lounge. The proprietor lives on the premises and seeks to provide a homely feel. Ms Curtis takes an active role in the running of Clarondene and is present within the home each day.
Care Homes for Older People Page 2 of 8 Brief description of the care home Weekly fees range from £462 to £500 with additonal charges being made for hairdressing, chiropody and newspapers. Care Homes for Older People Page 3 of 8 What we found:
The purpose of this pharmacist inspection was to look into medication handling in the home, following a recent key inspection of the home. We looked at how medicines are given to people, and we checked medication records and storage arrangements. We looked at some peoples care plans to see if information was recorded about their medicines. We talked to the manager and staff who are involved with giving medicines to people in the home. At the moment there are no people who look after their own medicines, and all people in the home are given their medicines by staff. Medication storage and recording have improved since the last inspection. We found medication safely stored in a locked cupboard. We found that medication is given to people in a safe way, and people receive their medicines in the way their doctor has prescribed for them. There are records of medicines received into the home, and those returned to the pharmacy. The recording of medicines given to people has improved and we found clear and accurate records of medication that has been given and received. This helps to show that people receive their medicines correctly. Most medication charts are now printed by the pharmacy, but there are still some handwritten charts for new or temporary residents. Most of these handwritten charts are checked and signed by a second member of staff, and it is recommended that this is extended to make sure all handwritten entries on the medicine charts are always checked and signed by a second member of trained staff. We found some details recorded in peoples care plans about their medication.It is recommended to increase the details provided in peoples care plans, when medication is prescribed for them when required. This is to help make sure that the instructions for when these medicines should be given are up-to-date for staff, and help to make sure that people get their medicines in the way their doctor has intended for them. 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 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 1 4 A copy of the Statement of Purpose and Service User Guide must be available. Prospective service users must be provided with up to date information to ensure that they are able to make an informed choice regarding admission to the home. 26/06/2009 2 9 13 All medication must be 08/06/2009 stored securely. All handwritten entries on medication records must include the date, quantity of medication received and staff signature. A signature must be recorded for all medication given, or a definition used as appropriate. This is to ensure that people do not have access to medication that has not been prescribed for them. There must be a clear audit trail for all medication received into the home. Records must evidence what medication has been taken by each person. 3 19 13 13 (4) A risk assessment must be completed in 26/06/2009 Care Homes for Older People Page 5 of 8 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 relation to unrestricted wardrobes and any necessary actions taken. This is required to reduce risk of injury to people living at the home. 4 26 13 The flooring in the laundry must be replaced. This is required to reduce the risk of cross infection. 5 38 16 16 (2) [j] Food stored within 26/06/2009 the fridge must be dated. Food hygiene records must be appropriately maintained. The hot tap within the hand washing basin in the kitchen must be mended. To follow best practice regarding food hygiene and to protect people living at the home. 6 38 23 23 (4) [c] Fire alarms must be tested on a weekly basis. To ensure that equipment is working appropriately to alert people in the event of a fire. 13/06/2009 10/07/2009 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, 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 1 9 It is recommended to ensure that all handwritten entries on medication charts are checked and signed by two trained members of staff. This is to help reduce the risks of any errors occurring. It is recommended to increase the details provided in peoples care plans, when medication is prescribed for them when required. This is to help make sure that the instructions for when these medicines should be given are up-to-date for staff, and help to make sure that people get their medicines in the way their doctor has intended for them. 2 9 Care Homes for Older People Page 7 of 8 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 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!
