This inspection was carried out on 15th June 2009.
CQC found this care home to be providing an Excellent service.
The inspector found no outstanding requirements from the previous inspection report,
but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: Cleggsworth Care Home Ltd 7/11 Little Clegg Road Smithybridge Littleborough Lancashire OL15 0EA three star excellent 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: Avril Frankl Date: 1 5 0 6 2 0 0 9 Information about the care home
Name of care home: Address: Cleggsworth Care Home Ltd 7/11 Little Clegg Road Smithybridge Littleborough Lancashire OL15 0EA 01706379788 01706379788 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) : Cleggsworth Care Home Ltd care home 38 Number of places (if applicable): Under 65 Over 65 38 old age, not falling within any other category Conditions of registration: 0 The home is registered for a maximum of 38 service users to include: *up to 38 service users in the category of OP (old age not falling within any other category). Date of last inspection Brief description of the care home Cleggsworth House is registered to provide personal care and accommodation for 38 older people. It caters for both long term and respite stays. The home is located in Smithybridge village, which has a variety of shops and other amenities close by. It is near to public bus routes and the train station is in close proximity. The home consists of a two-storey building with purpose built extensions having more recently been added. With the exception of one double room, all rooms were single. En-suite facilities are provided in eight of the bedrooms. There is ramped access to the front entrance and a passenger lift is provided. Garden areas are provided to the rear of the
Care Homes for Older People Page 2 of 9 Brief description of the care home building. The homes Service User Guide advised residents and their relatives that the most recent Commission for Social Care Inspection (CSCI) report was available in the entrance area. The fees were £352-82 to £459-69 per week. Additional charges were made for hairdressing, trips, newspapers, telephone, alcohol, clothing and personal toiletries. Care Homes for Older People Page 3 of 9 What we found:
We visited the home because we had concerns in the way medicines were handled. This visit was to make sure that residents health was not at risk from poor medication practices. The visit was carried out by a pharmacist inspector and lasted about four hours during which time we looked at medication together with records about medicines for three people. We spoke to the acting manager and a senior care assistant who had responsibility for medication. We gave detailed feedback to the acting manager at the end visit. There were adequate storage facilities for all medicines; however items such as cigarettes and nail varnish were also stored in this room. We also found that unwanted medicines had been left in a crate on the floor and some of the cupboards were not locked. It is important that only staff that have been trained in the safe handling of medicines have access to the medication storage area; it is good practice to lock the cupboards containing medicines to prevent mishandling of medicines. Creams which had been prescribed for residents were kept in their bedrooms. We saw that these creams were not stored safely in residents rooms and no checks had been done to make sure that it was safe to store creams in their bedrooms. The records about medicines were quite good and they showed if residents had been given their medicines as prescribed. They also showed most that medicines could be accounted for. Records clearly showed where creams should be applied and when medicines had been stopped by the doctor. However we found that when people had not been given medication as prescribed the records did not explain why. Records in the controlled drug register were not always double signed as is good practice; there were some alterations which made the records unclear. We found that mostly residents were given their medicines as prescribed. However sometimes medicines were not given properly, either because staff failed to follow directions carefully or because medicines were not available to be given. When people are not given medicines as prescribed their health may be placed at risk form harm. There had been concerns that when residents had their medication changed as a result of a hospital admission they were not always given their medicine properly when they returned to the home. During this inspection we found that one lady had not been given her newly prescribed medicine after she left hospital because the staff had not made effective arrangements to obtain it. It was a concern that no one in the home was aware this medication had been prescribed until it was brought to the acting managers attention during the inspection. We also found that one of this ladys medicines had been allowed to run out and when the new supply arrived the directions on the label were not the dose which had previously been prescribed. It was of further concern that no action had been taken,for four days, to check exactly what dose the prescriber wanted . This residents health could have been placed at serious risk from harm. The day after the inspection the manager told us that the doctor had been contacted for advice to ensure that this residents health not placed at further risk from harm. She also told us that she
Care Homes for Older People Page 4 of 9 had put procedures in place to make sure that other residents health was not placed at risk in the future. The acting manager had recently done some checks, audits, to make sure that medicines were being handled safely and to ensure that they were administered properly. We looked at three most recent audits and the audits showed there were no concerns. It is a concern that the checks had not found some of the concerns identified during this inspection. We were told that most staff had recently undertaken medication training and had been assessed as competent to administer medicines. However some of the night staff had not had up to date medication training and competency assessments. It is important that all staff that handle and administer medicines have the correct training to do so safely to make sure residents health is not placed at risk from harm. 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 5 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 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, 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 Arrangements must be made 17/06/2009 to ensure that a suitably qualified member of staff is on duty at all times. To make sure that medicines can be given safely. 2 9 13 Effective arrangements must 17/06/2009 be made to ensure that any omissions or variations in the administration of prescribed medication and the reasons for these are clearly recorded. To make sure that residents health is not paced at risk. 3 9 13 Effective arrangements must 17/06/2009 be made to ensure that supplies of medicines are obtained in a timely fashion. To make sure medicines do not run out. 4 9 13 Effective arrangements must 17/06/2009 be made to ensure that all medication is administered to residents in exact accordance
Page 7 of 9 Care Homes for Older People 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 with the prescribers directions. To make sure residents health is protected. 5 9 13 All medicines, including creams, must be kept safely and securely at all times. To make sure medicines are not mishandled. 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 22/06/2009 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!
