Random inspection report
Care homes for older people
Name: Address: Coniston Lodge 43 Beaufort Road Southbourne Bournemouth Dorset BH6 5AS two star good 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: mary collier Date: 0 7 1 0 2 0 0 9 Information about the care home
Name of care home: Address: Coniston Lodge 43 Beaufort Road Southbourne Bournemouth Dorset BH6 5AS 01202421492 Telephone number: Fax number: Email address: Provider web address: kevin@coniston43.fsnet.co.uk Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Daphne Margaret Bailey care home 11 Number of places (if applicable): Under 65 Over 65 11 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is 11 The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (Code OP) Date of last inspection Brief description of the care home Coniston Lodge is registered to provide accommodation for eleven older people in what were two attractive converted houses now linked together at the ground floor. It is set on a corner plot in the residential area of Southbourne. Local bus services provide easy access to Bournemouth and Christchurch. There is plenty of on road car parking in neighbouring side streets. There is a large well-maintained garden to the side and rear
Care Homes for Older People Page 2 of 10 Brief description of the care home of the home. The accommodation for residents in the home is over the ground and 1st floors with a passenger lift between. There are a variety of aids and adaptations around the building to allow residents to move about more independently. There are 11 single rooms, 4 of which have en suite facilities. There are additional communal toilets and bathrooms around the home. Situated on the ground floor are the residents lounge and dining room, both of which overlook the garden. The weekly charge currently ranges between #362 and #370. Care Homes for Older People Page 3 of 10 What we found:
This visit was an inspection of all the arrangements for medication by our Pharmacist Inspector. We looked at medicines, records and storage and talked to members of staff. The medicines were all stored securely in locked cupboards. The home did not have a cupboard that complied with current legislation for the storage of controlled drugs and one medicine was being stored in a normal cupboard that should kept under these conditions. Medication administration records were clear, we looked at current and past records. The manager and proprietor take responsibility for the medication and administer it themselves. Other care staff are trained in the safe handling of medication so that they understand the medicines and could take on this task if needed. We found that it was common for some medicines to be put up into pots prior to the time of administration in order to make the round easier. This is known as secondary dispensing and is not considered good or safe practice. Homely remedies which can be given to people without a prescription are kept and a policy and instructions support their use. The home has good links with healthcare professionals and people have regular reviews from their doctors. People are given choices in how they take their medicines. Currently no-one looks after their own medicines but some people prefer to have their tablets left with them to take later. There were no risk assessments or care plans to support this. The home keeps good records of medicines received and returned for disposal. They also audit the supplies of medicines that are not used regularly. The outstanding requirements listed below were not checked during this 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 10 Care Homes for Older People Page 5 of 10 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 4 14 Prior to admission the 01/02/2008 registered person must confirm in writing to the service user that having regard to the assessment the care home is suitable for the purpose of meeting the service user? s needs in respect of his health and welfare. 2 18 13 The registered persons must 01/02/2008 ensure that there is evidence that before starting to work at the home people are not on the Protection of Vulnerable Adults (POVA) list. 3 29 19 Applicants for posts at the 01/02/2008 home must be asked to provide their full employment history and any gaps in their employment history must be explored and documented. (Timescale of 01/08/06 not met) 4 38 23 The home must comply with regulations made under the Regulatory Reform (fire 01/03/2008 Care Homes for Older People Page 6 of 10 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 Safety) Order 2005. Care Homes for Older People Page 7 of 10 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 Risk assessments and care plans must be drawn up for people who choose to have their medicines left with them to take later. This will ensure that people are supported in their choices about medication. 23/11/2009 2 9 13 A controlled drug cupboard that complies with the Misuse of Drugs and Misuse of Drugs (Safe Custody) (Amendment) Regulations 2007 must be fitted and used. This wil ensure that controlled drug storage complies with current legislation. 23/11/2009 3 9 13 Medicines must always be administered directly from the original, labelled container. This will ensure that people receive the correct medicine. 23/10/2009 Care Homes for Older People Page 8 of 10 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 good practice to keep a running total of Temazepam kept in the home. Care Homes for Older People Page 9 of 10 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 10 of 10 - 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!
