Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Dunkeld 94 School Lane Hartford Northwich Cheshire CW8 1PN The quality rating for this care home is: The rating was made on: three star excellent 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: Elaine Bray Date: 0 4 1 1 2 0 0 8 Information about the care home
Name of care home: Address: Dunkeld 94 School Lane Hartford Northwich Cheshire CW8 1PN 0160674542 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mrs Barbara Glenys Harrison care home 13 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 13 Conditions of registration: Date of last inspection Brief description of the care home Dunkeld is situated in Hartford close to Northwich and is in easy walking distance of shops, post office, church and social amenities. The detached premises provide accommodation in nine single bedrooms and two twin rooms on two floors. The upper floor bedrooms can be accessed by the stairs or with the aid of a stair lift. The grounds include ample parking at the front of the property and a secluded garden to the rear. The home provides care for older people. The fees for Dunkeld currently range from 348 pounds to 370 pounds per week. Care Homes for Older People Page 2 of 6 What we found:
This inspection was part of a random programme of inspections to see if medicines were being handled safely. The visit took about two hours and involved inspecting residents medicines and medicine records and talking to the proprietor who manages the home including the medicines. We found that on the whole medicines were handled well, which helps ensure that residents health and wellbeing is protected. We looked at how medicines were stored and found them to be secure in a carrying case in a lockable cupboard. This means that they are safe and unauthorised people cannot get to them. We looked at how medicines were handled. Where possible residents medicines were packed in a nomad box or similar. ( A container that holds seven days medicines, divided into compartments representing the day and time of the day. This means that staff can easily see when each dose of medicine should be given) The other medicines were in the usual bottles and boxes. No problems were found with medicine handling. This means residents health is protected by careful medicine handling. We looked at the records of the audit trail of medicines. Records of giving medicines to residents were correct. There was a book to record medicines received. Some of these records were not made in full. (The medicine received, quantity, date of receipt and the initial of the staff receiving them.) There were no detailed records of medicines received in the nomads. When the prescription details changed or an item was received with no printed sheet, staff hand write the record. These were not signed and dated and changes were not explained. It was easy to account for the medicines in the nomads. It was not possible to connect the amounts of medicines in conventional containers to the records. It was agreed that the above changes would be implemented by the following day when the new supplies arrive and that the record sheet will be marked when a new conventional container is opened. This is important as clear, correct mediciation records show that residents health is protected by giving medicines correctly and accounting for every dose. 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 3 of 6 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 4 of 6 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 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 5 of 6 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 6 of 6 - 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!
