Random inspection report
Care homes for older people
Name: Address: Eldon House 69 Ricardo Street Dresden Stoke-on-trent Staffordshire ST3 4EX 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: Ian Henderson Date: 0 9 0 2 2 0 1 0 Information about the care home
Name of care home: Address: Eldon House 69 Ricardo Street Dresden Stoke-on-trent Staffordshire ST3 4EX 01782326620 01782313633 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Susan Ibbs Type of registration: Number of places registered: Conditions of registration: Category(ies) : Eldon House Care Services Ltd care home 34 Number of places (if applicable): Under 65 Over 65 0 34 0 dementia old age, not falling within any other category physical disability Conditions of registration: 6 0 16 The maximum number of service users who can be accommodated is: 34 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: Physical disability (PD) 16 Dementia (DE) 6 Old age, not falling within any other category (OP) 34 Date of last inspection Care Homes for Older People Page 2 of 8 Brief description of the care home Eldon House is registered to provide personal care and support for up to thirty four elderly people. Of these six may have dementia care needs and twelve may have a physical disability. The home is located in a quiet residential area in Dresden and close to Longton town centre. There is easy access by public transport. There are local shops and amenities close by. There is parking to the rear of the property. The home comprises a large detached Victorian property, and a single storey extension added some years ago. Accommodation is on three floors with access by passenger lift, stair chair lift or stairs. The lower ground floor has 9 bedrooms. The ground floor, where there are four lounge areas, dining room, kitchen and offices, has 15 bedrooms. The first floor provides a further 10 bedrooms. With the exception of one, all bedrooms are for single occupancy. There are eight en-suite bedrooms. Assisted bathrooms and toilets, including a shower room are located conveniently throughout the home on each of the three floors. The laundry is located in a Porto Cabin to the rear of the property and has good facilities. There is a well-kept garden to the front of the home which has attractive garden furniture and seating. A large garden shelter is provided for the use of residents who wish to smoke. This structure has exterior specification lighting so that it may be used after dark, if needed. The fees are not outlined in the homes brochures and therefore the reader may wish to contact the service directly for this information. Care Homes for Older People Page 3 of 8 What we found:
The reason for the visit was to assess what progress the home had made in meeting the requirements made at the random inspection that took place on the 16th September 2009. We found that there had been improvements in the medication records being completed by the home. We found that the home was now recording the quantities of medicines received into the home. We found that the home had implemented a carry over system to take account of medicines that were being carried over from the previous administration cycle. We found that the home was failing to fully complete this system as some medicines carried over from the previous month had been accounted for in the records and some had not. In particular we found that the quantities of anticoagulant tablets had not been carried over and accounted for in the records and as a consequence the auditing of these tablets to determine whether they had been administered as prescribed was not possible. It is particularly important that the home can audit this medicine as the doses can change frequently and can be quite complex. We found on the whole that the administration records could be used to evidence that the people who were using the service were receiving their medicines as prescribed. We found that the care staff were now signing the administration records to confirm that the administration of creams and ointments had taken place. We however found that there were a small number of gaps in the signature record on the administration records. The home was reminded of the particular importance of an administration record being fully complete for medicines like creams and eye drops because of the difficulties of auditing the quantities of these particular types of medicines. We found that the information about medicines in the care plans had improved in particular the information about how when required medicines should be managed. We found that all care staff had received training on the administration of creams and ointments and eye drops. We found that the senior carers had under gone assessments of competency to administer medicines safely and accurately and this assessment programme was on going. We found that the carers who were applying the medicated creams still needed to be assessed to ensure that they were applying the medicated creams and ointments properly. We found that the home had obtained a new fridge and were measuring the maximum and minimum temperatures on a daily basis. We examined the temperature records and found that the fridge was being maintained outside the accepted temperature range. We found that since the 17th November 2009 the home had been recording the minimum temperature at 1 degree Celsius and the maximum temperature at 21 degrees Celsius. On the day of the inspection we found that thermometer was displaying a minimum temperature of minus 1 degree Celsius and a maximum temperature of 21 degrees Celsius. As a consequence of the low temperature reading the home was advised to discard the insulin being stored in the fridge and obtain new supplies. We found that the home could not demonstrate that the contents of the fridge were being stored appropriately. Care Homes for Older People Page 4 of 8 We found that the home had obtained a Controlled Drugs cabinet which had been secured to the wall using the correct fittings. We therefore found that Controlled Drugs were now being stored in a cabinet that complied with the requirements set out in the Misuse of Drugs (Safe Custody) (Amended) Regulations 2007. We found that the home had obtained a Controlled Drugs register and was effectively using it to record the receipt administration and disposal of Controlled Drugs held within the home. 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 8 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 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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!
