Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Glebe House The Broadway Laleham Staines Middlesex TW18 1SB The quality rating for this care home is: The rating was made on: one star adequate 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: Date: 2 3 0 6 2 0 0 8 Information about the care home
Name of care home: Address: Glebe House The Broadway Laleham Staines Middlesex TW18 1SB 01784 465273 01784 459390 helen@surreyresthomesltd.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable): Type of registration: Number of places registered: Surrey Rest Homes Ltd vacant post care home 24 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category sensory impairment 0 0 0 Over 65 3 0 2 Conditions of registration: The maximum number of service users to be accommodated is 24. The registered person may provide the following category of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age- not falling within any other category - (OP) Dementia- over 65 years of age - 3 (DE(E)) Sensory impairment- over the age of 65 years - 2 (SI(E)) Date of last inspection Brief description of the care home Glebe House is a large detached property located in the village of Laleham, Middlesex. The home is owned by Surrey Rest Homes Ltd and provides accommodation and care Care Homes for Older People
Page 2 of 9 for up to 24 older people, 3 of whom may have dementia and two of whom may have a sensory impairment. The accommodation is arranged over three floors, with a passenger lift and a stair lift available to access the first floor. The second floor is reached by stairs. There are 22 single occupancy rooms, 19 of which have en-suite facilities, and one double room. Those rooms without en-suite facilities are located close to toilets and/or bathrooms. The communal areas include a large lounge leading onto a conservatory, a dining room and another conservatory at the far end of the building. There is a large, enclosed, garden with a patio to the rear of the property and parking for several cars to the front. Care Homes for Older People Page 3 of 9 What we found:
The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. The reason for this visit was to undertake a specialist pharmacist inspection following concerns regarding the handling of medication in the home which have been notified to The Commission for Social Care Inspection. We looked at the medication records, procedures, storage, talked to care staff and the acting manager and watched some medicines being given to people. This home has had some problems in the safe handling of medication. Action is being taken to correct these and systems are being put in place by the acting manager so that any future problems can be quickly identified and dealt with. It extremely important that these plans are put in place and that all staff work to the new systems, so that peoples health and welfare are protected. Some people hold and administer some of their own medicines. Peoples ability to safely hold and administer their medication and any risks to other people living in the home had been assessed. Other people have their medicines given to them by designated trained staff. We watched a senior carer giving medicines to people who live in the home. Medicines were given to them safely and in a way that took into account their specific needs. From the records and supplies of medicines in the home we could see that people get the medicines that they are prescribed. However, whilst the records showed that one person had received their antibiotics at the correct frequency one extra dose had gone from the supplies which could not be accounted for. Another person had received medicines wrongly labelled by the pharmacy and so whilst they were receiving the correct dose the home was recording that they were giving a different strength of the medicine. No detailed procedures for the safe handling of medicines had been available in the home for staff to work to. The new acting manager had brought a copy of medication handling procedures from another home in the group with the intention of introducing them in Glebe House. It is extremely important that staff have access to clear procedures so that they can act appropriately and consistently for the benefit of people who live in the home. Medication was stored both securely and at the correct temperature for the protection of the service users. The medication cupboards and trolley were clean and orderly with the keys being held by the staff. Controlled drugs were stored securely, but not in a cupboard that met the requirements of the Misuse of Drugs (Safe Custody) Regulations 1973. A recent change in the law means that all care homes must now keep all Controlled Drugs in a Controlled Drugs cupboard. The manager was informed of this change. Additional records were kept of the usage of Controlled Drugs so as to readily detect any loss. Care Homes for Older People
Page 4 of 9 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. Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 10 12(4)(a) In order to protect the 05/10/2007 privacy of residents, arrangements must be made to keep resident?s files securely. All areas of the home must be free from offensive odours. Unmet from 10/05/07. 05/10/2007 2 26 16(2)(k) 3 26 23(2)(b)(d) The laundry floor is 28/12/2007 unsuitable and arrangements need to be reviewed to ensure an easily washable and impermeable floor covering is in place. 4 29 19 Schedule 2 All persons working in the 28/11/2007 care home must have adequate pre employment checks as set out in Schedule 2 of the Care Homes Regulations 2001 (as amended). Partially met from 03/10/06 and 10/05/07. 18(1)(c ) (i) All staff must receive training 28/12/2007 for the work they are to perform for example in first aid, fire safety, health and safety, dementia care and mental ill-health, to ensure
Page 6 of 9 5 30 Care Homes for Older People the safety and well being of residents. Partially met from 03/12/06 and 10/06/07 6 38 13(4)(a)(b)(c A review must be carried out 05/10/2007 ) to ensure the health and safety shortfalls identified during this inspection are rectified and thereafter monitored to prevent recurrence. This must include: Water temperatures The upstairs window restrictor which has been left unlocked Worn stair carpet and the hall carpet posing a trip hazard The safety of residents whilst the home is being refurbished Care Homes for Older People Page 7 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, 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 1 9 13 Complete and accurate records must be kept of all medicines given to people. So that people receive the correct medication. 24/07/2008 2 9 13 Controlled Drugs, including 23/09/2008 Temazepam, must be stored in a Controlled Drugs cupboard, which complies with the Misuse of Drugs (Safe Custody) Regulations 1973. In order to comply with legislation 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 8 of 9 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 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!
