This inspection was carried out on 9th October 2009.
CQC found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: Kingsleigh Resource Centre Kingsleigh Kingfield Road Woking Surrey GU22 9EQ two star good service 27/05/2009 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: Geraldine Yates Date: 0 9 1 0 2 0 0 9 Information about the care home
Name of care home: Address: Kingsleigh Resource Centre Kingsleigh Kingfield Road Woking Surrey GU22 9EQ 01483740750 Telephone number: Fax number: Email address: Provider web address: manager.kingsleigh@careuk.com manager.burroughs@careuk.com Name of registered provider(s): Name of registered manager (if applicable) Care UK Community Partnerships Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 67 Number of places (if applicable): Under 65 Over 65 0 dementia Conditions of registration: 67 The maximum number of service users to be accommodated is 67. 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: Dementia (DE). Date of last inspection Brief description of the care home Kingsleigh Resource Centre is run by Care UK Community Partnerships Ltd. The home caters for the needs of older people and can provide permanent and respite care for people with dementia and a day care service.
Care Homes for Older People Page 2 of 9 2 7 0 5 2 0 0 9 Brief description of the care home Residential accommodation consists of five self-contained units, each with varying numbers of single bedrooms, some of which have en-suite facilities. Each unit also has a lounge/dining room, a kitchenette, a bathroom and toilets. The home has spacious communal areas and has safe, well-maintained gardens. The home is situated near to local shops and community facilities and is approximately two miles from Woking town centre. There are car parking facilities within the grounds of the home. Care Homes for Older People Page 3 of 9 What we found:
This inspection was a specialist pharmacist inspection to look at the safe handling of medicines in the home following concerns brought to out attention regarding how medicines are given to people. We looked at staff training, policies and procedures, the homes own audits, a recent report produced by the supplying pharmacy, records of medicines given to people and talked to staff. We looked in detail at the records of 8 people living on 3 units in the home. People who use the service are given their medicines by care staff who have been trained and assessed as competent to handle medicines. Detailed written procedures are available to staff to provide additional guidance and enable medicines to be handled consistently by all staff. No one was looking after their own medicines when we visited. This can be arranged if people wish to do this. The medication administration records and supplies were looked at for eight people. Clear records were kept to show when people had their medicines. These showed that mostly people get their medicines correctly. Two people who were prescribed medicines that require them to have regular blood tests and dose reviews. For one of them a blood test had been done the day before we visited but this was three weeks overdue. This had not been picked up by the homes care staff nor the district nurses who visit to take the samples. The second person had been given the wrong dose of medicine for three days. This could have adversely affected their health. Both of these people had clear care plans for handling these medicines but they were not being followed by all staff. When medicines were prescribed to be given only when needed there were no care plans detailing what the medicine was for and under what circumstances it is to be given. This could lead to people being given medicines that they dont need or to them not being given medicines when they need them. The home has a system for monitoring the medication administration records charts and the medicine supplies to check that people are getting their medicines. This had picked up a small number of issues. There was no record of any action having been taken to deal with these and to prevent them from reoccurring. The team leader on duty said that they did investigate the discrepancies but that it was often not possible to determine a cause. The deputy manager told us that she was reviewing the frequency of the audits as it was felt that monthly counts would not pick up problems quickly enough for them to be dealt with appropriately. The medication administration record charts are checked every night to ensure that all of the required entries have been made. All medicines were stored securely so as to protect the people who use the service. Medicines requiring cool storage were kept in a locked refrigerator and daily temperature records were kept. These showed it to be operating within the correct temperature range and so the medicines would be fit for use. Medicines that are liable to misuse, called Controlled Drugs, were stored in a locked cupboard that would comply with the law if it were correctly secured to a solid wall.
Care Homes for Older People Page 4 of 9 Additional records were kept of the usage of Controlled Drugs so as to readily detect any losses. 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 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 26 16 Keep the home free from offensive odours. Several service users bedrooms there was a malodour. 17/07/2009 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 Care plans must include detailed information and instructions for staff for the administration of medicines prescribed to be given when needed or when required. So that people are given their medicines in a clear and consistent way that meets their needs. 20/11/2009 2 9 13 All Controlled Drugs must be 30/11/2009 stored at all times in a cabinet that mets the requirements of the Misuse of Drugs (Safe Custody) Regulations 1973 In order to comply with the law 3 9 13 Medicines must be given to people at the dose and frequency prscribed by their doctor. So that people receive the correct treatment. 30/10/2009 Care Homes for Older People Page 7 of 9 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 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!
