Random inspection report
Care homes for older people
Name: Address: Laburnum Lodge 2a Victoria Street Littleport, Ely Cambridgeshire CB6 1LX zero star poor service 28/10/2009 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: Janie Buchanan Date: 1 9 0 1 2 0 1 0 Information about the care home
Name of care home: Address: Laburnum Lodge 2a Victoria Street Littleport, Ely Cambridgeshire CB6 1LX 01353860490 01353860845 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Dr A Hassaan,Mrs S Hassaan care home 22 Number of places (if applicable): Under 65 Over 65 22 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 1 6 0 6 2 0 0 9 Laburnum Lodge is a two-storey house, that includes a single storey extension, which provides accommodation, personal care and support to 22 older people. The upper floor is accessed via stairs or a stair lift. A garden is available to the rear of the building. The home is situated in the centre of the village of Littleport and is close to shops, cafes, pubs and local amenities. A copy of the most recent inspection report is available in the entrance way to the home. The weekly charge is varies between £354 and £424 per week. Care Homes for Older People Page 2 of 8 What we found:
We undertook this inspection to check that the requirements and recommendations we made at our key inspection of the 28/10/2009 had been met. The inspection took place over two days as the manager was not present on our first visit. For the inspection we talked to the manager and staff on duty, and checked a sample of medication records, residents care plans, personnel files and staff supervision records. We also undertook a tour of the premises. We checked the care plans for three residents and noted improvement in the level of detail they contained. However, it was of concern that one resident who was at nutritional risk was only being weighed monthly when her nutritional risk assessment clearly stated she should be weighed every two weeks. This resident had also fallen 5 times between 4/12/09 and 30/12/09 but none of this information was reflected in her monthly review and she had only just been referred to the falls nurse specialist. The manager was not available on the first day of our visit and staff were not sure if she was going to be coming that day or not. We checked the staff rota and noted that her shifts were not documented and it was not possible to tell what days she had worked, or was going to work. Staff told us her presence at the home was variable and had only been about 2-3 days a week recently. Comments included: we only know shes coming in when she rings to tell us and we just wait for the car and then we know shes here. Once again it was not clear who was in overall charge of the home on the day of our first visit and neither staff on duty had been given temporary responsibility and accountability for the running of the home that day. We checked the staff rota but the shift leaders name had not been recorded. We raised this at our last inspection. We checked a sample of residents medication administration records. There have been some improvements since our last inspection: variable dose medication was now recorded accurately, the amount of tablets in blister packs tallied with the amount recorded on the MAR sheets and medicines were labelled clearly. However, we came across two separate occasions where residents had not received their medicine as prescribed: in one case a resident not receiving important medication for a period of three days in a row as, according to the MAR sheet , the medication was not available. Neither staff nor the manager could explain why the medication was not available. We may consider further enforcement action. At our last inspection of 28/10/2009 we made a requirement that the home must inform us of any event or illness affecting the well being of residents. During this inspection we found evidence that the home failed to notify us on two occasions when residents had been admitted to hospital. We may consider further enforcement action. We checked records in relation to fire alarm and emergency light testing. We noted that both these were now being tested as required and that staff had read important policies concerning hazardous substances that they use. At our last inspection of 28/10/2009 we made a requirement that fire doors must not be pinned back. During this inspection we noted that a fire door had been pinned open by a chair, thereby preventing it closing in the event of a fire and putting residents at
Care Homes for Older People Page 3 of 8 unnecessary risk. We may consider further enforcement action. We checked a sample of residents receipts and noted that signed and dated hairdressing receipts were now being issued to residents to show how their money had been spent. At our last two visits we raised concerns about the lack of supervision for one particular member of staff who had worked at the home for over a year. We requested to see this staff members supervision records: the manager reported that this particular member of staff had still not received formal supervision of her working practices. The staff member also confirmed this. 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 8 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 9 13 Medication must only be 12/01/2010 given in line with prescribers instructions You must do this to ensure residents receive their medication as intended 2 18 13 All staff must receive training 01/02/2010 in how to safeguard vulnerable adults. You must do this so that all staff have a good understanding of the adult protection systems in their local area and the part they play should the need arise. 3 37 37 Any incidents affecting the well being of residents must be reported to us. You must do this so we can monitor these incidents closely. 12/01/2010 4 38 23 Fire doors must not be pinned back Youmust do this so they can close freely in the evnt of a fire. 01/12/2009 Care Homes for Older People Page 5 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 1 8 12 Residents must be weighed according to their nutritional risk assessment. You must do this so their health and well being can be monitored. 02/03/2010 2 8 12 Reviews of residents care plans must be much more detailed. You must do this to ensure that changes in their needs are picked up quickly 01/03/2010 3 36 18 Staff must receive formal supervision. You must do this so their working practices can be monitored, their training needs identified and so they feel supported. 01/03/2010 4 37 17 The managers shifts must be 02/03/2010 recorded on the duty rota . You must do this so there is an accurate record of the hours she works and so that Care Homes for Older People Page 6 of 8 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 staff know when she is going to be available in the home. 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. 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 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!
