This inspection was carried out on 12th November 2009.
CQC found this care home to be providing an Adequate service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
Random inspection report
Care homes for older people
Name: Address: Ladydale Residential Home 9 Fynney Street Leek Staffordshire ST13 5LF one star adequate service 21/05/2009 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: Ian Henderson Date: 1 2 1 1 2 0 0 9 Information about the care home
Name of care home: Address: Ladydale Residential Home 9 Fynney Street Leek Staffordshire ST13 5LF 01538386442 01538385158 ladydale@arc-homes.co.uk 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) : Aegis Residential Care Homes Limited care home 54 Number of places (if applicable): Under 65 Over 65 0 0 54 0 learning disability mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: 3 10 0 54 The maximum number of service users who can be accommodated is: 54 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: Old age, not falling within any other category (OP) 54 Mental Disorder, excluding learning disability or dementia (MD) 10 Learning disability (LD) 3 Physical disability (54) Date of last inspection 0 9 0 7 2 0 0 9 Care Homes for Older People Page 2 of 9 Brief description of the care home Ladydale Residential Home is situated in a quiet, mature residential area in the historic market town of Leek. It is a well-established care home for the elderly that provides accommodation for up to fifty-four people. The main house has four floors. The majority of bedrooms are situated on the ground and first floors. A shaft lift and stair chair lift provide easy access to various levels in the home. The newer single-storey wing accommodates ten people and has its own communal lounge/dining area. Ladydale also has two small annexes, The Coach House with three semi-independent units and The Lodge with two semi-independent units. People who use the service are able to access all areas of the home as they choose. Ladydale is attractively decorated and furnished throughout to a high standard. Fifty of the bedrooms are single, two are double and 45 have en-suite facilities. Assisted bathing and shower facilities are situated throughout. The home has ample communal lounge and dining space. There are off-road parking facilities and attractive mature gardens surrounding the property with a very pleasant secluded patio area with seating. There is a comprehensive activities programme for people who use the service to access as and when they wish. Care Homes for Older People Page 3 of 9 What we found:
The reason for the visit was to assess what progress the home had made in meeting the medication requirements left after the key inspection on the 21st May 2009 and the random inspection on the 9th July 2009. The following requirements relate to the safe handling of medicines and what I found during this inspection is set out below them. 1. All staff responsible for the administration of medicines including creams and drops must receive training and be assessed as competent to do so. We found that all of the senior staff who were responsible for the administration of medicines had been assessed as competent to administer medication safely and accurately by the management team. We found following the introduction of a new monitored dosage system (MDS) that staff had received training on how to use the system properly. We found that care staff who were administering the medicated creams had received further training on how to administer these creams properly. We found that following the training each member of the care staff team had been assessed as competent by the senior carers or the management team. We therefore deem that this requirement has been met. 2. The service must ensure that arrangements are in place for the safe storage of all prescribed medicines including creams and liquid medicines. We found that the medicated creams had been removed from the rooms of the people who used the service and were now being stored in a designated box which when not in use was located in the excess medicines stock cupboard. We found that people who were administering their own medicines had the facilities to store their medication securely and were doing so. We found that all of the other current medication was located securely in two new mobile drug trolleys. We therefore deem that this requirement has been met. 3. Arrangements must be in place for the recording handling and safe administration of all prescribed medicines in the care home. We found that the home was now recording the receipt of the monthly medicines. We found that the medicines that were received part way through the monthly cycle had been handwritten on to the medicine administration record (MAR) charts very well but on small number of occasions the staff member writing out the information had forgotten to record the quantity received. We found no missing signatures in the administration record. We found that the home was recording the quantity administered for those medicines that had been prescribed with a variable dose.
Care Homes for Older People Page 4 of 9 We found that each floor of the home had a folder which contained the MAR charts for the administration of creams for each person living on that floor. The folders were kept at reception and were handed out during the hand over sessions. We found that once the creams had been applied the folders were returned to the management team for checking. We found that the management team was about to introduce a system for auditing the medication to a) confirm that medicines were being administered as prescribed and to b) assess whether the care staff were following the policies and procedures for the safe handling of medicines. We were confident that the auditing system employed by the home would eliminate the small amount of errors discovered during the inspection. We therefore deem that this requirement has been met. 4. Appropriate information relating to medication must be kept for example in risk assessments and care plans to ensure that staff know how to use and monitor all medication including when required as directed and self administered medication so that all medication is administered safely correctly and as intended by the prescriber to meet individual health needs. We found that the home had carried out risk assessments and had introduced protocols for the administration of when required medication. We found that a copy of the risk assessment and protocol for each individual was kept with the persons MAR chart and in their care plan. We found that those people who were self administering their medicines were doing so after a risk assessment had been carried out. We therefore deem that this requirement has been met. 5. The service must ensure that all medication is in date and is stored at the correct temperature recommended by the manufacturer. We found that the fridge had been relocated from the hairdressers room to the medication cupboard in the new phase of the home. We found that the maximum and minimum temperatures of the fridge were being measured and recorded on a daily basis. On the whole the fridge temperature was being maintained within the correct range except for an incident when the insulin had to be discarded and replaced. We found that the concerns about the room temperature of the new medication cupboard had been addressed by installing a vent into the cupboard. We therefore deem that this requirement has been met. What the care home does well:
We found that the handling of medicines had improved significantly since the last inspection and on the whole the home could evidence that people were receiving their medication as prescribed.
Care Homes for Older People Page 5 of 9 We were pleased to learn that all the improvements made within the home were being communicated to other homes in the company. 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 6 of 9 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 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, 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 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!
