Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Lakenham Residential Home Lakenham Hill Northam Bideford Devon EX39 1JJ two star good 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 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: Susan Taylor Date: 0 6 0 3 2 0 0 9 Information about the care home
Name of care home: Address: Lakenham Residential Home Lakenham Hill Northam Bideford Devon EX39 1JJ 01237473847 01237470790 cordelia.murphy@Hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Cordelia Wai-Yu Murphy,Mr Timothy Oliver Murphy,Mr Christopher Charles Hampton,Miss Siobhan Catr care home 28 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 28 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 Lakenham Residential Home is a care home registered for 28 beds, providing personal care for service users in the category of old age (OP). The building is a detached former residence of the Duchess of Manchester and is situated on a large corner plot in the Northam area of Bideford. The home is sited in extensive well-kept grounds and has glorious sea and coastal views. Accommodation is provided on four floors and the home is extremely spacious with several large communal, reception and meeting areas. The home also has a Chapel on the ground floor of the home. The majority of rooms are single and en-suite, although Care Homes for Older People
Page 2 of 10 Brief description of the care home two shared rooms are available if required. The home is accessible to all areas via a large, modern passenger lift. A copy of the previous CSCI inspection report was on the main notice board making it available to staff, residents, their relatives and any other visitors to the home. Fees charged range from 390.00 pounds to 525.00 pounds with additional charges being made for chiropody, hairdressing, newspapers and magazines and clothing. Care Homes for Older People Page 3 of 10 What we found:
We visited the home to check on the compliance of a Statutory Requirement Notification (SRN) that was served on 23rd February 2009. This required the registered providers to have a safe system in place to ensure the safe administration, safe recording and safe handling of medicines to people living in the home by 3rd March 2009. We examined all records relating to medicines given to people in the home. We examined equipment used and looked at what medicines were being stored and how these had been given to people. We observed how staff gave medicines and checked out their understanding of what each person had been prescribed. We needed to ask the registered providers about particular aspects of administration, recording and handling of medicines to ensure that we had the right information. And were unable to do this in person. We have since received further information from the registered providers regarding this. As a result, we will carry out a further inspection to monitor compliance with the notice and will notify the provider when this will take place. What the care home does well: What they could do better:
In our report dated 4th February 2009 we wrote: Clear, written assessments identifying the needs of the person concerned must be completed before an offer of accommodation is made. From this assessment a clear, written care plan must be produced detailing the care the staff need to provide which is readily accessible by the staff. This will ensure that all staff are clear about what is required removing possible misunderstandings which may arise from verbal instructions. Staff must have safe handling of medicines training to ensure that people are given Care Homes for Older People
Page 4 of 10 the correct medicines at the right time and appropriate records are kept of this. Additionally, medication must be managed to ensure that arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home meet legal requirements. Staff must have up to date training particularly with regard to manual handling to ensure that staff follow best practice when moving people to ensure this this is done safely. New staff must have induction training that provides knowledge about basic care principles for example best practice when assisting people that need help to eat. A record of when the manager is on duty in the home, to include the actual hours they worked, must be kept. This will enable the Commission to establish whether sufficient time is being put into management and leadership to ensure that the home is well run for the people that live there. The Commission must be notified without delay about the occurrence of; serious illness, serious injury or death of a person living in the home , an outbreak of any infectious disease, theft, burglary or accident or any event which adversely affects the well-being or safety of any service user; and any allegation of misconduct by the registered person or any person who works at the care home. This will demonstrate how incidents or events are being managed and enable the Commission to assess whether this effectively safeguards people living there. These issues will be followed up at the next key inspection. 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 10 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 3 14 A clear, written assessment 15/04/2009 identifying the needs of the person concerned must be completed before an offer of accommodation is made. From this assessment a clear, written care plan must be produced detailing the care the staff need to provide which is readily accessible by the staff. This will ensure that all staff are clear about what is required removing possible misunderstandings which may arise from verbal instructions. 2 7 15 A clear, written care plan 15/04/2009 must be produced for each person detailing the care the staff need to provide which is readily accessible by the staff. This will ensure that all staff are clear about what is required removing possible misunderstandingswhich may arise from verbal instructions. 3 30 18 New staff must have induction training that provides them with knowledge and skills about 15/04/2009 Care Homes for Older People Page 6 of 10 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 basic care principles, for example about feeding. This will ensure that staff follow best practice when caring for people. 4 36 18 Inexperienced staff must be supervised by appropriately qualified and experienced staff. To ensure that safe procedures are followed to that people receive the best care 5 38 37 The Commission must be 15/04/2009 notified without delay about the occurrence of; serious illness, serious injury or death of a person living in the home , an outbreak of any infectious disease, theft, burglary or accident or any event which adversely affects the well-being or safety of any service user; and any allegation of misconduct by the registered person or any person who works at the care home. This will demonstrate how incidents or events are being managed and enable the Commission to assess whether this effectively safeguards people living there. 6 38 13 Staff must have up to date training particularly with regard to manual handling. 15/04/2009 15/04/2009 Care Homes for Older People Page 7 of 10 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 To ensure that staff follow best practice when moving people to ensure this is done safely and avoids any risk of accident or injury to the person Care Homes for Older People Page 8 of 10 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 9 of 10 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: 03000 616161 or Textphone: or 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) 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 10 of 10 - 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!
