Random inspection report
Care homes for older people
Name: Address: Latimer Lodge 38 Preston Road Yeovil Somerset BA21 3AQ two star good service 25/08/2009 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: Jane Poole Date: 1 4 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Latimer Lodge 38 Preston Road Yeovil Somerset BA21 3AQ 01935474520 01935432380 cmbw@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Heather Elizabeth Neal Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Christopher Michael Bruce Wharton care home 14 Number of places (if applicable): Under 65 Over 65 14 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who may be accommodated is 14. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (Code OP) Date of last inspection Brief description of the care home Latimer Lodge Residential Home is part of a continuing care complex that includes Tyndale Nursing Home, which provides nursing care and Coverdale Court, which is a sheltered housing complex.
Care Homes for Older People Page 2 of 10 2 9 0 3 2 0 1 0 Brief description of the care home All businesses are run entirely independently but come together to share resources, interests and activities. Latimer Lodge Residential Home is a fourteen-bed care home providing personal care for older people. It is situated close to the centre of Yeovil. It stands in its own gardens, in close proximity to Tyndale Nursing Home and Coverdale Court. There is good access for frail people and wheelchair users, including pleasant garden areas. Car parking is available. Communal rooms and some bedrooms are located on the ground floor with further bedrooms on the first floor, some of which are very spacious. A passenger lift is available. Care Homes for Older People Page 3 of 10 What we found:
Following concerns raised about the home a random inspection was carried out on the 29th March 2010. The random inspection raised serious concerns about medication practices at the home resulting in three requirements being set. A warning letter was sent to the home and they were asked to produce an improvement plan. The Local Authority also held a Vulnerable Adults strategy meeting to discuss the concerns about the home. This random inspection was to check the progress being made to meet the requirements set in line with their own improvement plan. Requirement 1 Standard 9 Regulation 13 (2) The registered person must ensure that a suitable system is in place for the audit of medication and that regular audits are carried out. The improvement plan stated that an audit system had been put in place. This audit will be carried out weekly for all medication for two months. After two months, if no errors are identified, then the manager will carry out a weekly audit of the medication for a sample of three people. The paperwork relating to the audits was viewed at this inspection. At the time of the inspection three weekly audits had been completed. These showed the amount of medication arriving at the home, the amount given and the amount remaining. No discrepancies were noted. Requirement 2 Standard 9 Regulation 18 (1). The registered person must ensure that all staff who administer medication are competent in this area and their competency is regularly assessed. The improvement plan states that all staff who administer medication have obtained a certificate in the Safe Administration of medication. Further medication training with the dispensing pharmacist, is booked for all staff on the 24th May and the 7th June A full staff meeting was held on the 7th May 2010. Minutes of this meeting show that medication issues were discussed. All staff were reminded of the correct procedure for recording and administering medicines and asked to re-read and sign the homes policies and procedures. A competency checklist has been compiled to enable the competency of staff to be observed and recorded. It is planned that staff who hold a National Vocational Qualification (NVQ) in care at level 3 will have their competency checked every 6 months and those with an NVQ level 2 will have their competency assessed on a 3 monthly basis. The competency checklist is a comprehensive document which will ensure that staff are assessed against all areas of administration and recording. At the time of this inspection no staff had had their competency assessed but assurances were given that the process would begin within a few days. Requirement 3 Standard 9 Regulation 13 (2) The registered person must ensure that there are safe and robust systems in place for the recording and administration of
Care Homes for Older People Page 4 of 10 medications, including medicines for temporary residents. In addition to the further training arranged for staff and the regular audits the home has put in place new procedures and paperwork for people staying on respite care. The policy states that on the day of admission The transfer letter and any medication will be taken to the office to be counted and recorded by two members of staff. It is important that this continues to be done by two members of staff to minimise the risk of recording errors. A new recording sheet has been created to be used for people whose medication is packaged in a different style from the blister packs usually used in the home. This new recording sheet had been used for one person. Staff spoken with during this inspection said that all medication coming into the home is checked by two members of staff. To ensure that lines of responsibility are clear one person is nominated at the beginning of each shift to take responsibility for the administration of medication. As a result of the concerns raised the home has re-examined their pre admission assessment for people coming to the home for respite care. The policy now states All prospective residents are to be visited and assessed, unless they live at so great a distance as to make this impractical, to ascertain the level of care required for the individual and to ensure that the home is able to cater for their needs with the equipment and staffing levels available. The policy states that any resident coming from outside the area will need to be registered with a local GP, of their choosing, as a temporary resident. The new assessment form also asks for the resident to state who they would like personal information to be shared with during their stay. It was noted that at the recent staff meeting all staff were reminded about residents rights to confidentiality. The Vulnerable Adults strategy meeting raised issues about the care of people who chose to sleep in a chair rather than a bed. As a result of this discussion the home has put in place new guidelines to inform staff about the best ways to manage this situation. The home has also obtained an additional large recliner chair that can be used for people who choose to sleep in a chair rather than a bed. 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
Care Homes for Older People Page 5 of 10 following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 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 9 18 (1) The registered person must ensure that all staff who administer medication are competent in this area and their competency is regularly assessed. To minimise the risks of mistakes in the administration of medication. 09/04/2010 2 9 13 (2) The registered person must ensure that there are safe and robust systems in place for the recording and administration of medications, including medicines for temporary residents. To ensure that people receive medications as prescribed. 09/04/2010 3 9 13 (2)Medication must be 26/09/2009 administered in line with the instructions on the Medication Administration Records. To ensure that people receive the prescribed dosage and that its effectiveness can be monitored. 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 4 9 13 (2) The registered person must ensure that a suitable system is in place for the audit of medicines and that regular audits are carried out. To ensure that all medication is accounted for and given as prescribed. 09/04/2010 5 29 19 (1) schedule 2. No staff should begin work in the home until two written references have been received. 31/08/2009 To minimise the risk s of abuse to people who live at the home. (Not inspected on this occasion) 6 31 18 (1) The registered person must keep the management arrangements under review. To ensure that at all times there are clear lines of responsibility and accountability. (Not inspected on this occasion) 31/12/2009 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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!
