Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Lawton Manor Church Lane Church Lawton Stoke-on-trent Staffordshire ST7 3DD The quality rating for this care home is: The rating was made on: three star excellent service 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: Elaine Bray Date: 1 4 1 1 2 0 0 8 Information about the care home
Name of care home: Address: Lawton Manor Church Lane Church Lawton Stoke-on-trent Staffordshire ST7 3DD 01270844200 01270882725 lawtonmanor@majesticare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Lawton Healthcare Limited care home 50 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 50 Conditions of registration: The home is registered for a maximum of 50 service users to include: * Up to 25 service users requiring nursing care Date of last inspection Brief description of the care home Lawton Manor is a care home with nursing for up to 50 older people. It is just off the A50 between Kidsgrove and Alsager, close to the village of Church Lawton. The home is a two storey Georgian detached house, which has been converted and extended into a fifty-bedded care home. It is situated in its own grounds, which consist of landscaped gardens, walkways and patio areas. It has 44 single and three twin bedrooms situated on three floors. Twenty eight of these rooms have en-suite facilities. There are two passenger lifts and staircases. Wheelchair access is good within the building and grounds. There is a very spacious lounge and dining room, and in addition there are smaller quiet areas and a conservatory. There are a variety of specialist Care Homes for Older People
Page 2 of 8 bathing/showering and toilet facilities which are designed to be easier for people with mobility problems to use. The scale of charges range between 365 - 800 pounds per week. Additional charges are made for hairdressing, private chiropody, newspapers and telephone calls. More information can be obtained from the manager. The latest inspection report can be obtained from the manager of the home. Care Homes for Older People Page 3 of 8 What we found:
This inspection was part of a random programme of inspections to see if medicines were being handled safely. The inspection took about three hours and included looking at residents medicines and medicine records. I was accompanied by the home manager throughout the inspection. We looked at how medicines were stored and found them secure in a locked room. The medicines belonging to residents receiving nursing care were stored seperately from those receiving personal care. There was a controlled drug cupboard (used to store those medicines needing additional security because they are liable to misuse). There was also a fridge for those medicines that do not keep at room temperature. Staff take the medicines to residents in a lockable secure trolley. Secure facilities prevent unauthorised people getting to the medicines so that they are safe for the residents. This protects the residents health. We looked at how medicines were handled and found them handled safely on the whole. Where possible they are packed in monitored dose containers (a pack that contains a months supply of medicine, in compartments that show the date and time to give the medicine). Two residents had run out of prescribed medicines during the current month. We found one item that became unfit for use six weeks after opening the container. This had not been marked with the date of opening. Controlled drugs were handled correctly. Safe handling makes sure that residents health is protected by having medicines safely. We looked at how medicines were recorded and found that some improvements were needed. There were a number of unexplained gaps in the records. Using the monitored dose pack it was possible to see at a glance whether the dose had been taken. It was not so clear when using the conventional packs. Many residents had medicines, such as painkillers, prescribed as a variable dose to meet their needs. Staff did not record the dose actually given. This puts residents health at risk of having too much. A few medicines, in particular externals, had not been recorded used as the doctor prescribed. If a medicine was supplied with no printed record, staff had to hand write the information onto the record sheet. It was the same if the dose of a medicine was altered. The hand written items were not signed and dated so that other staff could act on the directions with confidence. There was a large number of medicines printed on the records that had not been used or supplied in the current month and it was not clear whether they were still needed. Another item had been recorded on two pages, the receipt record on one page and the administration records on the other. In a note to change a residents medicine its name had been abbreviated to its first five letters. The absence of a clear audit trail puts residents health at risk as there is no evidence that they have had their medicines safely. What the care home does well: What they could do better: Care Homes for Older People Page 4 of 8 Medicine records need to be improved so that they are clear, accurate and completeso that residents health is protected from harm. 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 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 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, Care Homes 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 Ensure that all medicines, for 31/12/2008 internal or external use, are given to the doctors directions. So that residents health is protected by having their medicines properly. 2 9 13 Ensure that clear, complete 31/12/2008 and accurate records are made of all medicines received by and given to the residents of the home. So that residents health is protected bytha assurance that medicines have been given safely. 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 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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 © (2008) 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 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!
