Random inspection report
Care homes for older people
Name: Address: Longridge Hall and Lodge 4 Barnacre Road Longridge Preston PR3 2PD two star good service 06/01/2009 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: Maggy Howells Date: 1 0 0 8 2 0 0 9 Information about the care home
Name of care home: Address: Longridge Hall and Lodge 4 Barnacre Road Longridge Preston PR3 2PD 08452710798 Telephone number: Fax number: Email address: Provider web address: www.orchardcarehomes.com Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Orchard Care Homes.Com Limited care home 60 Number of places (if applicable): Under 65 Over 65 0 60 dementia old age, not falling within any other category Conditions of registration: 60 0 The registered person may provide the following category of service only: Care home only - Code PC To people 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 - Code OP Dementia - Code DE The maximum number of people who can be accommodated is: 60. Date of last inspection Brief description of the care home This is a new build home, situated on the outskirts of Longridge. It is within a residential area of the town and there is good access to the local transport network. A large car park enables visitors to park easily and off road. The home is set on two floors. The ground floor being secure due to the dementia conditions of residents occupying this floor. Both floors mirror each other by way of layout and design.
Care Homes for Older People Page 2 of 8 0 6 0 1 2 0 0 9 Brief description of the care home The home is registered to accomodate up to sixty residents. There are no shared rooms. The corridors are spacious with good handrail support and residents rooms lead off from the corridors. All residents rooms have their own lock and residents have their own key. They can be overidden by staff in case of emergency. Residents rooms are spacious. All residents rooms have large en-suite facilities which include, a wet shower facility and vivid blue toilet seats for the visually impaired. There is a communal lounge as well as two other lounges available on both floors, and an open plan dining area off the communal lounges, which are spacious and light. The first floor has large panoramic views of the open countryside around the town. The ground floor has access from the communal areas to a well landscaped garden, with seating points and good paths for residents to use. The area is secure so that people are safe. The decoration and furnishings throughout the home are to a very high standard. There is written information made available to all users of the service so that residents, family and advocates know what the home is going to provide, who the staff team are and what services are available to them. At the time of the inspection the fees ranged from £400 to £560 for care of residents with Dementia conditions and £390 to £520 for older persons residential care. Care Homes for Older People Page 3 of 8 What we found:
We visited this service because we had been told about some mistakes that had been made whilst dealing with medicines. We made an unannounced visit (this meant that no one knew we were coming) to check on the systems in place for handling, recording and administering medicines. During the visit we spoke to the manager and deputy manager. We looked at the storage, policies and procedures for handling medicines as well as a sample of medicines and records. The policies and procedures covered all aspects of managing medicines within this service. These documents were regularly reviewed and improvements made in order to protect people using this service. Overall we found that medicines were stored, handled and recorded safely. This meant that generally, people using the service were given the correct medicines at the correct time and this was clearly recorded. Some people were prescribed medicines e.g. painkillers, that were to be taken only when required. Clear information about how to take these medicines had not always been recorded. This means that some people may be at risk of being given these medicines incorrectly and inconsistently. Medicines were stored in locked trolleys and cupboards within two locked medication rooms. Controlled Drugs (strong medicines that are at risk of being misused) were stored in appropriate cabinets and accurately recorded in a controlled drugs register. Keeping medicines securely helps to reduce the risk of them being mishandled or misused. Photographs had been attached to the medication administration record sheets (MARs) for staff to check. This reduced the risk of medicines being given to the wrong person. Separate locked fridges were available for medicines that needed to be kept cold. Storing medication at the correct temperature helps to ensure that it is safe to use and does not spoil. An audit of a sample of medicines and records showed that all medicines could be accounted for. The MARs clearly showed what medicines each person was taking and, whether or not these had been given correctly. Whilst there were some gaps on the medication charts, these had already been identified by members of staff and the manager had taken appropriate action to address them. Systems were in place to make sure that peoples medicines were checked before, or in the case of emergency admissions, as soon as possible after they arrived at the home. This meant that staff could be certain they were giving the correct medicines. Records were kept of all medicines that came into and left the service. This meant that medicines could be accounted for. Only members of staff who had been trained and assessed as capable of dealing with medication safely were allowed to handle medicines. The health and well being of people using the service is better protected when staff are well trained.
Care Homes for Older People Page 4 of 8 Regular checks (audits) were made on the medicines and records in order to make sure that they had been given correctly. Where risks or mistakes had been noticed the manager had dealt with them appropriately to prevent them from reoccurring. Where necessary, staff had been given further training and support to help improve their skills. 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 5 of 8 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 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, 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 1 9 There should be clear, written information telling staff when and how to administer medication prescribed on a when required basis. This helps to ensure that medicines are given correctly and consistently by all staff. 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!
