Random inspection report
Care homes for older people
Name: Address: Lynwood Lynwood 57 Mersey Road Heaton Mersey Stockport Cheshire SK4 3DJ one star adequate 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 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: Elaine Bray Date: 3 0 0 4 2 0 0 9 Information about the care home
Name of care home: Address: Lynwood Lynwood 57 Mersey Road Heaton Mersey Stockport Cheshire SK4 3DJ 01614327590 01616130633 lynwoodresthome@hotmail.com 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) : Mr. Mohsin Munif,Mrs. Anne Munif care home 23 Number of places (if applicable): Under 65 Over 65 0 0 23 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 23 23 0 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 - Code OP Dementia - Code DE Mental disorder, excluding learning disability or dementia - Code MD The maximum number of service users who can be accommodated is: 23 Date of last inspection Care Homes for Older People Page 2 of 8 Brief description of the care home Lynwood is a large Victorian detached house that has been converted into a care home and is set in its own extensive grounds. The accommodation consists of 21 single rooms and one shared room, which are spread over three floors. Three of the single rooms and the one shared room have en-suite facilities. There is one large dining room, which has a small seating area overlooking the garden, two further lounges and a conservatory. The home is owned by Mr and Mrs Munif and is managed on a day-to-day basis by one of the registered providers, Mrs Munif. Lynwood is registered to care for 23 older people. The registration also allows for up to ten service users who are suffering from a dementia type illness and three service users who may have a mental health problem. The home is located in the Heaton Mersey area of Stockport and is close to local shops and other amenities. Stockport town centre, motorway network and public transport are easily accessible. The fee structure at the home ranges from £408-£418. The previous CSCI inspection report was available on request. Care Homes for Older People Page 3 of 8 What we found:
The lead inspector requested a pharmacist inspector to look at the medicines to see if they were managed safely. The visit took about an hour and three quarters and involved examining residents medicines and medicine records. The manager accompanied us throughout the inspection and two members of care staff, who manage medicines, also took part. We found that, on the whole, medicines were managed well, which helps ensure that residents health is protected. We looked at how medicines were stored and found them to be secure. A trolley was used to take the medicines to the residents. The rest of the medicines were in a large metal cupboard. Each residents medicines were stored seperately in baskets. This means that unauthorised people cannot get to the medicines and they are secure. The law about how to store controlled drugs (like strong painkillers that are liable to misuse) has changed. This means that all care homes need to have the type of cupboard that is specified in the regulations. The cupboard being used is not suitable now. It is important to store these medicines correctly to comply with the law. We looked at how medicines were handled and recorded. The pharmacy supplies the medicines, where possible, in a 28 day calendar pack. It is easy to compare these with the records to account for all the doses. There is no system to easily account for all the doses of medicines packed in conventional containers. Recording the amounts held regularly will ensure that all doses are accounted for and the residents have had their medicines safely. The medicines we examined were in good condition and items with a reduced open shelf life marked with the date of opening. We found the medicine records to be well done. The pharmacy provides printed sheets with the medicines that cover each 28 day supply. They showed when medicines were received and residents taking or refusing their medicines. The pharmacy also provides a book to record items to be sent to pharmacy to be thrown away. Staff made notes on the back of the record sheet to explain refusals in more detail and dose changes. Another record showed how staff tried to help a resident by varying the dose of a sedative to help the anxiety whilst avoiding over sedation. We found a medicine pot with an unidentified tablet in it in the trolley. Potting up tablets before the resident is ready to take them is bad practice as there is a risk that they might be given to the wrong person. When we looked at the record it had been signed as given. This is an example of how medicines can be mishandled. We were told that this was an exceptional case as the resident had gone out and would be back later. The same staff would give the tablet safely. What the care home does well:
Medicines were stored safely in an organised way. This helps ensure there is no mishandling. Care Homes for Older People Page 4 of 8 The medicine records were exceptionally informative and showed that staff tried hard to meet the residents needs. This means that residents get the most benefit from their medication, so protecting their health. 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 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 7 13 Risk assessments must be 15/08/2008 reviewed regularly and updated and where risk to the resident is identified, this must be addressed by a corresponding care plan. The manager must ensure that she and her staff are fully aware of the type of incidents that are reportable under Safeguarding Adults procedures and when such incidents occur must ensure that there is the correct involvement of appropriate agencies. 15/08/2008 2 18 12 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 1 9 13 Order the correct type of controlled drug cupboard. To store controlled drugs according to the law. 31/05/2009 2 9 13 Ensure all staff prepare and record medicines at the correct time. To avoid medicine errors. 15/05/2009 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 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!
