This inspection was carried out on 4th February 2010.
CQC found this care home to be providing an Poor service.
The inspector found no outstanding requirements from the previous inspection report,
but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: Meadow Lodge Care Home 445 Hagley Road Edgbaston Birmingham West Midlands B17 8BL zero star poor service 24/09/2009 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: Kulwant Ghuman Date: 0 4 0 2 2 0 1 0 Information about the care home
Name of care home: Address: Meadow Lodge Care Home 445 Hagley Road Edgbaston Birmingham West Midlands B17 8BL 01214202004 01212468279 info@meadowlodgecarehome.co.uk 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) : Coseley Systems Limited care home 22 Number of places (if applicable): Under 65 Over 65 22 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 22 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 (OP) 22 Date of last inspection Brief description of the care home Meadow Lodge is situated on the Hagley Road a short distance from Bearwood shopping centre. Bearwood has a variety of facilities including banks and public houses, shops and a library. Public transport into the City Centre is available directly outside of the home. The home was originally two dwellings and has been converted to provide accommodation for up to 22 older people. The home has four shared and
Care Homes for Older People Page 2 of 10 2 4 0 9 2 0 0 9 Brief description of the care home fourteen single bedrooms. The home has two lounges and two dining areas. Shower and toilet facilities are provided on the first and ground floors. On the first floor there are two bathrooms with bath seat lifts. There is a stair lift in the home. To the rear of the home there is a large garden that people living in the home can use. To the front of the home is a forecourt that provides some car parking. The home has a ramped access available. The service user guide/welcome pack states that the fees at the home are per regional Social Service/Council body contracts and the fee for people who are paying privately is 365 pounds per week. Care Homes for Older People Page 3 of 10 What we found:
Two inspectors visitied the home on 4th February 2010 to check on the progress made by the home on the requirements made following the key inspection of 24th September 2009. The pharmacist inspector visited the home separately to check on the management of medicines in the home. We found that the home had updated the service user guide so that it included information about the fees charged. This meant that people deciding whether the home was suitable for them could do so on the basis of having all the relevant information available to them. During the previous key inspection it had been noted that some people who had moved into the home had not been provided with a contract that told them what their rights and responsibilities in respect of living in the home were. At this inspection we found that these people had been provided with a contract ensuring that they knew what their rights were. There had not been any new admissions to the home since the last inspection so we were unable to assess the admission process for people moving into the home. The pharmacist inspector found that the requirements made at the previous key inspection had been met. It was recommended that where medicines administration records (MAR) are hand written a second member of staff should sign to confirm that the details are correct. This would help to identify if any errors in transcribing had been made. We looked at the file of one individual and found that although some changes in the individuals care plan had been made in respect of their diet the information was not clear and did not indicate how the care staff were manage the diet to encourage the individual to move from a soft diet to a normal diet. Records also showed that the individual was receiving a fortified diet however, the other people in the home were also getting a fortified diet. For example, the owner told us that everyone had cream added to their mashed potatoes. This was not appropriate for people who were trying to reduce weight or whose diabetes was being managed through their diets. This indicated that not everyone was receiving personalised care in the home. The records for one individual indicated that they had lost a lot of weight. Although this may have been due to a spell in hospital and an operation there was no evidence to show that the weight was being closely monitored. The manager was not aware of the significant weight loss and stated it had not been brought to her attention. A robust system should be put in place that ensures that individuals weights are monitored for unwanted gain or loss so that appropriate actions can be taken to address the issue. We observed some people having lunch. The meal for the day was chicken casserole,
Care Homes for Older People Page 4 of 10 mixed vegetables and creamed potatoes. One person was having fish and baked beans and commented that the fish was hard today usually he does it soft. They hadnt asked for anything else but was happy to eat the beans and have a pudding. Another person told us that the dinner was very nice. Another person who had lunch in their bedroom had southern fried chicken and said they werent keen on it and wont have it again. Staff were very pleasant with the individual and broght them a pudding. This indicated that people were able to have a choice of things to eat. We looked at the complaints record and found that the record indicated the actions that had been taken. This indicated that peope living in the home were being listened to and appropriate actions taken. We had a look at some areas of the home including one bedroom which at the last inspection had a window that was not secured. This window had been repaired ensuring the occupant of the room was safe. At the last inspection it was identified that someone living in the home had been using a bathroom to smoke in. There was no smoke alarm in the bathroom. We were told at this inspection that it was not possible to have a smoke detector fitted as the steam would activate it. The manager must carry out a risk assessment and ensure that any actions needed to keep people safe are put in place. One bedroom door on the ground floor did not have a lock in place and this meant the individual living there was unable to make the choice to lock the bedroom if they wanted. We were told that a lock was to be fitted. There was a strong odour in another bedroom on the ground floor. This needed to be addressed as soon as possible to make the room comfortable for the individual. Another bedroom was found to be quite dirty with mould on the wall and window, the net curtains and windows were dirty and the flooring needed to be cleaned. This bedroom was not in use at the time of the inspection and should not be used until the mould has been addressed and the room cleaned thoroughly. We looked in the laundry and found that infection control procedures were not being maintained. There was soiled laundry mixed with non soiled laundry. There was a sign on the sink saying it was not to be used and there was no soap available to enable staff to wash their hands. There were no disposable gloves available for handling soiled laundry and red alginate bags were not available to minimise the risks of cross contamination. The laundry was in the cellar and the paint on the walls and ceiling were flaking making it difficult to keep clean. There was a lot of fluff and lint from the dryer covering the electric meters and this could be a potential fire risk. The systems for helping one individual manage their finances had been made more robust following suggestions made to the manager at the last inspection. Our findings indicated that further improvements were needed in the management of the home. For example, the activity records that we requested for one individualwere not located, the manager was not aware of the weight loss of one individual in her care and
Care Homes for Older People Page 5 of 10 the managment of cleanliness and infection control in the home was poor. 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 6 of 10 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 7 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 1 26 23 All areas of the home must be kept clean and hygenic. This will ensure that the people living in the home have a pleasant and safe environment in which to live. 16/03/2010 2 26 13 Practices in the home must ensure that infection control procedures are robust and followed. This will ensure that the people living in the home and staff are safe from cross infections. 16/03/2010 3 38 23 The fire risk assessment should look at all areas that are not covered by the smoke detectors. This will ensure that any risks are minimised and the people living in the home are safeguarded. 16/03/2010 Care Homes for Older People Page 8 of 10 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 7 Care plans should be clear about the actions staff need to take in order to meet the needs of the people living in the home. This will ensure staff know what to do and improve consistency in the way staff manage individuals care. Robust systems should be in place to monitor weight gain or loss of people living in the home. This will ensure that actions are taken quickly where needed. All hand written MARs should be signed by two staff to ensure that the transcribed information is correct. Everyone living in the home should be able to lock their bedroom door. This will ensure people living in the home can exercise their choice. People living in the home should receive diets that meet their needs. This will ensure that they receive appropriate nutrition. Safe systems should be in place for transferring soiled laundry through the home to the washing machine. This will ensure that the risks of cross contamination are minimised. All areas of the home should be free from offensive odours. This will ensure that people have a pleasant environment in which to live. 2 8 3 4 9 10 5 15 6 26 7 26 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. 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 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!
