Inspection on 22/01/09 for Penwortham Grange and Lodge

This inspection was carried out on 22nd January 2009.

CSCI found this care home to be providing an Poor service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Penwortham Grange and Lodge 03/03/09

Penwortham Grange and Lodge 11/09/08

Penwortham Grange and Lodge 27/02/08

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

Inspecting for better lives Random inspection report Care homes for older people Name: Address: Penwortham Grange and Lodge Martinfield Road Penwortham Preston Lancashire PR1 9HL The quality rating for this care home is: The rating was made on: zero star poor service 11/09/2008 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: Simon Hill Date: 2 2 0 1 2 0 0 9 Information about the care home Name of care home: Address: Penwortham Grange and Lodge Martinfield Road Penwortham Preston Lancashire PR1 9HL 08452710796 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Orchard Care Homes.Com Limited care home 86 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category 42 0 Over 65 0 44 Conditions of registration: The registered person may provide the following categories of service only: Care Home only - PC, to people of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP (maximum number of places: 44) Dementia - Code DE (maximum number of places: 42) The maximum number of people who can be accommodated is 86. Date of last inspection Brief description of the care home Penwortham Grange and Lodge is a large residential home registered to provide care and accommodation for up to 86 people. The home is arranged in two separate units, one providing accommodation for up to 44 older people and the other providing accommodation for up to 42 people who have Dementia. The home is situated in the Penwortham area of Preston. It is located in a residential area and there are a number Care Homes for Older People Page 2 of 9 1 1 0 9 2 0 0 8 of transport links, facilities and amenities close by. All accommodation at the home is provided on a single room basis. Residents bedrooms are well equipped with en-suite facilities including a shower, television, DVD and a mini fridge. There are four large communal areas as well as four smaller quiet rooms and safe outdoor space for the use of residents. Care is provided on a 24 hour basis including waking watch care throughout the night. At the time of our visit we were advised weekly fees for the home range from £485 to £570. All this information and more can be found in the Service User Guide which is available from the home on request. Care Homes for Older People Page 3 of 9 What we found: We visited the home because previous visits had found shortfalls in the way medicines were handled. The visit was carried out by a pharmacist inspector. It lasted four and a half hours and involved speaking with the acting manager and two carers. We checked a sample of medicines stocks, medicines records and care plans. Overall we found improvements in the handling of medicines but continued to find some mistakes that could seriously affect the health and wellbeing of people who live in the home. We found medicines stock to be well organised, records were clearly presented and spare stock was stored securely in clean and tidy rooms. When we checked the records of medicines given we found they were usually signed and up to date. We saw recorded checks that were carried out weekly to make sure staff were giving and recording medicines correctly. When any mistakes were found action was taken immediately to help prevent them happening again. We looked at a sample of care plans and records to check if medicines were properly reflected in them. We saw some good information about how when required medicines were to be given and these were kept with the current records so the information was available when staff were giving them out to people. Having clear written care plans helps make sure people get their medicines when they need them. We checked several peoples records to make sure their medicines to help prevent blood clots were being handled safely. Suitable paperwork was being used but we found some discrepancies in the stock and records that showed the wrong dose had been given on at least three occasions. The manager agreed with this and took immediate action to try and prevent it happening again. Giving a person the wrong dose of a medicine can seriously affect their health and wellbeing. We looked at the times medicines were given and found they were usually given at the correct time. Medicines that needed to be given before food were clearly marked on the records and care staff confirmed they were being given at the right time. Giving medicines at the correct time helps them work properly. We checked how controlled drugs (medicines that can be misused) were handled. Secure cupboards were used for storage and a special register was used for record keeping. One person who was using a strong pain relief patch did not have it replaced on time on several occasions because staff had forgotten to do it. The acting manager agreed that it had been missed and she took immediate action to help prevent it happening again. Going without prescribed painkillers can cause people to suffer unnecessary pain. We looked at how staff were trained to handle medicines safely. The manager said all staff have attended formal medicines training and this was repeated as and when necessary. Competency assessments had recently been carried out for all care staff that handle medicines and this was being repeated on a regular basis. Regular competency checks on staff help make sure they have the necessary skills to handle medicines safely. Care Homes for Older People Page 4 of 9 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 9 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 8 13 When carrying out risk 22/10/2008 assessments in relation to individual residents, it must be ensured that all the relevant information is taken into account. Medicines must be given to people correctly. This is to help ensure their health and wellbeing is maintained. 22/10/2008 2 9 13 3 12 16 Residents must be provided 22/10/2008 with regular opportunities to take part in activities that are in line with their individual needs and wishes. This is so that they can spend their time in an enjoyable and fulfilling way. 4 16 22 All complaints made must be 22/10/2008 properly recorded. This is so that they can be monitored and so that the home can demonstrate that they have dealt with them appropriately. 5 26 13 In the event that a resident has a relevant condition, staff must be provided with individual infection control guidelines in relation to that 31/12/2008 Care Homes for Older People Page 6 of 9 person. This is so that the spread of infectious diseases is reduced. 6 27 18 Staffing levels must be adequate to meet the needs of residents at all times. This is so that their health and wellbeing is protected. 7 31 8 A suitably qualified and experienced manager must be appointed and proposed for registration with the Commission. This is so that there are suitable management arrangements in the home. 31/01/2009 22/10/2008 Care Homes for Older People Page 7 of 9 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 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 8 of 9 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 © (2009) 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. 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