Random inspection report
Care homes for older people
Name: Address: Stanton Lodge Nursing & Residential Home Millfield Avenue Shiremoor Tyne & Wear NE27 0LE one star adequate service 26/01/2010 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: Michael Earnshaw Date: 2 1 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Stanton Lodge Nursing & Residential Home Millfield Avenue Shiremoor Tyne & Wear NE27 0LE 01912522919 01912535017 stanton.lodge@fshc.co.uk www.fshc.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Laudcare Ltd (a wholly owned subsidiary of Four Seasons Health Care Ltd) Name of registered manager (if applicable) Mrs Veronica Bernadette Cairns Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Conditions of registration: Three named service users are under pensionable age. No further admissions of under pensionable age service users must take place without prior agreement of the Commission for Social Care Inspection Date of last inspection Brief description of the care home Stanton Lodge is a purpose built 72 bed care home. All the accommodation is on ground floor level and all the bedrooms have en-suite facilities. The home is situated in a residential area and is close to local amenities and public transport. There are two
Care Homes for Older People Page 2 of 8 care home 72 Over 65 51 0 0 21 2 6 0 1 2 0 1 0 Brief description of the care home units within the home each offering a different category of care, one provides for older people requiring personal care or personal care with nursing and the other provides care for 21 younger physically disabled people. There are lounges and dining rooms on each unit and there is a smoking lounge. All units have specialist baths, showers and disabled toilets. There are enclosed garden areas, which are wheelchair accessible, and there are car-parking facilities. Fee rates vary on an individual basis and are available from the home. This fee includes the nursing care element without specialist equipment. Further information about the home is available in the service user guide, which contains the statement of purpose and previous inspection reports. This is kept in the reception area of the home. Care Homes for Older People Page 3 of 8 What we found:
The reason for this visit was to undertake a pharmacist inspection of the service to check on outstanding medication requirements from the last key inspection in January 2010 which led to the subsequent issue of a Warning Letter. This Warning Letter, and the outstanding requirements, related to poor internal audit of the medication system, and handwritten entries on Medication Administration Records (MARS) not being fully signed and checked by a second person. We have reviewed our practice when making requirements to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use the services are not being put at risk or harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. A pharmacist spent three hours in the home and the inspection involved looking at audits of the medication system carried out in the home, examination of the current MARs and discussion with the manager and senior carers of the home. During the visit we gave verbal feedback to the home manager and the regional manager. All handwritten entries on the MARs were fully signed with the signature of the person making the entry, the signature of a witness to confirm accuracy and the date and, where relevant, the quantity of medication received. This reduces the risk of error when copying information. All prescriptions for ointments and creams are now handwritten on separate MARs and all of these entries were fully signed and included details of how carers should apply these medications to people who were prescribed them. Regular audit of the whole medication system is now undertaken together with daily and weekly checks of the MARs to make sure that accurate medication records are being maintained, and to identify any omissions or discrepancies promptly. We looked at two recent monthly medication audits and noted that the medication issues identified in one audit had been included in an action plan and subsequently resolved. This helps the manager make sure that staff are closely following the homes medicines policy and helps protect people living in the home from medication errors and omissions. Medication disposal records now include a signature and date to confirm removal from the premises, and stocks of controlled drugs are regularly checked and a record of these checks is made in the controlled drug register. Where people were prescribed medicines to be taken as required there was additional written guidance with the MARs to assist staff in deciding when the medication should be offered to the person. An up to date list of staff authorised to administer medicines, together with their specimen signatures and initials, was located within the MAR files and this helps identify any staff involved in administration if a medication error or omission occurs. The written instructions provided by the anticoagulant clinic are now kept with the MARs for each person receiving anticoagulant treatment. This makes sure that staff always
Care Homes for Older People Page 4 of 8 have accurate and up to date guidance on the dose of anticoagulant to administer. We therefore found that all outstanding medication requirements from the last key inspection and subsequent Warning Letter were met at the time of this inspection. 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 All actions identified following audit of the medication system should be fully recorded and a process should be in place to ensure that they are followed up. 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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!
