Random inspection report
Care homes for older people
Name: Address: Twin Oaks Victoria Road Windermere Cumbria LA23 2DL two star good service 17/03/2009 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: Stephanie West Date: 1 5 1 0 2 0 0 9 Information about the care home
Name of care home: Address: Twin Oaks Victoria Road Windermere Cumbria LA23 2DL 01539448994 01539448994 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) : Heathwaite Care Homes Limited care home 6 Number of places (if applicable): Under 65 Over 65 6 old age, not falling within any other category Conditions of registration: 0 The home is registered for a maximum of 6 service users to include: up to 6 service users in the category of OP (Older People not falling within any other category) Date of last inspection Brief description of the care home Twin Oaks is a domestic style property which has been equipped to provide accommodation and care for up to six older people. The home is furnished and decorated to a good standard, and provides a very comfortable and pleasant environment for the people who live there. The accommodation is on two floors, on the ground floor there is a spacious lounge, dining room, bathroom, toilet and kitchen, and on the first floor there are four single bedrooms and one registered as a double each with an en-suite shower and toilet. There is a small car park, and gardens with level access and seating. The home is situated in the town of Windermere, close to all of the usual amenities.
Care Homes for Older People Page 2 of 8 1 7 0 3 2 0 0 9 Brief description of the care home The fees for this service range from 495.00 605.00 per week, with additional charges for hairdressing, chiropody and newspapers. A brochure is available for prospective residents, and a summary of the latest Commission for Social Care Inspection report is made available on request. Care Homes for Older People Page 3 of 8 What we found:
The reason for this visit was to look at the arrangements for handling medication and to look at the action taken to address the requirement made at our previous visit. The visit lasted approximately two hours and involved discussing the handling of medication with the manager, examination of medicine records and storage arrangements. At the end of the inspection feedback was given to the manager. Overall, we found that although generally suitable arrangements were in place for handling medication, weaknesses in the record keeping need to be addressed to better support and evidence the safe administration of medicines. We looked at medicines administration. Since the previous inspection arrangements have been made to ensure medicines are safely administered from the original pharmacy labeled container. People choosing to self-administer medication are supported to do so, but it was of concern that written assessments and care plans were not completed. It is important that assessments are completed to help ensure people receive any support they may need to manage their medicines safely. The home had made arrangements for the use of homely remedies to enable treatment for minor ailments to be given without needing a prescription. Some were present but not currently being used. Consideration should be given to looking at how the home can help to make sure that they are suitable for use with any prescribed medicines already being taken. We looked at how medicines were recorded and found that it was not always possible to track the handling of medicines in the home because records of medicines received into the home and of unwanted medicines sent for safe disposal were not made. We found that records of healthcare professional advice were not always clearly recorded. One person had a box of antibiotics that had never been started, the manager explained that they had been advised not to start the course unless needed, but this advice was not recorded. Records showing the administration of medication were generally up-to-date but records were not made to show the application of external preparations (e.g. creams) and these were not listed on peoples administration records. We found that there was not always clear information within peoples care plans about the use of these creams. It is important that records of external preparations are completed, as for all medication administered. We looked at medicine storage and found that medicines were safely locked away but appropriate arrangments were not in place for the recording of controlled drugs. The home has previously handled controlled drugs although none were kept at the home on the visit day. What the care home does well: What they could do better:
Medicines record keeping needs to improve to better support and evidence the safe administration of medication.
Care Homes for Older People Page 4 of 8 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 1 9 13 Where people are supported 16/11/2009 to self-administer medication written assessments and care plans need to be completed to help ensure they receive any support they may need to do so safely. 2 9 13 Complete clear and accurate 16/11/2009 records of all medicines received into, administered (including external preparations) and of those sent for safe disposal need to be made to help support and evidence the safe administration of medication. 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!
