This inspection was carried out on 29th September 2008.
CSCI found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Withy Grove Care Home Withy Grove House Off Poplar Grove Bamber Bridge Preston Lancashire PR5 6RE The quality rating for this care home is: The rating was made on: one star adequate service 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: Stephanie West Date: 2 9 0 9 2 0 0 8 Information about the care home
Name of care home: Address: Withy Grove Care Home Withy Grove House Off Poplar Grove Bamber Bridge Preston Lancashire PR5 6RE 01772337105 01772620158 withy.grove@ashbourne.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Ashbourne (Eton) Limited care home 54 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category 24 0 Over 65 0 30 Conditions of registration: This home is registered for a maximum of 54 service users to include: Up to 24 service users in the category of DE - (Dementia). Up to 30 service users in the category of OP - (Old Age, not falling within any other category). Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidelines which may be issued through the Commission for Social Care Inspection regarding staffing levels in care homes. Date of last inspection Brief description of the care home Withy Grove House is a residential care home providing 24-hour personal care and accommodation for 30 older people who have care needs and 24 older people who have care needs associated with dementia. Withy Grove House is a converted Manor Care Homes for Older People
Page 2 of 9 House, which is set in its own landscaped gardens adjacent to parkland. The home is in a predominantly residential area, but within easy walking distance of Bamber Bridge centre. Bus and train services can be accessed to larger towns, such as Preston, Chorley, and Blackburn. Bedroom accommodation is on the ground and first floors. All bedrooms are used for single accommodation and 29 have en-suite facilities. There is a passenger lift. Accessible toilets and bathrooms are located on both floors near to bedroom and living rooms. There are sitting and dining areas sited on both floors and across the car park from the home is a private lawn area where residents are able to enjoy activities, weather permitting. Information about the service is available from the home. Weekly charges range from 326 pounds (minimum) to 386 pounds; privately funded 445 pounds. Care Homes for Older People Page 3 of 9 What we found:
The home was randomly selected for a visit to look at the arrangements for handling medication. The visit lasted approximately four and a quarter hours and involved discussing the handling of medication with senior staff handling medicines, examination of medicine records and storage arrangements. Overall, we found suitable arrangements were in place for handling peoples medicines, helping to ensure medicines are administered correctly. Since the previous inspection a new manager has come to the home and is starting to make changes to improve the handing of medication. An initial audit (check) of medication handling has been carried out, and refresher medicines training and competency assessments are planned. This will help to ensure that staff handle medicines safely and should any weaknesses be identified, that they can be quickly addressed. We observed part of the morning medication round. To help ensure medicines were administered as prescribed, records were referred to and completed at the time of administration to each person. Staff explained that the times medicines were administered had changed, to help ensure doses were better spread throughout the day. There was some flexibility in the times that medicines were administered, for example if people chose to get up later in the morning. A sample of medication was counted and compared with the records and this showed that, with the exception of a rare discrepancy they were given correctly. We looked at how residents were supported when they looked after their own medicines. We found that a clear risk assessment had been completed for someone who regularly applied their own creams. But, a written assessment had not been completed for one person who had chosen to apply a short-course of prescribed cream. It is important that assessments are completed to help ensure people receive any support they may need to manage their medication safely. We looked at how medicines were recorded and found the records of receipt, administration and disposal to be generally clear and accurate. But the service should make sure that medicines that have been refused by residents are also recorded for disposal so that they can be accounted for. We looked at a sample of care plans and daily records and saw that senior staff had started to write clearer protocols for giving when required medicines such as pain-killers and for external medicines e.g. creams to help ensure they are used correctly, when needed. But, this has yet to be completed for all residents. We found that medicines were stored securely. This helps to ensure that they are not misused or mishandled. We checked the arrangements for storing and recording controlled drugs (medicines that can be misused). The law on how to look after these medicines has changed. The home did not currently handle controlled drugs but should any be prescribed, they would need to be stored in a cupboard that complies with the new regulations. What the care home does well:
Care Homes for Older People
Page 4 of 9 People are able to take their own medication where appropriate and this promotes independence. Where staff administer medication; there is some flexibility in the times that medicines are given for example, if people choose to get up later in the morning. Regular audits are completed and should any weaknesses be identified, action is taken to try and address them. 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 7 12(1)(a) The manager must make sure all health and personal care needs as outlined in residents care plans is provided. Previous timescale of 20/02/08 not met. Diabetic care must improve for residents well being. Residents dignity must be respected at all times by making sure gender issues are considered for residents requesting or requiring this provision. 30/08/2008 2 8 13(4)(c) 30/08/2008 3 10 12(4)(a) 30/08/2008 4 12 16(2)(n) Activities must be better 30/08/2008 arranged to take into account the needs of all residents in the home. Previous timescale of 20/02/08 not met. Residents requiring assistance at meal times must be given proper care and supervision. Sufficient numbers of staff must be available to ensure the health, welfare, and safety of residents is 30/08/2008 5 15 12(1)(a)(b) 6 27 18(1)(a) 30/08/2008 Care Homes for Older People Page 6 of 9 protected. 7 28 18(1)(a) The skill mix of staff must be 30/08/2008 balanced to ensure that at all times suitably qualified, competent , and experienced staff are on duty day and night. All staff must be given essential training that is appropriate for their work. 30/09/2008 8 30 18(1)(c) 9 32 18(1)(2)(4) The management team must 30/08/2008 ensure they are responsible staff follows policies and procedures and best practice guidelines. Staff must be given regular formal supervision. Good practice and staff training must be maintained to ensure the health, welfare, and safety of residents and staff. 30/08/2008 10 36 18(2) 11 38 12(1)13(4) 30/08/2008 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 1 9 13 Where people manage their own medication written assessments need to be completed to help ensure people receive any support they may need. 07/11/2008 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 © (2008) 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. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!
