Care Home: Abbegale Lodge

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What the care home does well Medication audits (checks) are carried out to help ensure medicines are handled in accordance with the homes policies. What the care home could do better: To help ensure peoples best interests are protected clear records must be made where consideration has been given to the covert administration of medicines. Any decisions made must be kept under regular review. Random inspection report Care homes for older people Name: Address: Abbegale Lodge 9-11 Merton Road Bootle Liverpool Merseyside L20 3BG zero star poor service 19/03/2010 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: Stephanie West Date: 2 4 0 8 2 0 1 0 Information about the care home Name of care home: Address: Abbegale Lodge 9-11 Merton Road Bootle Liverpool Merseyside L20 3BG 01519223124 Telephone number: Fax number: Email address: Provider web address: brenda.bailey@blueyonder.co.uk Name of registered provider(s): Name of registered manager (if applicable) Miss Brenda Bailey Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Ramesh Chander Parkash Sabberwal care home 41 Number of places (if applicable): Under 65 Over 65 41 old age, not falling within any other category Conditions of registration: 0 One named out of category service user in the category of Learning Disabilities. This variation applies to the named service user only. Should they leave the home, the variation will cease to apply. One named service user under pensionable age Ramp access to be provided to the home within six months of registration. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection Care Homes for Older People 0 2 0 6 2 0 1 0 Page 2 of 8 Brief description of the care home Abbegale Lodge is an established privately owned care home that is registered to provide residential care for 41 older persons. Mr Ramesh Chander Parkash Sabberwal is the registered provider. The registered manager is Miss Brenda Bailey. The service is situated on a busy road close to bus services and a train station. It is within easy distance of local amenities. The service is set out as two converted Victorian villas with a two storey modern extension. There is lift access to the main building with a stair lift in place to the other villa and extension. A ramp access is provided to number 11. The service has a call bell facility in residents rooms and public areas. The service provides upper and ground floor accommodation with lounges and dining rooms in each ground floor area. A large rear garden and off street parking is available to the front of the premises. Weekly fees are £383. Care Homes for Older People Page 3 of 8 What we found: The purpose of this visit was to look at the homes arrangement for handling medication to look at how concerns identified at our previous visit had been addressed. This visit focused on medicines handling, other areas were not examined on this occasion. We looked at care documentation within the home and the medication systems that were in place. We spoke with manager and senior staff with responsibility for handling medication. At the end of the visit feedback was given to the manager and providers (owners). Overall, we found that generally suitable arrangements were in place for handling peoples medicines; regular audits (checks) had continued to help ensure that should any weaknesses arise they can be promptly addressed. We looked at medicines administration. As seen at our previous visit people wishing to self-administer medication are supported to do so. All other medicines are administered by staff who have completed certificated medicines training. The manager additionally carries out checks to confirm staff understanding of the homes medicines policy, helping to ensure consistency in the handling of medicines at the home. We found that written guidance for staff about the use of when required medicines and of external preparations (e.g. creams) was generally in place to help ensure consistency in their use, when needed. Care was taken to ensure that where doses of the same medicine were repeated throughout the day, they were not given too closely together. We found that records of medicines handling were generally clearly completed helping to support and evidence the safe administration of medication. But, on occasion where a variable dose such as one or two was prescribed the actual dose given was not recorded. This should be addressed to enable the safe handling of medicines to be accounted for. We saw that changes to peoples medicines following for example, advice from a doctor or hospital visit, were generally clearly recorded and promptly carried out. We saw that advice had been sought about the use of covert (hidden) administration of medication for one person living at the home. Staff explained that covert administration was not currently being used. But, care needs to be taken to ensure risk assessments and care plans are completed around decisions to use covert administration, and these must be kept under review to help ensure people are best protected. We found that all medicines including controlled drugs were safely stored helping to reduce the risk of mishandling or miss-use. 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 Care Homes for Older People Page 4 of 8 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 R No £ 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 1 24 12 Appropriate screens must be 01/06/2010 made available in all shared rooms. This will help ensure a degree of privacy. 2 27 18 The provider and manager 01/06/2010 must review the overall staffing in the home and ensure that there is sufficient numbers of both care and ancillary staff cover on duty. This is to provide a consistent level of care. 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 To help ensure peoples best interests are protected clear records must be made where consideration has been given to the covert administration of medicines. Supporting information about the administration of peoples medicines must be clear and up-to-date. Decisions about the covert administration of medicines must be kept under regular review. 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. 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