Care Home: Anita Jane`s Lodge

Similar services:

• Trevayler Residential Care Home
• Thornham Grove
• Thistle Hill Hall
• Conifer Lodge
• Westwood Lodge
• Egerton Lodge Care Home
• Alfred Minto House Care Home
• St Matthews Unit

What the care home does well The staff have embarked on external accredited medication handling training. When asked a member of the staff who regularly gives out medication, she was able to describe the scenario when a person who is prescribed a "when required" medicines would be given this particular drug and what documentation would be made. What the care home could do better: The staff need to see and sign to say will follow, a home`s medication policy that covers the most up to date practises. Be more consistent in maintaining accurate records relating to why "when required" medicines are given ,when medicines in general are given and any returns. Maintain records of any medication audits and competency checks that are carried out by the management. Random inspection report Care homes for adults (18-65 years) Name: Address: Anita Jane`s Lodge 126/128 Uppingham Road Leicester Leicestershire LE5 0QF zero star poor service 29/03/2010 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: Naveeda Knopp Date: 2 1 0 7 2 0 1 0 Information about the care home Name of care home: Address: Anita Jane`s Lodge 126/128 Uppingham Road Leicester Leicestershire LE5 0QF 01162768071 F/P01162768071 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Lois Fletcher Type of registration: Number of places registered: Conditions of registration: Category(ies) : Samalodge Limited care home 16 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: 16 The home may continue to accommodate a named person who falls within category LD as detailed in variation application number 49808. Date of last inspection Brief description of the care home Anita Janes Lodge is a care home providing care for sixteen adults with mental health difficulties, in addition it provides a respite service (short stay) for up to one service user and offers a day care service. There are eight single and four shared bedrooms all without en-suite facilities, located on the ground and first floor. There are bathing/showering and toilet facilities on both the ground and first floor. Communal areas consist of a lounge and dining room/recreational room and kitchen on the ground floor. Anita Janes Lodge has a large rear garden, which incorporates a patio Care Homes for Adults (18-65 years) Page 2 of 12 2 9 0 3 2 0 1 0 Brief description of the care home area. Information about the service can be found on site in documents referred to as the Statement of Purpose and Service Users Guide. A copy of the latest published report from the Commission for Social Care Inspection can be found in the entrance lobby. Fees at the home are currently £309 per week. Care Homes for Adults (18-65 years) Page 3 of 12 What we found: This Pharmacist Inspection was carried out to confirm compliance to the requirements issued from the last Pharmacist Inspection on the 18th May 2010. Controlled drugs were handled and stored safely. The manager explained that one out of the two people on duty on the day of this inspection, who give out medicines is now on an external medication handling course. She said that all staff would have had in house competency assessments and that she would also discuss this in their supervision. This would enable her to identify training needs. No notes were available to confirm these discussions. The medication policy had been changed since the last visit but had not been adapted for this particular home as it had another homes name quoted within the sheets. In addition the policy had not been shared with the staff that give out medicines. This could make their systems inconsistent and unsafe. The manager stated that she has just had sight of this policy ( within days from the May inspection) but discusses medication practises with staff on a daily basis. Some of the current medication sheets had been received in to home with the wrong start date. This had shown to have caused confusion to staff and also meant records were not accurate. The manager had noted this and was putting measures in place to avoid any drug errors. On the day of the inspection the manager requested new record sheets to show the correct dates. Records are maintained for medication that are returned to the Pharmacy for destruction. There was one anomaly noted from the most recent records which indication a tablet was missing. The manager could not conclude what had occurred. It was also noted that when required medicines were bing returned monthly and then re-ordered. It was explained that this was wasteful and unnecessary. It was clear through taking to staff that medicines that are given as a when required basis were given appropriately but insufficient documentation was being made. There was no explanation given in the daily notes. A member of staff had a very vague idea how they can assist when a person living at the home is suffering with a minor ailment. A medication round was not observed but a verbal explanation given confirmed that a safe process would be followed by this member of the staff. What the care home does well: The staff have embarked on external accredited medication handling training. When asked a member of the staff who regularly gives out medication, she was able to describe the scenario when a person who is prescribed a when required medicines would be given this particular drug and what documentation would be made. Care Homes for Adults (18-65 years) Page 4 of 12 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 Adults (18-65 years) Page 5 of 12 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 9 13 The registered person shall ensure that any activities which service users participate are so far as reasonably practicable free from avoidable risks. This was not assessed on the Pharmacists inspection on the 18th May 2010. This is to ensure people are aware how to keep people safe. 07/05/2010 2 20 13 Medication handling practises 12/07/2010 carried out by staff at the home must be covered in a comprehensive medication policy that contains the most up to date best practises. This requirement has been re-issued as a reult of this inspection. The date of compliance is now 13/09/2010 This is to safeguard the health and welfare of people who use this service. 3 22 22 The registered person shall 07/05/2010 establish a procedure for considering complaints made to the registered person by a Page 6 of 12 Care Homes for Adults (18-65 years) 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 service user or person acting on the service users behalf. This was not assessed on the Pharmacists inspection on the 21st July 2010. The complaints information has the correct contact details of CQC. 4 24 23 The registered provider must 30/04/2009 ensure that all fire doors fit and close correctly. This was not assessed on the Pharmacists inspection on the 21st July 2010. To comply with the requirements made by the fire authority and to ensure the ongoing safety of people living in the home. 5 24 23 The registered person must ensure that appropriate fire warning systems are fitted throughout the home. This was not assessed on the Pharmacists Inspection on the 21st July 2010. To comply with the requirements made by the fire authority on 09/01/2009 and ensure the ongoing safety of people living in the home. 6 26 23 The registered person shall 30/04/2010 having regard to the number and needs of the service user Page 7 of 12 30/04/2009 Care Homes for Adults (18-65 years) 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 ensure that equipment provided at the care home for use by services users or persons who work at the care home is maintained in good working order. This was not assessed on the Pharmacists inspection on the 21st July 2010. This is to ensure the privacy and dignity of people in the home. 7 31 23 The registered provider must 15/05/2009 ensure that all fire doors fit and close correctly. This was not assessed on the Pharmacists inspection on the 21st July 2010. To comply with the requirements made by the fire authority and to ensure the ongoing safety of people living in the home. 8 39 24 At the request of the Commission, the registered person shall supply to it a report, based upon the system referred to in paragraph (1), which describes the extent to which, in the reasonable opinion of the registered person, the care home. This was not assessed on the Pharmacists inspection on the 21st July 2010. 07/05/2010 Care Homes for Adults (18-65 years) Page 8 of 12 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 This is to ensure the AQAA document is completed comprehensively with all the information required. 9 40 18 The registered person shall, 07/05/2010 having regard to the size of the care home, the statement of purpose and the number and needs of service users ensure that at all times suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of service users This was not assessed on the Pharmacists inspection on the 21st July 2010. This is to ensure policies and procedures are up to date and comprehensive to enable staff to follow them and ensure residents safety. 10 41 17 The registered person shall ensure that the records referred to in paragraphs 1 and 2 are kept up to date. This was not assessed on the Pharmacists inspection on the 21st July 2010. Where records need to be kept for monitoring purposes that they are periodically checked to ensure the recording is in place and up Care Homes for Adults (18-65 years) Page 9 of 12 07/05/2010 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 to date 11 42 23 Subject to regulation 4, 3, the registered person shall not use premises for the purposes of a care home unless they take adequate precautions against the risk of fire, including the provision of suitable fire equipment and provide adequate means of escape. This was not assessed on the Pharmacists inspection on the 21st July 2010. This is to ensure the safety of those in the home 12 42 13 The registered provider must 31/05/2009 ensure that the fire risk assessment is updated. This was not assessed on the Pharmcists Inspection on the 21st July 2010. This is to meet the requirements of the local fire authority and to ensure the ongoing safety of people living in the home. 16/04/2010 Care Homes for Adults (18-65 years) Page 10 of 12 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 20 13 The manager must ensure that all medication administration to individuals and returns are recorded accurately. The is to safe guard the welfare and health of people living at the home. 13/09/2010 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 20 Regular documented medication audit checks and checks on the accuracy of medication profiles could be carried out. Care Homes for Adults (18-65 years) Page 11 of 12 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 Adults (18-65 years) 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 Adults (18-65 years) Page 12 of 12 - 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!