Latest Inspection
This is the latest available inspection report for this service, carried out on 17th March 2010. CQC found this care home to be providing an Adequate service.
The inspector found no outstanding requirements from the previous inspection report,
but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Argyle House.
What the care home does well We found that accurate records of the handling of controlled drugs are kept in the CD register and that stocks of controlled drugs are regularly checked. What the care home could do better: We found a significant number of discrepancies between records of administration on medicine charts and amounts of medicines received into the home or in stock. We found that two of the care plans we looked at contained incorrect information related to medicines. There were no protocols to guide staff as to when to administer medicines prescribed "when required". Random inspection report
Care homes for older people
Name: Address: Argyle House The Avenue Dallington Northampton Northants NN5 7AJ one star adequate service 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: Denise Clark Date: 1 7 0 3 2 0 1 0 Information about the care home
Name of care home: Address: Argyle House The Avenue Dallington Northampton Northants NN5 7AJ 01604589089 01604589423 argylehouse@schealthcare.co.uk 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) : Ashbourne Homes Ltd care home 87 Number of places (if applicable): Under 65 Over 65 0 87 20 dementia old age, not falling within any other category physical disability Conditions of registration: 87 0 20 The maximum number of service users who can be accommodated is 87. The registered persons may provide the following category of service only: Care home with nursing - Code N to service users of the following gender: Either whose primary care needs on admission are within the following category: Old age, not falling in any other category - Code OP. Dementia - Code DE and DE(E). Physical disability - Code PD and PD(E) (Maximum number 20) Date of last inspection Brief description of the care home Argyle House provides personal and nursing care for up to 87 persons, who may have additional needs, which may include Dementia or a Physical Disability. Argyle House
Care Homes for Older People Page 2 of 7 Brief description of the care home accommodation is located over four floors, the ground and first floor providing nursing care, the second floor providing residential and nursing care to individuals with Dementia and the third floor providing residential care. All floors have a communal lounge and dining room, a majority of bedrooms being single, with some shared bedrooms available. All bedrooms have an en-suite facility consisting of a wash hand basin, toilet and bath or shower. Argyle House has outdoor space for service users to relax, and is surrounded by mature shrubs and plants, with outdoor seating provided. Argyle House benefits from good access to public transport into the town centre. The current weekly fees for the home, which were provided by the Manager on the day of the site, visit range from GBP 331.00 - GBP 650.00 for residential care and GBP 477.00 - GBP 950.00 for Nursing care. Inspection Reports from formerly the Commission for Social Care Inspection are displayed in the entrance foyer of the home. Care Homes for Older People Page 3 of 7 What we found:
During the inspection we visited each of the four floors in the home. We talked to staff and were shown the storage facilities for medicines. We looked at a selection of medicine charts, other medicine records and a small number of care plans. We learned that staff had recently attended a training course on medicines. We watched some people being given their medicines after lunch and saw that this was done in a safe and friendly manner. We found that, with one exception, the receipt of medicines into the home and the disposal of unwanted medicines were recorded. We found that controlled drugs were securely stored, and recorded in the correct way. However we found that some controlled drugs and other medicines were kept in rooms where the temperature was higher than recommended for the storage of most medicines. Medicines that needed to be kept in a refrigerator were correctly stored. When we looked at medicine charts we found a number of discrepancies between the administration record and the amount of medicine supplied by the pharmacy or remaining in stock. We found that some people were prescribed painkillers and certain other medicines when required. There was no additional information with the medicine chart to help staff decide if the medicine was needed. Two people were being given medicines hidden in their food. Records for one person showed that this had been agreed as being in that persons best interests. Contradictory information was seen on different pages in the other persons care plan. We looked at another care plan, belonging to a person with special medical needs and saw instructions to administer a medicine that was no longer prescribed by the doctor. 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 4 of 7 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 5 of 7 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 Medicines must be administered as prescribed. This must be demonstrated by record keeping practices. for the health and well being of people living in the home 23/04/2010 2 9 13 Medicines must be stored at appropiate temperatures, in accordance with the manufacturers instructions. to ensure that medicines are fit for use 23/04/2010 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 9 Written protocols should be available to guide staff as to when and why a medicine prescribed for use when required should be administered. Care plans should be reviewed regularly to ensure that information relating to the administration of medicines is accurate and up to date. 2 9 Care Homes for Older People Page 6 of 7 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 7 of 7 - 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!
