Care Home: Crosby Lodge

What the care home does well The home keeps clear records of all medication changes made by the GP or consultant and any tests or reglar appointments which people need. The manager responded positively to advice from the Primary Care Trust Pharmacist and put the recommendations into practice. What the care home could do better: The method of administering medicines must be changed to ensure that it is safe and staff are individually accountable for their actions.The competency of care staff to administer medicines safely and follow the home`s procedures must be checked regularly. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Crosby Lodge 2-2a Fitzharris Avenue Charminster Bournemouth Dorset BH9 1BZ new service which has yet to be given a quality rating 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 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: mary collier Date: 2 3 0 2 2 0 0 9 Information about the care home Name of care home: Address: Crosby Lodge 2-2a Fitzharris Avenue Charminster Bournemouth Dorset BH9 1BZ 01202517186 01202521502 crosbylodge@yahoo.com 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) : Peter Graham Oliver care home 26 Number of places (if applicable): Under 65 Over 65 26 26 dementia mental disorder, excluding learning disability or dementia Conditions of registration: Date of last inspection Brief description of the care home 5 5 Crosby Lodge is located in a quiet residential area of Charminster, Bournemouth, within easy reach of local shops, churches, library and doctors surgeries etc. Buses run nearby to other areas of Bournemouth and beyond. The town centre and seafront are less than two miles away. On street parking in the vicinity of the Crosby Lodge is available for visitors. The home is registered to accommodate up to 26 older people with mental disorders and/or dementia. (Variations to registration have been granted for the admission of five service users under the age of 65 years.) Crosby Lodge comprises two separate houses situated next door to each other. Both have ramped access to the front door and a stair lift is available at 2A to assist access between floors. Accommodation at 2A includes a lounge and small separate dining room, four Care Homes for Older People Page 2 of 9 Brief description of the care home double and six single bedrooms and No 2 includes a lounge and separate dining room, two double and eight single bedrooms. There are no en-suite facilities, but sufficient communal bathrooms and WCs are available. The home has a well maintained garden, which is planted to provide year round interest and is mostly accessible to wheelchairs. An attractive park lies on the opposite side of the road, with a bowling green, tennis courts etc, and seating. Crosby Lodge provides 24-hour personal care, all meals, laundry and domestic services. Small pets may be permitted, by agreement. Care Homes for Older People Page 3 of 9 What we found: This inspection was carried out by the pharmacist inspector to look at all aspects of medication handling in the home. The home had recently been visited by the pharmacist from the Primary Care Trust (PCT) who had given them advice about safe storage, record keeping and staff training which the manager had already started to put into place. Staff had recently made a mistake with someones medicines and this had prompted the visit. All staff were having training in medication handling and the manager had agreed to use information from the PCT to help her to test the competency of her staff to carry out the task. The current policy did not include a procedure which stated how staff should do the various tasks involved and the PCT were helping to produce this. The home had suitable storage for all medicines except conrolled drugs. The medication administration charts were correctly completed and new audit forms had been started to allow all mediines to be accounted for. Photographs were available to help staff to identify the correct person for the medicine. The care plans of the people we looked at had clear, up to date information about medication changes or advice from their doctor. The way that medicines are administered in the home is not consistent with current good practice guidelines. This was the case in both areas of the home. Due to the restrictions of space and the diverse ability of the people in the home, two staff must be available when medicines are given as is currently the case, but the member of staff who signs for the medication must administer it themselves and take responsibility for the whole process. The manager agreed to review their practice and institute a safe method of administration. She had already obtained a coloured tabbard which the member of staff could wear to indicate to other people that they should not be disturbed whilst concentrating on the medication. During the inspection we also discussed the care staffs ability to communicate with the people in the home as many of them do not have English as a first language. The manager said that she was aware of problems with certain members of staff but was takng steps to rectify this. Staff without a sufficient knowledge of English may not be able to complete the medication training or pass a competency test within the home. What the care home does well: What they could do better: The method of administering medicines must be changed to ensure that it is safe and staff are individually accountable for their actions. Care Homes for Older People Page 4 of 9 The competency of care staff to administer medicines safely and follow the homes procedures must be checked regularly. 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 £ 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 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, 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 All controlled drugs must be stored in a cupboard that complies with the Misuse of Drugs and Misuse of Drugs (Safe Custody) (Ammendment) Regulations 2007. This will ensure that all medicines are kept secure. 29/05/2009 2 9 13 All staff who administer 30/04/2009 medication must undergo training in the homes procedures and their competency to administer be assessed regularly. This will ensure that all staff administer medicines safely. 3 9 13 The manager must put in place a safe system for medication administration in line with current good practice guidelines. This will ensure that medicines are given safely and staff are accountable for their actions. 30/04/2009 Care Homes for Older People Page 7 of 9 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. 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