Care Home: Dr Anderson Lodge

Similar services:

• Snydale Care Home
• Abbey The
• Larchfield Manor
• Hawkhills
• Beeches The - North Yorkshire County Council
• Carentan House
• Ravensworth Lodge

What the care home does well The management team has made many improvements to ensure medication practices in the home are made safe. All GP prescriptions are now checked for accuracy and completeness each month. The management team carry out regular checks of medicines and medication records each month. All staff are carrying out medication safety update training. Advice has been taken from the NHS PCT pharmacy team on updating medication policies and procedures. People`s own preferences for taking medicines are recorded and respected. What the care home could do better: Guidance should be kept in care plans on how to give medicines prescribed to be given as and when needed. All hand written entries and changes to MARs should be signed, dated and checked for accuracy. New MARs should include a record of the quantities of medicines brought forward from the previous month. Staff should use the designated MAR chart omission codes consistently. Random inspection report Care homes for older people Name: Address: Dr Anderson Lodge East Lane Stainforth Doncaster South Yorkshire DN7 5DY one star adequate service 19/11/2009 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: Steve Baker Date: 1 6 0 3 2 0 1 0 Information about the care home Name of care home: Address: Dr Anderson Lodge East Lane Stainforth Doncaster South Yorkshire DN7 5DY 01302350003 01302351985 platinumcarehome@nascr.net 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) : Platinum Care Homes Limited t/a Dr. Anderson Lodge care home 61 Number of places (if applicable): Under 65 Over 65 0 61 dementia old age, not falling within any other category Conditions of registration: 61 0 The maximum number of service users who can be accommodated is: 61 The registered person 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 to the home are within the following categories: Old age, not falling within any other category - Code OP and Dementia - Code DE Date of last inspection Brief description of the care home Dr Anderson Lodge comprises of three units in two separate buildings. One building known as the Lodge can accommodate 40 people. 11 people are on one unit, which is for people within the catagory of old age with dementia and the other 29 bedrooms are Care Homes for Older People Page 2 of 8 1 9 1 1 2 0 0 9 Brief description of the care home for people within the category of old age with general Nursing needs. The other unit known as the Annex can accommodate people within the category of old age with dementia that require nursing care. This unit can accomodate up to 21 people. Both units have safe accessible outdoor space. The home is situated in Stainforth close to local amenities. The fees at Dr Anderson Lodge at the time of the inspection ranged from £398.72 - £600.17. For further clarification please contact the home. Care Homes for Older People Page 3 of 8 What we found: The reason for this inspection was to find out what actions the home had taken to improve medication practices following the last full inspection of the home in November 2009. A pharmacist inspector spent 4.75 hours in the home looking at the medication ordering, storage, handling and disposal arrangements, examining medication administration record charts (MARs) and speaking to staff. The outcome is as follows. We found many improvements in medication ordering, receipt, checking and record keeping. Most medication management processes in the home now follow best practice and staff are aware of current professional guidance. Some additional improvements in medication record keeping are recommended to ensure a complete record can be maintained of all medicines used in the home. The outstanding medication requirements issued at previous inspections are now met. The management team is clearly commited to ensuring all medication practices throughout the home continue to be safe. Authorised staff are receiving appropriate update training in medication safety and regular checks of staff practice now take place. The staff are also following good practice advice received from the NHS PCT pharmacist and they told us they welcome the further support available from this source. We examined the 45 current MARs for accuracy and completeness and found no significant gaps. Together with the checks made by the management team, this indicates that people living in the home can expect to receive their prescribed medicines correctly. The personal preferences of people living in the home had been recorded and were respected by staff when giving medicines to people. This good practice reduces the risk of doses being refused or omitted. We found good records for the use of anticoagulant medicines which showed how dose changes recommended by the NHS were being followed correctly. Some hand written changes and entries on the MARs were not signed or dated and they lacked a witness signature. Hand written entries and changes to MARs must be clear, detailed, complete and safe arrangements must be made to ensure staff know the reasons for the changes. A second person should always check these entries for accuracy so that all staff follow the changes on the MARs correctly. We also found that some care plans did not include adequate information about how and when to give medicines prescribed when required. This information will ensure staff give these medicines consistently and correctly as intended. There was also some inconsistency by staff in the use of omission codes when medicines are not given or when offered but not needed. All staff should follow best practice guidance in this respect to make sure the MARs are an accurate record of why medicines are not given. Not all MARs indicated the quantities of medicines brought forward from the previous month. Without this information, it is difficult to check that medicines are being given correctly or to be sure that sufficient medicines are available until the next delivery is due. Medication ordering, receipt, storage and disposal arrangements in the home are good. The GP prescriptions are checked each month before the medicines are delivered. This helps to make sure the home is aware of any prescription changes and means staff can check that sufficient quantities of everyones medicines have been prescribed each month. Controlled drugs procedures and records in the home now follow accepted best practice and no new discrepancies were found. We were, however, concerned to hear that Care Homes for Older People Page 4 of 8 the homes procedures for controlled drugs had not always been correctly followed by visiting district nurses. This information has now been shared with the NHS PCT to ensure all visiting nurses uphold local procedures for handling and recording the use of controlled drugs at all times when visiting care homes. 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 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 7 12 Peoples changing needs must 28/02/2010 be reviewed and action taken. This will ensure peoples needs are met. 2 8 12 Maintain peoples health needs and ensure access to health care services in particular dieticians. This will ensure peoples needs are met 28/02/2010 3 30 18 Staff must be appropriately trained and receive regular updates. This will ensure that staff have the knowledge and skills to do their job. 28/02/2010 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 2 3 4 9 9 9 9 Staff should use the designated MAR chart omission codes consistently. All hand written entries and changes to MARs should be signed, dated and checked for accuracy. Guidance should be kept in care plans on how to give medicines prescribed to be given as and when needed. New MARs should include a record of the quantities of medicines brought forward from the previous month. 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. Care Homes for Older People Page 8 of 8 - 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!