Latest Inspection
This is the latest available inspection report for this service, carried out on 4th December 2009. CQC found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Lancum House Care Home.
What the care home does well Prescriptions are photocopied each month before being sent to the pharmacy to be dispensed, so that an up to date record of each person`s prescribed medicines is available. What the care home could do better: We found a number of gaps in administration records and saw that the daily check designed to correct these mistakes was not always being done. Random inspection report
Care homes for older people
Name: Address: Lancum House Care Home Bush Close Hardwick Road Wellingborough Northants NN8 3GL one star adequate service 16/07/2009 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: Denise Clark Date: 0 4 1 2 2 0 0 9 Information about the care home
Name of care home: Address: Lancum House Care Home Bush Close Hardwick Road Wellingborough Northants NN8 3GL 01933445770 01933443404 Lancum.House@shaw-homes.co.uk www.shaw.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Shaw Healthcare (de Montfort) Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 43 Number of places (if applicable): Under 65 Over 65 0 43 dementia old age, not falling within any other category Conditions of registration: 43 0 The maximum number of service users who can be accommodated is 43 The registered person may provide the following categories of service only: Care Home only - Code PC 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 Dementia - Code DE Date of last inspection 1 6 0 7 2 0 0 9 Care Homes for Older People Page 2 of 8 Brief description of the care home Lancum House is a purpose built residential care home for the elderly, formerly owned by the Northamptonshire County Council Social Services Department, and now owned by Shaw Healthcare. The accommodation for service users is set out on the ground floor. The first floor accommodates the managers office, and an area used for training and as a staff room. Service users rooms are divided into small individual areas called flats. Each flat has a small lounge and dining area, all bedrooms are single occupancy with ensuite facilities. There is a communal lounge area and a larger foyer area where service users frequently choose to sit. The home has a wide corridor that is called the street, where tables and chairs are placed for the service users use. The home is surrounded by pleasant gardens and is situated in a residential area close to the town centre and other local amenities. The home caters for elderly residents of both sexes with both physical and dementia related illness. The current fees are in the region of 450 pounds per week according to assessed needs. Care Homes for Older People Page 3 of 8 What we found:
We watched medicines being administered to people in two areas of the home and saw that a safe procedure was followed. We looked at medicine records in these two units, and at the storage and recording of controlled drugs. We found that a previous requirement about handling medicines, with a deadline of 22nd October 2009, had not been met. We learned that prescriptions are photocopied each month before being sent to the pharmacy to be dispensed, so that an up to date record of each persons prescribed medicines is available. We saw that the receipt of medicine into the home was recorded on each persons medicine chart. We also saw records of the disposal of medicines. We checked the homes controlled drugs register and a persons medicine chart and found that the administration of controlled drugs was correctly recorded. However, we found that two controlled drugs entered in the CD register were not in stock in the home. These drugs were no longer required but there was no record of their disposal. We looked at records of administration on medicine charts and found that people did not always receive their medicine as prescribed. One person had missed an important medicine on two evenings because he had been asleep. A dietary supplement was only being given to another person in the morning, instead of three times a day, as prescribed. There were a number of gaps in administration records and the daily check designed to correct these mistakes was not always being done. There was no written guidance (protocol), in addition to the information on the pharmacy label, to help staff decide when medicines prescribed to be taken as required should be given. One persons medicines had recently been changed by the doctor. The changes were not clearly explained in the persons care plan or on their medicine chart. The disposal of the medicines no longer required by this person was recorded. We found that a few medicines were labelled take as directed by the pharmacy. The medicine refrigerator was operating at the correct temperature but no minimum/maximum thermometer was available for checking the temperature over 24 hours. 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 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 9 13 Systems must be in place to ensure that staff adhere to the procedures, for the receipt, recording, storage, handling and administration of medication. This is to ensure that people using the service are protected by the homes policies and procedures for dealing with medicines. 22/10/2009 Care Homes for Older People Page 5 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 1 9 13 Accurate stock records must be kept in the controlled drugs register for security and legal reasons 08/01/2010 2 9 13 Systems must be in place to ensure that staff adhere to the procedures for the receipt, recording, storage, handling and administration of medication so that people are protected by the homes policies and procedures for dealing with medicines. 29/01/2010 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 2 9 9 Ask the pharmacy to label all medicines with full dosage instructions Changes to a persons prescribed medicines should be clearly and fully documented so as to avoid any confusion. Care Homes for Older People Page 6 of 8 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 3 9 Written protocols should be available to guide staff as to when and why a medicine prescribed for use when required should be administered. The temperature of the medicine refrigerator should be monitored over each 24 hour period. 4 9 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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!
