Care Home: Lynwode Park

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What the care home does well Staff keep clear,detailed and accurate records of all aspects of the handling and use of medicines in the home. Further staff training together with improved procedures and systems mean that people can expect to receive their medicines correctly as prescribed with a reduced likelihood of mistakes. What the care home could do better: Although the service has a mission statement that provides basic details about it, the statement of purpose and service users` guide must to be updated to ensure people who are thinking about using the service have sufficient information about it to make an informed decision about it. Medicines requiring cool storage should be kept securely in a fridge intended and used exclusively for this purpose. Whilst we saw evidence the service was being appropriately managed and told the provider intended to make sure there is a registered manager for the service, a recommendation is made that appropriate action is taken about this to ensure the management and administration of the home can be maintained at all times. Inspecting for better lives Random inspection report Care homes for adults (18-65 years) Name: Address: Lynwode Park Wensley Road New Lodge Barnsley South Yorkshire S71 1TJ two star good 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 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: Rob Padwick Date: 3 0 1 0 2 0 0 8 Information about the care home Name of care home: Address: Lynwode Park Wensley Road New Lodge Barnsley South Yorkshire S71 1TJ 01226779450 01226779469 info@lynwodemanor.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr William Marsh Ms Susan Elizabeth Waine Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mimosa Recovery Ltd care home 21 Number of places (if applicable): Under 65 Over 65 0 past or present alcohol dependence Conditions of registration: 21 Younger adults 18 - 65 and Older People 65 - 75 to use no more than five places within the total of 21 Date of last inspection Brief description of the care home Lynwode Park is a registered care service for people with past or present alcohol dependence. The home provides the primary stage for detoxification and therapy. The home provides care for men and women. Lynwode Park is within a housing estate on the outskirts of Barnsley. All bedrooms are single and each bedroom has an en-suite. All of the en-suites have washbasin and toilet; one of the en-suites has a shower. Shared bathroom and shower facilities are available close to the bedrooms. There is a Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home dining and kitchen area where clients can make drinks and snacks. There is a lounge with T.V books and games. There is a designated smoke room. The local amenities include shops, chemist, library, church, and a bus route to town. Lynwode Park does not encourage clients to use the local amenities during their stay. This is because of the nature of the treatment and therapy. The home does make special arrangements for people to attend church if needed. Information provided by the manager on 8th August 2006 indicated the fees and charges were 2000 pounds per week. Additional charges include newspapers. Prospective clients and their families can get information about Lynwode Park by contacting the manager. The home will also provide a copy of the statement of purpose and the latest inspection report. Further information about the home can be found at www.Lynwodemanor.com Care Homes for Adults (18-65 years) Page 3 of 8 What we found: Since the last Key Inspection of the home, we saw evidence that contracts issued to people using the service had been developed to make them easier to understand. As part of the assessment process for the service, people who are thinking about staying at Lynwode Park are referred to the homes counsellor and provided with a variety of information about it. The service has a mission statement which provides basic details about the nature of the service and the acting manager told us its statement of purpose and service users guide were in in the process of being updated. We examined the homes medication procedures and records including the current medication administration record (MAR) charts to check whether all medicines in the home had been recorded correctly and could be accounted for. We also reviewed and the storage & handling arrangements for medicines prescribed by the homes medical officer and for those brought in by people using the service. Medicines administration practices were not observed during this visit. All the medication procedures and recording documents have been revised by the management team and with some input from local NHS health care professionals. A newly introduced code of practice for the prescribing, custody and administration of medicines means that all staff know exactly what is expected of them. The new procedures and medication handling processes are much improved and appear to be followed consistently resulting in a reduction in the risk of mistakes being made. Complete details of all medicines prescribed and used in the home (including homely remedies) are recorded accurately and the administration records indicate that medicines are being given correctly as prescribed. A clear audit trail exists and staff make regular checks to ensure all medicines arriving in and leaving the home are accounted for. All medicines are supplied by a pharmacy and we saw that they were suitably and clearly labelled with instructions for their use and expiry dates. We found no evidence of medicines being given without appropriate medical consultation and authorisation. The homely remedy policy now includes the need to seek further directions from the medical officer and staff told us that this improved practice is much safer than before. Storage conditions for medicines have improved since the last inspection visit. Room temperatures and expiry dates are checked daily to ensure all medicines are safe to use when needed. The home does not yet have medication fridge, and although no medicines in use at the time of this visit needed cool storage, consideration should be given to purchasing a new fridge intended for this purpose. All staff involved in the handling and administration of medicines have received further training in the safe handling of medicines since the last inspection visit. We were shown evidence that staff are observed and checked to make sure their practice is in line with current professional guidance. Having well trained competent staff helps to reduce the risk of medication errors. We inspected the system for recording complaints about the service and saw evidence that a new form had been devised for recording issues raised, together with the Care Homes for Adults (18-65 years) Page 4 of 8 actions taken by the provider to resolve these as previously required. 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 Adults (18-65 years) Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) 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, Care Homes 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 1 6 The registered Person must ensure that the service has an up to date Statement of Purpose and Service Users guide. This is to ensure that prospective service users have the information they need to make an informed choice about using the service. 19/12/2008 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 20 37 Medicines requiring cool storage should be kept securely in a fridge intended and used exclusively for this purpose. The registered person should take appropriate action to ensure there is a registered manager for the service. This is to ensure that the management and administration of the service can be maintained at all times Care Homes for Adults (18-65 years) Page 7 of 8 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 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. 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