Care Home: Maiden Castle House

What the care home does well There are safe facilities for storing medicines, which protects people in the home. People who look after their own medicines have their own lockable medicine cupboards. There are documented risk assessments for people who keep their own medicines, which help to show that it is safe for them to do so. Medication records are well maintained in the home, which helps to show that people receive their medicines as their doctor has prescribed for them - if they do not receive them for any reason this is clearly recorded on the medicines charts. There are also good individual care plans for people who are prescribed medicines `when required`. These help to guide staff on when it may be necessary to administer these medicines. They help to make sure people receive them when needed, and in the way their doctor prescribed for them. What the care home could do better: There have been some problems with supplies of medicines running out before the next ordering date is due. It is a requirement that the home maintains supplies for people so that their medicines are available for them as their doctor has prescribed. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Maiden Castle House 12-14 Gloucester Road Dorchester Dorset DT1 2NJ 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: Lorna Somerville Date: 1 1 0 3 2 0 0 9 Information about the care home Name of care home: Address: Maiden Castle House 12-14 Gloucester Road Dorchester Dorset DT1 2NJ 01305251661 01305251102 maidencastle@care-south.co.uk www.care-south.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Teresa Baldwin Type of registration: Number of places registered: Conditions of registration: Category(ies) : Care South care home 66 Number of places (if applicable): Under 65 Over 65 31 35 dementia old age, not falling within any other category Conditions of registration: 10 0 A maximum of 10 service users may be accommodated for intermediate care in separate ground floor accommodation. A maximum of 5 of these service users may be between the ages of 55 and 64 years. May accommodate up to 10 service users aged between 55 and 64 years on admission and whose primary need on admission relates to their dementia. Date of last inspection Brief description of the care home Maiden Castle House is a purpose built property in a residential area of Dorchester. It is registered to accommodate people under the categories of Old Age, Dementia and Intermediate Care (Rehabilitation) services. Maiden Castle House is registered to Care Care Homes for Older People Page 2 of 7 Brief description of the care home South; a not-for-profit registered charity, (formerly the Dorset Trust) being an established provider of care services in the south of England. There are 66 single person bedrooms each with en suite hygiene facilities. The home comprises two floors divided into separate living units; Maumbury A and B are for physically frail people and the Intermediate Care Unit , providing short term care, is on the ground floor. Each unit has its own facilities, including a communal dining-room/lounge, kitchenette and sluice room. On the first floor are the Eggardon A and B Units; these are specially designed for the care and accommodation of people with dementia. These units include a range of communal areas, enabling residents to readily access their bedrooms and WCs. In the corridors are a number of built-in display cabinets containing household items from earlier years (e.g. the 1940s). Laundering of clothing and household linen is carried out at the home and arrangements can be made for chiropodists, opticians and other health and social care professionals to visit individual residents. On the ground floor there is an enclosed outdoor courtyard/patio area and on the first floor within the Eggardon Units there are balconies with safety glass. The fees at the time of the inspection are;for the dementia unit 700 pounds to 765 pounds per person per week. The fees for other people living in the home range from 595 pounds to 670 pounds per person per week depending on their care needs. Up to date fee information may be obtained from the service. Information regarding the subjects Value for Money and Fair Terms in Contracts can be obtained Care Homes for Older People Page 3 of 7 What we found: The purpose of this pharmacist inspection was to look into medication handling in the home, following a recent key inspection of the home. We looked at how medicines are given to people in the home, and we checked medication records and storage arrangements. We talked to staff who are involved with handling medicines. We also discussed staff training, looked at policies and procedures, and talked to someone living in the home about how they look after their own medicines. We found clear records of medicines received into the home, those given to people and those returned to the pharmacy. These help to show that people receive their medicines as the doctor prescribed for them. However there have been some problems with medication supplies running out over the last few months and there were some medicines that were not available at the time of the inspection. These were medicines prescribed to be given when required and we were told that they were not needed at the time of this inspection. The home had supplies on order and were arranging for them to be received. It is a requirement that medicines are available to be offered to people when necessary. Medicines were safely stored in the home, to protect peoples safety and welfare. People are encouraged to look after their own medicines where it is safe for them to do so. Staff who give medicines to people have had training, and they have policies and procedures available to help them. 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 That the home has systems in place to ensure that supplies of medication prescribed for people are available. This is to make sure that people receive their medicines as their doctor has prescribed for them. 23/03/2009 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 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 03000 616161 (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. 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