Care Home: Marple Lodge

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What the care home does well Staff receive medicines training each year; three members of staff have attended a more advanced course about the safe handling of medicines. What the care home could do better: The disposal of medicines is not recorded, though this is required in the home`s medicine policy. Details of prescribed medicines handwritten onto medicine charts by staff are not signed. The procedure for administering medicines does not follow national guidelines. Random inspection report Care homes for older people Name: Address: Marple Lodge 19 Arkwright Road Marple Stockport Cheshire SK6 7DB 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 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: 1 6 0 4 2 0 1 0 Information about the care home Name of care home: Address: Marple Lodge 19 Arkwright Road Marple Stockport Cheshire SK6 7DB 01614277248 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Joseph Robert Stokes Type of registration: Number of places registered: Conditions of registration: Category(ies) : Grove Lodge Care home Limited care home 18 Number of places (if applicable): Under 65 Over 65 0 0 dementia mental disorder, excluding learning disability or dementia Conditions of registration: 18 18 The registered person may provide the following categories of service only: Care home only- Code PC To people of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia- Code DE Mental disorder, excluding learning disability or dementia- Code MD The maximum number of people who can be accommodated is: 18 Date of last inspection Brief description of the care home Marple Lodge is a care home which is owned and managed by Mr Robert Stokes. Mr Stokes has a second registered care home Grove Lodge which is located in the Hazel Care Homes for Older People Page 2 of 9 Brief description of the care home Grove area of Stockport. Mr Stokes purchased the home in February 2009. Marple Lodge is situated in a quiet area of Marple overlooking fields with Mellor Church in the distance. The home has bedrooms on the ground and first floors and there is full passenger lift. There two lounges, dining room and toiletshower room on the ground floor. There is a reasonably sized garden to the rear of the property with parking facilities at the front of the house. Marple and Marple Bridge villages are within walking distance or a short car ride. Marple has a cinema, restaurants, banks, church and shops. There is a bus service to Stockport and railway station which has a direct line to Manchester. The fees were GBP458 per week. There was a service user guide that provided information about the home and the inspection report was available on request. Care Homes for Older People Page 3 of 9 What we found: During the inspection we looked at the arrangements for recording and storing medicines. We saw that the home has a medicine policy, though the policy was not signed or dated. We asked about the training provided for staff who handle medicines and watched medicines being administered after lunch. We found that a record was made each month when most medicines were delivered by the pharmacy, but that the receipt of medicines at other times was not recorded. Details of prescribed medicines handwritten onto medicine charts by staff of the home were not signed to show who had made the entry and who had checked it. There was no record of the disposal of medicines, though this was required according to the medicine policy. We counted the number of a tablet, prescribed for one person at night when required, and found that the quantity remaining did not match the records on the current and previous medicine charts. Another person had recently been prescribed a tablet twice a day when required; this tablet was being given regularly. There was no written guidance (protocol) to help staff decide if medicine prescribed when required was in fact needed at that moment. We noticed that one person was prescribed an injection once every three months. Community nurses visited the home to administer the injection. We found that, according to the homes record, the injection was not being given regularly every three months. Staff at the home had not noticed and reported this error. We saw that medicines were stored in the dining room,inside two trolleys; one medicine trolley and the other with a flimsy lock. Neither trolley was fastened to the wall when not in use. We noticed that two tubes of cream were left on top of the medicine trolley. Nobody living in the home was prescribed a controlled drug at the present time, but the home did not have a cupboard in which controlled drugs can legally be stored. We found that staff received medicines training each year, and that three members of staff had attended a more advanced course about the safe handling of medicines. Information leaflets on medicines packaged in blister packs were not available for people living in the home, their relatives or staff to read. We saw that two members of staff were involved in the medicine round. One person removed the dose of medicine from its container and stayed beside the trolley in the dining room. The second person carried the medicine, in a pot, to the lounge and administered the medicine. Both staff members signed the medicine chart. 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 Care Homes for Older People Page 4 of 9 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 The administration of 28/05/2010 medicines by visiting healthcare professionals must be monitored by staff as part of their duty of care to people living in the home to ensure that the prescribers instructions are followed 2 9 13 All medicines must be securely stored for safety reasons and to prevent theft A cabinet that complies with the Misuse of Drugs (safe custody) regulations 1973, must be installed so that any prescribed controlled drugs can be legally stored 28/05/2010 3 9 13 30/06/2010 4 9 13 The procedure for administering medicines must follow national guidance, with one person carrying out every step in 28/05/2010 Care Homes for Older People Page 7 of 9 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 the process and a second person checking if desired to minimise the chance of a mistake 5 9 13 A record of the disposal of medicines must be kept, as stated in the homes medicine policy so that medicines can be accounted for 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 28/05/2010 1 9 Details of prescribed medicines that are written by hand onto the medication administration record (MAR) should be signed by two members of staff, and the receipt of these medicines should be recorded. The pharmacy should be asked to supply patient information leaflets for medicines packed in MDS (blister) packs. The medicine policy should be dated and signed by the person authorising the policy. Protocols should be written to guide staff as to the circumstances when medicines prescribed as required should be administered. 2 9 3 4 9 9 Care Homes for Older People Page 8 of 9 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. 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