Care Home: Milton Lodge

What the care home does well The storage of the medicines has improved since the last inspection. Staff have the opportunity to undertake a comprehensive training package. The home has clear records of all interventions by healthcare professionals. What the care home could do better: The storage of controlled drugs must be in line with the current legislation. Regular checks on medicines and reagents must be undertaken in order to be sure that no out of date stock is held or used. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Milton Lodge 32 Milton Road Bournemouth Dorset BH8 8LP zero star poor service 04/02/2009 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 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: mary collier Date: 2 3 0 4 2 0 0 9 Information about the care home Name of care home: Address: Milton Lodge 32 Milton Road Bournemouth Dorset BH8 8LP 01202556873 01202316881 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) : Kensington Care Ltd care home 18 Number of places (if applicable): Under 65 Over 65 0 18 dementia old age, not falling within any other category Conditions of registration: 18 0 The maximum number of service users who can be accommodated is 18. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender 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 Brief description of the care home Milton Lodge is a long established care home catering for older people including those with dementia. It is a traditionally built detached house, with gardens to front and rear. Car parking is unrestricted on the road outside the home. Resident accommodation is on the ground and first floor; a lounge, sun lounge and dining room are on the ground floor. Care Homes for Older People Page 2 of 7 0 4 0 2 2 0 0 9 Brief description of the care home A stair lift is installed on the longest flight of steps on the main staircase but it is then necessary to negotiate an additional flight of stairs to gain access to the first floor and to reach some bedrooms it is necessary to descend additional steps; residents whose bedrooms are upstairs must therefore be able to independently manage steps. All bedrooms have a wash hand basin; one has separate en suite hygiene facilities and all are close to a toilet. With the exception of one bedroom for shared use by 2 persons, all bedrooms are for single occupancy. There is one bathroom for use by persons requiring assistance; the bath is fitted with an elevating bath seat but the bathroom is not large so suited only for use by persons who require low levels of assistance. Fees are charged weekly; the fee range quoted by the manager at the time of inspection was (per person) from £500 to £570. Up to date information on fees can be obtained from the service. Care Homes for Older People Page 3 of 7 What we found: Our pharmacist inspector undertook this inspection to follow up on concerns about the safe handling of medicines which were raised at a previous inspection. The medicines were all stored securely and a new fridge had been purchased for the storage of medication that required cold temperatures. The controlled drug cupboard had been secured to the wall but not in the manner that is required by the current legislation. Since the last inspection efforts had been made to improve the clarity of the medication administration records. The instructions for the use of creams and lotions were now clearly marked and these additions to the charts had been signed and checked by two people. However a person who was new to the home had a written medication administration sheet that had not been checked and countersigned. Records were seen where staff had indicated the exact dose of medication that had been given where a dose of one or two tablets had been prescribed. Staff made comprehensive records of visits from the GP and any changes to medication that were ordered, in peoples records. In one case the instructions for the use of a medication prescribed as required was not available as separate guidelines for staff to follow. During the inspection the information from the GP was put into a protocol by the manager. We found some urine testing strips that were out of date and not suitable for use, these were removed during the inspection. All staff who administer medication have been recently enrolled on a training course for the safe handling of medicines taught by the local Primary Care Trust. We observed staff giving the lunchtime medicines in the dining room and this was done in accordance with the homes procedures and safe practice guidance. 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 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 The registered person shall make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home The Controlled Drug cabinet must be securely fixed by approved means. 30/03/2009 2 26 13 The registered person shall 09/03/2009 make suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home. This means that the shower hose must be prevented from being placed in the bath, damaged and dirty bed rail covers must not be used and throughout the home adequate standards of hygiene must be maintained and good hygiene practise promoted. 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 The registered person must ensure that no medicines or reagents are stored beyond their expiry date. This will ensure that no medicinal products are used when their safety or efficacy cannot be assured. 04/06/2009 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 1 9 All written additions to the medication administration record should be signed, dated and checked by two members of staff to ensure accuracy. Care Homes for Older People Page 6 of 7 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 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 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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