Care Home: Scaleford Retirement Home

What the care home does well Overall the service has made good progress and has improved the way medicines are managed to keep residents safe. Records are accurate and along with a stock take show that residents receive their treatment correctly. Changes made to medication are verywell documented and implemented without delay so that residents` treatment is always up-to-date. What the care home could do better: There has been much improvement in the way medicines are handled and the manager should continue to monitor this to maintain the level of improvement to make sure that residents continue to receive safe and effective medication to keep them well. Random inspection report Care homes for older people Name: Address: Scaleford Retirement Home Lune Road Lancaster Lancashire LA1 5QU one star adequate 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: Angela Branch Date: 2 3 0 2 2 0 1 0 Information about the care home Name of care home: Address: Scaleford Retirement Home Lune Road Lancaster Lancashire LA1 5QU 01524841232 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) : Scaleford Care Home Limited care home 32 Number of places (if applicable): Under 65 Over 65 32 dementia Conditions of registration: 0 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: - Dementia over 65 years of age - Code DE (E) Up to 3 named service users can be accommodated in the category of OP. The maximum number of service users who can be accommodated is: 32 Date of last inspection Brief description of the care home Scaleford Residential Home is owned and managed by Mr Mrs Owen who have over 15 years experience of managing a care home. The home is registered as a limited company. Scaleford is situated in a residential area of the Marsh in Lancaster and overlooks the River Lune. It is close to local amenities. There are three lounges and a dining room, these are used for a variety of purposes and provide residents with a choice of where to sit and who to sit with. Bedrooms are situated on both the ground and first floor and the upper floor can be accessed either by stairs or by a stair lift. All Care Homes for Older People Page 2 of 8 Brief description of the care home people living at Scaleford have their own General Practitioners who are responsible for their medical needs. Those residents requiring nursing support have the services of the District Nurses made available to them and other healthcare professionals as required. The current weekly fees range from GBP 407.50 to GBP 420.00. There are additional charges for hairdressing, dry cleaning, private chiropody, public transport, incontinence aids and toiletries. This information and information about the service is available in the service user guide and statement of purpose. A copy of the latest inspection report is also available for people to read. Care Homes for Older People Page 3 of 8 What we found: The pharmacist inspector examined the handling of medication by looking at relevant documents, storage and meeting with the manager, Mrs Lynette Owen, and other staff. The reason for the inspection was to follow-up requirements made at the last pharmacist inspection on 17 November 2009. The inspection took 2 hours and 40 minutes. Feedback was given to the manager at the end of the inspection. Overall, we found that the handling of medication had improved and was managed well. The manager had done much work to address areas of concern and overall this will result in increased safety and effectiveness of medication for residents. We looked at records for receipt, administration and disposal of medication for a period of around five and a half weeks. These had been completed well with only occasional omissions and residents were protected from errors. If medication was omitted the reasons were clearly documented. All changes to medication were recorded well and implemented accurately. We did a stock take of a sample of medicines in order to check that they had been given in the correct dosage and that they could be accounted for. These were in order with the exception of one sample. We looked at a number of medication changes and the records that were made at the time. We found that when doctors made changes to treatment staff made exceptionally detailed records of this. This meant that all changes could be clearly tracked and justified. Changes to medication were also started without delay so that residents got most benefit from their treatment. We looked at a sample of care plans. Care plans are needed so that staff have clear guidance on managing and monitoring residents health care needs. In particular we looked at when required medication such as inhalers for breathing problems and treatment for angina. Overall, there was good information on the use of these treatments in residents care plans and further supporting information kept with the administration records for ease of reference. Overall, storage of medication was satisfactory. There were no medicines liable to misuse, called controlled drugs, kept in the home at the the time of the inspection. The manager had just received a new cabinet for the storage of controlled drugs should it be needed. The cabinet did not have any distinguishing marks to prove that it complied with the Misuse of Drugs (Safe Custody) Regulations 1973 although we were assured that it did. We recommend that the manager obtain evidence that the cabinet is compliant with these regulations and keep this on file in case of future queries. The manager had introduced a more thorough system of checks, or audits, of medication that were done weekly. This will make sure that areas of concern are identified and managed without delay to keep residents safe. What the care home does well: Overall the service has made good progress and has improved the way medicines are managed to keep residents safe. Records are accurate and along with a stock take show that residents receive their treatment correctly. Changes made to medication are very Care Homes for Older People Page 4 of 8 well documented and implemented without delay so that residents treatment is always up-to-date. 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 5 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 19 39 (h) The home must have a programme of renewal and replacement to ensure that old and worn fixtures and fittings are replaced periodically. This is to help ensure that people live in a pleasant and well maintained home with nice things around them. 31/12/2009 2 20 23 (1) The owner of the home must 31/12/2009 ensure that renovations to the existing property are carried out within an appropriate timescale. This is to help ensure that minimum space requirements for the people who use the service are not affected for long periods of time. Care Homes for Older People 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, 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 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 It is recommended that the manager obtain evidence that the controlled drugs cabinet is compliant with regulations and that this kept on file in case of future queries. 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. 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