Latest Inspection
This is the latest available inspection report for this service, carried out on 4th February 2010. CQC found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Shrub End Lodge.
What the care home does well Records made when medicines are received into the home, when they are given to people and when they are disposed of were of a good standard, demonstrate that people receive the medicines prescribed for them and provide a good audit trail to account for medicines in use. What the care home could do better: A daily record must be made of the temperature of the areas where medicines are stored to demonstrate that it is acceptable. When medicines are prescribed in variable dosages e.g. `one or two tablets` the actualquantity given must be recorded. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Shrub End Lodge 119 Shrub End Road Colchester Essex CO3 4RB 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: Derek Brown Date: 0 4 0 2 2 0 1 0 Information about the care home
Name of care home: Address: Shrub End Lodge 119 Shrub End Road Colchester Essex CO3 4RB 01206575996 01206523329 mgulabkhan@hotmail.com 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) : Mr M Gulabkhan care home 6 Number of places (if applicable): Under 65 Over 65 0 0 learning disability physical disability Conditions of registration: 6 6 The home accommodates 6 people with learning disabilities who may also have physical disabilities. The registered manager must review the appropriateness of their qualifications in line with the Care Homes Regulations and National Minimum Standards and provide evidence to the CSCI within three months of registration Date of last inspection Brief description of the care home Shrub End Lodge is a residential care home providing long stay care for six adults with learning disabilities. The bungalow is situated in a residential area of Colchester. There are local shops close by and there is easy access to public transport. There are parking facilities to the front of the property as well as unrestricted parking on some of the surrounding roads. Accommodation is in single rooms and there is a communal lounge and dining room. Both the kitchen and separate laundryutility room are domestic in
Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home character. The home charges between GBP464.00 and GBP547.00 a week for the service they provide. This information was given to us in September 2008. Additional items not covered by the fees include toiletries and personal items. Information about the home, including the Statement of Purpose and Service User Guide, can be obtained by contacting the manager. Inspection reports are available from the home and from the CSCI website www.csci.org.uk Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
The reason for this inspection by a pharmacist inspector was to assess progress towards meeting the requirement made following the key inspection on 18/09/08 and evidence provided for the Annual Service Review on 21/09/09. We looked at the storage provided for medication and a new metal cupboard has been installed in the dining area of the home. This was secure and so medicines are stored appropriately for the protection of residents. A new cupboard is available for the storage of controlled drugs and this meets legal requirements. Although no controlled drugs were in use at the time of the inspection. The temperature of the storage area is, however, not recorded to demonstrate that medicines are stored in environmental conditions to maintain their quality. During the inspection, the temperature of the area was 23C and a thermometer was placed in the medicines storage cupboard during the inspection. We expect a daily record to be made of the temperature to ensure it is acceptable as to store medicines outside the recommended storage temperature could result in people receiving medicines that are ineffective. We looked at the records made when medicines are received into the home, when they are given to people and when they are disposed of. These were of a good standard, demonstrate that people receive the medicines prescribed for them and provide a good audit trail to account for medicines in use. But we saw that for one person, who was prescribed medicines in variable dosages e.g. one or two tablets the actual quantity given is not recorded. This could result in people receiving too much or too little medication. We expect this to be managed by the home rather than make a requirement on this occasion. Medicines are only given to people by staff qualified to do so. We were told that there had been recent training provided in November 2009 but could not verify this as we could not get access to training records. We were also told that people are assessed as to their competence to give medicines safely but again we could not verify this as we did not have access to the records. This will be checked on future inspections. The requirement made on the last inspection for there to be suitable arrangements for the recording, handling, safekeeping, safe adminstration and disposal of medicines has therefore been met. What the care home does well: What they could do better:
A daily record must be made of the temperature of the areas where medicines are stored to demonstrate that it is acceptable. When medicines are prescribed in variable dosages e.g. one or two tablets the actual
Care Homes for Adults (18-65 years) Page 4 of 8 quantity given must be recorded. 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 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 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, 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 Care Homes for Adults (18-65 years) 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 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. 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. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
