Care Home: St Andrews Lodge Care Home

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What the care home does well We found that the receipt of medicines into the home and the disposal of medicines are recorded. Controlled drugs are recorded accurately and stored in a cupboard that complies with the law. We saw that medicines were administered to people at lunchtime in a polite, friendly and safe way. What the care home could do better: There were no records of assessments of whether staff understood the medicines training they had attended and could handle medicines safely. Written guidelines (protocols) were not available to help staff decide when to give medicines prescribed to be taken `when required`. Random inspection report Care homes for older people Name: Address: St Andrews Lodge Care Home Riber Crescent Basford Nottingham NG5 1LP two star good service 04/11/2008 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: 2 9 0 4 2 0 1 0 Information about the care home Name of care home: Address: St Andrews Lodge Care Home Riber Crescent Basford Nottingham NG5 1LP 01159245467 01159245485 slodge@schealthcare.co.uk www.southerncrosshealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Karsten Klups Type of registration: Number of places registered: Conditions of registration: Category(ies) : Trinity Care Limited care home 80 Number of places (if applicable): Under 65 Over 65 80 80 dementia mental disorder, excluding learning disability or dementia Conditions of registration: 0 0 No person falling under category MD(E) Mental Disorder older people over 65 years (excluding Learning Disability or Dementia) or DE(E) Dementia shall be admitted to St Andrews Lodge when there are already 80 persons of these categories/combined categories accommodated in the home The maximum number of persons to be accommodated within St Andrews Lodge is 80 To admit into St Andrews Lodge 10 service users aged between 50 - 65 years under category DE To admit into St Andrews Lodge one named service user aged 40 years under category DE To admit into St Andrews Lodge one named service user aged 45 years under category Care Homes for Older People Page 2 of 7 DE Date of last inspection Brief description of the care home St. Andrews Lodge provides nursing care for 72 older people with Mental Illness and for those with Dementia. The registration allows for up to 10 people between the ages of 50- 65yrs to be accommodated. The purpose built home is split into two separate nursing units, Garden and Assisi, and a residential care unit, Robin. There are lounge and dining areas in each of the units which are comfortable and suitably furnished to cater for the people living there. There is a hairdressing salon in the home and the hairdresser visits twice a week. Sited in an established residential area the home has sufficient car parking and a well maintained garden. All areas of the home were accessible to service users. The fee range is from £356.00 to £807.00 per week including the nurse determination fee. One to one support can be provided where there is an assessed need but this does incur further costs and is currently £1.071.27 per week. The Registration Certificate is prominently displayed in the entrance area of the home, together with copies of the Service User Guide, Statement of Purpose, the complaints procedure and daily menus. A copy of the last Key Inspection that took place on the 4th November 2008, can also be found in the entrance of the home and on the web site for the Care Quality Commission. 0 4 1 1 2 0 0 8 Care Homes for Older People Page 3 of 7 What we found: During the inspection we looked at the arrangements for recording and storing medicines, and the records of care belonging to two people. We asked about the medicines training that staff have received and watched medicines being administered to some people at lunchtime. We looked at medicine charts and found that administration records were completed. A running stock balance is recorded for medicines not supplied in blisterpacks. A small sample of tablets were counted by the inspector; the amounts matched the records on the medicine charts. Written guidelines (protocols) were not available to help staff decide when to give medicines prescribed to be taken when required. We found that the receipt of medicines into the home and the disposal of medicines are recorded. Controlled drugs are recorded accurately and stored in a cupboard that complies with the law. We saw that other medicines are also stored securely. However, the temperature in the room where medicines are kept was the maximum recommended for storing medicines. Temperature records for the medicine fridge showed that the fridge temperature was sometimes above the upper limit of 8 degrees centigrade. We were told that care plans for people living in the home are being improved and updated. We looked at the care plans of two people with different medical needs. We found that one care plan described the care required due to this need but the other plan did not. We found that all staff have attended medicines training since January 2009. However, there were no records of assessments of whether staff understood the training and could handle medicines safely. We saw that medicines were administered to people at lunchtime in a polite, friendly and safe way. 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 18 Staff who administer medicines must be competent to perform this role. This must be demonstrated by record keeping practices 28/05/2010 for the health and safety of people living in the home 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 Protocols should be written to guide staff as to the circumstances when medicines prescribed as required should be administered. Information about meeting peoples special medical needs should be included in every care plan Medicines should be stored at appropriate temperatures, as directed by manufacturers. 2 3 9 9 Care Homes for Older People Page 6 of 7 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. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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