Care Home: Wolston Grange

What the care home does well The medicine management has significantly improved and the staff now adminsiter themedicines as prescribed and records reflect practice What the care home could do better: . Random inspection report Care homes for older people Name: Address: Wolston Grange Coalpit Lane Lawford Heath Rugby Warwickshire CV23 9HJ one star adequate service 04/11/2009 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 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: Debby Railton Date: 2 4 0 2 2 0 1 0 Information about the care home Name of care home: Address: Wolston Grange Coalpit Lane Lawford Heath Rugby Warwickshire CV23 9HJ 02476540482 Telephone number: Fax number: Email address: Provider web address: wolston@pinnaclecare.co.uk Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Pinnacle Care Ltd care home 39 Number of places (if applicable): Under 65 Over 65 0 dementia Conditions of registration: 39 The maximum number of service users to be accommodated is 39 The registered person may provide the following category 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 (DE) 39 Date of last inspection Brief description of the care home Wolston Grange is one of seven homes owned by Pinnacle Care Limited It is a large detached dwelling set in extensive grounds The building was formerly a hunting lodge and there are a number of small outbuildings surrounding the main courtyard A new Barn Annexe has been added to accommodate or five further people The home is set in a rural location, a short drive away from Rugby Town Centre and the villages of Dunchurch and Bilton The home is located along a country lane with smaller domestic dwellings as neighbours There are no local facilities or public transport close to the Care Homes for Older People Page 2 of 8 0 4 1 1 2 0 0 9 Brief description of the care home home It is registered to care for up to 39 older persons with dementia The accommodation is over two floors In the main home there are two lounges, a dining room, a large sun terrace and a conservatory All bedrooms have ensuite facilities and there are two communal toilets on the ground floor and one on the upper floor There are two assisted bathrooms and three shower facilities (one shower room not being used) within the building Up to date information relating to the fees charged for the service is available on request from the home. Care Homes for Older People Page 3 of 8 What we found: The pharmacist inspection lasted one and a half hours The reason for this inspection was to check compliance with the nine requirements and three recommendations left at the last inspection on 4th November 2009 regarding the safe handling of medicines Four peoples medicines were looked at together with their Medicine Administration Record (MAR) chart, care plans and daily records One member of staff was spoken with The manager and staff had worked hard to improve the medicine management in the home The majority of the medicines were now stored in a new medication room with washing facilities The temperature was monitored daily to ensure that the medicines were stored at the correct temperature New cupboards had been purchased and installed to safely store the medicines within The staff still gather the medicines for the individual person and place in a bag to transport to the people in the home Whilst the bag was kept on the person at all times it did increase the length of time to undertake the medicine round Each MAR chart had a facing page with a photograph and information about the persons general clinical condition and list of medicines Hand written MAR charts were well written and easy to read Medicines that had been discontinued following a medication review by the doctor had been clearly crossed out and the medicines removed from the cabinet All staff were assessed for competence at least three times before they were allowed to administer medicines alone and regular checks are undertaken to confirm that medicines have been administered as prescribed Audits indicated that the medicines had been administered as prescribed and records reflected practice The care plans had improved and it was possible to understand what the persons clinical condition and needs were The team leader spoken with had a good understanding of what the medicines she administered were for This would enable to support the persons clinical needs Protocols were seen for medicines prescribed on awhen required basis and also detailing what to do following an untoward event, for example, an epileptic fit The staff had followed these directions clearly, as witnessed during the inspection This was commended All controlled drugs were stored in compliance with current regulations and records reflected practice. What the care home does well: The medicine management has significantly improved and the staff now adminsiter the Care Homes for Older People Page 4 of 8 medicines as prescribed and records reflect practice 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 7 15 Care plans must provide staff 31/12/2009 with detailed information on what they need to do to meet the care needs of people living in the home This will make sure people get the care they need. 2 8 13 Risk assessments completed 31/12/2009 for people who are identified as being at high risk of falling must clearly identify the action staff must take to minimise the risk of the person falling This will help to reduce the risk of the person being harmed through injury. 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 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 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. 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