Archived: Derwent Lodge Care Centre

Updated 8 June 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

We carried out an unannounced comprehensive inspection of this service on 17, 18, 19 January 2017. Four breaches of legal requirements were found. After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements. They stated they would meet legal requirements in relation to the safe management of medicines by 18 April 2017. Following that inspection, concerns were raised with us about the way the service ordered and looked after people’s medicines and the use of thickening agents in people’s drinks.

We undertook this unannounced focused inspection on 9 May 2017 to check that the service had followed their plan to address the medicines shortfalls from the comprehensive inspection and also to review the medicines in light of the concerns that had been raised since that inspection. This report only covers our findings in relation to this topic.

The inspection was undertaken by one medicines inspector.

Before our inspection we reviewed all the information about concerns relating to medicines that had been received by the Care Quality Commission since the last inspection.

At the inspection on 9 May 2017, we spoke to the support manager, five nurses and one member of the care staff. We looked at the arrangements for ordering, storing, and administering medicines. We looked at 26 medicines administration records started on 8 May 2017 and 16 from the previous month. We also saw the application records for three people’s creams and ointments and four people’s care records relating to their medicines. We saw five recent medicines audits carried out by staff and three medicines error reports.

Updated 8 June 2017

We carried out an unannounced comprehensive inspection of this service on 17, 18 and 19 January 2017. During this inspection we found people were not always protected against the risks associated with the inappropriate management of medicines. This was a breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. After that inspection, concerns were raised with us about the way the service ordered and looked after people’s medicines and the use of thickening agents in people’s drinks.

We undertook a focused inspection on the 9 May 2017 to check how medicines were looked after. This report only covers our findings in relation to this topic. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for ‘Derwent Lodge Care Centre’ on our website at www.cqc.org.uk

Derwent Lodge Care Centre provides nursing care for up to 62 people. There are three floors and the units offer nursing care for older people including those with dementia care needs and people with physical disability needs. At the time of inspection there were 40 people using the service.

The service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The previous registered manager had left the service in January 2017 and an interim manager was in post at the time of this inspection.

The provider had appropriate processes in place for the ordering of medicines.

Systems were in place for the safe administration of medicines.

Medicines were stored safely and securely.

We have made a recommendation about reviewing and learning from medicines incidents.