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Prescriptions

Volume 487: debated on Wednesday 11 February 2009

To ask the Secretary of State for Health pursuant to the answer of 19 January 2009, Official Report, columns 1202-3W, on prescriptions, on how many occasions there has been a report of (a) an incident of overdose with a controlled drug and (b) other serious incidents reported to the Commission for Social Care Inspection involving a resident in a care establishment in Warrington; and to which individual service each report was made. (250893)

The requirement for care homes to report incidents to the Commission for Social Care Inspection (CSCI) is set out in the Care Home Regulations 2001. Regulation 37 requires reports to be made to CSCI without delay of:

The death of any service user;

The outbreak in the care home of any serious infectious disease;

Serious injury to a service user;

Serious illness of a service user (other than in a nursing home);

Any event in the care home which adversely affects the well-being or safety of a service user;

Any theft, burglary or accident in the care home; and

Any allegation of misconduct by the registered person or a worker at the home.

If a serious incident is reported to CSCI under Regulation 37 of the Care Homes Regulations, which governs notification of death, illness and other events in care homes, it is followed up by the CSCI regulation inspector or regulation manager associated with that service. Depending on circumstances, they may refer the issue to the pharmacist inspector. It is one of CSCI's referral criteria to contact a pharmacist inspector and this may result in inspection of the care home and a resulting report with requirements and recommendations. If the overdose is a result of an incorrect prescription from the general practitioner, the pharmacist inspector will liaise via the local intelligence network through the national health service accountable officer at the relevant primary care trust, who will deal with the issue.

We are informed by CSCI that there were 2,716 notifications to CSCI under Regulation 37 of incidents in care homes in Warrington in the years 2006 to 2008. The following table shows a breakdown of numbers of notifications between care homes. We are informed by CSCI that to extract the incidents involving overdose with a controlled drug from these notifications would involve disproportionate cost.

Notifiable incidents under Regulation 37 (The Care Homes Regulations 2001)—care homes in Warrington

Care home name

Current status

2006

2007

2008

Apple Court Care Home

Registered

23

25

26

Arlington House

Registered

4

3

Autism Initiatives—Lilford Court

Registered

2

Booths Hill House

Registered

39

24

39

Brookfield

De-registered

14

15

6

Brookfield

Registered

12

Calls Care Home

Registered

56

70

54

Cotebrook

Registered

5

2

2

Green Park Care Home

Registered

—18

Green Park Care Home

De-registered

61

76

31

Heathercroft Care Home

Registered

20

31

39

Heathfield

De-registered

7

Heathfield Residential Home

Registered

5

21

11

Heath Lodge

De-registered

19

9

Heath Lodge

Registered

13

Heathside

Registered

20

20

5

Heathside Mews

Registered

1

5

13

High Peak Nursing Home

Registered

26

23

21

Holcroft Grange

Registered

26

28

27

Hollybush Care Home

Registered

16

26

21

Houghton Hall

De-registered

38

27

James Phoenix House

Registered

1

2

2

Keate House

Registered

26

38

46

Lodge Lane Nursing Home

Registered

4

16

5

Meadow View Nursing and Residential Home

Registered

12

29

38

Old Rectory Nursing Home—Warrington

Registered

8

7

8

Padgate House

Registered

42

54

62

Radcliffe Meadows Mental Nursing Home

Registered

2

11

2

Riverbank Nursing Home

Registered

153

129

112

Rose Villa

De-registered

1

—-

Rosevilla Residential Home

Registered

6

7

St. Marys Continuing Care

Registered

27

25

12

St. Oswalds House Nursing Home

Registered

24

46

12

Summerville Nursing Centre

Registered

20

42

Summerville Nursing Home

De-registered

26

1

1

The Glen Deregistered

De-registered

1

Thelwall Grange Nursing and Residential Home

Registered

4

15

Thelwall Grange Nursing and Residential Home

De-registered

11

8

The Old Vicarage Nursing Residential Care Centre

Registered

13

12

13

Three Bridges Nursing and Residential Home

Registered

18

42

21

Three Elms

Registered

31

26

21

Warrington Community Living—Twiss Green

Registered

8

3

5

Waverley House

Registered

8

14

18

Westleigh

Registered

1

3

1

Westvale House

Registered

29

47

Westvale House Care Home

De-registered

31

6

Westy Hall

Registered

29

17

35

Wigshaw Grange

Registered

1

Woodleigh

Registered

7

17

16

Totals

852

978

886

Grand total for 2006-08

2,716

Note:

Homes denoted as registered were registered with CSCI consequently operational at the time the data were prepared. Those denoted as de-registered were not. De-registration usually means permanent closure of a home. However, it may in some cases be temporary, for example when a care home is sold, or closed for refurbishment.

Source:

CSCI database at 28 January 2009