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Inspection on 14/04/08 for The Grove Residential Home

Also see our care home review for The Grove Residential Home for more information

This is the latest available inspection report for this service, carried out on 14th April 2008.

CSCI 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The manager and staff make sure that any new resident has an assessment so that they know what care and support they need. All of the residents have up to date care plans that tell the staff how to give the care in the way the residents prefer. There is a stable staff team that are well trained. They know how to protect residents, and make sure that they feel safe living at the home. There are lots of things for the residents to do during the day. There is a member of staff who helps them to plan what they want to do, and to join in with activities. Residents and their relatives are encouraged to say what they think about the service, through meetings and surveys. They said that the manager and staff are approachable and they can talk to them about anything that concerns them.

What has improved since the last inspection?

At the previous visit to the home we said that there had been lots of improvements to the environment, and that programme of improvements has continued through to this visit. There is now a large conservatory, which leads onto an enclosed patio, and a new kitchen has been fitted. A single storey extension with extra bedrooms has been built, and all of those bedrooms have an en suite bathroom. The manager said that there are plans to put a range of planters into the patio area so that residents can help to grow plant if they wish. There are new menus that show alternatives; and residents and relatives now meet regularly with staff and the manager so that they can express their views and get information about the home. Advocacy services are now being used in the home, and there is an action plan in place to show that any issues highlighted in surveys are addressed.

CARE HOMES FOR OLDER PEOPLE The Grove Residential Home 14 Church Road Skellingthorpe Lincoln Lincolnshire LN6 5UW Lead Inspector Wendy Taylor Unannounced Inspection 14th April 2008 09:20 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Grove Residential Home DS0000060330.V362475.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Grove Residential Home DS0000060330.V362475.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Grove Residential Home Address 14 Church Road Skellingthorpe Lincoln Lincolnshire LN6 5UW 01902 737170 01522 698586 karen.aslin@btconnect.com www.guardiancarehomes.co.uk Guardian Care Homes (UK) Limited Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Karen Aslin Care Home 31 Category(ies) of Dementia (31), Old age, not falling within any registration, with number other category (31), Physical disability (31) of places The Grove Residential Home DS0000060330.V362475.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care Home only - Code PD to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Dementia - Code DE Old age, not falling within any other categories - Code OP Physical Disability - Code PD The maximum number of service users who can be accommodated is 31 2nd May 2007 2. Date of last inspection Brief Description of the Service: The Grove is a two storey, Grade II listed country house, with a single storey extension, situated on the outskirts of Lincoln. It is owned by Guardian Care. Local facilities, including the parish church and village shops, are within walking distance of the home. The home is registered to provide personal care for up to thirty-one residents over the age of 65 years, some of whom may have dementia. On the day of the inspection 21 people were living at the home. The grounds are maintained to provide a tranquil outdoor area and there are ample car parking facilities. The statement of purpose and service user guide, which give residents information about the home, are readily available to them and their families. The statement of purpose states that ‘we aim to provide a comfortable, homely environment in which care is provided by skilled staff to a standard that is acceptable and desirable’. The registered manager said that the current fees range from £348:00 to £514:93. The Grove Residential Home DS0000060330.V362475.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This key unannounced inspection took place on one day in April 2008 and lasted for approximately 6½ hours. The care and support received by four residents was followed in detail, using a method called case tracking. This method involves talking to the residents and observing the care and support they receive. It also involves looking at their care plans, medical records and daily notes. Some of the general house records and staff records were also looked at. Relatives, staff and the registered manager were spoken to during the visit, and information already held by the commission, such as a self-assessment and notifications, were also used as part of the inspection process. Residents said that they were happy with the care they receive, and relatives said that residents get their needs met. Staff said they enjoy working at the home. Other comments from residents and staff are contained in the body of the report. What the service does well: The manager and staff make sure that any new resident has an assessment so that they know what care and support they need. All of the residents have up to date care plans that tell the staff how to give the care in the way the residents prefer. There is a stable staff team that are well trained. They know how to protect residents, and make sure that they feel safe living at the home. There are lots of things for the residents to do during the day. There is a member of staff who helps them to plan what they want to do, and to join in with activities. Residents and their relatives are encouraged to say what they think about the service, through meetings and surveys. They said that the manager and staff are approachable and they can talk to them about anything that concerns them. The Grove Residential Home DS0000060330.V362475.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: We did not make any requirements during this visit, but we did make some recommendations for good practice. We suggested that care plans contain information about recent legislation that is designed to protect people’s rights and choices. The manager has already told us that she would arrange for training and information about this legislation to be made available to staff and residents. We also suggested that an up to date copy of the Local Authority Safeguarding Adult procedures be kept in the home, as this will also help to protect residents. We said that although the home has some systems in place to prevent residents being harmed by hot water, it would also help if they took other steps such as putting temperature control valves on taps that do not already have them. Residents have access to secure gardens at the back of the property, but we suggested that the home reviews the safety of the front gardens in case residents want to use them too. Also, to help residents be as independent around the home as they can be, we said that it would be a good idea to look at up to date information about using signs and recognition aids. Systems for helping residents to say what meals they want to see on organisation wide menus was also suggested. Lastly we suggested that a plan is developed to show when redecoration will be done in the older part of the building. The Grove Residential Home DS0000060330.V362475.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Grove Residential Home DS0000060330.V362475.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Grove Residential Home DS0000060330.V362475.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is enough information to help people choose where to live, and assessment processes ensure that the home can meet the resident’s needs. EVIDENCE: There is a service user guide in place, which is available to resident and relatives. It contains up to date information such as the type of care that the home can provide, and how to recognise different staff members. It is clearly laid out and contains pictures to help people understand the information. A copy of the guide is placed in all empty bedrooms, together with a toiletry welcome pack, ready for new residents. Visitors said that staff were welcoming and kind when their relatives were admitted, and they were able to visit the home before they made a choice of home. The Grove Residential Home DS0000060330.V362475.R01.S.doc Version 5.2 Page 10 There are clear pre admission and admission assessments in place, which are carried out by the manager or the deputy manager. The assessments contain details about needs such as communication, mobility, mental state, likes and dislikes, and end of life wishes. There are also on-going assessments for nutrition, pressure area care, continence and social needs. Reviews of these assessments are recorded on a monthly basis. The home does not provide intermediate care. The Grove Residential Home DS0000060330.V362475.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are cared for in an individualised and respectful way. Their health and personal needs are met by knowledgeable staff who understand their wishes and preferences. EVIDENCE: Each resident has a comprehensive personal file. The file includes information such as a recent photograph, personal details and history, and a plan of care. Core care plans are used, however, as identified at the last inspection, they are clearly personalised with details about how the resident likes to be cared for. Care plans cross reference with the needs that are highlighted in assessments, for example dementia, falls, anxiety, and spirituality. The manager carries out regular audits of the care plans to make sure that they are being updated and reviewed properly, and the audit reports are kept in the personal files. The Grove Residential Home DS0000060330.V362475.R01.S.doc Version 5.2 Page 12 Residents and relatives said that they are involved in developing and reviewing the care plans, and they sign the plans and review sheets to demonstrate this. Detailed daily records are kept about resident’s needs, for example the way in which weight loss is managed can be easily followed. There are also clear records of when residents see health care professionals such as their GP or District Nurse. Staff demonstrated a clear knowledge of residents needs, likes and dislikes through discussions and the way they carried out their jobs. For example, they were seen providing gentle reassurance and discreet support wherever needed, and they responded quickly to requests for assistance. Residents were well groomed, and staff helped them to maintain their appearance in a dignified way. Residents said things like, ‘we get looked after very well’, ‘we can see a doctor when we need to’, and the ‘staff are lovely’. Relatives said things like ‘it’s a lovely place’ and they said that residents get their needs met. Medication is stored and administered in a satisfactory way, and the administration records are properly completed. A recent inspection report from the local pharmacist said that there are sound medication systems in place. Care plans are in place for residents that take medications only when necessary. The Grove Residential Home DS0000060330.V362475.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from being able to make choices and decisions about their daily lives. They enjoy a range of activities, and a varied and balanced diet. EVIDENCE: There is a four weekly, flexible activity programme in place, which has been developed by residents and the activity co-ordinator. Minutes of residents meetings demonstrate this consultation. Staff described how residents are offered personal activities such as painting their nails, hand massages, and help with pet care. Individual activity records are in place, which show when residents have joined in and whether they have enjoyed an activity or not. Activity records show that residents join in with things like nostalgia sessions, baking, cards and bingo. They also have entertainers coming into the home. Residents said that there is a lot to do, and one person said that they like the exercise group. Residents also said that they could decide for themselves if they want to join in or not. The manager said that the activity co-ordinator has spent time with in other homes to see how activities are planned, and she is going to an activity workshop in the near future. She also spoke about plans to The Grove Residential Home DS0000060330.V362475.R01.S.doc Version 5.2 Page 14 provide planters on the patio so that residents can start to grow their own plants if they wish. Residents’ who could, said that they are able to make their own choices and decisions about their daily lives, and staff were offering choices such as where they would like to sit, and what they would like to eat. One resident is using an advocacy service at present. Recent legislation designed to help people with decision-making issues was discussed with the manager. She said that she would look to provide training and information about the legislation for staff. A recommendation was made that care plans also contain information about the subject. The provider has recently introduced organisation wide menus. The menus show choices for each meal, and they are nutritionally balanced. However, as they are set by the organisation, residents may not get as much opportunity to help develop the menus. The manager said that alternative foods are available if residents do not want what is on the menu. A recommendation has been made to develop ways in which residents can still have a say in what they want on menus. Residents said they get very good and tasty food, and plenty of it. The Grove Residential Home DS0000060330.V362475.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by the home’s procedures for handling complaints and allegations of abuse. They are further protected by a knowledgeable staff team. EVIDENCE: Residents and relatives said that they know how to make a complaint, and they said that they could raise any concerns with the manager. No complaints or concerns have been recorded since the last inspection. The complaints procedure is available to all residents in their service user guide, and a copy is also kept in the entrance hall. Residents said that they feel safe living at the home, and staff look after them very well. Risk assessments are in place for things like the use of bed rails, lap belts on wheelchairs, keys to rooms, and smoking. One referral has been made to the Local Authority Safeguarding Adults team since the last inspection. The investigation showed that there was no foundation to the allegation. Records show that staff have received training in how to protect residents, and they were able to demonstrate knowledge of the reporting procedures. The manager said that she and the deputy manager are attending a training session with the Local Authority Safeguarding Adult team The Grove Residential Home DS0000060330.V362475.R01.S.doc Version 5.2 Page 16 in the very near future, and she has highlighted the need for update training to be provided for the rest of the staff team. A recommendation has been made to obtain an up to date copy of the Local Authority Safeguarding Adult procedures. The Grove Residential Home DS0000060330.V362475.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents live in a clean, comfortable and homely environment, but some areas of the home need attention. EVIDENCE: Since the last inspection visit the home has had a large conservatory and enclosed patio area built. Residents and relatives said that they like the new areas, and it gives them more choice of where to spend their time. The patio exit is through a gate, which leads to a set of steep steps. The safety of people using the steps was discussed with the manager, and she made sure that a risk assessment was put into place straight away. Although residents have access to secure garden areas at the back of the property, the front gardens merge with the car park and lead directly onto a main road. Access to the front The Grove Residential Home DS0000060330.V362475.R01.S.doc Version 5.2 Page 18 gardens is limited and risk assessed, but a recommendation has been made to review the safety of the area for those residents who wish to use it. A new extension has also been built since the last inspection, which means that six more people can live at the home. All of the new bedrooms have ensuite bathrooms, and there is one larger bedroom with a kitchenette. This is designed for residents who wish to be more independent, and it is large enough for a couple to share if they wish. The new bedrooms are furnished nicely and well presented for people wanting to look around. All of the bedrooms being used within the home are personalised and comfortable, and residents said that they liked their rooms. The kitchen area has now been refurbished, and the issue of inadequate ventilation, raised at the last inspection, has been addressed. A recent inspection from an Environmental Health Officer gave a 4 star score for the facilities. National guidance on food safety is in place. Records show that hot water temperatures at sinks in some bedrooms within the older part of the building are higher than health and safety recommendations. The manager said that there are signs to warn people that the water is hot, and the temperature is also regularly monitored. The manager also put risk assessments in place straight away. A recommendation has been made for the provider to review the situation and take appropriate action to protect resident. For example fitting of temperature control valves to those taps that do not have them. Some of the décor in the older part of the building is tired and in need of updating, for example paintwork is flaking in hallways, and there are holes from previously hung pictures in some bedroom walls. The manager said that redecoration will be carried out but there is no set programme for this. A recommendation has been made for a programme to be drawn up. The home was generally clean, tidy and comfortable during the visit, and there were no unpleasant odours. All cleaning materials that are hazardous to health were stored appropriately and there are data sheets and risk assessments in place for them. There are some signs around the home to show residents where, for example, bathrooms or toilets are. However they may not be easily recognised by all of the residents, depending on their needs. A recommendation has been made to look at current good practice guidance about providing signage and recognition aids, especially for people who have a dementia. The Grove Residential Home DS0000060330.V362475.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well trained and knowledgeable staff team, and they are protected by a robust recruitment procedure. EVIDENCE: Residents said that staff are ‘are always there to help’, they are very good and they ‘know their jobs well’. They said that they can ‘have a laugh with staff’, and relatives added that staff always talk to residents nicely. Staff said that there are enough of them to meet the needs of the residents at present, but they felt that more staff would be needed as more residents are admitted. Rotas show that staffing levels are sufficient to meet the needs of residents currently living in the home. The manager said that there are no vacancies within the team at present, and she is monitoring workload and staff levels as new residents are admitted. Staff said that there is very good teamwork within the home, and they described comprehensive induction and training programmes. Records show that training includes subjects such as food hygiene, medication administration, dementia, fire safety, palliative care, moving and handling, and infection control. Staff are also supported to gain nationally recognised care qualifications, and a nationally recognised induction package is in use within The Grove Residential Home DS0000060330.V362475.R01.S.doc Version 5.2 Page 20 the home. Staff said that they would like more training about how to manage bereavement issues and this was discussed with the manager. The manager carries out regular training audits, and the records show that she has highlighted the need for updates in moving and handling, safeguarding adults, first aid and dementia. Four staff files were looked at during the visit. All of the files contained information to show that they had been recruited safely, such as criminal record bureau checks, two written references, clear identification and application forms. The Grove Residential Home DS0000060330.V362475.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is good leadership and communication within the home, which means that residents receive a good standard of care. The systems also protect their health, welfare and safety. EVIDENCE: Residents and staff said that the manager is very approachable and they can talk to her about any problems or concerns. They said that there is good communication in the home, and there are records such as the minutes of residents, relatives and staff meetings to demonstrate this. Discussions about issues such as menus, new building work, staff issues, and dentist and optician provision are recorded. Residents and relatives said that they are asked for The Grove Residential Home DS0000060330.V362475.R01.S.doc Version 5.2 Page 22 their views in other ways as well, such as surveys. There is an action plan in place to address any of the issues raised in the surveys. Staff said that they have regular supervision with the manager or deputy, and records are in place to confirm this. The manager said that she is currently studying for the Registered Managers Award. She also told us that the deputy manager and the administrator are currently having training in the use of computers, which will help to make record keeping more efficient. Pre inspection information tells us that there are a range of policies and procedure in place for subjects such as health and safety, care practice, and staffing. Records show that there are regular audits for things like the operation of the kitchen, general health and safety, infection control and the quality of care provision. The manager showed us that she is currently updating the plan of the building for fire safety, and there is a fire risk assessment in place. Fire exits have safety alarms and security bolts to help keep residents safe, and the manager said that she plans to liaise with the local fire officer as a matter of good practice. The manager always tells us about anything that effects the health or well being of the residents, for example falls, illness, or power cuts; and she tells us what she has done as a result of the events. We looked at the recording and storage of resident’s personal money. We found that income and spending was accurately recorded, and money was stored in a locked cupboard. Access to the money is restricted to the manager and the administrator. Residents said that they could have their money whenever they want it. The Grove Residential Home DS0000060330.V362475.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Grove Residential Home DS0000060330.V362475.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP14 Good Practice Recommendations It is recommended that care plans include reference to the Mental Capacity Act, 2007 and the effects is has upon the resident’s life. This is to ensure that their rights and choices are protected. It is recommended that a system be developed to enable residents to have a say about what meals are on the organisation wide menus. It is recommended that an up to date copy of the Local Authority Safeguarding Adult procedures be retained in the home. This is to ensure that any issues are reported and managed appropriately. It is recommended that the temperature control of all hot water taps within the home is reviewed, and that further appropriate action is taken to protect resident. For example the fitting of temperature control valves to those taps that do not have them. It is recommended that a review of the safety of the DS0000060330.V362475.R01.S.doc Version 5.2 Page 25 2 3 OP15 OP18 4 OP19 5 OP19 The Grove Residential Home 6 7 OP19 OP19 gardens to the front of the building take place. This is to ensure that it is safe for those residents who wish to use the space. It is recommended that a programme of works, with timescales, be drawn up for improvements to the décor in the older part of the building. It is recommended that the home looks at current good practice guidance about providing signage and recognition aids, especially for people who have a dementia. This will help them to retain a level of independence within the home. The Grove Residential Home DS0000060330.V362475.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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