CARE HOMES FOR OLDER PEOPLE
Granville Court 6 Tennyson Avenue Bridlington East Yorkshire YO15 2ES Lead Inspector
Karen Ritson Unannounced Inspection 18th October 2005 09:30 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 Granville Court DS0000062588.V255350.R01.S.doc Version 5.0 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. Granville Court DS0000062588.V255350.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Granville Court Address 6 Tennyson Avenue Bridlington East Yorkshire YO15 2ES 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) 01274 498050 01274 497352 Pennine Care Services Ltd. Care Home 25 Category(ies) of Dementia - over 65 years of age (25), Old age, registration, with number not falling within any other category (25) of places Granville Court DS0000062588.V255350.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The number of service users in categories OP and DE(E) who may be admitted for respite care is limited to a maximum of four (4) at any one time. 3rd June 2005 Date of last inspection Brief Description of the Service: Granville court is situated in Bridlington town centre. It is a period house, in keeping with those around it. The home is in close proximity to local amenities including transport, shops, health care and leisure facilities. It is registered to provide care for a maximum of 25 older people, some of whom have dementia. The accomodation has twenty single bedrooms and three floors with access by a passenger lift to the upper floors. The service users have the choice of two lounges. A small courtyard style garden is located at the rear of the property, which has been made accessible to service users. Wheelchair access to the home is facilitiated via a permanent ramp to the main entrance. Granville Court DS0000062588.V255350.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place on October 18th 2005. It took eight hours to complete which includes time for preparation and for writing the report. Two service users and several staff were spoken to. All were complementary regarding the care offered at the home. A manager has been appointed since the last inspection and an application for registration with CSCI is awaited. What the service does well: What has improved since the last inspection?
The administration and recording of medication has improved since the last inspection. Record keeping and the storage of information have improved and systems are being developed to improve the ease with which this information may be retrieved and collated. An activity organiser has been recently appointed whose sole remit is to consult with service users and arrange suitable activities. All commented that meals had improved and were very good. Granville Court DS0000062588.V255350.R01.S.doc Version 5.0 Page 6 What they could do better: 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. Granville Court DS0000062588.V255350.R01.S.doc Version 5.0 Page 7 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 Granville Court DS0000062588.V255350.R01.S.doc Version 5.0 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 3 and 6 were met at the last inspection. EVIDENCE: Granville Court DS0000062588.V255350.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9 and 10. Service users are assured they will be treated with respect and with regard to their dignity. EVIDENCE: All medication is now recorded suitably with a clear system for recording returns. Only those staff who have received medication training administer medication. Further training is planned. Staff induction includes training in how to treat service users. Individual rooms and bathrooms are lockable, with access to staff in emergencies. All health care examinations are carried out in service users own rooms. Most rooms are single. Visitors may see service users in communal areas or in private. Access to a telephone is made for those who request this. Calls may be taken in private. Granville Court DS0000062588.V255350.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Service users are enabled to exercise choice and control over their lives. EVIDENCE: An activities coordinator has recently taken up post. She said she had begun to consult with service users regarding activities and had received suggestions regarding outings, artwork, audio books and memory games from service users and staff. One service user said that staff were always friendly and kind and that any wishes were taken into consideration, regarding social or recreational activities. Visitors are welcome at any reasonable time and several visitors called during the inspection. Those who wish to take a meal are invited to do so. Service users said they could get up or retire at their convenience. Staff said they were given time to accompany service users on short outings to the shops or for a walk on a one to one basis from time to time. Service users and staff alike reported very favourably on the quality and variety of meals offered by the recently appointed cook. She had devised new menus in consultation with service users. Specialist diets are catered for. Granville Court DS0000062588.V255350.R01.S.doc Version 5.0 Page 11 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 were met at the last inspection. EVIDENCE: Granville Court DS0000062588.V255350.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 26 Service users live in a pleasant, clean environment. EVIDENCE: The home has two washing machines, one newly replaced. Although the home does not have a designated person in charge of laundry, no problems with the laundry were reported. The laundry is in a suitable place and a sluicing facility is available. The home is clean and well kept. Granville Court DS0000062588.V255350.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All the above standards were met at the last inspection. EVIDENCE: Granville Court DS0000062588.V255350.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. At present it is not possible to confirm that the home is run in the best interests of the service users as quality assurance is at a planning stage. EVIDENCE: The home has plans to carry out a thorough Quality Assurance programme with a quarterly report. Questionnaires for service users, visitors and others were seen, but these have yet to be fully implemented. One service user said he felt he was consulted adequately over the way in which the service was provided, both on an individual basis and at meetings. The home keeps personal allowances for a number of service users with records kept. The acting manager has re organised the storage of information following the sudden departure of the previous manager. Most of the maintenance certificates were seen, however, some of the certificates are held centrally and copies need to be available for inspection at each home.
Granville Court DS0000062588.V255350.R01.S.doc Version 5.0 Page 15 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 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 X 17 X 18 X X X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 x 1 X 3 X X 1 Granville Court DS0000062588.V255350.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? Yes 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. 1 2 3 Standard OP33 OP38 OP31 Regulation 24 12,13 8 Requirement A satisfactory system for quality review of services must be established. All maintenance certificates must be available for examination at the home. The manager must be registered with CSCI Timescale for action 31/12/05 31/12/05 01/05/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Granville Court DS0000062588.V255350.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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