CARE HOMES FOR OLDER PEOPLE
Bowgreave Rise Bowgreave Rise 1 Garstang Road Garstang Preston Lancashire PR3 1YD Lead Inspector
Ms Jenny Hughes Unannounced Inspection 1st December 2005 10:00 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 Bowgreave Rise DS0000033165.V268960.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. Bowgreave Rise DS0000033165.V268960.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Bowgreave Rise Address Bowgreave Rise 1 Garstang Road Garstang Preston Lancashire PR3 1YD 01772 563002 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) Lancashire County Care Services Mrs Margaret Horner Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Bowgreave Rise DS0000033165.V268960.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. The service should, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The home is registered for a maximum of 32 service users to include up to 10 service users in the category DE (Dementia) and up to 22 service users in the category OP (Older Persons over 65 years) 7th July 2005 Date of last inspection Brief Description of the Service: Bowgreave Rise is a purpose built three storey home, located a short drive from the centre of the market town of Garstang. It is set in its own grounds, and has ample car parking space at the front and rear of the home. A pleasant garden area with seating can be found at the back of the home, where residents are able to sit in the better weather and enjoy the view over the fells. The home provides personal care for older people, including people with dementia, and is equipped to suit the needs of its residents. For example, there is a passenger lift to the upper floors, grab rails, raised toilet seats and ramps for easy access. All of the rooms are single rooms, and toilets and bathrooms are conveniently situated. There is ample communal space, with a large dining room and large lounge offset by smaller spaces around the home where residents may choose to sit if they wish. A designated area is provided for people with dementia, with sufficient communal space within this of a dining room and two small lounges. Staffing is provided over 24 hours, every day of the year. Bowgreave Rise DS0000033165.V268960.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection took place over 2 hours, and was one of the two inspections, which must be made each year. Additional inspections may be made if necessary. The inspection was unannounced, in that the owners were not aware that the inspection was to take place. A tour of the home was made, and rooms were inspected at random. Staff and maintenance records were viewed. Three staff on duty and eight residents were spoken to. The manager was available, and discussed plans for the home’s development. What the service does well: What has improved since the last inspection?
Bowgreave Rise DS0000033165.V268960.R01.S.doc Version 5.0 Page 6 The manager is aware that there are always areas to improve on, and constantly tries to address ways in which the service can develop. 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. Bowgreave Rise DS0000033165.V268960.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 Bowgreave Rise DS0000033165.V268960.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): These standards were not inspected at this visit. EVIDENCE: These standards were not inspected at this visit. Bowgreave Rise DS0000033165.V268960.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): These standards were not inspected at this visit. EVIDENCE: These standards were not inspected at this visit. Bowgreave Rise DS0000033165.V268960.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): These standards were not inspected at this visit. EVIDENCE: These standards were not inspected at this visit. Bowgreave Rise DS0000033165.V268960.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): These standards were not inspected at this visit. EVIDENCE: These standards were not inspected at this visit. Bowgreave Rise DS0000033165.V268960.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): 19 and 26 The standard of the environment in this home is good, with the aim to constantly improve it. It provides residents with an attractive and homely place to live. EVIDENCE: There are spacious grounds to the rear of the home where residents can sit in the good weather. The area is almost completely simply lawned, and the manager and staff stated that some landscaping is to be carried out to make it a more attractive place to be. There is a sweeping view across the hills and countryside from this area. Another enclosed patio area is available to residents. This has shrubs and flowerbeds planted around it, and benches to sit on and enjoy the fresh air. Having been recently refurbished, the home is fresh and bright, with comfortable, homely furnishings. All of the bedrooms have been redecorated and updated. “They’re lovely rooms. Nice and clean. The girls work hard you
Bowgreave Rise DS0000033165.V268960.R01.S.doc Version 5.0 Page 13 know, it’s a big place to keep up with and they’re always doing something ” commented a resident. “I’ve been in three other homes, and this one’s the best. I can’t say better than that can I?” added another resident. Any maintenance needed is recorded and passed onto head office for them to allocate the work out. One requirement recently made by the manager was for an extra wall heater for a specific resident who, due to his condition, felt the cold very easily, even though the home was heated well. This was delivered during the inspection visit. The laundry was organised, clean and tidy, although it may shortly need some attention to its decoration. Sluices are old and worn, making them difficult to keep clean. These are ready to be updated to match the rest of the home. Fire and Environmental Health requirements are all met. Bowgreave Rise DS0000033165.V268960.R01.S.doc Version 5.0 Page 14 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): 27 There is an enthusiastic and experienced workforce, who need to be allocated in sufficient numbers at all times in all areas of the home. EVIDENCE: The rota showed which shifts care staff were working each day. It was identified at the last inspection that staffing levels in the unit for people with dementia were low, particularly at busy times of the day when demands are higher. The staffing levels are compared to the needs of the residents, and the unit aims to address the specialised needs of people with dementia. Therefore the provision and staffing should be developed in order to be able to follow more directly the training on dementia care that staff are attending. Generally staffing levels in other parts of the home are adequate, and the home is staffed by trained and supervised carers. Bowgreave Rise DS0000033165.V268960.R01.S.doc Version 5.0 Page 15 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): EVIDENCE: Bowgreave Rise DS0000033165.V268960.R01.S.doc Version 5.0 Page 16 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 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Bowgreave Rise DS0000033165.V268960.R01.S.doc Version 5.0 Page 17 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. 1. Standard OP27 Regulation 18 Requirement The manager must ensure suitable persons are working at the care home in all areas of it, and in such numbers, as are appropriate for the health and welfare of the residents. Timescale for action 30/01/06 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 Bowgreave Rise DS0000033165.V268960.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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