Inspection on 07/07/05 for Bowgreave Rise

This inspection was carried out on 7th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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.

Other inspections for this house

Bowgreave Rise 15/10/09

Bowgreave Rise 20/09/07

Bowgreave Rise 13/07/06

Bowgreave Rise 01/12/05

Bowgreave Rise 17/01/05

Bowgreave Rise 19/07/04

Bowgreave Rise 09/12/02

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE BOWGREAVE RISE 1 Garstang Road Garstang Preston Lancs PR3 1YD Lead Inspector Jenny Hughes Announced 7 July 2005 10:00 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 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. Name F57-F09 S33165 Bowgreave Rise V190317 070705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Bowgreave Rise Address 1 Garstang Road Garstang Preston PR3 1YD Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01772 563002 Lancashire County Care Services Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Name F57-F09 S33165 Bowgreave Rise V190317 070705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1) The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 2) 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). Date of last inspection 17 January 2005 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. Name F57-F09 S33165 Bowgreave Rise V190317 070705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 6 hours, and was one of two inspections which must be made each year. Additional inspections may be made if necessary. The inspection was announced, in that the owner was aware that the inspection was to take place. The registered manager was interviewed, and three staff and seven residents were spoken to. Surveys were sent out to residents, relatives, and to G.P’s involved with the home, and all of their views were also taken into account. Staff and care records were inspected, and policies and procedures were viewed. What the service does well: What has improved since the last inspection? The care of people with dementia has improved with the creation of the area of the home where staff can concentrate on providing the right sort of care for these individuals. Staff have been attending dementia awareness courses to develop their knowledge. Name F57-F09 S33165 Bowgreave Rise V190317 070705 Stage 4.doc Version 1.40 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. Name F57-F09 S33165 Bowgreave Rise V190317 070705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Name F57-F09 S33165 Bowgreave Rise V190317 070705 Stage 4.doc Version 1.40 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 standard(s) 3 The home has a comprehensive assessment that is carried out for all residents. This means that a service is provided that is tailored to the individuals needs and preferences. EVIDENCE: Individual records are kept for each of the residents, with a set procedure for admitting someone to the home. Three selected files showed assessments had been received from social services. These are needed so that the manager can confirm that the staff in the home are able to give the appropriate care, before it is decided that the home is the right place for the person to be admitted to. The manager then makes a more detailed assessment, which covers all daily routines and choices. A relative confirmed that the manager discussed the care needs required by the resident to make sure they were being looked after in the best way. “Everything’s very open and you feel you can talk to the staff here about anything that’s bothering you”, commented the relative. Name F57-F09 S33165 Bowgreave Rise V190317 070705 Stage 4.doc Version 1.40 Page 9 Staff spoken to were aware of the level of care required by the case files tracked, and could give examples of their individual needs. Name F57-F09 S33165 Bowgreave Rise V190317 070705 Stage 4.doc Version 1.40 Page 10 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 standard(s) 7, 8, 9 and 10 The health and personal care needs are well met in this home. The medication at this home is well managed, promoting good health. Residents benefit from the support of healthcare professionals. EVIDENCE: A plan for the care of each resident is generated from the assessment. This guides the staff on how to best look after each individual resident, and meet their needs. Any risk was clearly identified, followed by what action to take to manage it. Some residents were aware that they had a care plan, although family members spoken to were all aware of the records, and had agreed them with the manager. Full detail is recorded on nutritional , psychological, and personal needs of the residents. Reviews of the care plans seen were carried out monthly. Discussion with staff confirmed that they were aware of the individual needs, and specialist needs, of the residents, and records of visits by health professionals were kept on the files. “You get to know the residents little ways, and their preferred way of doing things, as you go along. The care plans are Name F57-F09 S33165 Bowgreave Rise V190317 070705 Stage 4.doc Version 1.40 Page 11 always available to refer to, and as you get to know people, you can often add more detail” commented staff. Relatives stated they were always consulted about the care of the resident, and any changes which may be required. Medication is administered by trained staff only, and the lunch time medication was seen administered by the manager. Records checked were clear and up to date. Residents choose to do what they wish during the day, those needing assistance being asked by staff what they would like to do. “Where would you like to go?, “Would you like to sit in the lounge?” and “You tell me what you want to do”, were a selection of phrases often heard from staff to residents. Residents were able to find their own private space if they wished, with the smaller seating areas around the home making this possible. “I like this spot” said one resident, “It’s quieter without the telly, and me and my friend can talk better”. “Oh yes, the girls are very polite. You can’t fault them there. They knock on my door you know”, responded one resident in answer to a question. Name F57-F09 S33165 Bowgreave Rise V190317 070705 Stage 4.doc Version 1.40 Page 12 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 standard(s) 12, 13, 14 and 15 Residents experience a good quality of life in this area. Meals were nutritious, and mealtimes relaxed, which encourages residents to enjoy food and mealtimes. There are various activities, and some residents are motivated and stimulated by joining in. EVIDENCE: The individual information recorded provides a clear picture of each resident for the staff, noting their likes and dislikes, any hobbies or pastimes. Residents are encouraged to suggest things they would like to do. “Have you seen the flowers?” asked a resident, pointing at several tubs outside the entrance to the home, “I water them every day”. The manager and staff try to make sure everyone can get involved. “Just reading the newspaper to a resident, or having a manicure, can be beneficial to that person”. They recognise that not everyone wants to join in group activities such as bingo, or singing, as one resident commented, ”I don’t want to be doing things all the time. I think its just right here”. Name F57-F09 S33165 Bowgreave Rise V190317 070705 Stage 4.doc Version 1.40 Page 13 Some residents in the part of the home for people with dementia, were playing dominoes with a staff member. Family called, and joined in the game. “I find the staff very cheerful and motivating” said a visitor to the home. Staff like to chat with residents as they go about their work, “They’re good fun. Always smiling” laughed a resident. Visitors are welcomed at all times, with a full visitors book recording all callers to the home. Regular communication is encouraged, with relatives happy to visit and phone at any time. “We couldn’t have managed without this place. Everyone’s been so good”, praised a relative. The dining area is large, light and airy, with meals home cooked and served by experienced cooks, who chat with residents to make sure they like what the four weekly menu provides. They also keep records of special diets. Residents confirmed they could eat their meal in their room if they wished, or if they were unwell. The residents were tucking into mince pie, or sausages with onion gravy, followed by chocolate sponge, yoghourt, fresh fruit salad, or cheese and biscuits. Staff were tactfully helping people who needed it, and second helpings were on offer for those who felt they could eat more. “The foods grand”, said one resident, patting his girth. Name F57-F09 S33165 Bowgreave Rise V190317 070705 Stage 4.doc Version 1.40 Page 14 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 standard(s) 16 and 18 Residents are confident their concerns will be listened to and acted upon. Staff have an understanding of Adult Protection issues, which protect residents from abuse. EVIDENCE: There is a complaints procedure in place, with a complaints book to record any complaints, which may come to the manager’s attention. The home’s complaints book has one record of a complaint from a resident. This was investigated, with the outcome recorded, and the resident left satisfied with the result. Residents knew to tell the staff or the manager if they were not happy about something, “You just tell the girls don’t you?” Staff spoken to knew about the Adult Protection procedure, and what to do if they had any concerns. They said they would always act if they thought a resident was at risk. Also if it was a member of staff causing concern they would inform the manager. Abuse awareness training is attended by all staff. Name F57-F09 S33165 Bowgreave Rise V190317 070705 Stage 4.doc Version 1.40 Page 15 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 standard(s) These standards were not inspected at this visit. EVIDENCE: These standards were not inspected at this visit. Name F57-F09 S33165 Bowgreave Rise V190317 070705 Stage 4.doc Version 1.40 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30 The home operates a good recruitment policy, which ensures that only people who are suitable for this type of work are offered an appointment. Training is provided and this means that residents are provided with appropriate care and attention. 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: There had only been one new member of staff since the last inspection. This file showed that the necessary recruitment checks had been carried out to ensure the protection of residents. References and Criminal Records Bureau checks were available, and notes of the interview were made. All new staff have very detailed induction training, using “Introduction to Care Skills” guidance, and are given information on their terms and conditions, and working practices in the home. The staff group are generally long term, and experienced carers. Training is ongoing, with 5 staff completing a National Vocational Qualification (NVQ) level 2 in care. Other certificates seen on files included moving and handling, medication awareness, food hygiene and first aid. Training in dementia awareness is ongoing, with 5 staff completing the course up to now. Name F57-F09 S33165 Bowgreave Rise V190317 070705 Stage 4.doc Version 1.40 Page 17 The rota showed which shifts care staff were working each day. Most of the time there are adequate numbers of staff to meet the needs of the residents. However, the area of the home for people with dementia is staffed separately from the main body of the home, and should remain so, with movement of staff from this area to the main body at certain points of the day not appropriate, as this can leave the numbers of staff looking after the people with dementia too low. Name F57-F09 S33165 Bowgreave Rise V190317 070705 Stage 4.doc Version 1.40 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35 and 38 The systems for consulting with residents and their families are good, with a variety of evidence that shows that resident’s views are both sought and acted upon. Systems and practices in the home promote and safeguard the health, safety and welfare of the people using the service. EVIDENCE: There are systems used in the home to regularly audit and monitor standards, and to get feedback from residents and their families on their level of satisfaction with the service. A survey is sent from Head Office every 6 months for residents or their families to complete, to try and find out if people are satisfied with how they are being looked after. Any problems which are highlighted can then be dealt with. Past results had had very positive comments made by the residents and families. Name F57-F09 S33165 Bowgreave Rise V190317 070705 Stage 4.doc Version 1.40 Page 19 The manager has a good relationship with the residents, who call in to her office regularly, sometimes staying for a chat, or just to watch what was happening. Family members also felt comfortable calling, “They make you feel very welcome, and will always spare you some time”. Clear records are kept of anything to do with resident’s finances, and a safe is available if anyone needs it. Records and staff confirmed the regular fire training for staff, with a recent visit from the fire officer to check the safety standards in the home. All maintenance and servicing checks of equipment were correct. Name F57-F09 S33165 Bowgreave Rise V190317 070705 Stage 4.doc Version 1.40 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x 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 x x x x x x x x STAFFING Standard No Score 27 2 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x 3 x x 3 Name F57-F09 S33165 Bowgreave Rise V190317 070705 Stage 4.doc Version 1.40 Page 21 NO Are there any outstanding requirements from the last inspection? 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 27 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 1st Oct 2005 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 Good Practice Recommendations Name F57-F09 S33165 Bowgreave Rise V190317 070705 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection North Lancs Area Office 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 © 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 Name F57-F09 S33165 Bowgreave Rise V190317 070705 Stage 4.doc Version 1.40 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!