Inspection on 27/06/05 for Caldwell Grange

This inspection was carried out on 27th June 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

Caldwell Grange 06/11/08

Caldwell Grange 14/09/07

Caldwell Grange 27/09/06

Caldwell Grange 29/12/05

Caldwell Grange 28/10/04

Caldwell Grange 20/05/04

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Maple Lodge

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Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Caldwell Grange Donnithorne Avenue Nuneaton Warwickshire CV11 4QJ Lead Inspector Patricia Flanaghan Unannounced 27&28 June 2005 11:00 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. Caldwell Grange E53 S35030 Caldwell Grange V237221 270605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Caldwell Grange Address Donnithorne Avenue Nuneaton Warwickshire CV11 4QJ 02476 383779 02476 384798 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) Warwickshire County Council, Social Services Department Ms Carolyn Gail Eastwood PC 35 Category(ies) of OP 35 registration, with number of places Caldwell Grange E53 S35030 Caldwell Grange V237221 270605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28 October 2004 Brief Description of the Service: Caldwell Grange is owned and managed by Warwickshire County Council. The home provides care and accommodation for 35 older people with a wide range of needs. The home is situated in a quiet cul-de-sac on a large housing estate in Attleborough, Nuneaton, with many of the service users coming from the immediate local area. There are local shops, a post office, pub hairdressers and churches located within half a mile of the home. Caldwell Grange provides accommodation on two floors. All the sitting areas are on the ground floor, where there is a large dining room, incorporating a bar, and four lounge areas including a conservatory. The self-contained day care accommodation is available to residents outside day care hours. The home is set in its own grounds with a well maintained and accessible garden area. There is car parking space available for a number of vehicles. Caldwell Grange E53 S35030 Caldwell Grange V237221 270605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine unannounced visit was made over two days on 27th and 28th June 2005 and lasted 7 hours in total. The inspection process involved a tour of the home, talking with the manager, examining records and care plans, observation of care practices along with discussions with residents, staff and two relatives who were visiting the home during the inspection visit. What the service does well: What has improved since the last inspection? Window restrictors have been fitted throughout the home ensuring the safety of the residents. The care planning documentation has been updated and these continue to be regularly reviewed and evaluated ensuring that the care needs of the residents are kept up to date. Caldwell Grange E53 S35030 Caldwell Grange V237221 270605 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. Caldwell Grange E53 S35030 Caldwell Grange V237221 270605 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 Caldwell Grange E53 S35030 Caldwell Grange V237221 270605 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. Standard 6 is not applicable for this home. Assessments are undertaken to ensure that the home can meet the person’s identified care needs. EVIDENCE: The admissions procedure included an assessment by the home completed before admission. Records showed that assessments had been completed and this provided the necessary information for the home to be able to provide the care needed. The community care plans provided by the social worker, as part of the individual needs assessment process, were seen within the service user plans reviewed during this inspection. The home does not provide an intermediate care service. Caldwell Grange E53 S35030 Caldwell Grange V237221 270605 Stage 4.doc Version 1.40 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 standard(s) 7, 8 and 10 Health needs of residents are met with evidence of liaison with health and social care professionals on a regular basis. Personal support is offered in such a way as to maintain residents’ privacy and dignity. EVIDENCE: Warwickshire County Council has recently introduced a comprehensive new care planning and quality management system for its homes. The records of two residents were reviewed during this inspection. Good risk assessments were observed with ongoing monthly reviews of these, which enable staff to monitor changing dependency levels. Residents received dental, chiropody care and saw the optician. All residents are registered with a local General Practitioners Surgery (GP). Residents spoken with felt that their health care needs were being met advising that they saw the dentist, the chiropodist, the optician and GP or District Nurse when necessary. Caldwell Grange E53 S35030 Caldwell Grange V237221 270605 Stage 4.doc Version 1.40 Page 10 The risk of pressure sores is assessed and the necessary equipment is provided. Nutritional issues were identified and if necessary a nutritional plan is put in place. Holistic assessments had been undertaken for each resident living at the home. Throughout the inspection it was observed that staff knock on residents’ doors, offer choices and ensure that all personal care and consultations are conducted in private, this assists in maintaining the residents privacy and dignity. Caldwell Grange E53 S35030 Caldwell Grange V237221 270605 Stage 4.doc Version 1.40 Page 11 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 and 14 Residents were satisfied with their lifestyle in the home and they had been able to exercise choice and influence decisions affecting them. Contact had been maintained with relatives and friends of residents. Opportunities to access the local community had been made available. EVIDENCE: Visitors are welcome at the home and information is available in the home’s brochure of visiting arrangements. An Anglican minister visits monthly and holds a service in the home. Representatives of the Methodist Church, Roman Catholic Church and Salvation Army also visit regularly to meet with residents and offer communion as required. The programme for activities include monthly outings. The home has access to a mini-bus which has a tail lift and can accommodate 3 wheelchair users and a number of other adults. Eight residents and four carers were looking forward to going on a weekend outing to a seaside resort in July. Recent trips by the residents have been to a local garden centre, theatre trips to the local municipal theatre. There is a gardening group and a craft club. Other activities include Music and Movement, board games, reminiscence, quizzes and bingo. All residents spoken with felt there was sufficient activities offered by the home. Caldwell Grange E53 S35030 Caldwell Grange V237221 270605 Stage 4.doc Version 1.40 Page 12 Residents said that they could choose how they spend their day and could take part in the social activities if they wished to. A number of residents regularly visit a local shopping area for coffee or a pub meal. Choices are available at mealtimes. This standard was not reviewed, however, lunch was served during the inspection visit and it was seen to be nutritious and tasty. Residents commented positively on meals provided by the home, one resident advising that the food is “very good” and confirmed that they are offered daily choices. Caldwell Grange E53 S35030 Caldwell Grange V237221 270605 Stage 4.doc Version 1.40 Page 13 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) These standards were not assessed as part of this inspection. EVIDENCE: Caldwell Grange E53 S35030 Caldwell Grange V237221 270605 Stage 4.doc Version 1.40 Page 14 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) 19, 23, and 24. The home provides a safe and pleasant environment, which is generally well maintained, for residents to live comfortably with suitable facilities to meet their needs. EVIDENCE: There are well-maintained enclosed gardens for service users to enjoy. The weather was warm during the visit and a number of residents were seen to sit outside enjoying the sunshine. The gardens are not enclosed and residents can leave the home as they wish. Risk assessments have been undertaken for those residents who like to walk outside of the home’s boundaries, to ensure their individual safety. A tour was undertaken of the home. All interior areas were found to be clean and generally well maintained. Some bedrooms require re-decoration with torn or faded wallpaper evident. One bedroom with a dark wallpaper would benefit from a lighter colour when it is re-decorated. A damp patch was seen in one bedroom and the décor in this bedroom would be improved by replacing both the wall and ceiling paper. Caldwell Grange E53 S35030 Caldwell Grange V237221 270605 Stage 4.doc Version 1.40 Page 15 Residents are encouraged to bring personal items in with them and can furnish and redecorate their private room to their own taste if they wish. Personal possessions were noted in the bedrooms viewed during the inspection visit. Caldwell Grange E53 S35030 Caldwell Grange V237221 270605 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 and 30 The home employs sufficient trained and competent staff to meet the needs of its residents. EVIDENCE: The staff duty rotas for the period of a month were reviewed. These demonstrated that staffing numbers were being maintained within agreed levels. It was observed during both days of the inspection visit that the skill mix of staff was sufficient in meeting residents needs and there were suitable numbers of experienced and trained staff on duty. There are always five care staff on duty in the mornings and three to four staff on in the afternoon. The manager works supernumerary hours to those of the care staff. At night there are two waking night staff and an emergency on call system in place. In addition to this the home employs domestic, kitchen and laundry staff. All residents that were spoken to stated that the staff are the best thing about the home with comments such as “they are lovely”, and “nothing is too much trouble for them”. Records indicated that 14 of the 29 care staff employed at the home have, or are in the process of completing an NVQ level 2 and three staff members are working towards an NVQ Level 3. Training records were examined which demonstrated that staff have regular training on the diseases and illnesses associated with old age ensuring they are competent to do their jobs. Caldwell Grange E53 S35030 Caldwell Grange V237221 270605 Stage 4.doc Version 1.40 Page 17 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) 31 and 32 The home has an experienced Manager and is effectively and well managed. EVIDENCE: The Registered Manager has 17 years experience in managing a care home for older people. There are clear lines of accountability within the home. The manager has regular supervision meetings with her line manager and has completed the Registered Managers Award. Observations made and discussions with both residents and staff indicated that the manager is available and approachable should they wish to discuss any issues. The County Council are in the process of addressing the need for the registered provider or delegated person to visit the home monthly and write a report upon the conduct of the care home. Caldwell Grange E53 S35030 Caldwell Grange V237221 270605 Stage 4.doc Version 1.40 Page 18 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 2 x x x 3 3 x x STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 3 3 x x x x x x Caldwell Grange E53 S35030 Caldwell Grange V237221 270605 Stage 4.doc Version 1.40 Page 19 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. 2. Standard 19 33 Regulation 23 26 Requirement The registered provider must ensure that the home is kept in good decorative repair. The registered provider or delegated person must visit the home monthly and write a report upon the conduct of the care home. A copy of this report must be left with the manager and a copy forwarded to the Commission for Social Care Inspection. Timescale for action 30 September 2005 30 September 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 Caldwell Grange E53 S35030 Caldwell Grange V237221 270605 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Imperial Court Holly Walk Leamington Spa CV32 4YB 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 Caldwell Grange E53 S35030 Caldwell Grange V237221 270605 Stage 4.doc Version 1.40 Page 21 - 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. 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