Inspection on 25/08/05 for Chestnut Grove Rest Home

This inspection was carried out on 25th August 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Chestnut Grove Rest Home 12/01/09

Chestnut Grove Rest Home 22/02/07

Chestnut Grove Rest Home 08/12/05

Chestnut Grove Rest Home 01/12/04

Chestnut Grove Rest Home 08/06/04

Chestnut Grove Rest Home 25/02/04

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 Chestnut Grove Rest Home St Catherines Way Todd Lane South Lostock Hall, Preston PR5 5XE Lead Inspector Della Lovell Unannounced 25 August 2005 09:00 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. Chestnut Grove Rest Home F57 F08 S5876 Chestnut Grove V228086 250805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Chestnut Grove Rest Home Address 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) St Catherines Way Todd Lane South Lostock Hall Preston Lancashire PR5 5XE 01772 337061 Ms Doris Mary Kneen Ms Doris Mary Kneen Care Home 11 Category(ies) of OP - Old age registration, with number of places Chestnut Grove Rest Home F57 F08 S5876 Chestnut Grove V228086 250805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 11 service users in the category of OP (Old Age, not falling within any other category). 2. Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidelines which may be issued through the Commission for Social Care Inspection regarding staffing levels in care homes. Date of last inspection 1 December 2004 Brief Description of the Service: Chestnut Grove is a care home that has eleven beds for service users of either sex over the age of sixty-five years. The home is set in its own grounds in a quiet residential area in Lostock Hall, Preston. Chestnut Grove is close to motorway links and main bus routes. Accommodation is provided on two floors. The first floor is accessed by a stair lift, however there are three steps from the stair lift to the bedrooms. Accordingly service users with mobility problems are accommodated on the ground floor. The home has a large lounge and separate dining area.There is ramped access to the grounds which are safe and well maintained, outdoor seating is provided so service users are able to enjoy the garden. Chestnut Grove Rest Home F57 F08 S5876 Chestnut Grove V228086 250805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over one day in August 2005. The inspection involved discussion with the people who lived and worked at the home, discussion with a visiting relative, examination of records, a tour of the home and information received from questionnaires sent to relatives and service users. What the service does well: What has improved since the last inspection? Since the last inspection the registered person has ensured that all information required by law has been obtained for all existing staff in the home. A training matrix is in place to ensure that all staff are kept up-to-date with mandatory courses and the policy and procedure with regards to non prescribed medication has been reviewed and up dated. Chestnut Grove Rest Home F57 F08 S5876 Chestnut Grove V228086 250805 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. Chestnut Grove Rest Home F57 F08 S5876 Chestnut Grove V228086 250805 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 Chestnut Grove Rest Home F57 F08 S5876 Chestnut Grove V228086 250805 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) 1 and 3 Service users are provided with information to ensure that they can make informed choice about where to live. The admission and assessment procedure ensures that the home is aware of the service users individual needs and are able to meet the needs. EVIDENCE: The home has a statement of purpose and service user’s guide, both documents contained comprehensive information on the services offered by the home. Each service user is provided with a copy of the service user guide and one was available in the entrance hall for all visitors to read. The home has a good admission procedure and a detailed assessment process, which ensures service users needs are fully assessed and planned for. Individual records were kept for each service user and both service users and their family told the inspector that they were aware of these records and the content. Two new service users told the inspector that they were offered a trial stay at the home before making a decision to stay permanently. Chestnut Grove Rest Home F57 F08 S5876 Chestnut Grove V228086 250805 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 There is a clear consistent care planning system in place, which ensures that the health, personal and social care needs of the service users are met. Service users are treated in a way that respects their dignity, rights and privacy. EVIDENCE: Each service user had an individual plan of care, which sets out in detail the action that is needed to be taken by the care staff to meet their needs. Each service user had a daily record sheet, which recorded the care given and any significant events. Care plans are reviewed on a regular basis and service users and their families are invited to be involved in the process. Both a service user and their family told the inspector that they were aware of their care plan. The files of two service users were viewed in detail as part of the inspection process. Both files contained records for monitoring and recording any health care intervention and risk assessments were in place. One service user with visual impairment had a large numbered telephone installed in her own room along with a radio and a type recorder to play talking books. All service users spoken to said that they felt their needs were being met and that the manager and staff were very keen to monitor their health and wellbeing. Service users said that the manager and staff were very attentive to Chestnut Grove Rest Home F57 F08 S5876 Chestnut Grove V228086 250805 Stage 4.doc Version 1.40 Page 10 their needs and very kind, all said that they were happy living in the home. Care staff were seen knocking on service users bedroom doors before being asked to go in, and all staff were seen speaking to the service users in a gentle and caring manner. A number of comments were received from relatives, all were very satisfied with the care provided. One comment received from a relative said the care and attention her family member receives is exemplary. Chestnut Grove Rest Home F57 F08 S5876 Chestnut Grove V228086 250805 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 and 15 The dietary needs of the service users are well catered for with a balanced and varied selection of food available that ensures service users individual tastes and choices are catered for. Social activities are well managed and provide variation and interest for people living at the home. EVIDENCE: Service users and their family told the inspector that home provides a lot of flexibility and choice with regards to the daily living and activities. One service user said that she can stay in her room for meals, get up and go to bed when she feels like it. Relatives can visit when they want and stay as long as they want. The manager takes responsibility for arranging activities, which includes trips out, pub lunches, garden party’s and visits from external entertainers. One service user said that she had especially enjoyed the summer barbeque. Birthdays are celebrated and one service user told the inspector that the home invited her relatives to her birthday party. Service users social interests, likes and dislikes are recorded on their personal file. The food is cooked in the homes kitchen and fresh produce is used each day. All service users said that the food was very good and that they were always offered a choice if they didn’t like what was on the days menu. The dining Chestnut Grove Rest Home F57 F08 S5876 Chestnut Grove V228086 250805 Stage 4.doc Version 1.40 Page 12 room was pleasantly laid out and meal times were relaxed and unrushed for the service users. Chestnut Grove Rest Home F57 F08 S5876 Chestnut Grove V228086 250805 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) 16 The home has a complaints procedure, which ensures that all complaints would be acknowledged and investigated. EVIDENCE: At the time of the visit the home had not received any complaints. A complaints policy and procedure was in place and is made available to all service users in the service users guide. One service users told the inspector they had no complaints but knew who they could speak to if they had any concerns. Chestnut Grove Rest Home F57 F08 S5876 Chestnut Grove V228086 250805 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 The home was clean comfortable and homely and provided an environment that was suitable for its stated purpose. EVIDENCE: Chestnut Grove is a small homely residential home that is well maintained and cleaned to a high standard. There is a programme of routine maintenance and renewal of fabric and decoration. Since the last inspection a new kitchen had been fitted. One service user said that she felt very comfortable living in the home and another said she felt it was very homely. Outside the grounds are also kept to a very high standard and accessible for service users. The gardens at Chestnut Grove provide both a place of interest as well as a place to relax, one service user said that the recent garden party was very successful and both service users and relatives said they had enjoyed themselves. Chestnut Grove Rest Home F57 F08 S5876 Chestnut Grove V228086 250805 Stage 4.doc Version 1.40 Page 15 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) 28 and 29 The policies and procedure for the recruitment of staff are robust and provide safeguards for the protection of service users. Staff at the home are provided with training to ensure they are competent to do the job. EVIDENCE: Chestnut Grove maintains a stable and motivated staff team. Since the last inspection there had been no new staff. The inspector viewed an existing staff file. All appropriate checks had been undertaken and the registered person said that all checks had been completed for the full staff team at the home. There was a training matrix in the home, which clearly showed what training had been undertaken by staff and certificates were seen on the staff files. Staff were provided with mandatory training which equipped them with the necessary skills to carry out their role confidently and competently. Staff said that they felt well supported by the management team and the training provided. All the care staff in the home have completed the NVQ Level 2 In Care qualification Chestnut Grove Rest Home F57 F08 S5876 Chestnut Grove V228086 250805 Stage 4.doc Version 1.40 Page 16 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 The home is well managed which ensures service users interests are safeguarded. Staff are appropriately supervised to ensure they are confident and competent in the work they do. EVIDENCE: The registered person is in day to day control of the home and encourages feedback from staff, service users and family. The staff felt supported by the registered person and said that she will always listen to what they have to say. Relatives said that they could always approach the registered person about any issues and felt confident that they would be dealt with appropriately. Service users, staff and their families are provided with the opportunity to be involved in the running of the home through the process of surveys. The home had asked a relative to assist service users to complete a full survey on the home. The survey had been analysed and the findings published. The survey covered all aspects of life at Chestnut Grove from the environment to the care Chestnut Grove Rest Home F57 F08 S5876 Chestnut Grove V228086 250805 Stage 4.doc Version 1.40 Page 17 provided. The overall results were very positive with service user happy with Staff confirmed that they receive the care and attention they receive. appraisals and supervision and this was seen documented on the staff files. Staff had also had the opportunity through a recent staff survey to influence the running of the home on whether uniforms should be worn or not. Chestnut Grove Rest Home F57 F08 S5876 Chestnut Grove V228086 250805 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 3 x 3 x x x 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 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x x STAFFING Standard No Score 27 x 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 3 x x x x x Chestnut Grove Rest Home F57 F08 S5876 Chestnut Grove V228086 250805 Stage 4.doc Version 1.40 Page 19 yes 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 26 Regulation 13(3)(4) Requirement The registered person must ensure that appropriate policies and procedures are in place to reduce the risk of cross infection This must cover: - A procedure and policy for empting commodes. (Previous timescale of 31/3/05 not met) Timescale for action 31/10/05 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 21 Good Practice Recommendations It is recommended that the home ensure the number of assisted baths is sufficient to meet the needs of service users.Consideration should be given to providing en-suite facilities and a sluice facility. It is recommended that formal supervision should be carried out at least six times at year. 2. 36 Chestnut Grove Rest Home F57 F08 S5876 Chestnut Grove V228086 250805 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Levens House Ackhurst Business Park Foxhole Road, Chorley, Lancashire PR7 1NW 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 Chestnut Grove Rest Home F57 F08 S5876 Chestnut Grove V228086 250805 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. 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!