CARE HOMES FOR OLDER PEOPLE
Chestnut Grove Rest Home St Catherines Way Todd Lane South Lostock Hall, Preston Lancashire PR5 5XE Lead Inspector
Della Lovell Announced Inspection 8th December 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 Chestnut Grove Rest Home DS0000005876.V257070.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. Chestnut Grove Rest Home DS0000005876.V257070.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Chestnut Grove Rest Home Address St Catherines Way Todd Lane South Lostock Hall, Preston Lancashire PR5 5XE 01772 337061 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) Kneen3@aol.com.uk Ms Doris Mary Kneen Ms Doris Mary Kneen Care Home 11 Category(ies) of Old age, not falling within any other category registration, with number (11) of places Chestnut Grove Rest Home DS0000005876.V257070.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. The home is registered for a maximum of 11 service users in the category of OP (Old Age, not falling within any other category). 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. 25th August 2005 Date of last inspection 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 DS0000005876.V257070.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an announced inspection which took place on 8th December 2005. The inspection involved discussion with the people who lived and worked at the home, discussion with visiting relatives, 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? What they could do better:
There is very little the home need to do better, all service users are well cared for and happy living at Chestnut Grove. However the registered person should ensure that staff are kept up to date with certificates in food hygiene. Chestnut Grove Rest Home DS0000005876.V257070.R01.S.doc Version 5.0 Page 6 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 DS0000005876.V257070.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 Chestnut Grove Rest Home DS0000005876.V257070.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): 3 The admission and assessment procedure ensures that the home is aware of the service user individual needs and are able to meet the needs. EVIDENCE: The home had a good assessments procedure in place, which ensures service users needs are identified and met. One new service users file was examined by the inspector as part of the inspection process. The home had undertaken a full assessment which was well documented, staff on duty confirmed they had access to service users information and had a good understanding and knowledge of the service users care needs. Service users and relatives had been involved in the assessment and admission process. Relatives and service users all said that they were provided with excellent care and attention and felt all their needs were met. Chestnut Grove Rest Home DS0000005876.V257070.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): 7 and 9 Each service user had a care plan which ensures that the health, personal and social care needs of the service users were met. The home medication policy and procedure ensures the safety of service users. 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 up dated if needed, one relative told the inspector that they were given the opportunity to be involved in the process. The home had a medication policy and procedure in place, all medication was recorded on the service users care plan and staff were provided with training. There was appropriate storage facilities for medication and all details of administration had been appropriately recorded. Chestnut Grove Rest Home DS0000005876.V257070.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 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 in the home. EVIDENCE: Both service users and their family’s said that the home provides flexibility and choice with regards to every day living and activities. One service user said that she likes her breakfast in bed but has her lunch in the main dining room with the other service users. Another service user said how the manager had organised a party at the home to celebrate her birthday and all her family had been invited. One relative told the inspector that they had been invited to have their Christmas dinner at the home. The registered manager involves all the families in decisions relating to the running of the home and the care provided to their relatives. Relatives were in the home on the day of the inspection and confirmed that they were always involved in all aspects of the home and care provided. Both relatives told the inspector that the staff and manager were excellent and that they could discuss any issues they had with any of them.
Chestnut Grove Rest Home DS0000005876.V257070.R01.S.doc Version 5.0 Page 11 Service users likes and dislikes are recorded and activities are provided to meet individual needs. The food is cooked at the home and all service users told the inspector that the food was very good and that they are always offered a choice if they don’t like what’s on the menu. The dining room was laid out with cups saucers and napkins and meal times are relaxed, pleasant and un-hurried. Chestnut Grove Rest Home DS0000005876.V257070.R01.S.doc Version 5.0 Page 12 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): 18 The home had robust procedures in place to safe guard service users from abuse and harm. EVIDENCE: The home had a policy and procedure in place for the Protection of Vulnerable Adults and all new staff are made aware of this information through the home induction procedure. Both the manager and staff were aware of the correct procedure they would follow to protect service users. Service users and relatives confirmed that they did not have any concerns and would speak with the manager if they did. Chestnut Grove Rest Home DS0000005876.V257070.R01.S.doc Version 5.0 Page 13 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 The home is clean and hygienic which provides a suitable and safe environment for service users that live there. EVIDENCE: The home does not have a sluice facility. However since the last inspection the registered manager had developed the homes policies and procedures further to include guidelines for dealing with commodes. The laundry facilities are sited away from areas where food is prepared and the laundry is suitable for the purpose of a small care home. The home is well maintained and cleaned to a high standard with good quality furnishings and fittings. At the time of the inspection the home was beautifully decorated for Christmas. Service users were very happy and one service users said that Chestnut Grove was the next best thing to home. Chestnut Grove Rest Home DS0000005876.V257070.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, 29 and 30. The policies and procedure for recruitment of staff are robust and provide safeguards for the protection of service users. Staff at the home are provided with training which ensures they are competent to do the job. EVIDENCE: The home had a robust recruitment procedure in place, which ensured the Protection of Vulnerable Adults. Personnel files showed that a thorough recruitment and selection process had taken place and all new staff had undertaken induction training. 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 are provided with mandatory training, which equips 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 training. Staffing levels in the home were sufficient for the number of service users living in the home. Staff were seen to have the time to complete the tasks and meet the needs of the current service users. There was a rota available in the home showing, which staff are on duty at any one time. Chestnut Grove Rest Home DS0000005876.V257070.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): 35 and 38 The home promotes safe working practises, which ensures that the health and welfare of service users and staff are promoted and protected. EVIDENCE: All staff receive training in health and safety and safe working practises. There was certificates on staff files to show that staff had received training with regards to moving and handling and food hygiene however a number of staff are awaiting the a food hygiene certificate up date. The home appropriately records all accidents and there is a fire risk assessment, which meets with the fire safety officer. Infection control measures are in place and all staff are provided with protective clothing when undertaken specific tasks. On the day of the visit general maintenance certificates where in place and up to date. Chestnut Grove Rest Home DS0000005876.V257070.R01.S.doc Version 5.0 Page 16 Service users or their families manage the finances. The home provides a lockable storage area in all the bedroom and payments are generally made via a direct debit system. Chestnut Grove Rest Home DS0000005876.V257070.R01.S.doc Version 5.0 Page 17 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 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X 3 Chestnut Grove Rest Home DS0000005876.V257070.R01.S.doc Version 5.0 Page 18 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. Standard Regulation Requirement Timescale for action 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 OP21 Good Practice Recommendations It is recommended that the home ensures the number of assisted baths is sufficient to meet the needs of service users. Consideration should be given to providing ensuite facilities and a sluice facility. The registered person should ensure that staff are kept up to date with food hygiene certificates. 2 OP38 Chestnut Grove Rest Home DS0000005876.V257070.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Chorley Local Office Levens House Ackhurst Business Park Foxhole Road Chorley 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 DS0000005876.V257070.R01.S.doc Version 5.0 Page 20 - 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!
