Inspection on 12/07/05 for Collingwood Grange Nursing Home

This inspection was carried out on 12th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Collingwood Grange Nursing Home 02/06/08

Collingwood Grange Nursing Home 14/06/07

Collingwood Grange Nursing Home 31/05/06

Collingwood Grange Nursing Home 26/01/06

Collingwood Grange Nursing Home 03/08/04

Collingwood Grange Nursing Home 21/04/04

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Collingwood Grange Nursing Home Collingwood Grange Close, Camberley, Surrey, GU15 1LD Lead Inspector Catherine Campbell-Ace Unannounced 12 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. Collingwood Grange Nursing Home H58 s17599 Collingwood Grange v235017 120705 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Collingwood Grange Nursing Home Address Collingwood Grange Close, Camberley, Surrey, GU15 1LD 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) 01276 670700 01276 670017 BUPA Care Homes (AKW) Ltd Mrs Lynda Ann Garner CRH Care Home 90 Category(ies) of OP Old age, 80 registration, with number PD Physical disability, 10 of places Collingwood Grange Nursing Home H58 s17599 Collingwood Grange v235017 120705 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 80 beds providing nursing care for older persons. 2 10 beds providing respite care for people from the age of 20 years with a physical disability. 3 5 beds providing palliative care in the category TI(E). 4 1 bed providing palliative care in the category TI over the age of 55 years. Date of last inspection 3-August-2004 Brief Description of the Service: Collingwood Grange is a seventy five bedded care home that provides nursing care. It is a substantial property, which is in easy reach of Camberley town centre. There are other amenities in close proximity, such as church and a Hospital. The accommodation for the service users is provided on three floors with seventy five rooms, all with ensuite facilities. There is a passenger lift to all floors. The living space consists of a number of lounges throughout the building, some which provide quiet areas for service users to spend time in if they wish. There is a dining room on each floor where service users eat their meals, or if preferred, service users can eat in their bedrooms. There is a separate smoking room for service users to access. Collingwood Grange Nursing Home H58 s17599 Collingwood Grange v235017 120705 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection lasted five and a half hours. The inspectors were Mrs Catherine Campbell-Ace and Ms Christine Bowman. The Deputy Manager, service users and staff assisted the inspectors who were made very welcome during the inspection. Daily records, care plans, employment files, the Statement of Purpose and policies were viewed. The inspectors spoke with service users and staff. One service user said; ‘ I’ve made a good choice, I’m happy here.’ A relative had written: ‘ My father was happy to be there and his appreciation of the support and kindness of everyone was of great comfort to us as we knew he was in a quality home.’ Staff said that the home was like being at home with the family. That there was excellent team spirit and the home was well organised. What the service does well: Service users looked clean and well cared for. They were smart in appearance and informed the inspectors that they were happy in the home. Drinks were readily available and call bells were within reach of those who needed assistance. The home has a relaxed and friendly atmosphere, and staff stated that they enjoyed working at Collingwood Grange. The home’s activities are varied and inclusive, with service users being able to take advantage of the gardens and shaded areas in the grounds. Service users go on shopping trips and outings to the local museum. One service user said that there was plenty of good food and lots of fresh vegetables. Collingwood Grange Nursing Home H58 s17599 Collingwood Grange v235017 120705 stage 4.doc Version 1.40 Page 6 A relative had written; ‘ We have noticed how the home is more efficiently run over the last two years or so, this has resulted in more stable and motivated staff. Good staff must be the most important aspect in providing good care and nursing. We are confident you can maintain these high standards in the future.’ The home was observed to be clean and tidy with service users having large, airy bedrooms. What has improved since the last inspection? What they could do better: The home offers a high standard of care and support to service users. The home intends to improve the entrance to the building in the near future by opening up the reception area by removing a glass partition. Two requirements were made during the inspection: • That all employment records contain accurate, up to date records of persons employed in the home, and contain all that is stated in Schedule 2 of The Care Homes Regulations 2001. That all application forms for future staff employed by the home include a full employment history. • A recommendation was made for the employment files to be reviewed and structured so that they are easy to audit. Collingwood Grange Nursing Home H58 s17599 Collingwood Grange v235017 120705 stage 4.doc Version 1.40 Page 7 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. Collingwood Grange Nursing Home H58 s17599 Collingwood Grange v235017 120705 stage 4.doc Version 1.40 Page 8 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 Collingwood Grange Nursing Home H58 s17599 Collingwood Grange v235017 120705 stage 4.doc Version 1.40 Page 9 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) 3,6 The home assesses prospective service users either in their own home or in hospital and service users admitted for respite care are encouraged to be independent. EVIDENCE: It was evidenced both by speaking to the service users and viewing the care plans that a thorough assessment of needs was carried out before admission. Service users stated that they were either assessed at their own homes or in hospital. They stated that they were offered one month ‘s assessment before staying permanently and were allowed longer if necessary. The assessment tool viewed was comprehensive and included likes and dislikes, communication and memory, psychological wellbeing and activities of daily life. The inspectors were told that service users used the home for respite care and were encouraged to be as independent as possible so that they could carry on Collingwood Grange Nursing Home H58 s17599 Collingwood Grange v235017 120705 stage 4.doc Version 1.40 Page 10 as normal at home when they returned. Physiotherapy and reflexology was offered. Collingwood Grange Nursing Home H58 s17599 Collingwood Grange v235017 120705 stage 4.doc Version 1.40 Page 11 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 There is a clear and consistent care planning system in place that provides staff with the information they need to satisfactorily meet the service users needs. The systems for administrating medication are good. EVIDENCE: Care plans were evidenced to be clear, concise and updated as and when necessary. It was evidenced that the home had a good method of updating the care plans, by updating the care plan of the person in room 1 on the first of the month, room 2 on the 2nd of the month and so on. This ensured that the care plans were a living document and care was revised regularly. The care plans included a map of life, which informed the carers of the service user’s past life, children and wishes and dreams. Risk assessments were evident, and updated as necessary. Service users chose their own General Practitioner who visits regularly. Eyesight tests were carried out yearly, and service users were referred to the local hospital for hearing tests. Collingwood Grange Nursing Home H58 s17599 Collingwood Grange v235017 120705 stage 4.doc Version 1.40 Page 12 The Medication Administration Records were examined and found to be in order. All medication was stored correctly. Service users who self medicated had risk assessments included in their care plans. It was commendable to see that all prescriptions were copied and placed in the Medication Administration Record folder. No medication was handwritten and medication not taken by service users was recorded on the reverse side of the MAR form. Collingwood Grange Nursing Home H58 s17599 Collingwood Grange v235017 120705 stage 4.doc Version 1.40 Page 13 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 Service users were observed to experience a full life with opportunities to take part in varied activities. Family and friends are able to visit, and service users exercise choice and control over their lives. EVIDENCE: It was evidenced that service users were offered various activities in the home. One service user said: ‘ we have a marvellous man who comes and plays the piano.’ And another stated that she had gone out to a museum in Basingstoke recently. A summer fete had been held and the theme for this was of life in the war years, opened by the actress Jean Heywood. The activities newsletter was viewed which contained both past and future activities; the past included news of the keep fit class. The home hosts a shop in the main lounge on a weekly basis, and the deputy manager said that this was very popular with the service users. School children from the Pine Ridge School came to the home and danced around the Maypole for the service users. A fish and chips /quiz night took place last month and the newsletter stated that the service users enjoyed this very much. Future activities include: a talk about a sponsored walk in Peru by Marion Dante, a ‘teddy bear’s picnic,’ fundraising initiative for a local hospice and flower arranging. At the time of the inspection, service users were visited by relatives and friends and an open air concert was being held in the grounds. One of the staff said that one of the good things about the home was Collingwood Grange Nursing Home H58 s17599 Collingwood Grange v235017 120705 stage 4.doc Version 1.40 Page 14 that the service users could choose to do so many activities and they were not bored. Collingwood Grange Nursing Home H58 s17599 Collingwood Grange v235017 120705 stage 4.doc Version 1.40 Page 15 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) 18 Staff had excellent knowledge of Adult Protection Issues. The home’s policies and procedures protect the service users from abuse. EVIDENCE: The home has a policy on abuse and when staff were asked about abuse policies and procedures, they were able to answer correctly. They had knowledge of The Protection Of Vulnerable Adults Procedure and had training on this subject. It was evidenced that all staff had Criminal Record Bureau clearance before commencing employment. Collingwood Grange Nursing Home H58 s17599 Collingwood Grange v235017 120705 stage 4.doc Version 1.40 Page 16 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) 19,26 The standard of the environment is high, providing service users with a safe, attractive and homely place to live. EVIDENCE: It was observed that the home is attractive and affords bright airy rooms for service users. Service users could bring items of furniture, ornaments and pictures for their bedrooms. One service user said that her bedroom was very comfortable and she had every thing she needed. This service user had a picture of her father who was a brigadier in full dress uniform on display. She also had pictures on the walls of an area in France where she used to visit. The communal rooms were observed to be clean, comfortable, and bright, Risk assessments of the environment were evidenced in care plans and reviewed regularly. Collingwood Grange Nursing Home H58 s17599 Collingwood Grange v235017 120705 stage 4.doc Version 1.40 Page 17 The gardens were accessible to service users and at the time of inspection service users were observed to sit in the garden in the shade with their visitors. Collingwood Grange Nursing Home H58 s17599 Collingwood Grange v235017 120705 stage 4.doc Version 1.40 Page 18 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) 29 Service users are supported by the home’s recruitment policy although some employee’s employment files were not complete. EVIDENCE: Employment files were viewed and contained application forms, work permits, contracts of employment and references. One staff file evidenced was missing a second reference and another file sampled did not contain a complete employment history. Criminal Record Bureau checks had been made and the deputy manager said that no staff member began work without a CRB clearance. The files were difficult to audit as the information was in different places in the files. A recommendation has been made to review all staff files, to make them easier to audit. Collingwood Grange Nursing Home H58 s17599 Collingwood Grange v235017 120705 stage 4.doc Version 1.40 Page 19 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 The home is run in the best interests of the service users and the service user’s financial interests are safeguarded. EVIDENCE: It was evidenced that service user’s views are listened to and acted upon. One service user said that he had asked for a regular cooked breakfast recently, and this was actioned by the manager. Staff stated that service users held meetings on a regular basis to discuss the homes practices and to try to improve conditions for themselves in the home. Collingwood Grange Nursing Home H58 s17599 Collingwood Grange v235017 120705 stage 4.doc Version 1.40 Page 20 The home has a development plan and the deputy manager said that improvements were to be made to the front entrance of the home in the near future. Policies, procedures and practices were evidenced to be regularly reviewed. Requirements from the last inspection had been actioned within timescales agreed. Service users informed the inspectors that they held their own bank accounts. One said that her daughter has power of attorney and deals with her financial affairs. Service users stated that they had access to their bank accounts and that the home keeps a small ‘float,’ for service users to purchase small items for example, toiletries. Collingwood Grange Nursing Home H58 s17599 Collingwood Grange v235017 120705 stage 4.doc Version 1.40 Page 21 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 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 4 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 x COMPLAINTS AND PROTECTION 4 x x x x x x 4 STAFFING Standard No Score 27 x 28 x 29 1 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x 3 x 3 x x x Collingwood Grange Nursing Home H58 s17599 Collingwood Grange v235017 120705 stage 4.doc Version 1.40 Page 22 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 29 Regulation 19 Requirement The registered person must ensure that accurate, up to date records of persons employed in the home are maintained and contain all that is stated in Scedule 2 of The Care Homes Regulations 2001 The registered person must ensure that all application forms for future employees at the home contain a full employment history. Timescale for action 12/09/05 2. 29 19 12/08/05 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 29 Good Practice Recommendations The registered person is to consider reviewing the structure of the employment files. Collingwood Grange Nursing Home H58 s17599 Collingwood Grange v235017 120705 stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Collingwood Grange Nursing Home H58 s17599 Collingwood Grange v235017 120705 stage 4.doc Version 1.40 Page 24 - 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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