Inspection on 01/09/06 for Cuerden Grange Rest Home

This inspection was carried out on 1st September 2006.

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

Cuerden Grange Rest Home 08/12/05

Cuerden Grange Rest Home 21/06/05

Cuerden Grange Rest Home 11/11/04

Cuerden Grange Rest Home 12/05/04

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 Cuerden Grange Rest Home 414 Station Road Bamber Bridge Preston Lancashire PR5 6JN Lead Inspector Mr Patrick Rooney Unannounced Inspection 10:00 1 September 2006 st 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 Cuerden Grange Rest Home DS0000005960.V299451.R01.S.doc Version 5.2 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. Cuerden Grange Rest Home DS0000005960.V299451.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cuerden Grange Rest Home Address 414 Station Road Bamber Bridge Preston Lancashire PR5 6JN 01772 629532 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) Mr Keith Lowe Mrs Judith Iddon Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (30), Physical disability (2) of places Cuerden Grange Rest Home DS0000005960.V299451.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Old Age (OP)(32) including Physical Disability (PD)(UP TO 2) Date of last inspection 8th December 2005 Brief Description of the Service: Cuerden Grange is registered with the Commission for Social Care Inspection to provide personal care for up to 32 older people. The home is situated on the same site as its sister home, which is registered to provide Nursing Care. The home is located on the perimeter of the residential area of Bamber Bridge on the outskirts of Preston. The motorway network is near by and there is easy access to all local amenities. Cuerden Grange residential home is a single storey building, providing accommodation mainly within single rooms, although three shared rooms are available for married couples or friends who wish to share facilities. All rooms are of a good size and have en suite facilities, comprising of WC and wash hand basin. Service users may dine in one of the pleasant dining rooms or in the privacy of their private accommodation, if they prefer. Special diets are catered for and a choice of menu is available, although alternative meals are also provided if required. A daily activity programme is in place, in which service users can choose to participate if they wish. Current fees for a place in the home range from £324.50 to £425 per week. Cuerden Grange Rest Home DS0000005960.V299451.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit and was carried out over a six-hour period from 10 am. The inspector consulted care records and spoke to residents living at the home. He discussed their care with them and visiting relatives. Their comments include, “Staff are very good and caring”, “I am very happy here”, “They are very good and make you feel good”, “Staff always listen”, “All staff are good to you”, “I enjoy being here”, “The staff are very good and we can have a good conversation with them” Staff were also spoken to regarding their role within the home and confirmed they receive a full induction in caring for the elderly and the opportunity for on going training. The inspector toured the building, spoke to individual staff, had discussion with management and consulted records and policies and procedures. Questionnaires were issued to residents and relatives. What the service does well: What has improved since the last inspection? Overall there has been on going improvement in staff training and more staff are attaining qualification in care via National Vocational Qualification 2 and 3. With good connections to Preston College the home is providing a good training environment for staff. The majority of staff are now qualified to NVQ standards and in interviews with staff it was demonstrated that they are able to use the knowledge gained in the care they provide. This was confirmed in conversations the inspector had with residents. Monthly regulation 26 reports are now being sent into the CSCI. Cuerden Grange Rest Home DS0000005960.V299451.R01.S.doc Version 5.2 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. Cuerden Grange Rest Home DS0000005960.V299451.R01.S.doc Version 5.2 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 Cuerden Grange Rest Home DS0000005960.V299451.R01.S.doc Version 5.2 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 Quality in this outcome group is good, this judgement has been made using available evidence including a visit to this service. The home has a good assessment procedure, which ensures resident’s needs are comprehensively assessed and appropriate care plans made. EVIDENCE: The assessments of five residents were looked at. A full pre admission assessment had taken place, which identified care to be provided including risk assessments. These residents were seen during the visit and were happy with the levels of care they are provided with and had been given information about the home prior to admission. A contract is provided, which details the fees to be paid. Cuerden Grange Rest Home DS0000005960.V299451.R01.S.doc Version 5.2 Page 9 Those residents who are funded by Social Services have a social work assessment, which is included in the assessment carried out by the home when assessing the homes ability to meet assessed needs. Cuerden Grange Rest Home DS0000005960.V299451.R01.S.doc Version 5.2 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 the following standard(s): 7,8,9and 10 Quality in this outcome group is good, this judgement has been made using available evidence including a visit to this service. Residents care plans are comprehensive and ensure health, personal and social care needs are met and care is provided ensuring privacy and dignity is maintained. Medication policies and procedures ensure medication is dispensed safely. EVIDENCE: During the visit the files of five residents were looked at and their care discussed with them. Each resident had an individual care plan, which provided comprehensive information and detail to ensure that health, personal and social care needs can be met. Cuerden Grange Rest Home DS0000005960.V299451.R01.S.doc Version 5.2 Page 11 Care plans are reviewed monthly, residents and their families are able to take part in the process. It would be of benefit to have a separate review form, which could record details discussed in review, which could be signed by the resident or their representative. Some daily recordings including personal details of residents were being recorded in a communication book. All personal records regarding residents should be recorded on a separate sheet and stored in their individual files. Each file contained records for monitoring and recording visits by health care professionals including doctors or district nurses. All these records were up to date and provided detailed information. Residents told the inspector they are happy with the care they receive and everyone spoken to said that staff are kind and respectful to them. The inspector observed good interaction between residents and staff. Their comments include; “Staff are very good and caring”, “I am very happy here”, “They are very good and make you feel good”, “Staff always listen”, “All staff are good to you”, “I enjoy being here”, “The staff are very good and we can have a good conversation with them”. Medication policies and procedures were seen and medication records and storage was checked. Records were up to date and well kept. A medical fridge is required to ensure some medications are stored at the right temperature. There should be a thermometer in the medication storage room and the temperature should be monitored. Some eye drops did not have the date they were opened recorded. This should always be done to ensure they are discarded at the right time, which is usually 28 days after opening. Cuerden Grange Rest Home DS0000005960.V299451.R01.S.doc Version 5.2 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 the following standard(s): 12,13,14 and 15 Quality in this outcome group is good, this judgement has been made using available evidence including a visit to this service. The home provides residents with choice and routines are flexible, this ensures they are able to exercise control in everyday life. EVIDENCE: The home provides a good variety of activities for residents. The inspector looked at the activity folder, in which there was recorded a variety of activities to suit individual residents needs. These include a daily activity usually in the afternoons. Activities provides are craft sessions, light gardening/ potting, dance exercises, visiting entertainers, holistic therapies, massage, outings to shops pubs etc. A monthly newsletter is produced, which gives information about planned activities. Residents said the home ensures there is always something to do and that they enjoy activities provided. The home provides flexibility with regards to daily routine and each resident has their own preferred getting up time in the morning. Menus showed that Cuerden Grange Rest Home DS0000005960.V299451.R01.S.doc Version 5.2 Page 13 there is a good variety of food available and residents are asked what they like. There are always alternative meals available for those who wish. Meals can be taken in resident’s own rooms if they prefer to eat in private. Residents told the inspector they are happy with the meals they receive. Residents are encouraged to maintain their own financial affairs as long as possible. Information regarding access to independent advocacy services is available in the home. Bedrooms are personalised and residents are able to bring items of furniture, pictures and ornaments with them when they are admitted to the home. Cuerden Grange Rest Home DS0000005960.V299451.R01.S.doc Version 5.2 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 the following standard(s): 16 and 18 Quality in this outcome group is good, this judgement has been made using available evidence including a visit to this service. There are good arrangements in place for residents to raise concerns and the homes policies ensure residents are protected from abuse. EVIDENCE: The home has a complaints procedure, which is accessible to residents and their families. Copies are on the homes notice board and are contained in the service users guide, which is placed in every room. Residents said that they are aware of the procedure and feel able to raise any concerns with the staff or manager. There is a protection of vulnerable adults procedure including a whistle blowing policy available in the home. Staff spoken to were aware of this policy and said that they felt confident in speaking to the manager if they had any concerns about care practice. Staff receive training in the protection of vulnerable adults and abuse. Cuerden Grange Rest Home DS0000005960.V299451.R01.S.doc Version 5.2 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 the following standard(s): 19 and 26 Quality in this outcome group is good; this judgement has been made using available evidence including a visit to this service. The home is well maintained and the environment is clean and comfortable. EVIDENCE: The home has an improvement programme in place, which ensure regular maintenance and decorating takes place. A tour of the home took place; all areas were clean, well decorated and comfortable. Residents were happy with their accommodation and their rooms are personalised with their own ornaments and furniture. Cuerden Grange Rest Home DS0000005960.V299451.R01.S.doc Version 5.2 Page 16 There are policies and procedures in place to ensure infection control and the home is kept clean and hygienic. Staff are issued with protective aprons and gloves and are required to ensure they hand wash after dealing with each resident. A contract is in place for the removal of toxic waste and bags are colour coded. There are good laundry facilities, which ensure washing can be sluiced and cleaned to disinfectant standards. Cuerden Grange Rest Home DS0000005960.V299451.R01.S.doc Version 5.2 Page 17 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): 27,28,29 and 30. Quality in this outcome group is good; this judgement has been made using available evidence including a visit to this service. Arrangements for staffing the home ensure there are sufficient skilled staff on duty to meet the needs of residents. EVIDENCE: Recruitment files for staff were looked at and showed that there is a thorough recruitment process in which references are obtained and Criminal Records Bureau checks carried out prior to employment of staff. Staff records showed that new staff have a comprehensive induction and training to enable them to carry out their duties, this is in line with the “Skills to care”(formally TOPPS) guidelines. Certificates of training were seen on staff files. Staff on duty were spoken to individually and said that they are well supported and are given the opportunity to take part in training. There are above 50 of staff who are qualified to NVQ 2 and more staff are presently completing this training. Staff receive formal supervision every two months and have an annual appraisal, which identifies training needs. The manager has received training in providing supervision. There is a staff handbook, which informs them of the homes policies and procedures and requires them to respect the confidentiality of residents. Rotas showed that there were sufficient trained and experienced staff on duty to meet the needs of residents. Cuerden Grange Rest Home DS0000005960.V299451.R01.S.doc Version 5.2 Page 18 Residents spoken to said staff are very good and provide the right levels of care for them. Cuerden Grange Rest Home DS0000005960.V299451.R01.S.doc Version 5.2 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 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): 31,33,35 and 38 Quality in this outcome group is good; this judgement has been made using available evidence including a visit to this service. The home is well managed, which ensures residents interests are protected and health and safety issues are promoted. EVIDENCE: The home’s manager is qualified and experienced in managing the home, Residents and staff are happy with how the home is run and there are clear lines of accountability. Resident’s views are taken seriously and resident surveys have been carried out. Residents meetings are arranged and the manager is in daily contact with all the residents. Both residents and staff feel they are able to approach the Cuerden Grange Rest Home DS0000005960.V299451.R01.S.doc Version 5.2 Page 20 manager with any ideas or issues they may have. The home is a preferred provider with the local authority. The home looks after resident’s personal allowances, these are kept in a safe and good records are maintained of any transactions. All the homes policies and procedures have been reviewed and updated. Health and safety is taken seriously and staff receive training in moving and handling, health and safety and first aid. All safety certificates and risk assessments are carried out and are up to date. Cuerden Grange Rest Home DS0000005960.V299451.R01.S.doc Version 5.2 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 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 N/A 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 Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Cuerden Grange Rest Home DS0000005960.V299451.R01.S.doc Version 5.2 Page 22 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 2 3 4 Refer to Standard OP10 OP9 OP9 OP9 Good Practice Recommendations All personal recording regarding the care of residents should be done on separate diary sheets. A medical fridge should be provided to ensure medications requiring can be stored at lower temperatures. The temperature of the fridge should be monitored. The date of opening eye drops should always be recorded on the container. A thermometer should be provided in the medication storage room and a record kept of the temperature. Cuerden Grange Rest Home DS0000005960.V299451.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, 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 Cuerden Grange Rest Home DS0000005960.V299451.R01.S.doc Version 5.2 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. 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