Inspection on 21/06/05 for Cuerden Grange Rest Home

This inspection was carried out on 21st June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Cuerden Grange Rest Home 01/09/06

Cuerden Grange Rest Home 08/12/05

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 Patrick Rooney Announced 21 June 2005 10:00am st 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. Cuerden Grange Rest Home F57 F09 S5960 Cuerden Grange Rest Home V220053 210605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Cuerden Grange Rest Home Address 414 Station Road, Bamber Bridge, Preston, Lancashire. PR5 6JN 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) 01772 629532 Mr Keith Lowe Mrs Judith Iddon CRH Care Home 32 Category(ies) of OP Old Age 30, PD Physical Disability 2 registration, with number of places Cuerden Grange Rest Home F57 F09 S5960 Cuerden Grange Rest Home V220053 210605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Old Age (OP)(32) including Physicsl Disability (PD)(UP TO 2) Date of last inspection 11th November 2004 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. Cuerden Grange Rest Home F57 F09 S5960 Cuerden Grange Rest Home V220053 210605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection information was received from general practitioners serving the home and a pre inspection questionnaire was completed by the manager. Six survey completed forms were received from relatives and ten from residents . The assessments and care plans of five residents were examined and these residents were interviewed. A tour of the building was carried out and residents were spoken to in the lounges and dining area. The inspector case tracked the care of five residents. Their care records were examined these clearly describe their health needs including risk assessments. The inspector spoke to these five residents about the care they receive, all felt their care needs are met and one commented that staff were very observant regarding individual needs. Seven care staff were interviewed and staff recruitment records examined. The inspector also looked at the homes policies and procedures and staff handbook. The manager assisted the inspection throughout. Feedback from all these sources was positive and gave the picture of contented residents and a staff team dedicated to promoting the health and welfare of residents living in the home. What the service does well: The home promotes well resident’s dignity independence, privacy and rights. This feeling was expressed by residents and is shown in the following quote from a relative in a completed survey form. “The homes strength is its homely atmosphere. Both staff and residents always make us welcome and we know that my mother is given the same love and attention as we, as a family, would give to her.” A resident told the inspector that staff were caring and were very observant regarding care needs. Cuerden Grange Rest Home F57 F09 S5960 Cuerden Grange Rest Home V220053 210605 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? 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 F57 F09 S5960 Cuerden Grange Rest Home V220053 210605 Stage 4.doc Version 1.30 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 Cuerden Grange Rest Home F57 F09 S5960 Cuerden Grange Rest Home V220053 210605 Stage 4.doc Version 1.30 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 The admission and assessment procedures seen during the inspection were clear and ensure the care needs of residents are identified. EVIDENCE: Residents are provided with a service users guide, which informs them of services offered by the home. All residents spoken to told the inspector they had received this information. Individual records are kept for each service user which details their assessment needs and their care plans. The inspector tracked the care of four residents from their initial assessments to their care plans. He also spoke to service users about their care plans and the care they receive. They were able to tell the inspector about their individual care needs which had been recorded. One recently admitted resident described the care as very good and that all care needs are met. This person also stated that staff are very caring, approachable and notice if things are not right. Staff members spoken to demonstrated an awareness of the care needs of residents and the review procedure for each individual. Cuerden Grange Rest Home F57 F09 S5960 Cuerden Grange Rest Home V220053 210605 Stage 4.doc Version 1.30 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 Promotion of health and personal care is taken seriously and residents welfare is monitored and health needs met. Some attention is needed to ensure residents social care needs are recorded in their care plans as these were mainly about health needs. EVIDENCE: Care records examined for five residents clearly describe their health needs including risk assessments. The inspector spoke to these five residents about the care they receive, all felt their care needs are met and one commented that staff were very observant regarding individual needs. Surveys carried out by the home indicated that staff perform personal care tasks in a respectful dignified manner protecting residents privacy. Residents spoken to told the inspector they are treated with dignity and respect and that their privacy is maintained. One relative said that their relatives care needs were fully met and the staff are caring and approachable. Surveys carried out by the home indicated that staff perform personal care tasks in a respectful dignified manner protecting residents privacy. Residents spoken to told the inspector they are treated with dignity and respect and that their privacy is maintained. Cuerden Grange Rest Home F57 F09 S5960 Cuerden Grange Rest Home V220053 210605 Stage 4.doc Version 1.30 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 standard(s) 12 and 13 Social activities are provided which are varied according to the needs of individual service users. The homes routines are flexible and welcoming to all individuals. Friends and relatives are made welcome when they visit the home. EVIDENCE: The inspector saw a good varied programme of activities for residents, which includes entertainment sessions, outings, and visiting shops. At the time of the inspection a number of residents were enjoying a film, which was on a large screen. Residents told the inspector that there are always activities available to them if they wish to take part. The home employs two staff who’s job is to promote and organise activities. The atmosphere in the home was observed to be relaxed, residents told the inspector they are able to rise and retire when they wish and that mealtimes are flexible according to their needs and wishes. Meals may be taken privately if residents wish. One relative stated in a survey carried out during the inspection, “The homes strength is its homely atmosphere. Both staff and residents always make us welcome and we know that my mother is given the same love and attention as we, as a family, would give to her.” Cuerden Grange Rest Home F57 F09 S5960 Cuerden Grange Rest Home V220053 210605 Stage 4.doc Version 1.30 Page 11 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 and 18 Arrangements for complaints are good and an effective whistle blowing policy ensures protection of residents. EVIDENCE: The home has a detailed complaints procedure, this was seen by the inspector. In discussion with residents and visitors the inspector found that they were aware of what to do if they had a complaint. They said that they found the manager and staff of the home approachable if they were concerned about anything. Information about the complaints procedure is available in the service users guide. A record of internal complaints is kept and outcomes recorded. There has been no complaint made to the CSCI since the last inspection. There is a procedure available to protect residents from abuse including a whistle blowing policy. Staff interviewed demonstrated an awareness and understanding of these policies. Cuerden Grange Rest Home F57 F09 S5960 Cuerden Grange Rest Home V220053 210605 Stage 4.doc Version 1.30 Page 12 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) 19,25 and 26 The standard of furnishings and decoration are good and provide a homely environment which is clean and warm. There are pleasant exterior surroundings which residents can use in good weather. EVIDENCE: The inspector carried out a tour of the dinning areas and saw residents in their own rooms. Internally standards of decoration and furnishings were good and comfortable. Residents told the inspector they felt are happy with their accommodation. The home was observed to be clean and tidy and the inspector examined the homes procedures regarding infection control, these were In order and ensure good standards are maintained at all times. Cleaners are employed during the day and ensure the home is kept clean. Cuerden Grange Rest Home F57 F09 S5960 Cuerden Grange Rest Home V220053 210605 Stage 4.doc Version 1.30 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 29 The policy and procedures for the recruitment and training of staff are robust and provide safeguards, which protect residents. The number of staff on duty was sufficient to meet the needs of residents living at the home. EVIDENCE: The inspector saw four staff files including new staff, all contained the necessary recruitment forms and checks to ensure the protection of residents. These include an application form, two references a POVA and CRB check. Induction and training records were seen and showed all staff receive an induction and training in providing care required for residents living at the home. Records also showed that five staff have completed NVQ 3 and ten have completed NVQ 2. Two staff are currently doing NVQ3 and three are doing NVQ2. These figures show that there are above 50 of staff who have a qualification in providing care. Seven staff were interviewed and confirmed they receive induction and training. There are supervision and appraisal systems in place, which promote good practise and identify training needs. Rotas examined showed that there are sufficient staff on duty to meet the needs of residents. Sufficient staff were observed to be on duty at the time of the inspection. Residents spoken to told the inspector staff are caring pleasant and helpful. One resident told the inspector that staff provide all care required and more. Cuerden Grange Rest Home F57 F09 S5960 Cuerden Grange Rest Home V220053 210605 Stage 4.doc Version 1.30 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,35 and 38 Management within the home provides leadership, guidance and continuity for residents and staff who told the inspector that that they are aware of the management structure. Residents are consulted about how the home is run. There are Health and Safety policies and procedures in place, which ensures residents and staff health and welfare is protected. EVIDENCE: The Registered manager has completed NVQ level 4 in management Staff and residents spoken to said management was open an approachable. The manager or her deputy is available to residents in the home on a daily Cuerden Grange Rest Home F57 F09 S5960 Cuerden Grange Rest Home V220053 210605 Stage 4.doc Version 1.30 Page 15 basis, this was confirmed by residents, who described management as helpful and lines of accountability are clear within the home. There were no regulation 26 visits recorded for visits by the homes owners or their representative. There was evidence of consultation having taken place with the service users on a regular basis through meetings and questionnaires. On the day of the inspection comments from staff, service users and visitors were all positive about the home. Comment cards received were also positive. There was evidence that both support staff and ancillary staff had been supervised on a regularly. The inspector saw the homes health and safety policies and staff records showed they receive training in this and in moving and handling. Thee inspector was not shown any evidence of regulation 26 reports and none had been received by the CSCI. Cuerden Grange Rest Home F57 F09 S5960 Cuerden Grange Rest Home V220053 210605 Stage 4.doc Version 1.30 Page 16 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 4 13 4 14 x 15 x COMPLAINTS AND PROTECTION 3 x x x x x 3 3 STAFFING Standard No Score 27 3 28 x 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 3 2 3 3 x 3 x x 3 Cuerden Grange Rest Home F57 F09 S5960 Cuerden Grange Rest Home V220053 210605 Stage 4.doc Version 1.30 Page 17 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 31.7 Regulation 26 Requirement The responsible individual must provide a monthly report on the conduct of the home. A copy must be sent to the CSCI Timescale for action 31/8/05 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 Good Practice Recommendations Cuerden Grange Rest Home F57 F09 S5960 Cuerden Grange Rest Home V220053 210605 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection 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 F57 F09 S5960 Cuerden Grange Rest Home V220053 210605 Stage 4.doc Version 1.30 Page 19 - 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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