Inspection on 08/12/05 for Cuerden Grange Rest Home

This inspection was carried out on 8th December 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 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 8th December 2005 10:00 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.V271579.R02.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. Cuerden Grange Rest Home DS0000005960.V271579.R02.S.doc Version 5.0 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.V271579.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Old Age (OP)(32) including Physical Disability (PD)(UP TO 2) Date of last inspection 21st June 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. Cuerden Grange Rest Home DS0000005960.V271579.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and covered the key Standards not covered in the last inspection. It was carried out over a five hour period from 10 am. The inspector consulted care records and spoke to most of the residents living at the home. He discussed their care with them and visiting relatives. Their comments are, “they look after us very well here, we can do what we want”, “I like it here the staff help us to do what we can”, “I cant fault the care we receive”. Comments from residents regarding the food are; “the food is excellent here we are very well fed”, “you are asked what you want”, “we will never go hungry the food is very good”. 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. Medication policies and procedures were looked at and were seen to be good and ensure medication is ordered and administered safely. 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. Cuerden Grange Rest Home DS0000005960.V271579.R02.S.doc Version 5.0 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.V271579.R02.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 Cuerden Grange Rest Home DS0000005960.V271579.R02.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): All the key Standards in this section were assessed in the last inspection and were met. EVIDENCE: Cuerden Grange Rest Home DS0000005960.V271579.R02.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): 9 There are good policies and procedures in place to ensure safe storage and administration of medication. EVIDENCE: Residents are asked during assessment if they wish to self medicate, this is risk assessed, evidence was seen of risk assessments on individual files. Policies regarding administration of medication were seen; these ensure that only those qualified can give medication. A list of staff who can give medication out was seen, all these have received training. Files showed that all residents have monthly reviews of their medication. There is a controlled drugs register and controlled drugs are stored in a separate locked container inside the drugs cabinet. The inspector tracked controlled drug medication for three residents, this was correctly signed for and correct amounts remaining were seen in the cabinet. All medications given out were correctly signed for on the appropriate sheet. Returned medications are recorded. Cuerden Grange Rest Home DS0000005960.V271579.R02.S.doc Version 5.0 Page 10 Cuerden Grange Rest Home DS0000005960.V271579.R02.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 and 15 Most resident’s families deal with their finances; there is access to external advocacy services if required. Residents are able to bring their own personal possession into the home. Residents are provided with good nourishing meals with choices always available. EVIDENCE: Residents’ finances are mainly dealt with by families, one resident currently deals with their own finances, the home does administer some personal allowances and keeps records of this. These were seen and were in order. Resident’s rooms were seen to be personalised and contain items of their own which they were able to bring with them. Residents said they are happy with their accommodation and the routines are flexible to allow them to have some control over what they wish to do. Residents told the inspector that staff are very good and help them when they need help. Residents comments were, “they look after us very well here, we can do what we want”, “I like it here the staff help us to do what we can”, “I cant fault the care we receive”. Cuerden Grange Rest Home DS0000005960.V271579.R02.S.doc Version 5.0 Page 12 They also said that they are able to make decisions about when they wish to get up or go to bed and have the option of being involved in activities or not. Information regarding advocacy services was seen in the home. Residents have access to their files and records showed they or their representatives sign reviews of care that take place. Both the nursing home and the care home employ the services of a full time cook. Menus seen showed that there is a good variety of food offered to residents with choices always available. There are always two options for lunch and two options for tea. Breakfast menus are flexible and residents are asked what they would like. Comments from residents regarding the food are; “the food is excellent here we are very well fed”, “you are asked what you want”, “we will never go hungry the food is very good”. Cuerden Grange Rest Home DS0000005960.V271579.R02.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All the key Standards in this section were assessed in the last inspection and were met. EVIDENCE: Cuerden Grange Rest Home DS0000005960.V271579.R02.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All the key Standards in this section were assessed in the last inspection and were met. EVIDENCE: Cuerden Grange Rest Home DS0000005960.V271579.R02.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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): 28 and 30 All staff receive a full induction in the care of the elderly and more than 50 are qualified to NVQ 2 in care. The home places high importance in training staff. EVIDENCE: Training records showed that out of 26 care staff 16 currently are qualified to NVQ 2 in care. Four are undergoing this training and three are doing NVQ 3. All staff receive a full induction in line with “Skills to Care”(formally TOPPS) guidelines. New staff are given an experienced mentor during training to ensure they understand their role within the home. Induction records were seen and confirmed this to be the case. Residents spoken to said staff are very good and provide the right levels of care for them. Cuerden Grange Rest Home DS0000005960.V271579.R02.S.doc Version 5.0 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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): All the key Standards in this section were assessed in the last inspection and were met. EVIDENCE: Cuerden Grange Rest Home DS0000005960.V271579.R02.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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Cuerden Grange Rest Home DS0000005960.V271579.R02.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. Refer to Standard Good Practice Recommendations Cuerden Grange Rest Home DS0000005960.V271579.R02.S.doc Version 5.0 Page 19 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. 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