Inspection on 16/06/05 for Eastbourne Grange

This inspection was carried out on 16th 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

Eastbourne Grange 24/07/07

Eastbourne Grange 25/08/06

Eastbourne Grange 06/12/05

Eastbourne Grange 04/02/05

Eastbourne Grange 21/06/04

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

CARE HOMES FOR OLDER PEOPLE Eastbourne Grange 2 Grange Gardens Eastbourne East Sussex BN20 7DE Lead Inspector Nigel Thompson Announced 16 June 2005 9:30 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. Eastbourne Grange H59 H10 S21091 Eastbourne Grange V218151 160605 stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Eastbourne Grange Address 2 Grange Gardens Eastbourne East Sussex BN20 7DE 01323 733466 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) Mr Trevor Pearce Mrs Patricia Pearce Care home 25 Category(ies) of Old age, not falling within any other category registration, with number (OP) 25 of places Eastbourne Grange H59 H10 S21091 Eastbourne Grange V218151 160605 stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1 The maximum number of service users to be accommodated is twenty-five (25) 2 That service users must be aged sixty-five (65) years and over on admission Date of last inspection 4 February 2005 Brief Description of the Service: Eastbourne Grange is a large semi-detached house in a quiet residential area of Eastbourne, close to the seafront and town centre with its shops, amenities and local attractions. The home is on three floors with various communal areas and bathrooms. There are two lounges and a spacious dining area. All floors are accessible via a passenger lift The pleasant gardens are easily accessible to service users and the rear of the house also overlooks a secluded park. The service aims to provide a safe, homely environment in which service users are able to lead satisfying lives, retaining dignity, privacy and exercise choice. Regular social activities within the home and outings are arranged. Eastbourne Grange H59 H10 S21091 Eastbourne Grange V218151 160605 stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over six hours in June 2005. It found that all of the nineteen National Minimum Standards that were assessed had been met and the overall quality of care provided was good. Service users and relatives spoken to during the inspection expressed satisfaction with the home, the staff and the service provided. A tour of the premises took place and documentation, including service user and staff files was inspected. A relaxed lunch was enjoyed with service users in the pleasant dining room. Two of the service users’ relatives, three of the staff on duty and seven of the seventeen residents were spoken to. What the service does well: Eastbourne Grange is an established, well managed and well maintained service that continues to provide high quality care and accommodation for older people. The service users benefit from a dedicated manager and stable staff team who are committed to providing consistent and high quality care. Effective systems are in place for the admission and ongoing care of service users. Individual care plans developed from comprehensive pre-admission assessments ensure that an individual’s needs are met in a structured and consistent manner. Service users and, where appropriate, their relatives are involved in developing and reviewing individual care plans and the managers and staff work hard to create an open and inclusive atmosphere within the home. A thorough staff recruitment procedure ensures the protection of service users. Staff receive effective induction and foundation training, regular supervision and are valued and supported by the manager. Eastbourne Grange H59 H10 S21091 Eastbourne Grange V218151 160605 stage 4.doc Version 1.20 Page 6 Of note was the support also provided to service users’ relatives. This was typified by a thank you card recently received by the manager: ‘Thank you for the care you gave my father and thank you for the care you gave me’. 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Eastbourne Grange H59 H10 S21091 Eastbourne Grange V218151 160605 stage 4.doc Version 1.20 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 Eastbourne Grange H59 H10 S21091 Eastbourne Grange V218151 160605 stage 4.doc Version 1.20 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, 2, 3 & 6 Prospective service users are provided with sufficient information, including terms and conditions, to make an informed decision on whether to move in. The admission procedure is comprehensive and thorough, ensuring that service users are admitted only on the basis of a full needs assessment undertaken by people competent to do so. EVIDENCE: The home’s Brochure, Statement of Purpose and comprehensive Terms and Conditions clearly provide prospective service users with all necessary information to make an informed choice about moving in. Following a referral to the home, the manager completes a comprehensive assessment of the individual’s physical and mental condition as well as their personal and social care needs. Individual service users’ files were inspected and generally found to be comprehensive, up to date and well maintained. Documentation relating to a Eastbourne Grange H59 H10 S21091 Eastbourne Grange V218151 160605 stage 4.doc Version 1.20 Page 9 resident recently admitted to the Home included a full needs assessment and a statement of terms and conditions, agreed and signed by the service user. It was noted that a reference in the assessment described ‘early onset dementia’. This was discussed with the registered manager and provider and while it is understood that this is not a primary diagnosis, it is important that the Home continues to only admit people within its registration category. The manager confirmed that intermediate care is not provided at Eastbourne Grange. Eastbourne Grange H59 H10 S21091 Eastbourne Grange V218151 160605 stage 4.doc Version 1.20 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 standard(s) 7, 8 & 10 Service users’ care plans are developed from a comprehensive assessment of an individual’s needs and enable staff to meet such needs in a structured and consistent manner. Personal support, as required, is provided in such a way as to promote and protect service users’ privacy, dignity and independence. EVIDENCE: Individual care plans have been developed for each service user and are clearly and directly linked to their assessed needs. Plans that were inspected were found to be accurate, generally well maintained, and up to date. The current format for recording any amendment or updating of the care plans is acknowledged to be unsatisfactory and is being reviewed by the manager Eastbourne Grange H59 H10 S21091 Eastbourne Grange V218151 160605 stage 4.doc Version 1.20 Page 11 From discussions with residents and the manager it was evident that service users have the opportunity to be involved in their own care planning. It was also noted that service users sign to agree the content of their individual plan. As part of their induction programme, all staff receive instruction on the principles of dignity and respect. This was evident, during the inspection, when members of staff were seen knocking on doors before entering residents’ rooms and were observed to be professional, sensitive and respectful in their interaction with service users. This was reinforced by the positive comments form service users and relatives: ‘From the manager down, everyone here is just so kind. They can’t do enough for you’. ‘I’m so happy since I moved here. It’s lovely. I’ve got everything that I need’. Eastbourne Grange H59 H10 S21091 Eastbourne Grange V218151 160605 stage 4.doc Version 1.20 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 standard(s) 12, 13 & 15 Social and leisure activities are well managed and creative and meet the individual and collective needs of the service users. Service users maintain contact with family and friends as they wish. High quality meals are provided, offering both choice and variety and catering for special dietary needs. EVIDENCE: The home provides a range of in-house activities such as bingo, quizzes and tea dances. Outings and shopping trips are also provided. It was noted that the ‘Summer Events Programme’ had just been developed. Service users’ social and recreational interests are recorded in their individual care plan. It was evident from discussions with service users that organised group activities are not popular with everyone. ‘I don’t spend much time in the lounge. I’d rather sit in my room, reading or watching television’. Eastbourne Grange H59 H10 S21091 Eastbourne Grange V218151 160605 stage 4.doc Version 1.20 Page 13 Service users are provided with a varied, wholesome and nutritious diet. At lunchtime a choice of meals is available and special diets are catered for. A menu is displayed reflecting service users’ preferences and including seasonal variations. Although the chef was on holiday at the time of the inspection, the deputy manager who was covering for him certainly maintained the high standard, as reflected by comments from service uses during a relaxed and most enjoyable lunch: ‘The food here is excellent and the chef is first class’. The manager confirmed that visiting in the home is unrestricted and service uses may see friends or relatives in the lounge or in the privacy of their own room. A relative, spoken to during the inspection, was able to support this: ‘I come here at all times of the day and I’m always made welcome’. Eastbourne Grange H59 H10 S21091 Eastbourne Grange V218151 160605 stage 4.doc Version 1.20 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 standard(s) 16 & 18 The open and inclusive atmosphere within the home enables service users, staff and visitors to feel able to express any concerns, confident that they will be listened to. Service users are safeguarded from abuse through robust policies, procedures and relevant staff training. EVIDENCE: Service users and members of staff spoken to confirmed that they would have no hesitation speaking to the manager or making a complaint if necessary and each person was confident that they would be listened to. Although the Home has a complaints procedure in place, it was noted there is no reference made to the timescale for dealing with any such complaints. Following discussion with the provider, it is recommended that this procedure be reviewed and amended accordingly. The home has an updated policy and procedure for the protection of vulnerable adults, including a whistle blowing policy. Staff are made aware of new policies or changes to existing ones through supervision and relevant training. Eastbourne Grange H59 H10 S21091 Eastbourne Grange V218151 160605 stage 4.doc Version 1.20 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 standard(s) 19, 23, 24 & 26 The service is accessible, safe and clean and is clearly suitable for it’s stated purpose. Service users benefit from pleasant accommodation that is homely, comfortable, well maintained and decorated to a satisfactory standard. EVIDENCE: The physical environment is clean and well maintained and remains largely unchanged since the previous inspection. There are two pleasant lounges and a quiet and spacious dining room. The gardens are directly accessible to service users. Lighting throughout the home is domestic in style and sufficiently bright. Furnishings are domestic in style and of good quality. Service users spoken to expressed satisfaction with the home and their individual rooms: ‘I’m very happy with my room, it’s so comfortable here’. Eastbourne Grange H59 H10 S21091 Eastbourne Grange V218151 160605 stage 4.doc Version 1.20 Page 16 It was evident that many of the rooms have been personalised, with pictures, family photographs and other small items of furniture and personal belongings, to reflect individual taste, choice and preference. Eastbourne Grange H59 H10 S21091 Eastbourne Grange V218151 160605 stage 4.doc Version 1.20 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 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, 29 & 30 There are sufficient trained and competent staff on duty at all times to meet the assessed, low dependency needs of the service users. Thorough recruitment procedures help to ensure the safety and protection of service users. EVIDENCE: The stable and dedicated staff team is clearly able to meet the assessed, individual and collective needs of service users within the home. Staff files that were examined were found to be well maintained, containing all necessary information, including two written references, proof of identity and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks. All new staff are provided with and sign a written contract, including a statement of terms and conditions. The home has written staff induction and foundation training programmes that meet the National Training Organisation specifications. All staff have received training in Basic Food Hygiene, Fire Safety, First Aid and Infection Control. Eastbourne Grange H59 H10 S21091 Eastbourne Grange V218151 160605 stage 4.doc Version 1.20 Page 18 Eastbourne Grange H59 H10 S21091 Eastbourne Grange V218151 160605 stage 4.doc Version 1.20 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) EVIDENCE: These standards were not assessed on this occasion. Eastbourne Grange H59 H10 S21091 Eastbourne Grange V218151 160605 stage 4.doc Version 1.20 Page 20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 x x N/A 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 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x 3 3 x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x x Eastbourne Grange H59 H10 S21091 Eastbourne Grange V218151 160605 stage 4.doc Version 1.20 Page 21 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 16 Good Practice Recommendations It is recommended that the current complaints procedure be reviewed and amended, to include details of timescales. Eastbourne Grange H59 H10 S21091 Eastbourne Grange V218151 160605 stage 4.doc Version 1.20 Page 22 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Eastbourne Grange H59 H10 S21091 Eastbourne Grange V218151 160605 stage 4.doc Version 1.20 Page 23 - 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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