Inspection on 26/05/05 for Florence Grogan House

This inspection was carried out on 26th May 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

Florence Grogan House 21/06/06

Florence Grogan House 13/01/06

Florence Grogan House 22/09/04

Florence Grogan House 14/04/04

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 Florence Grogan House Shelley Road Blacon Chester CH1 5XA Lead Inspector Val Flannery Unannounced 26 May 2005 09:25 th 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. Florence Grogan House F51 F01 S6510 Florence Grogan House V228520 260505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Florence Grogan House Address Shelley Road Blacon Chester CH1 5XA 01244 390177 01244 380173 www.clsgroup.org.uk CLS Care Services Limited 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) Mrs Jennifer Jobber Care Home Only 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Physical disability (1) Dementia (5) Dementia - over 65 years of age (10) Florence Grogan House F51 F01 S6510 Florence Grogan House V228520 260505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 The home is registered for a maximum of 40 service users to include:Up to 30 service users in the category OP (Old age, not falling within any other category) to be accommodated in the main unit. 1 named service user in the category PD (Physical disability under 65 years of age) may be accommodated within the overall number of registered places (in the main unit) Up to 10 service users in the category DE(E) (Dementia over 65 years of age); can include up to 5 service users in the category DE (Dementia under 65 years of age) to be accommodated in the Eastgate Wing 2 The service should, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection Date of last inspection 22 September 2004 Brief Description of the Service: Florence Grogan House cares for forty older people, ten of whom are cared for in Eastgate Wing which is a separte unit for residents with dememtia. Located in a residential area of Chester the home is close to shops and other local amenities. There is a bus route to Chester city centre. The home is on two levels and there is a passenger lift to the first floor. Residents are accommodated on both floors. There are a variety of aids and adaptions around the home for residents with mobility problems. All the bedrooms are single. There are enough toilets and bathrooms for use by the residents. Staff are on duty twenty fours a day to care for residents Florence Grogan House F51 F01 S6510 Florence Grogan House V228520 260505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over eight and half hours which included feedback to the manager and senior care team leader on the 8th June 2005. The inspection was carried out as part of the yearly inspection process. One hour was spent planning the inspection, this included reading previous inspection reports and reviewing the service history for the home. During the inspection eight residents, three relatives and four of the staff on duty were spoken with. Residents care needs were discussed with the staff. A partial tour of the building took place, staff and residents records were also inspected. What the service does well: The residents and relatives spoken with said the service offered by the home has improved over the last few months. Since the present manager came to work in the home residents and staff are kept better informed and are able to discuss their concerns and worries more easily. Residents said staff, on the whole, listen to them and take action to deal with their problems. The relatives spoken with said staff are ‘caring and kind’. Procedures for the recruitment of staff are robust and provide safeguards for the safety of residents. A programme of staff training is available and staff are encouraged to attend these courses. The pre-admission assessment carried out by senior staff ensures the home is aware of, and able to meet, the residents care needs. Residents are offered a choice and variety of meals. Residents said the activities co-ordinator arranges activities both for groups and individual residents. Bedrooms are warm, clean and contain residents’ personal possessions. The communal areas such as lounges, dining area and bathing/toilet facilities are also kept clean and tidy. Eastgate Wing cares for ten residents with dementia. Although it is part of Florence Grogan House it operates as a separate unit with its own staff group. Residents were relaxed and at ease in Eastgate Wing. Staff were sitting with residents reading, listening to music or chatting. The senior care team leader for Easgate has attended a range of training courses and conferences on caring for people with dementia. Florence Grogan House F51 F01 S6510 Florence Grogan House V228520 260505 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. Florence Grogan House F51 F01 S6510 Florence Grogan House V228520 260505 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 Florence Grogan House F51 F01 S6510 Florence Grogan House V228520 260505 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) 1/3/4/5/ The admission procedure includes a pre-admission assessment of the care needs of the residents which ensures the home can meet these needs. Residents are able to visit the home before moving in and see the facilities and standard of accommodation offered. EVIDENCE: Six residents and three relatives spoken with said they were made aware of the services provided by the home, before making a decision about moving in. The pre-admission information seen showed that the assessed needs of residents were identified and recorded in their plans of care. Residents also said that staff from the home had visited them and told about the services offered. Residents and relatives said they were able to visit the home before making a decision about moving in. Two residents said they were unable to visit the home before moving in because of their personal circumstances. A copy of the statement of purpose and service user guide was available. The manager confirmed that they are awaiting the delivery of the updated version of these documents. Florence Grogan House F51 F01 S6510 Florence Grogan House V228520 260505 Stage 4.doc Version 1.30 Page 9 Staff spoken with were aware of residents assessed care needs and were able to comment on the plans of care. Florence Grogan House F51 F01 S6510 Florence Grogan House V228520 260505 Stage 4.doc Version 1.30 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) 7/8/9/10 Residents’ health and social care needs are identified and are set out in the plans of care. These needs are met by the home. Residents are treated with respect and their dignity is upheld by staff. EVIDENCE: Six of the residents spoken with said they are able to request visits from doctors, nurses and other health professions as necessary. Plans of care showed that resident’s health and social care needs have been identified and recorded. Also recorded was the reason for the visit and the prescribed treatment. The care team leader was seen administering medication to residents in a satisfactory manner. A sample of the record of medication of medication administered by staff was seen, some recording issues were addressed by the senior member of staff during the visit. Residents said the activities programme has improved since the appointment of an activities co-ordinator. They said they are asked by the co-ordinator what activities they would like organised, these can include group and individual events. On the day of the visit residents from the home and another Florence Grogan House F51 F01 S6510 Florence Grogan House V228520 260505 Stage 4.doc Version 1.30 Page 11 CLS home in Chester played bingo in the afternoon. Also as it was a residents’ birthday the home provided a cake, cards and a present. Eight residents spoken with said they are treated with respect by staff, also that they are in control of their daily lives. Some of the comments made by residents included ‘can get up, go to bed when I like’, ‘Am able to please myself where I spend my time’ and ‘I can go the local shops as long as I tell staff when I leave the building’. A risk assessment was not in place for a resident who has bed rails (See Recommendation Number 1) Florence Grogan House F51 F01 S6510 Florence Grogan House V228520 260505 Stage 4.doc Version 1.30 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) 12/13/14/15 The residents receive an improved service which offers them a varied lifestyle. Residents are consulted on daily activities and how they wish to live their daily lives. EVIDENCE: Residents spoken with said there had been an overall improvement in the quality of their daily life since the new manager took over. This includes more consultation via residents meetings and residents supported to live their daily lives as they wish. A number of residents also said that ‘things are better because fewer agency staff work the home’. One relative said they ‘were very well satisfied with the care given to their relative’. Three relatives spoken with said they are able to visit the home as they wish and are able to meet with the residents in private. Residents plans of care showed that relatives, where appropriate, are invited to attend reviews and are kept informed of events that may effect the residents. During the visit residents were seen moving freely about the home. Residents spoken with said they could choose where they spend their time, when and where they eat and if they wish to join in the activities. Care plans showed that residents also choose when to get up and going to bed, this was confirmed by residents spoken with. Staff were observed assisting residents with Florence Grogan House F51 F01 S6510 Florence Grogan House V228520 260505 Stage 4.doc Version 1.30 Page 13 dressing, using the bathroom and eating. This was done is a quiet and caring manner. The menus seen showed that residents are offered a choice of meals on a daily basis. A number of residents said that, on the whole, the quality and quantity of food offered is good. Florence Grogan House F51 F01 S6510 Florence Grogan House V228520 260505 Stage 4.doc Version 1.30 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 Satisfactory arrangements are in place to respond to complaints and adult protection issues. The procedure enables residents, relatives, staff and other visitors to raise concerns which responded to by the home. EVIDENCE: The home has a complaints procedure which includes details on to contact the Commission for Social Care Inspection. Residents, relatives and staff spoken with said they are able to raise worries and concerns with the manager. They also said that these are taken seriously and acted upon by the manager. The record of complaints showed that two residents had raised concerns about another resident, this was dealt with satisfactorily by the homer. CSCI have not received any complaints about the home. A box is located in the entrance area where people have the opportunity to put their written comments on the service offered. An adult protection procedure has been provided by CLS Care Services, this includes a copy of the government guidelines ‘ No Secrets’. Staff spoken with were aware of the adult protection procedure. Florence Grogan House F51 F01 S6510 Florence Grogan House V228520 260505 Stage 4.doc Version 1.30 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) 19/20/21/22/23/24/25/26/ A safe and comfortable environment is provided for residents. Sufficient bathrooms and toilets are provided for residents. EVIDENCE: The home is well maintained and provides residents with a safe environment. On the day of the visit it was free from unpleasant smells. The three relatives spoken with said the ‘home is always spotless and clean’. Communal lounges are provided on both floors, these are close to residents bedrooms and can be used by them at any time. A large dining room is located on the ground floor next to the kitchen. This is also used for group activities such as bingo. All the bedrooms are single, the rooms seen contained residents personal possessions, for example, pieces of furniture, televisions and family photographs. Some residents said their bedrooms are small and that they could use extra space. A number of residents confirmed that they were offered a key to their bedrooms. Florence Grogan House F51 F01 S6510 Florence Grogan House V228520 260505 Stage 4.doc Version 1.30 Page 16 Bathrooms and toilets are located around the home and within reach of bedrooms and communal areas. A number of residents have been assessed as requiring staff help when using these areas. The bathrooms in Eastgate Wing have recently been redecorated by the staff, this has improved the appearance of these areas. The senior member of staff for Eastgate Wing said there are plans to replace the carpets in the corridors of the unit. Hoists, bath lifting aids, grab rails and wheelchairs are provided for residents with mobility problems. Care call points are located in bedrooms, bathrooms, toilets and communal areas. A secure outdoor area is provided for use by residents. The paths of the outdoor area in Eastgate Wing are uneven and could be a danger to residents with mobility problems (See Recommendation Number 2). Some carpets and paintwork in the corridors is showing signs of wear and tear, these areas would benefit from maintenance work (See Recommendation Number 3) Florence Grogan House F51 F01 S6510 Florence Grogan House V228520 260505 Stage 4.doc Version 1.30 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) 27/28/29/30 Staff are employed in sufficient numbers to ensure the health and safety of residents. Staff recruitment procedures provide safeguard for the protection of residents. EVIDENCE: The rota shows that there are normally one care team leader and two care assistants on duty in the main unit and two staff on duty in Eastgate Wing during the day. Night time cover is one care team leader and one care assistant in the main unit and one care assistant in Eastgate Wing. On occasions the staffing is above these levels. The manager confirmed that staff can transfer between the main unit and Eastgate Unit as required. Support staff including domestic staff, cook, kitchen assistant and office staff are employed in sufficient numbers to meet the homes needs. Residents spoken with said that the staffing situation is getting better as additional permanent staff are appointed. According to residents this ensures staff are aware of their needs and who they are. This means fewer agency staff, who do not know the residents, are needed. However, three residents said that some staff are not very good and require extra training. Three relatives said that staff are’ very kind and caring and keep them informed if the resident is not well’. A record of staff training showed they have attend the following courses: moving/handling, fire safety, food hygiene, dementia training, protection of vulnerable adults. Three staff have achieved NVQ Level 2/3, two staff are Florence Grogan House F51 F01 S6510 Florence Grogan House V228520 260505 Stage 4.doc Version 1.30 Page 18 working towards NVQ Level 3 and eight are working towards NVQ Level 2. Staff personnel files showed that satisfactory checks are carried out which ensures the protection of residents. Florence Grogan House F51 F01 S6510 Florence Grogan House V228520 260505 Stage 4.doc Version 1.30 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) 31/32/33/37/38 The home is run by a manager who is aware of the responsibilities of the role. It as run in the best interest of residents. The manager offers leadership and direction to staff so as to ensure residents are well cared for. EVIDENCE: The current registered manager has worked for CLS Care Services, in a management capacity, for a number of years. She has obtained qualifications and attends training required for the day-to-day running of the home. Residents, relatives and staff commented that the overall running of the home ‘has improved since the manager took over’. They said that more meetings are held where the manager shares information and they are given the opportunity to raise concerns and worries. Also that the manager is available to meet them on an individual basis. Residents said they are consulted about the care offered and that the manager respects their views and opinions. Florence Grogan House F51 F01 S6510 Florence Grogan House V228520 260505 Stage 4.doc Version 1.30 Page 20 Residents gave examples of the changes that have occurred which includes a notice on the board advising them of their rights to see their records. They also commented that staff attitudes and approach has improved which means they receive a better service. A partial tour of the building showed that health and safety issues are addressed. The record of fire safety showed drills, training and regular checks on the fire safety system are carried out. Fire risk assessments are also carried out, for example, on residents’ bedroom doors. Florence Grogan House F51 F01 S6510 Florence Grogan House V228520 260505 Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 3 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 3 3 3 3 3 3 3 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 Standard No 16 17 18 Score 3 x 3 3 3 3 x x x 3 3 Florence Grogan House F51 F01 S6510 Florence Grogan House V228520 260505 Stage 4.doc Version 1.30 Page 22 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation NONE 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 7 19 20 Good Practice Recommendations A risk assesment should be carried out on the bedrails identified during the inspection. The carpets and decoration in some areas of the downstairs corridors should be revamped The path in the garden area of Eastgate Wing should be made even for the safety of residents Florence Grogan House F51 F01 S6510 Florence Grogan House V228520 260505 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Unit D, Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Florence Grogan House F51 F01 S6510 Florence Grogan House V228520 260505 Stage 4.doc Version 1.30 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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