Inspection on 17/07/06 for Gingercroft

This inspection was carried out on 17th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Gingercroft 05/06/08

Gingercroft 30/11/05

Gingercroft 08/06/05

Gingercroft 05/01/05

Gingercroft 03/08/04

Gingercroft 19/02/04

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

CARE HOMES FOR OLDER PEOPLE Gingercroft Wharf Road Gnosall Stafford Staffordshire ST20 0DB Lead Inspector Mrs Kathryn Marks Key Unannounced Inspection 17 July 2006 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 Gingercroft DS0000004946.V302456.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Gingercroft DS0000004946.V302456.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gingercroft Address Wharf Road Gnosall Stafford Staffordshire ST20 0DB 01785 822142 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) gingercroft@ukonline.co.uk Gnosall Health Care Limited Susan Patricia Ecclestone Care Home 14 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (14) of places Gingercroft DS0000004946.V302456.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th November 2005 Brief Description of the Service: Gingercroft is a large detached house that has been extended to accommodate 14 elderly people. The home is situated in the village of Gnosall where there are shops, public houses, a church and a new Health Centre. Service users’ accommodation is located on the ground and first floor of the home offering both single and shared bedrooms, the first floor being accessed via a passenger shaft lift, stair chair lift or staircase. Communal areas consist of a very pleasant dining room that overlooks the patio and two lounges. Bathrooms and toilets are sited on both floors and offer assisted facilities. Externally there are gardens to the side and rear of the home with limited offroad parking. The four General Practitioners who are based at the Village Health Centre own Gingercroft. Information gained from the Care Manager identified that the current fees charged are from £327 to £425 per week. Gingercroft DS0000004946.V302456.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out on Monday 17th July 2006. Comments made by both residents and relatives during the visit and residents/relatives via responses to surveys were of a positive nature, and provided evidence that residents were satisfied with the manner in which services are provided to them at the home: “We are well looked after by staff”, “ Couldn’t be better looked after”, “Staff are marvellous, wonderful”. Relative visiting the home said the standard of care was high. Ten residents and five relatives responded to surveys. The Care Manager provided written information regarding staffing, staff training, menu and dietary provision that was observed by the inspector to be in place at the home. On arrival at Gingercroft, residents were having breakfast and told inspector that they were off to Norbury Junction later that morning (canal junction) for an outing. Individuals who did not wish to go were deciding what they wanted to do. Residents’ accommodation is located on the ground and first floor. Observations of the inspector were that the home was clean and maintained to a high standard. As on previous visit residents’ bedrooms were personalised as individuals wished, with familiar items they had brought to Gingercroft with them. Gingercroft has in place a statement of purpose and service users guide to inform residents and their relatives of the services and facilities the home offers to provide. All service users have a full assessment of their needs carried out prior to admission to the home to ensure that staff and the home can meet the assessed needs of individuals. Residents/relatives are informed in writing of the outcome of assessments. Arrangements are in place for meeting the health and personal care needs of residents and details are recorded in care records. Two residents were case tracked today; one was spoken to, the other was on holiday with her son in Cambridge. All other residents were spoken with. There is a regular programme of social opportunities available for those residents who wish to be involved. Residents are provided with a choice of well-balanced and nutritious food with the cook consulting individuals on a daily basis with regard to personal preferences. Residents confirmed this when talking to the inspector. Gingercroft DS0000004946.V302456.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Ensure that residents’ assessments are retained on files when completed. Within its registered category the home is registered for four residents with dementia. The home must identify the needs of the diverse group of residents and evidence socialisation and activities for residents with dementia. Gingercroft DS0000004946.V302456.R01.S.doc Version 5.2 Page 7 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. Gingercroft DS0000004946.V302456.R01.S.doc Version 5.2 Page 8 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 Gingercroft DS0000004946.V302456.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s Statement of Purpose and Service Users Guide provides prospective residents with details of the services Gingercroft has to offer, enabling an informed decision about admission to be made. Full assessment of residents’ needs is carried out. EVIDENCE: The home’s Statement of Purpose and Service users Guide is given to residents and their relatives, clearly describing the services and facilities Gingercroft is able to offer. Prior to admission a full assessment of individual needs is carried out to ensure that Gingercroft and its staff are able to meet the assessed needs of the prospective resident. Gingercroft DS0000004946.V302456.R01.S.doc Version 5.2 Page 10 Residents are invited to visit the home where possible and staff from the home would visit the prospective resident in their current surroundings. The outcome of the assessment is confirmed to individuals in writing; copies of these letters were seen on residents files. Gingercroft DS0000004946.V302456.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health, personal and social care needs of individuals is well met with evidence of good multi-disciplinary working practices taking place. The systems for the administration of medication are good, with clear detailed arrangements being in place to ensure residents’ medication needs are met. EVIDENCE: All residents at Gingercroft had an individual plan of care that is divided into modules relating to specific areas. Care plans were seen and found to be detailed and informative. These care plans are reviewed on a monthly basis or more frequently if required, meeting the needs of the individual. Risk assessments are carried out and were included in care records in the form of a risk assessment file. All contacts the resident has regarding health and personal care are recorded in care records. Gingercroft DS0000004946.V302456.R01.S.doc Version 5.2 Page 12 Detailed records are in place for the administration of medication all of which is securely stored in a metal trolley. No resident is choosing to self-medicate at this visit. Two residents were case tracked and all records relating to them were seen and accommodation visited. One of the two residents were spoken to, the other was on holiday. Staff completed a Management of Medication course via the Local Pharmacy. Policies are in place to inform staff of systems and procedures. Gingercroft staff access all specialist services at the health centre specialist staff i.e. continence advisor, diabetes nurse, give talks to staff at the home. All residents the inspector talked to said they are treated with dignity and respect. Gingercroft DS0000004946.V302456.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The systems for residents’ consultation in the home are good with a variety of evidence that indicates that residents’ views are sought and acted upon. There was a relaxed and friendly atmosphere with residents moving freely around the home. Contact with the local community is good. The cook at the home provides excellent food with a choice at all meals. EVIDENCE: During conversations with the inspector, residents said that they enjoy the lifestyle they experience at Gingercroft. On arrival at the home this morning residents told the Inspector that they were going by taxi to Norbury Junction on the canal for coffee and to watch the boats this morning. The Inspector joined residents at the junction later in the morning, and during conversations they confirmed that staff consult with them about what is happening in the home. Everyone came back to Gingercroft for lunch. Regular contact is maintained with relatives - one resident went out with his daughter for a ride today. Another resident is on holiday with her son in Cambridge for a week. Gingercroft DS0000004946.V302456.R01.S.doc Version 5.2 Page 14 The home’s menu provides a traditional nutritious diet and residents said they always enjoy their food. Lunch today was cheese pie, bacon, tomatoes and beans. A homemade lemon meringue pie followed this. A variety of alternative choices were provided: salads, jacket potatoes, and coleslaw, and beetroot, ham. Cook and kitchen assistants all have food hygiene training. One resident goes out to Age Concern lunch club once a week. Gingercroft DS0000004946.V302456.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints system in place with some evidence that service users feel their views are listened to. EVIDENCE: The home has a complaints procedure in place that residents confirmed they were aware of during conversations with them. No complaints had been received by the home since the last inspection. Relatives’ questionnaires and feedback from relatives spoken to today evidenced knowledge of the complaints procedure. Residents are protected from abuse by staff awareness and training and the care manager and deputy manager have attended a two-day course on abuse. Policies and procedures are in place at the home to inform staff. Abuse and whistle blowing are all discussed on a one-to-one basis during supervision. All staff attended in-house abuse training delivered by the Care manager who has attended abuse-training course “Investigating Adult Abuse” “Recognition and Prevention of Abuse”. Gingercroft DS0000004946.V302456.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within this home is good, providing residents with an attractive and homely place to live. EVIDENCE: As at the previous inspection the home generally is well maintained and suitable for its stated purpose. There is a programme of routine maintenance and renewal of soft furnishings and equipment. Externally there are attractive gardens a patio area in the shade of the willow tree; tables, chairs, and umbrellas had been provided. There is a lawn and limited parking to the side of the home. Residents’ bedrooms are comfortable and have been personalised as they wish. Gingercroft DS0000004946.V302456.R01.S.doc Version 5.2 Page 17 The Inspector when walking around the home found the environment clean, attractive, homely, and odour free. Residents said the home is friendly and comfortable and you could not be better looked after. Gingercroft DS0000004946.V302456.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff morale at Gingercroft is high with staff on duty working together with residents to enhance their quality of life. EVIDENCE: As at the previous inspection, at the time of this visit to Gingercroft observations of staff identified that staff on duty were as the rota and were sufficient in number to meet the observed needs of individuals in their care. Robust recruitment procedures are in place to employ staff and Criminal Records Bureau checks are carried out along with POVA checks prior to permanent employment being offered. CRB and POVA checks for the last two employees were seen and in order. Application forms and references were also seen. There is a staff-training programme in place with a training matrix being maintained that identifies completed training and training due. The home promotes NVQ training and Dementia Care Training, Challenging Behaviour, Medicines in Care Homes have all recently taken place. Care Manager and the Deputy Manager both have the Care Managers Award. Gingercroft DS0000004946.V302456.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. As at previous visit, the Care Manager is well supported by the proprietors in providing clear leadership throughout the home, with all staff on duty demonstrating an awareness of their roles and responsibilities. EVIDENCE: The Care Manager is experienced and competent to care for older people and has completed her Registered Managers Award. The registered proprietors and care manager ensure so far as is reasonably practicable the health safety and welfare of service users and staff. Gingercroft DS0000004946.V302456.R01.S.doc Version 5.2 Page 20 Residents’ financial interests are safeguarded by the involvement of individuals themselves and their relatives/solicitors. The home does not deal with individual finances. Formal supervision of staff is carried out and records were maintained and seen. Safe working practices are in place and staff had received training in moving and handling, fire safety, first aid, and food hygiene and infection control. Hazardous substances are stored safely. The training matrix identifies all mandatory training is carried out. Gingercroft DS0000004946.V302456.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Gingercroft DS0000004946.V302456.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP12 OP3 Good Practice Recommendations Ensure that the needs of diverse groups of residents are identified and met. Ensure that residents’ assessments are retained on files. Gingercroft DS0000004946.V302456.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Gingercroft DS0000004946.V302456.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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