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Inspection on 12/12/05 for Graceland Care Home

Also see our care home review for Graceland Care Home for more information

This inspection was carried out on 12th 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Many of the staff have worked at the home for many years and have a good knowledge of the Residents` they care for. One visitor to the home stated that he had recommended the home to friend`s as he had been so pleased at the care his Mother had received whilst living at the home. This visitor went onto say that he thought that the staff were excellent and that `it was the staff that made the home`. Another visitor to the home stated that the staff looked after her relative well and that she had no complaints. The husband received and with his wife always nicely of a Resident stated that he was happy with the care his wife that he had no complaints. He went onto say that he had lunch when he visited and that the staff made sure that his wife was dressed.

What has improved since the last inspection?

New carpets for the first floor corridors.

What the care home could do better:

Ensure that the home is kept free of offensive odours. To commence a decorating programme for the areas detailed in the body of the report. To renew worn lounge chairs.

CARE HOMES FOR OLDER PEOPLE Graceland Care Home Belmangate Guisborough TS14 7BB Lead Inspector Julia Connor Unannounced Inspection 12th December 2005 11:15a 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 Graceland Care Home DS0000000169.V267962.R01.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. Graceland Care Home DS0000000169.V267962.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Graceland Care Home Address Belmangate Guisborough TS14 7BB 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) 01287 639351 01287 635647 Paramount Agency Services Limited Mrs Joan Parvin Care Home 53 Category(ies) of Dementia (0), Dementia - over 65 years of age registration, with number (0) of places Graceland Care Home DS0000000169.V267962.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Age category for individuals with dementia is age 60 One named individual who is under the age category is allowed to reside in the home. 23rd June 2005 Date of last inspection Brief Description of the Service: Graceland is a care home providing nursing and personal care for older people with mental health needs. It is a two-storey purpose built home providing single and double accommodation for 53 Residents; the 31 single bedrooms are a minimum of 10 sq.m. The 11 double bedrooms are a minimum of 16 sq.m. There is a passenger lift giving access to the upper floor. There are a selection of lounges and two dining rooms, one on the first floor and one on the ground floor. The home is close to local shops and amenities with a car park at the front of the home. Graceland Care Home DS0000000169.V267962.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection commenced at 11.15 a.m. and concluded at 3.50 p.m. Four visitors’ and three members of staff were spoken to during the inspection. Due to their confusion the Residents’ were unable to give the Inspectors’ any information about living at Graceland. However the Inspectors’ observed that the staff treated the Residents’ with kindness and respect. Whilst touring of the building the Inspectors’ noted that there were bedrooms and bathrooms’ that required decorating as well as areas that had offensive odours. What the service does well: What has improved since the last inspection? New carpets for the first floor corridors. Graceland Care Home DS0000000169.V267962.R01.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. Graceland Care Home DS0000000169.V267962.R01.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 Graceland Care Home DS0000000169.V267962.R01.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): Standards 1 to 5 were not assessed during this inspection. Standard 6 is not applicable to Graceland. EVIDENCE: Graceland Care Home DS0000000169.V267962.R01.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 and 10. Medication is dispensed appropriately and Residents’ are protected by the home’s policies and procedures for dealing with medication. Residents’ families feel their relatives’ are treated with respect and their privacy is upheld. EVIDENCE: There is a policy and procedure for the receipt, recording, storage, handling, administration and disposal of medicines. The home has a contract to have unused medication disposed of appropriately. Family members’ who spoke to the Inspectors’ stated that they were happy with the care provided to their relatives and that in their opinion their relative was treated with respect and dignity. The staff were able to demonstrate during discussion that they were aware of the needs of the Residents’ and understood that although the Residents’ could not always voice their opinion or make an informed decision it was important that the Residents’ privacy and dignity was maintained at all times. Graceland Care Home DS0000000169.V267962.R01.S.doc Version 5.0 Page 10 Whilst touring the home the Inspectors’ evidenced that the Residents’ were appropriately dressed for example the female Residents’ had tights or socks if wearing trousers; and all Residents’ had shoes or slippers on. Graceland Care Home DS0000000169.V267962.R01.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): 13, 14 and 15 Residents’ maintain contact with family and friends; and are encouraged to make choices in their every day lives. Residents’ receive a wholesome appealing diet in pleasing surroundings. EVIDENCE: On the day of the inspection there were visitors’ in the home. The visitors’ who spoke to the Inspectors’ stated that they were always made welcome by the staff. Due to the nature of their mental health problems the Residents’ were unable to voice their opinion of the home and the care they received. Family members’ stated that they felt that their relative was offered choice depending on their needs. Staff who spoke to the Inspectors’ stated that they knew the majority of the Residents’ well and so knew their likes and dislikes. However, the staff also stated that there were Residents’ who still had the ability to makes small choices such as what to wear. Graceland Care Home DS0000000169.V267962.R01.S.doc Version 5.0 Page 12 On the day of the inspection the Residents’ appeared to be enjoying their lunch; an alternative choice was available. Staff were available to give assistance to those Residents’ who required it. A visit to the Kitchen showed there was a good stock of food both fresh and dried. It would be beneficial if the Cook dated decanted goods. Graceland Care Home DS0000000169.V267962.R01.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): Standards 16 to 18 were not assessed during this inspection. EVIDENCE: Graceland Care Home DS0000000169.V267962.R01.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): 19, 22, 23 and 26 There are areas within the home that require decorating and carpets that require a deep clean. There are lounge chairs’ that need replacing due to wear and tear. Residents’ bedrooms have been personalised by family members. There are areas within the home that have offensive odours. EVIDENCE: Whilst touring the home the Inspectors’ observed that there were bedrooms and bathrooms that required decorating, which were discussed with the Manager and Provider. There were carpets in bedrooms, dining rooms and lounges that required a deep clean. And there were areas that had an offensive odour. Graceland Care Home DS0000000169.V267962.R01.S.doc Version 5.0 Page 15 Bedroom 2 had a cracked windowpane. The Inspectors’ observed lounge chairs that needed replacing due to general wear and tear. Graceland Care Home DS0000000169.V267962.R01.S.doc Version 5.0 Page 16 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 and 29 On the day of the inspection the Residents’ needs were met by the number and staff mix on duty. The Residents are protected by the home’s recruitment practices. EVIDENCE: An audit of four weeks of the duty rota showed that there were two qualified nurses and seven care assistants on duty for the morning shift, two qualified nurses’ and six care assistants on an evening shift and two qualified nurses’ and three care assistants on a night shift. An audit of four personnel files showed that the home complied with the requirements stipulated in Schedule 2 of the Care Home Regulations 2001. Graceland Care Home DS0000000169.V267962.R01.S.doc Version 5.0 Page 17 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): 35 and 38 Staff at the home does not manage Residents’ financial affairs. The health, safety and welfare of Residents and staff are promoted and protected. EVIDENCE: The Inspector was informed that the Residents’ families take care of financial matters for their relative. There are policies and procedures for the health and safety of Residents’ and staff. Mandatory training for health and safety takes place. The home provided evidence that equipment at the home was maintained on a regular basis. Graceland Care Home DS0000000169.V267962.R01.S.doc Version 5.0 Page 18 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 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 x 2 X X 3 3 X X 2 STAFFING Standard No Score 27 3 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 3 Graceland Care Home DS0000000169.V267962.R01.S.doc Version 5.0 Page 19 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. 1 2 Standard 19 26 Regulation 23 16 Requirement The registered person must ensure that the home is kept reasonably decorated. The registered person must ensure that the home is free from offensive odours. Timescale for action 31/03/06 31/01/06 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 15 19 Good Practice Recommendations It would be beneficial for the Cook to date decanted goods. The registered person should replace the worn lounge chairs. Graceland Care Home DS0000000169.V267962.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 Graceland Care Home DS0000000169.V267962.R01.S.doc Version 5.0 Page 21 - 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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