Inspection on 23/06/05 for Graceland Care Home

This inspection was carried out on 23rd 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

Graceland Care Home 27/07/06

Graceland Care Home 12/12/05

Graceland Care Home 08/02/05

Graceland Care Home 11/05/04

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

CARE HOMES FOR OLDER PEOPLE Graceland Care Home Belmangate Guisborough TS14 7BB Lead Inspector Julia Connor Unannounced 23 June 2005 10:10 am 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. Graceland Care Home B51-BO1 SN169 Graceland VN234326 230605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Graceland Care Home Address Belmangate, Guisborough. TS14 7BB 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) 01287 639351 01287 635647 Paramount Agency Services Limited Mrs Joan Parvin Care Home 53 Category(ies) of DE(E) Dementia over 65 & DE Dementia registration, with number of places Graceland Care Home B51-BO1 SN169 Graceland VN234326 230605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th February 2005 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 three dining rooms, one on the first floor and two 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 B51-BO1 SN169 Graceland VN234326 230605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection commenced at 10.10 a.m. and concluded at 2.25 p.m. Two Residents, one visitor and three members of staff were spoken to during the inspection. Two other visitors to the home were heard by the Inspector telling the Manager that they didn’t wish to speak to the Inspector, as they were happy with the home. What the service does well: 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. Graceland Care Home B51-BO1 SN169 Graceland VN234326 230605 Stage 4.doc Version 1.30 Page 6 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 Graceland Care Home B51-BO1 SN169 Graceland VN234326 230605 Stage 4.doc Version 1.30 Page 7 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 and 3 Prospective Residents and their representative have the information they need to make an informed choice about where to live. Residents have their needs assessed prior to their admission to the home. EVIDENCE: The home has a statement of purpose and a Service User Guide, which can be accessed by anyone who wishes to know what facilities and services the home can offer. Residents had been assessed by the appropriate professional prior to being admitted to the home. Graceland Care Home B51-BO1 SN169 Graceland VN234326 230605 Stage 4.doc Version 1.30 Page 8 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 and 8 The Residents health and personal care needs are recorded appropriately, and their health needs are met. EVIDENCE: The assessments audited contained the required information. Care plans were written once a need had been identified within the assessment process. Risk assessments had been written once a risk had been identified in the assessment process or following an evaluation of a care plan. Care plans are reviewed as stipulated in the care plan. Doctors, District Nurses, Chiropodists etc are requested to visit the Resident as and when necessary. Graceland Care Home B51-BO1 SN169 Graceland VN234326 230605 Stage 4.doc Version 1.30 Page 9 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 and 15 Activities take place within the home on a regular basis and appear to be varied and can be on a one to one basis or as a group activity. The Residents receive a wholesome and well balanced diet. EVIDENCE: The home employs an activity organiser. There was a list on the wall in the foyer stating what activity would take each day covering the full month. There was a photo album available which showed the Residents enjoying activities such as baking and outings with the staff. There was a poster on the wall, which had recorded the Residents memories of the Second World War. One Resident told the Inspector how she had enjoyed playing golf when she had been younger but was not up to it any more. On the day of the inspection the lunch was cheese and onion flan or beef casserole with a choice of rice pudding or a yoghurt for dessert. There was also two choices of main meal and dessert for the evening meal. Graceland Care Home B51-BO1 SN169 Graceland VN234326 230605 Stage 4.doc Version 1.30 Page 10 Staff was available to offer assistance to those Residents that required help. The Inspector asked one Resident if she had enjoyed her lunch and was told yes, this Lady went onto tell the Inspector that all of the staff were her very good friends A visit to the Kitchen showed that it was clean and tidy. There was a good stock of food both fresh and dried. The cook makes her own quiche, cakes and scones. Graceland Care Home B51-BO1 SN169 Graceland VN234326 230605 Stage 4.doc Version 1.30 Page 11 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 and 18 Policies and Procedures are in place for staff to follow should they receive a complaint. The staff have a good knowledge of the action to take should they become aware of abuse within the home. EVIDENCE: There have been no complaints regarding the home in the last twelve months. There is a policy and procedure in place for the staff to follow should they receive a complaint. Policies and procedures are in place in relation to adult protection and prevention of abuse. There is also a policy on whistle blowing and staff spoken to stated that they were aware of these policies and explained the action to take should they witness any form of abuse taking place within the home. The staff has received training in Abuse, this was recorded in their training files and confirmed by the staff that spoke to the Inspector. The home has a copy of the Teeswide No Secrets Protection of Vulnerable Adults guidance. Graceland Care Home B51-BO1 SN169 Graceland VN234326 230605 Stage 4.doc Version 1.30 Page 12 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 and 24 Residents live in a well-maintained environment and have access to a pleasant patio area. Bedrooms have been personalised by the Residents family. EVIDENCE: The home is currently on a redecorating and refurbishment programme. lounge chairs and corridor carpets have been ordered. New The Residents who share a bedroom have a curtain, which can be drawn to ensure that privacy and dignity is maintained. The bedrooms have been personalised by the Residents family members. Graceland Care Home B51-BO1 SN169 Graceland VN234326 230605 Stage 4.doc Version 1.30 Page 13 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) 28 and 30 Staff is being trained to NVQ level 2 which should ensure that they can meet the Residents needs. EVIDENCE: 65 of the care staff have their NVQ Level 2 or 3, the remaining staff are currently studying for their NVQ Level 2 or 3. An audit of six training files showed that induction and training takes place, both mandatory training (fire and manual handling) as well as Resident specific training such as wound care, eye care, nutrition and Elder Abuse. Graceland Care Home B51-BO1 SN169 Graceland VN234326 230605 Stage 4.doc Version 1.30 Page 14 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, 33 and 36 The home is managed by a person who is fit to be in charge. There is a quality audit which is accessible to those who wish to read it. The Staff are appropriately supervised. EVIDENCE: The Manager has the required nursing and management qualification to ensure that the needs of the Residents are fully met. The staff spoke highly of the Manager. There is a quality assurance and quality monitoring system in place within the home. There are comment cards on the reception desk as you enter the home. The audits cover the different departments within the home e.g., Residents care documentation, the kitchen and the environment. Graceland Care Home B51-BO1 SN169 Graceland VN234326 230605 Stage 4.doc Version 1.30 Page 15 The care staff receive regular formal supervision. This was evidenced within the personnel files and confirmed by the staff that spoke to the Inspector. Graceland Care Home B51-BO1 SN169 Graceland VN234326 230605 Stage 4.doc Version 1.30 Page 16 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 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 x x 3 x x STAFFING Standard No Score 27 x 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 3 x x 3 x x Graceland Care Home B51-BO1 SN169 Graceland VN234326 230605 Stage 4.doc Version 1.30 Page 17 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 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 Good Practice Recommendations Graceland Care Home B51-BO1 SN169 Graceland VN234326 230605 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Unit B - 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. 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