This inspection was carried out on 28th January 2010.
CQC found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: Granby Care Home 50 Selborne Street Liverpool Merseyside L8 1YQ two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Debbie Corcoran Date: 2 8 0 1 2 0 1 0 Information about the care home
Name of care home: Address: Granby Care Home 50 Selborne Street Liverpool Merseyside L8 1YQ 01517093988 Telephone number: Fax number: Email address: Provider web address: denise.lamphier-osborne@liverpool.gov.uk Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Liverpool City Council care home 30 Number of places (if applicable): Under 65 Over 65 30 old age, not falling within any other category Conditions of registration: 0 The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 30 Date of last inspection Brief description of the care home Granby Care Home is a purpose built property owned and managed by Liverpool City Council. It is situated in the Granby area of Liverpool, and is close to shops, local amenities and other facilities. Accommodation comprises of 30 bedrooms, which are divided into three self-contained units linked by a central area called the atrium. The atrium serves many purposes and is used for social gatherings and activities, sitting, reading or meeting with family and friends. Each unit has 10 bedrooms all with ensuite facilities, shower washbasin and toilet. All bedrooms are furnished but service
Care Homes for Older People Page 2 of 9 Brief description of the care home users can bring their own furniture, if it meets the required safety standard. There are two lounges in each unit and a dining room with kitchenette were light refreshments can be made. There is one designated smoking areas at the home. The units also have a large bathroom and toilet, one of which provides assisted bathing facilities. A utility room with a washing machine and dryer is available for service users who choose to do their own laundry. The home is centrally heated throughout. The home has been designed to meet the needs of service users from all cultures and religions and a multi faith prayer room is available. All utility services are sited on the ground floor there are offices and a staff room on the second floor, which can be accessed by a lift. The home has a bedroom for visitors who may wish to stay overnight. The home stands in its own grounds and there is a small car park to the front of the building. There are garden areas at various points around the home. It costs GBP359.00 per week to live at the home Care Homes for Older People Page 3 of 9 What we found:
We visited the home following receipt of a number of concerns with regards to the care provided. These concerns had been shared with us by Liverpool Social Services adult safeguarding team. Most of the concerns had already been investigated by Liverpool Social Services and we therefore wanted to look at what action had been taken as a result. The original concerns related to staff practise in supporting people residing at the home. Following investigation these became concerns with regards to poor care planning, poor documentation of pressure area care and catheter care and a lack of management. We looked at the care plans for two of the people who use the service and we spoke with the manager and a unit manager. We also spoke with a more senior manager within Liverpool Social Services who is manager over a number of residential services. We looked at the pre admissions assessment information for one of the people who had recently been admitted to the home. This included minimal information as to the needs of the person and did not include information as to the persons condition on admission to the home. The needs assessment and admissions procedures need to be developed so as to ensure all appropriate information on the needs of the person is clearly documented. We looked at the care plans for two of the people using the service who we were informed had a pressure are. The care plans did not include important pieces of information with regards to pressure area care and there were also no risk assessments with regards to pressure areas. It is important that information on pressure area care is clearly documented as part of a persons care plan in order to demonstrate that the persons needs are being met and to inform staff of how to support the person. Not having information on how to support a person who has pressure areas or may be prone to these could compromise the health and wellbeing of the person. A senior manager informed us that they had taken steps to implement new care plans for all service users and a number of these were in the draft stage and would be finalised as soon as possible. Following the visit an example of an updated care plan was sent to us. An action plan detailing how some of the safeguarding concerns had been addressed was also forwarded to us. From the action plan we could see that action had been taken in response to the safeguarding concerns. However, there may be outstanding issues with regards to staff practice and these need further investigation following liason between the service manager and the safeguarding team. We found that over the period of time when the concerns were raised there had been a number of absences of managers within the service. At the time the visit this had been addressed as an interim manager had been brought in to manage the home in the absence of the registered manager and two other managers had returned to work following an absence. The home was therefore back to its usual management levels. What the care home does well:
The purpose of the visit was to look at specific areas of concern as reported in what we
Care Homes for Older People Page 4 of 9 found What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 9 13(2) Records for the administration of medicines must be complete and accurate Where medicines are refused or not given the reasons for this should be clearly documented. This protects people by reducing the risk of mistakes and helping to ensure medicines are given properly. (Not assessed on this occasion). 11/09/2009 2 12 12(1) Activities must be offered to residents on a regular basis in order to keep them stimulated. (Not assessed on this occasion). 28/07/2009 3 30 18 (c) Staff must receive training 28/07/2009 appropriate to the work they perform and that it is updated at the appropriate intervals. A programme outlining dates of when this training is to be undertaken should be submitted to CSCI. (Not assessed on this occasion). Care Homes for Older People Page 6 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 3 14 The registered person shall 28/02/2010 not provide accomodation to a service user unless the needs of the service user have been appropriately assessed. To ensure the needs of the person have been clearly identified and can be met appropriately. 2 8 15 Care plans must set out in 28/02/2010 detail the actions which need to be taken to ensure that all apsects of the service users health care needs are met. So at to protect the health and wellbeing of people living at the home. 3 18 13 The registered provider must 28/02/2010 ensure safeguarding concerns are fully investigated in line with Local Authority procedures. To safeguard the health, safety and wellbeing of the people using the service. Care Homes for Older People Page 7 of 9 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 4 31 38 The registered provider must 28/02/2010 ensure the service is managed by an appointed person at all times in the absence of the registered manager. To ensure the service is appropriatley managed at all times. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 8 Risk assessments in relation to the care provided to people living at the home should be developed to include information as to the prevention of pressure areas and pressure area care and catheter care. Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
