Inspection on 26/01/06 for Granby Court

This inspection was carried out on 26th January 2006.

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

Granby Court 12/06/07

Granby Court 04/10/05

Granby Court 15/09/04

Granby Court 16/04/04

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

CARE HOMES FOR OLDER PEOPLE Granby Court Granby Road Harrogate North Yorkshire HG1 4SR Lead Inspector Denise Rouse Unannounced Inspection 26th January 2006 10:50am 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 Granby Court DS0000007805.V277652.R01.S.doc Version 5.1 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. Granby Court DS0000007805.V277652.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Granby Court Address Granby Road Harrogate North Yorkshire HG1 4SR 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) 01423 505511 01423 531002 granbycare@aol.com Granby Care Limited Mrs Nicola Wilkins Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48) of places Granby Court DS0000007805.V277652.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th October 2005 Brief Description of the Service: Granby Court is part of a converted and extended large hotel set facing a green park on the outskirts of Harrogate Old Town. It was opened as a home in 1995 and the original conversion was to a very high standard with a good range of facilities. It currently is registered for 48 older people and their accommodation is on three floors served by a shaft lift. Granby Court DS0000007805.V277652.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over 3 hours and was carried out by one inspector, following half a day’s preparation. The registered manager was available for the duration of the inspection. A tour of the premises was completed, which included lounges, communal areas and kitchen. A number of service users and staff were spoken with. Some records were inspected, including staff rotas and training information, kitchen records, care profiles and the complaints procedure. The inspection concluded with a feedback session, involving the registered manager and the regulatory inspector. What the service does well: What has improved since the last inspection? New care documents continue to be introduced, which are extremely detailed and comprehensive. This ensures that care given to the service user is relevant and correct. Granby Court DS0000007805.V277652.R01.S.doc Version 5.1 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. Granby Court DS0000007805.V277652.R01.S.doc Version 5.1 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 Granby Court DS0000007805.V277652.R01.S.doc Version 5.1 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): None of these standards were inspected. EVIDENCE: Granby Court DS0000007805.V277652.R01.S.doc Version 5.1 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): Standard 7 Service users health, personal care and social needs were well documented; their needs were met by well-trained staff. EVIDENCE: New care documentation continues to be implemented. The documentation seen was detailed; it included personal and social care needs of the service user and how these needs would be addressed. There were detailed risk assessments in place, especially pertaining to falls. Nutritional assessments were recorded as required. Care plans were reviewed at least monthly or as the service users needs changed. Evidence of visits from other professionals was documented including the outcome for the service user. Details of service users preferred social activities and hobbies were recorded. Granby Court DS0000007805.V277652.R01.S.doc Version 5.1 Page 10 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): Standard 12 15 Service users receive a well-balanced appealing diet; their social cultural and recreational needs are met. EVIDENCE: Service users and their visitors were seen to be socializing within the bar area and enjoying aperitif’s prior to lunch being served. There was a quite library area, which was well stocked with books including large print publications, which were changed on a monthly basis at a local library. An activities programme was displayed at reception and throughout the home. Entertainment included singers providing concerts, quizzes and board games, exercise to music and Holy Communion was also available. A list of films was also displayed; these would be screened within the cinema and included classic films as well as new films. Service users could also gain a drink from the bar whilst using this facility. The activities co-ordinator was seen to be encouraging service users to attend a quiz after lunch on the day of the inspection. Granby Court DS0000007805.V277652.R01.S.doc Version 5.1 Page 11 There was a hairdresser’s salon within the home; two hairdressers attend the home twice a week. One of which was attending the home on the day of the inspection. A service user stated that “ the hairdresser is very good, I always look a million dollars once I have had my hair done”. The services of a beauty therapist were also available. Service users could also be escorted to salons within Harrogate, if they wished. The kitchen was inspected it was clean and tidy. Records of fridge and freezer temperatures were examined. The core temperature of cooked meats was being taken and recorded. Larders and walk in freezers were well stocked with food. Daily and weekly cleaning was undertaken; deep cleaning was also scheduled on three evenings per week. Food being prepared for lunch looked appetizing and very well presented. The Chef had the relevant information regarding service users with special dietary needs. Puree diets were prepared and were seen to be displayed well on the plate. Morning coffee afternoon tea and supper was also available. There was a good choice of food on the menu, which was changed on a weekly basis to include seasonal fruit and vegetables. Service users also request favourite dishes to be included within the menu. Service users could take their meals within the beautifully presented dining area, or in their own rooms. Cloth napkins and wine glasses were displayed upon the tables. Gentle classical music was playing within the dining area prior to and during the lunchtime service. One service user stated “The food is excellent, we are served lunch in the correct manner and items are cleared away correctly.” Visitors could eat with service users if they wished. Granby Court DS0000007805.V277652.R01.S.doc Version 5.1 Page 12 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): Standard 16 Service users can be assured that their complaints or concerns would be promptly investigated and appropriate action taken to safe guard their wellbeing. EVIDENCE: There have been no complaints received since 2004. It was noted that all complaints documented had been dealt with immediately, and resolved on the same day that the complaint was received. The records inspected contained information about the nature of the complaint and the investigation process undertaken by the staff. The outcome of the complaint, and if the service user was satisfied with this process. The policy relating to the complaints procedure was examined. The timescale for concluding complaints was added to the policy at the time of the inspection. Granby Court DS0000007805.V277652.R01.S.doc Version 5.1 Page 13 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): None of these standards were inspected. EVIDENCE: Granby Court DS0000007805.V277652.R01.S.doc Version 5.1 Page 14 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): Standard 28 Service users can be assured that they are in safe hands, and are cared for by a dedicated team of well-trained staff. EVIDENCE: Service users were cared for by well-trained staff. A dedicated part time training officer encourages and supports care staff to undertake and complete Induction and foundation training. The training officer and the registered manager ensure the training is completed to a high standard before signing this off. Over 50 of care staff hold a National Vocational Qualification in Care at level 2 or 3. This helps to ensure that personal care delivered to service users is of a high standard, individualized and holistic. Granby Court DS0000007805.V277652.R01.S.doc Version 5.1 Page 15 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): None of these standards were inspected. EVIDENCE: Granby Court DS0000007805.V277652.R01.S.doc Version 5.1 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 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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 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 Standard No Score 16 3 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Granby Court DS0000007805.V277652.R01.S.doc Version 5.1 Page 17 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. Refer to Standard Good Practice Recommendations Granby Court DS0000007805.V277652.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Granby Court DS0000007805.V277652.R01.S.doc Version 5.1 Page 19 - 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!