Inspection on 04/10/05 for Granby Court

This inspection was carried out on 4th October 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

Granby Court 12/06/07

Granby Court 26/01/06

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 David White Unannounced 4 October 2005 09:30 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. Granby Court 20051004 Granby Court X00015 UN Stage 4 S7805 V248385 J53.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Granby Court Address Granby Road Harrogate North Yorkshire HG1 4SR 01423 505511 01423 531002 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) Granby Care Limited Mrs Nicola Wilkins Care home only 48 Category(ies) of OP Old age (48) registration, with number of places Granby Court 20051004 Granby Court X00015 UN Stage 4 S7805 V248385 J53.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 15/09/04 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 20051004 Granby Court X00015 UN Stage 4 S7805 V248385 J53.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 2.5 hours. Four residents, a relative, a member of care staff and the registered manager were spoken to. The care records of two residents were looked at as well as other documentation and the inspector looked around the environment. What the service does well: All the residents said that the “care was very good and that staff were always cheerful, helpful and polite”. Residents are encouraged to be independent and to make their own choices. Residents felt that the home’s living environment was “very pleasant” and that the bedrooms offered “lovely views”. Residents enjoy a range of activities. Good pre-admission procedures mean that residents are only admitted if the home is able to meet their needs. Care planning documentation is detailed so that staff are clear about how residents are to be cared for. Residents receive a high standard of care from well-trained staff. The home continually looks at ways of improving services through a number of systems that seek the views of residents, relatives and others. Residents and staff felt that the management of the home was “good and supportive”. Granby Court 20051004 Granby Court X00015 UN Stage 4 S7805 V248385 J53.doc Version 1.40 Page 6 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. Granby Court 20051004 Granby Court X00015 UN Stage 4 S7805 V248385 J53.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Granby Court 20051004 Granby Court X00015 UN Stage 4 S7805 V248385 J53.doc Version 1.40 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 standard(s) 3 and 6 Information published by the home together with a detailed pre-admission assessment procedure was very good providing residents and prospective users of the service with a clear indication of the care, services and facilities on offer in the home and assuring them that their needs would be met. EVIDENCE: The home has detailed information together with a thorough pre-admission assessment procedure. The admission procedure is carried out by either the registered manager or her deputy and is thorough so ensuring that new residents are properly assessed and that staff are fully aware of their needs. Information from other sources such as a GP is obtained as part of the preadmission assessment process. Specialist equipment is provided where appropriate to meet the needs of the residents. A recently admitted resident said that she and her family were given a chance to visit the home and had been provided with information about the services on offer before making a decision about moving into the home. The home does not provide any form of intermediate care. Granby Court 20051004 Granby Court X00015 UN Stage 4 S7805 V248385 J53.doc Version 1.40 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 standard(s) 7, 8, 9 and 10 The physical and health care needs of residents including medication were well recorded and acted upon by respectful staff promoting good health. EVIDENCE: The two care plans inspected had detailed information about the needs of individual residents and how these were to be met. Risk assessments covering a number of aspects of daily living were also available. The risk assessments in reducing the risk from falls were specific and clearly stated how residents should be assisted with their mobility where required. Care plans included information about dietary needs and the likes and dislikes of each resident. One resident spoken to was diabetic and kept a copy of her blood sugar tests. Reviews of the care plans and risk assessments take place regularly. The registered manager has started to introduce new care planning documentation which will make access to information easier and will provide staff with more detailed personal information about residents’ preferences about how they are to be cared for. Referrals to outside agencies were detailed. All the residents spoken to said that the “care was very good” and “staff are always helpful”. Staff could be seen knocking before entering bedrooms and residents said their privacy was Granby Court 20051004 Granby Court X00015 UN Stage 4 S7805 V248385 J53.doc Version 1.40 Page 10 always respected. A relative visiting the home said that the home was “wonderful” and the care “fantastic” and that she “could not wish for a better home for her relative to live in”. Proper medication procedures were in place for the administration, recording, storage and return of medication. The Medication Administration Records were accurate and up to date. Some residents choose to self-medicate and have locked drawers in their bedrooms to store the medication safely. Granby Court 20051004 Granby Court X00015 UN Stage 4 S7805 V248385 J53.doc Version 1.40 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 standard(s) 12, 13, 14 and 15 Social activities are well organised and provide enjoyment and stimulation for people living in the home. Meals are nutritious and offer a healthy and varied choice for residents. EVIDENCE: Residents are encouraged to maintain their independence and exercise choice about daily living activities. The home has an activities person who has a daily activity programme. Residents spoken to said they enjoyed the flower arranging, bridge sessions and liked the visits from entertainers who perform concerts. There is also a bar area where some residents enjoy having a drink. Some of the residents enjoy outings outside of the home although some prefer to stay indoors. Relatives and visitors are encouraged to visit the home whenever they wish. Each of the residents spoken to said that they are able to live their preferred daily routines and their likes and dislikes are recorded within their care records. The home has a range of food options at each mealtime. All the residents were full of praise about the quality and variety of the meals provided. One resident said the meals were “very good and there is so much of it”. Granby Court 20051004 Granby Court X00015 UN Stage 4 S7805 V248385 J53.doc Version 1.40 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 standard(s) 16 and 18 All complaints and concerns are dealt with appropriately and abuse policies and procedures safeguard resident wellbeing. EVIDENCE: The home has a complaints policies and procedure which residents, relatives and others have access to. The complaints records held by the home contain information about the nature of the complaint, investigations undertaken and actions taken. Residents are aware of who they would need to see if they had any concerns. The home has not had any complaints. Adult protection policies and procedures are in place and staff are given adult abuse training as part of their induction. A member of staff spoken to knew what to do if abuse was suspected. Granby Court 20051004 Granby Court X00015 UN Stage 4 S7805 V248385 J53.doc Version 1.40 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 standard(s) 19 and 26 The home is very clean and exceptionally well maintained to a very high standard so creating a very comfortable and pleasant environment for residents to live in. EVIDENCE: The quality of the accommodation is excellent in design and layout and the home and is attractive, welcoming and comfortable for residents. The home is very well maintained and has undergone extensive work in order for the home to meet with minimum standards and requirements. Fabrics, fittings and furniture are all of a very high standard and well maintained. All the bedrooms seen were very clean and tidy and have en-suite facilities. There are passenger lifts and stair lifts to enable residents to have access to all parts of the home. Good laundry systems are in place for the upkeep of bedding, linen and personal clothing and there were plentiful supplies of aprons, hand paper towels and soap dispensers. Hot water temperatures were properly regulated. The home has sluicing facilities and staff adhere to procedures for preventing risks from cross infection. Granby Court 20051004 Granby Court X00015 UN Stage 4 S7805 V248385 J53.doc Version 1.40 Page 14 Any recommendations made at the last inspections by the fire authority and environmental health authority have been acted upon. Granby Court 20051004 Granby Court X00015 UN Stage 4 S7805 V248385 J53.doc Version 1.40 Page 15 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) 27, 29 and 30 Residents receive a very good standard of care from a well-motivated and enthusiastic staff team. The home’s recruitment procedures protect residents from harm. EVIDENCE: Inspection of the duty rotas and observation showed that the numbers and skill mix of the staff team ensure that resident needs are easily met. Usually there are 9 carers on duty in a morning, 6 on an afternoon and 4 at night. There was a good atmosphere in the home and one resident said “the staff were always cheerful, polite and courteous” and another said she was “very pleased with everything at the home”. Residents felt that there were always enough staff on duty and call bells are responded to promptly. The home employs sufficient numbers of kitchen staff, housekeepers and laundry assistants to help maintain standards of hygiene and cleanliness throughout the home. All staff undergo a range of training. An induction programme is in place for all new staff and a new member of staff was seen having some induction at the time of inspection. This member of staff was spoken to and was able to confirm that senior staff were supervising her until her induction period has been completed. The induction programme is very detailed and covers a number of aspects of working at the home including how to meet the needs of the residents and the values of the organisation. Granby Court 20051004 Granby Court X00015 UN Stage 4 S7805 V248385 J53.doc Version 1.40 Page 16 Two staff files inspected were those of recently appointed members of staff and these contained evidence that two written references and a satisfactory Criminal Record Bureau and POVA check had been obtained before the new members of staff started working at the home. Granby Court 20051004 Granby Court X00015 UN Stage 4 S7805 V248385 J53.doc Version 1.40 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 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, 35 and 38 The home was well managed. The views and opinions of residents and their relatives are listened to and acted upon. Proper attention is given to health and safety in the home promoting a safe environment for residents, staff and visitors. EVIDENCE: The registered manager has been in post for only a short time but had previously worked at the home for eight years, six of these years as a carer and the last two as the deputy manager. She has achieved the Registered Manager’s Award. She feels well supported in her role by her line manager and attends weekly management meetings with the other managers from Granby Care. Residents, relatives and staff spoke well of the management of the home. One resident said that the “manager was always approachable” whilst a member of staff commented that “management support was very good”. Granby Court 20051004 Granby Court X00015 UN Stage 4 S7805 V248385 J53.doc Version 1.40 Page 18 The organisation has a number of quality performance indicators and the home and individual staff aims and objectives are linked to these. Surveys have been sent out to residents and relatives to find out their views about the home. Regular resident and relative meetings are held and a visitor said that comments from these meetings are acted upon. The home has its own internal quality assurance audit system and is regularly assessed and audited as part of maintaining the ISO 2002 Award and the Investor in People Award. Proper regard was given to the promotion and maintenance of a safe and secure environment for residents, visitors and staff. A number of satisfactory safety reports and certificates were seen relating to the premises. Individual and general risk assessments are carried out and recommendations from fire officer and environmental health inspections have been acted upon. All staff have health and safety training from the point of induction. Granby Court 20051004 Granby Court X00015 UN Stage 4 S7805 V248385 J53.doc Version 1.40 Page 19 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 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION 4 x x x x x x 4 STAFFING Standard No Score 27 3 28 x 29 3 30 4 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 4 x 3 x x 3 Granby Court 20051004 Granby Court X00015 UN Stage 4 S7805 V248385 J53.doc Version 1.40 Page 20 N/A 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 None 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 None Good Practice Recommendations Granby Court 20051004 Granby Court X00015 UN Stage 4 S7805 V248385 J53.doc Version 1.40 Page 21 Commission for Social Care Inspection 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 20051004 Granby Court X00015 UN Stage 4 S7805 V248385 J53.doc Version 1.40 Page 22 - 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!