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 Poor. 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.
CARE HOMES FOR OLDER PEOPLE
Granby Court Extended Care Unit Granby Road Harrogate North Yorkshire HG1 4SR Lead Inspector
Denise Rouse Unannounced Inspection 26th January 2006 13.05 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 Extended Care Unit DS0000027931.V280147.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 Extended Care Unit DS0000027931.V280147.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Granby Court Extended Care Unit 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 536361 01423 531002 granbyecu@aol.com Granby Care Limited Mrs Suzanne Ott Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41), Physical disability (41) of places Granby Court Extended Care Unit DS0000027931.V280147.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Age range for Service Users in category (PD) and in receipt of nursing care is 50 years upwards. 4th October 2005 Date of last inspection Brief Description of the Service: Granby Extended Care provides nursing care for up to 41 clients. The service adjoins Granby Court and provides both permanent and respite/convalescence care. The home is situated on three floors and has comfortable lounge and dining areas. The bedrooms have en suite facilities in addition to assisted bathrooms. A physiotherapy room is also available. Granby Court Extended Care Unit DS0000027931.V280147.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 one hour fifty-five minutes. A half days preparation was undertaken prior to the inspection. The registered manager and deputy manager assisted with the inspection process. A tour of the building was undertaken. Staff, service users and a visitor were spoken with. Records examined included staff rotas, activities programme and information within the reception area relating to the home. The policy regarding visiting was also observed. At the end of the inspection a feedback session was undertaken with the registered manager, deputy manager and regulatory inspector. What the service does well: What has improved since the last inspection?
A learning resource area has been created for staff to utilize. This was stocked with educational material. Granby Court Extended Care Unit DS0000027931.V280147.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 Extended Care Unit DS0000027931.V280147.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 Extended Care Unit DS0000027931.V280147.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 Extended Care Unit DS0000027931.V280147.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): None of these standards were inspected. EVIDENCE: Granby Court Extended Care Unit DS0000027931.V280147.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): Standards 12 13 15 Service users interests and needs were met; Food provided was of a high quality, and served within the service users choice of environment. EVIDENCE: The home has an activities programme available to service users. The activities were being provided through the residential unit, the activities co coordinator was due to re commence her duties imminently. Activities would then be available without service users leaving the unit. Care staff had provided activities over the Christmas period upon the unit. They continue to provide activities whenever possible. Service users maintain links with the local community. Visitors were welcome at any time. There was also a guest flat available for relatives who wished to visit service users, but live a long way from Harrogate. This facility could also be utilized when a service users condition was deteriorating and family need to be close at hand to spend quality time with the service user. Information relating to Advocacy services was displayed throughout the building. Granby Court Extended Care Unit DS0000027931.V280147.R01.S.doc Version 5.1 Page 11 The food was provided to service users via the main kitchen situated within the adjoining unit ,Granby Court. It was transported a short distance within a hot trolley to a well designed dining area. Service users could eat within their own bedroom, or have their meal in the dining area. Assistance would be given to service users in an unhurried manner. Family and friend could eat with service users if they desired. Breakfast was served to service users in their bedrooms to allow them to rest, if they wished they could go to the dining area. Morning coffee, afternoon tea and supper was provided for service users. Special dietary needs were catered for. The kitchen was inspected, it was clean, tidy and all relevant records pertaining to cleaning schedules, fridge and freezer temperatures were recorded. Records of cooked meat temperatures were also inspected. The chef had a record of service users who required special diets. This included diabetic and puree meals. The food was presented well and looked appetizing. Service users stated, “The food is good”. Granby Court Extended Care Unit DS0000027931.V280147.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): None of these standards were inspected. EVIDENCE: Granby Court Extended Care Unit DS0000027931.V280147.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 Extended Care Unit DS0000027931.V280147.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 are in safe hands, and are cared for by well-trained staff. EVIDENCE: Induction and foundation Training was provided to care staff, this was well documented. The training officer and the registered manager ensures that care staff complete the induction training within the correct time frame, before signing this training off. The training officer was available on a part time basis to encourage and support care staff to achieve the National Qualification in Care at level 2 or 3. The home has achieved the recommended 50 ratio of staff holding this qualification. Granby Court Extended Care Unit DS0000027931.V280147.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): Standard 38 Service users may be placed at risk due to bedroom doors being held open by inappropriate means. EVIDENCE: This standard was not fully inspected, however during a tour of the building it was noted that one service users bedroom door was held open by a chair. The service user had asked that the door remained open; staff needed to observe her condition easily. The bedroom door had a sign on it stating it was a fire door and should remain closed. The service user therefore may be placed at risk by the fire door being held open by inappropriate means. This was discussed with the registered manager and deputy manager. Advice must be gained from the necessary authorities to ensure a system can be adopted to ensure service users safety is maintained if bedroom doors need to remain open.
Granby Court Extended Care Unit DS0000027931.V280147.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 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 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 1 Granby Court Extended Care Unit DS0000027931.V280147.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. 1 Standard OP38 Regulation 23 (4) (a) 13 (4) (a) Requirement The registered manager must ensure that service users are not placed at risk of fire by bedroom doors being propped open by inappropriate means. Timescale for action 26/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Granby Court Extended Care Unit DS0000027931.V280147.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
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