Inspection on 17/01/08 for Granby Place

This inspection was carried out on 17th January 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Place 15/01/09

Granby Place 24/07/07

Granby Place 20/07/06

Granby Place 08/11/05

Granby Place 16/07/05

Granby Place 08/11/04

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

CARE HOME ADULTS 18-65 Granby Place 1-3 High Street Northfleet Gravesend Kent DA11 9EY Lead Inspector Eamonn Kelly Unannounced Inspection 17 January 2008 11:00 th Granby Place DS0000059719.V353196.R01.S.doc Version 5.2 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 Place DS0000059719.V353196.R01.S.doc Version 5.2 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 Adults 18-65. 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 Place DS0000059719.V353196.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Granby Place Address 1-3 High Street Northfleet Gravesend Kent DA11 9EY 01474 326233 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) http/www.dgsmencap.org.uk DGSM Limited Mrs Rae Sayers Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Granby Place DS0000059719.V353196.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th July 2007 Brief Description of the Service: Granby Place provides accommodation and care for up to 10 people with learning disabilities. It is located in Northfleet High Street and is within easy reach of public transport. Residents have single bedrooms on the ground and first floor. There are sufficient communal areas for staff, residents and visitors. Weekly fees are £621 per week. Residents are additionally charged for hairdressing, chiropody, personal spending, entry costs to some external amenities, cost of their holidays and the cost of holidays for accompanying carers. Granby Place DS0000059719.V353196.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on 17th January 2008. It consisted of meeting with the registered manager (Mrs R Sayers), support workers on duty, an activities co-ordinator and residents. Care practices were observed and discussed. A variety of records was seen during the visit principally those addressing the personal and healthcare support of residents. We received an annual quality assurance assessment (AQAA) from the manager of the service. We required significant improvements during 2007 for the safety and comfort of residents. The service was failing to provide an adequate level of support for all residents and was failing to meet a range of national minimum standards. The changes we required were basic to the levels of support we expect from registered services in their task of caring for vulnerable people. The types of care and support we required for residents were, for example, up-to-date care plans and risk assessments to be in place and used by staff as proper operational tools, the support needs of residents to be identified and properly addressed, relevant specialist services to be used as part of their support, better administration of medication and improvement of the premises so that resident’s needs are met as they become older. Other improvements we required were that, for example, infection control procedures needed to be updated, carers should be trained to meet the needs of residents including those with mental health difficulties and conditions associated with old age, staff training records should be available at the premises, induction training should meet current guidelines, and effective quality assurance systems should be in place to contribute to resident’s health and welfare. We strongly advised the providers to have night staff on duty at night who were awake rather than asleep. They have complied with this request for the safety of residents. We notified the providers of these requirements in 2007. We included timescales after which we would take enforcement action if the timescales were not met. We found during this inspection that sufficient progress was made in the intervening period in meeting our deadlines. However, the providers must ensure that this progress is maintained. This involves, in future, the requirements that only residents whose support needs can be properly addressed can be admitted, that the premises are maintained in a way that serves the needs of people as they become older and that the improvements thus far are used as a starting point for the future safety and comfort of residents. Granby Place DS0000059719.V353196.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The improvements during the latter part of 2007 are acknowledged and care should be taken that this momentum is maintained. The new (sensory) garden paid for by donations will be beneficial to residents, staff and visitors. The previous report indicated that further consideration must be given towards improving the premises for the support of residents as they get older. This includes the recommendation that a passenger lift be installed for their comfort Granby Place DS0000059719.V353196.R01.S.doc Version 5.2 Page 7 and safety. A feasibility study has indicated that a stair lift cannot be fitted on either stairs. Training provided should be reviewed and, almost certainly, improved. For example, carers do not receive the correct level of moving and handling training. This training should be practical and not theoretic and should meet the needs of residents as they become older and more vulnerable. There should be a trained first-aider on every shift. The number of carers who possess a full first aid certificate should be increased. As referred to in the previous inspection report, all members of staff must be trained to meet the needs of residents including those with mental health difficulties and conditions associated with old age. Effective quality assurance systems should be in place to help ensure resident’s health and welfare. This is particularly important as the business has only made the necessary improvements when we demanded it. We should not in future have to instruct the providers to have proper procedures in place and to adopt methods to protect residents and make them suitably comfortable. 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. The summary of this inspection report can be made available in other formats on request. Granby Place DS0000059719.V353196.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Granby Place DS0000059719.V353196.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3. People who use the service experience adequate quality outcomes. This judgement was made using a range of evidence including a visit to the service. Residents do not have their full individual aspirations and needs assessed before they enter residential care. EVIDENCE: We found that residents with specific challenges are not supported as well as we would have expected. This has led to the situation where the providers are no longer able, after a number of years during which we advised them of this, to provide suitable support for some residents. Pre-admission assessment procedures have not been effective in determining the levels of support for prospective residents. The number of residents will soon be reduced to 8. If new residents are to be considered, pre-admission written information, recorded assessments that form the basis of the new individual care plan record and the process of initial assessments needs careful revision. The previous inspection report contained an example of the importance of this area of service provision and practice. The information obtained at this stage would form the basis of the subsequent care plan for the new client. Granby Place DS0000059719.V353196.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9. People who use the service experience good quality outcomes. This judgement was made using a range of evidence including a visit to the service. Residents are helped to make decisions and to express themselves as part of developing their confidence and quality of life. EVIDENCE: New individual care plans, introduced after our last inspection, contain suitable information about resident’s current needs and how these are being addressed. There has also been good progress in introducing suitable risk assessment and recording of these. Members of staff regard the new records and procedures as good operational tools. Senior support workers say that the new process helps both residents and staff. Until the providers undertook at our request to identify risks to residents, there were significant dangers for residents including falls that should have been avoided. There is now a good likelihood, with new procedures and renewed awareness by staff including staff who are awake at night, that residents are adequately protected without curtailing their general freedom of movement. Granby Place DS0000059719.V353196.R01.S.doc Version 5.2 Page 11 Support workers and senior support workers help residents to make decisions about how they want to live and they encourage them to follow independent lifestyles. Members of staff say that the revised procedures help to make the way residents lead their lives safer and that identified risks are taken into account and reviewed regularly. Granby Place DS0000059719.V353196.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11-17. People who use the service experience good quality outcomes. This judgement was made using a range of evidence including a visit to the service. Routines and activities developed with each resident give them opportunities to exercise preferences on a day-to-day basis. They are helped to take part in activities they enjoy and to be a part of community life. EVIDENCE: Residents have opportunities for personal development through attending daycentres, college, individual outings with a carer or activities co-ordinator and leisure pursuits. During this inspection visit, four residents were at the premises from about mid-day to early evening. They had relatively little to do and this situation remains as described in the previous inspection report. They are generally not involved in meal preparation although some do carry out some household activities. In the evening, most residents sat at their tables for a considerable time waiting for their evening meal. This is to enable them to talk, relax and Granby Place DS0000059719.V353196.R01.S.doc Version 5.2 Page 13 exchange views. Some residents who had eaten earlier in the day were provided with a sandwich. There were only 2 members of staff on duty including the manager during the later part of the inspection visit. This pressure on staff is likely to contribute to the way procedures for residents are set as staff do not have the time to involve residents fully. We would expect consideration to be given to involving residents more in household activities and there should be suitable numbers of staff on duty for this to be achieved. A resident was helped by a member of staff to visit a hairdresser. Another was taken out by an activities co-ordinator (who works with another co-ordinator in a job-share for the homes in the group) for a meal at a day centre. Residents are treated as individuals who have different interests and aspirations. They are part of the local community. They enjoy participating in social events and leisure activities that personally interest them. A resident has been in paid employment for some years and travels independently on public transport. Residents are encouraged to maintain contact with their family and friends. Members of staff assist residents in choosing holiday venues. In recent years a variety of venues have been identified that suit small numbers of residents accompanied by one or two carers. Residents must meet the costs of accompanying staff holidays. The providers obtain additional funding in this way for staff costs. Granby Place DS0000059719.V353196.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. People who use the service experience adequate quality outcomes. This judgement was made using a range of evidence including a visit to the service. Residents receive adequate physical, emotional and personal support. They are protected by procedures for administering medication. Residents are not fully protected because of the continuing lack of substantial staff training in the areas of mental health and problems associated with aging. EVIDENCE: Residents benefit from the support of a caring staff team who give the personal support residents need to maximise their independence. They are able to exercise choice and carers have knowledge of the preferred routines of each resident. They are helped in obtaining health care appointments. There are good contacts with the nearby GP surgery and with a dental practice. Individual care plans contain information about resident’s healthcare needs and how these are addressed routinely and exceptionally. We have previously told the providers that all members of staff must have a full understanding and suitable training in conditions affecting older people. This requirement is receiving some attention and the manager is making Granby Place DS0000059719.V353196.R01.S.doc Version 5.2 Page 15 progress in this area. Nevertheless, the training available to carers does not evidence sufficient progress. This is referred to in a subsequent section of this report. Carers are also receiving insufficient substantive training in working effectively with people with mental health difficulties and challenging behaviours. The previous inspection report referred to a report by a community nurse that raised concerns about the home’s ability to meet the needs of residents with challenging behaviours. It needs to be determined in a later inspection if, as we have advised the providers to reflect upon, residents are receiving better access to specialist healthcare services. Parts of the call bell system do not work efficiently. Mrs Sayers said she has carried out a suitable risk assessment and she has concluded that residents are not at any risk. People who live in the home are protected through policies and procedures for the safe administration of medication. No residents currently keep their own medications but this possibility is open to new residents who, following risk assessment, could self-medicate. Two smaller problems were seen in the current administration system: a number of records did not have the resident’s photograph and the covering sheet used when residents visit healthcare services has medicine details that do not in all cases correspond to MAR sheets. The manager is giving attention to these deficiencies. Two members of staff sign off all administrations. Granby Place DS0000059719.V353196.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. People who use the service experience good quality outcomes. This judgement was made using a range of evidence including a visit to the service. Residents are protected from abuse and are able to make their views known to members of staff and others. EVIDENCE: Residents are encouraged to make comments about how they feel. The home has a written complaints procedure. We previously found that there were instances where this procedure was not used to best effect. We have been assured that a complaints log is now kept and that the outcomes of all comments about how the service is conducted are kept and subject to review as part of quality assurance measures. The service’s annual quality assurance assessment (AQAA) suggests that this is the case. People who live in the home are protected from potential abuse through policies and procedures, staff training in adult protection and vigilance by the manager and support workers. This includes thorough recruitment checks and knowledge by all members of staff that where staff are dismissed or suspended they will be referred by the provider to the Dept of Health’s POVA manager for possible inclusion on a POVA register. Granby Place DS0000059719.V353196.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30. People who use the service experience adequate quality outcomes. This judgement was made using a range of evidence including a visit to the service. The premises are broadly suitable for the support of residents. Older people are not served well by the lack of adaptations and principally a stair or passenger lift. Some bathrooms present a risk of infection because of the lack of suitable dispensers for soap and paper towels. EVIDENCE: The premises are broadly suitable for residents. Only one bedroom is on the ground floor. Residents who can negotiate the stairs without assistance are able to go anywhere around the house. A significant number of residents have lived at the premises for about 25 years. As residents age, there is a more urgent need for them to have the assistance of a lift to the first floor. A feasibility study has ruled out the possibility of stair lifts on either stairway. We believe that the remaining possibility is for residents to have the undeniable benefit of a passenger lift and the premises are known to be suitable for the installation of this facility. Granby Place DS0000059719.V353196.R01.S.doc Version 5.2 Page 18 Donations to the home have led to a substantial sum of money to construct a sensory garden. We understand this will begin soon. The security of the car park and back garden has been improved by the installation of a locked gate to the rear of the premises. The home provides suitable communal areas. Adequate recreational, dining, toilet, bathing and individual accommodation is available to residents. There is a continuing risk of infection in bathroom and toilet areas. Some of these areas, as was the case during the previous inspection, do not have soap or paper towel dispensers. Residents clearly like their rooms that are all individual and personalised. We have advised the providers on previous occasions that chairs in the majority of bedrooms are unsuitable for older people but they refuse to act on this advice. These chairs are small, low and have no arms. There are some adaptations to assist older residents. One bathroom has a manual hoist for those who need assistance to get into and out of the bath. Aspects of the premises are causing problems for some of the older residents in that, as referred to above, the first floor is not served by a shaft or stair lift. Staff said that some people are having difficulties with stairs. Granby Place DS0000059719.V353196.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35. People who use the service experience adequate quality outcomes. This judgement was made using a range of evidence including a visit to the service. Residents are in the care of members of staff that are reasonably well supported by the company. Older people and those experiencing mental health difficulties are disadvantaged by the lack of specialist training. EVIDENCE: Improved induction training for new staff is provided although records that meet Skills for Care standards are not yet fully competed. Training is not being provided in caring for older people or those with mental health difficulties. The standard of moving and handling training and updates continues to be poor as staff receive lectures rather than practical and hands-on guidance. There is not a trained first aider on duty during each shift to give, for example, suitable advice where falls occur. A senior support worker holds a full first aid certificate. The evidence offered through the home’s training matrix is that members of staff have access to very basic training. They do not have the opportunity to gain substantive knowledge from, for example, the RVQ Certificate in Dementia Care, NCFE Certificate in Infection Control, Skills for Care Level Granby Place DS0000059719.V353196.R01.S.doc Version 5.2 Page 20 Induction, NCFE Safe Handling of Medication. There is no substantive training provided in supporting residents with mental health difficulties and possible challenging behaviours and staff are left to learn as best they can. The outcomes of the lack of adequate support for some residents were evidenced in the previous inspection report. All members of care staff should either have attained, be attaining or be prepared to complete a relevant NVQ (2 or 3 in Care). We understand that three members of staff have attained NVQ Level 3 and three have attained Level 2. A new member of staff indicated that she expected to receive full funding and support to achieve an NVQ Level 3 in Care as she had already achieved Level 2 elsewhere. The registered business should be working towards enabling staff to receive suitable training so that staff skills are such that the support needs of residents are professionally and consistently met. We understand that all staff are given the opportunity without delay to undertake NVQ training when they complete their probationary period. Specialist training in specific topics (diabetic conditions, mental health and depression, maintenance of hearing aids, aids for blind or partially blind people, skin integrity, mobility problems in old age) would be of benefit to carers and therefore to residents. Carers on duty at night are now required to be awake because of the increasing support needs of clients. The length of consecutive shifts worked by staff has now decreased so that staff can concentrate better in helping residents. During this inspection, whilst staff said that they are able to cope, two members of staff including the manager appeared to be insufficient in coping with residents who were at the premises all day, those who were returning from day-time locations and cooking the evening meal. This is probably part of the reason why residents are not more involved in meal preparation activities at this time and have become conditioned to the way the home is conducted. We understand that there are staff shortages and there is some delay in gaining sufficient staff numbers due to the thoroughness of recruitment checks including CRB checks. The manager has a staff file for each member of staff and this contains the information needed for staff management and supervision. The relevant checks are carried out on all new staff including receipt of a CRB. Granby Place DS0000059719.V353196.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42. People who use the service experience good quality outcomes. This judgement was made using a range of evidence including a visit to the service. Residents live in an environment that is well managed. They are benefiting from improvements in the way the business is conducted. EVIDENCE: The management of the registered business improved significantly since we took enforcement action to improve outcomes for residents. This involved requiring the providers to implement national minimum standards and requiring the manager to conduct the business better on a day-to-day basis. The manager, Mrs Sayers, has achieved the Registered Manager’s Award. She has implemented measures that are recognised as helping to improve the safety of residents. Granby Place DS0000059719.V353196.R01.S.doc Version 5.2 Page 22 We advised the providers previously that national minimum standards were not being met but these warnings were consistently ignored. We hope that current improvements will be sustained over time. These include the maintenance of good individual care plans for each resident. Every substantive risk must be assessed, recorded and reviewed regularly. Staffing levels commensurate with the needs of residents must be achieved. The manager must have full-time hours to concentrate on maintaining improvements that we have demanded. Quality assurance procedures must be put in place and we need evidence that the business is run in future in the best interests of residents. The provision at last of night staff on duty at night that are awake rather than asleep is a basic but important step towards improving the safety and supervision of residents including those with increasing problems in old age. During this inspection, we felt that there was a positive atmosphere at the premises. Residents were seen to be comfortable and at ease. A renewed emphasis is thought to be being placed on residents/staff meetings to gain their views and involve them more fully than before in current and planned events. The senior support workers have the interests of residents at heart and are now confidant that they are receiving more appropriate support. The safety of people who live in the home is promoted through a range of recorded policies and procedures available for staff. Since the last inspection many of these have been updated. The accident and incident book has been updated. Accidents and incidents are recorded within care records and daily notes. The annual quality assurance assessment (AQAA) declares that the necessary checks are carried out on equipment and systems including fire safety procedures. The AQAA also makes declarations in respect of the other important procedures. The previous inspection report contained assurances from the manager that all essential and necessary procedures are in place to protect residents in the event of fire. On this occasion, we were advised that all other outstanding infection control measures are close to implementation. Granby Place DS0000059719.V353196.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 2 3 2 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 2 13 3 14 3 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 X 2 3 X 3 X X 3 X Granby Place DS0000059719.V353196.R01.S.doc Version 5.2 Page 24 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. 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 Place DS0000059719.V353196.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Place DS0000059719.V353196.R01.S.doc Version 5.2 Page 26 - 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!