Inspection on 30/08/05 for Grange Hill House

This inspection was carried out on 30th August 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

Grange Hill House 04/04/07

Grange Hill House 09/02/06

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

CARE HOMES FOR OLDER PEOPLE Grange Hill House 516 Bromsgrove Road Hunnington Halesowen B62 0JJ Lead Inspector Annie OMara Unannounced 30th August 2005 12.30 pm 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. Grange Hill House E52 S59470 Grange Hill House V2425124 300805.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Grange Hill House Address 516 Bromsgrove Road, Hunnington, Halesowen B62 0JJ 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) 0121 550 1312 0121 550 6536 Carlton Care Homes Ltd T/A Grange Hill House Mrs Joanne Wheeler Care Home 36 Category(ies) of DE(E) Dementia over 65 (36) registration, with number OP Old age (36) of places PD(E) Physical disability over 65 (36) Grange Hill House E52 S59470 Grange Hill House V2425124 300805.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: There are no conditions of registration. Date of last inspection N/A Brief Description of the Service: Grange Hill House provides personal care and accommodation for up to thirtysix older people who may have a physical disability and/or a mental health need associated with older age.The main purpose of the service is to provide a high standard of accommodation and personal care in a homely, friendly atmosphere. There is a smaller unit in the home providing care for four more independent service users who may also use the communal space in the main house.The main house and extension provide a further twenty-nine beds, three of which are double rooms. All the rooms have en suite toilet facilities. There is a choice of sitting/lounge space for all service users to use. Access to the first floor is gained by the use of stair lifts. Rails are provided throughout the home. Grange Hill House E52 S59470 Grange Hill House V2425124 300805.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place in the early afternoon of a weekday over a period of three hours. Care records were inspected, observations made and three visitors and four residents were spoken to during the visit. What the service does well: What has improved since the last inspection? What they could do better: The assessment process could be developed to include more information about residents prior to moving in to the home. The care records need to provide more information as to how residents needs are to be met by staff and daily records need to give more information as to how residents spend their days. Receipts of all residents’ financial transactions must be kept. Grange Hill House E52 S59470 Grange Hill House V2425124 300805.doc Version 1.40 Page 6 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. Grange Hill House E52 S59470 Grange Hill House V2425124 300805.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 Grange Hill House E52 S59470 Grange Hill House V2425124 300805.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) 1, 3, 4, 5. The home provides information and an opportunity to visit, which helps prospective residents and their families to make an informed choice about moving in to the home. EVIDENCE: The home provides up to date information about the services and facilities it provides, which is freely available prior to admission. An assessment of prospective residents is undertaken prior to them moving into the home and visits are encouraged where possible. There was a discussion about the continued development of the assessment process and the importance of gaining more information about the prospective resident prior to them moving to the home. A trial period of a month is in place before residents make up their minds about whether they wish to stay. Grange Hill House E52 S59470 Grange Hill House V2425124 300805.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, 9,10. Residents’ health and welfare was promoted by the care planning systems in place and the care practices in the home promote residents’ privacy, dignity and independence. EVIDENCE: Care plans were in place for each resident and there was evidence that residents and their representatives were involved in the care planning process. Whilst the care plans covered all the areas of residents needs the written information about how staff were to provide care was not kept in great detail. Daily records were repetitive and did not give adequate information about how residents spent their days other than the physical care they had received and who had visited them. One daily recording noted that a resident had been upset, but gave no information as to why, and what action the carer had taken. The records indicated that the primary health care team were involved as necessary and that residents had access to specialist health care. Observations made during the inspection showed that residents were treated with respect by staff and their care needs known. Residents and visitors Grange Hill House E52 S59470 Grange Hill House V2425124 300805.doc Version 1.40 Page 10 confirmed that staff treated them well. One visitor stated that the care received was “faultless” and that staff had “the patience of Job”. Residents confirmed that staff were polite and were they were very pleased that the turnover of staff was low as they liked the consistency. Grange Hill House E52 S59470 Grange Hill House V2425124 300805.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, 15. The routines and activities provided in the home promote the independence of the residents and the food provided ensures that residents receive choice in their diets. EVIDENCE: The residents confirmed that they were able to live as they wished with no routines imposed on them. There were a variety of activities on offer daily including trips out in the homes’ minibus. Some residents also went out to local churches on Sundays. Information was available about visiting and visitors to the home stated that they were able to visit at any time and were always made welcome. A menu was on display and residents confirmed that they had a choice at meal times. Residents were also consulted about the menus. The food provided was described as “very good”, “par excellence” and “alright”. Grange Hill House E52 S59470 Grange Hill House V2425124 300805.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. The home has a satisfactory complaints procedure with evidence that residents feel listened to and their views acted upon. EVIDENCE: A complaints procedure was in place and residents spoken to were aware of who they would complain to if they needed, and expressed confidence in doing so. A record of complaints was kept and any subsequent actions taken by the home reported to the complainant. Grange Hill House E52 S59470 Grange Hill House V2425124 300805.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, 20, The home provides a safe and comfortable environment for the residents, which is decorated and maintained to a very high standard. EVIDENCE: The environment is maintained to a very high standard and a continual program of improvement is in place. There are two lounges in the main home and a separate dining area. A smaller lounge and dining area is available for four residents in a unit used for more independent residents. Residents have access to attractive gardens. Recommendations regarding the laundry have been implemented with further improvements planned. Grange Hill House E52 S59470 Grange Hill House V2425124 300805.doc Version 1.40 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 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, 28, 29, 30. Residents needs are met by the skills and numbers of staff and they are protected by the homes’ recruitment practices. EVIDENCE: Staffing levels are maintained at the agreed levels and are sufficient to meet the needs of the residents. The home has a very stable staff group, which was remarked upon positively by residents. Staff training is ongoing and individual training records are kept and monitored. It was noted that the night staff training records indicated a shortfall in their health and safety training, including, fire safety, moving and handling and food hygiene. These areas had been identified by the registered manager and training courses were arranged for the near future. Recruitment of staff ensures the safety of residents as all checks are undertaken and references sought. The home is committed to training and over half the staff group have achieved their NVQ level 2 qualifications. Grange Hill House E52 S59470 Grange Hill House V2425124 300805.doc Version 1.40 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 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, 32, 33, 35, 37. The managers of the home are committed to providing an open and inclusive atmosphere which continues to improve the standard of care offered to the residents. EVIDENCE: The registered manager of the home is competent and experienced in the management of the home. The ethos of the home is open and inclusive and residents and visitors commented on its’ friendly atmosphere. Regular staff and residents meetings are held ensuring frequent consultation with staff and residents. There is a quality assurance program in place, which also seeks views about the service from all stakeholders. The home also has an Investors in People award. Grange Hill House E52 S59470 Grange Hill House V2425124 300805.doc Version 1.40 Page 16 The home holds small amounts of money for the residents. Accounts that were checked were correct. Receipts for expenditures made on behalf of the residents were available for items purchased at shops, although not all payments for hairdressing were receipted. A sample of records were viewed during the inspection and were seen to be in order. Grange Hill House E52 S59470 Grange Hill House V2425124 300805.doc Version 1.40 Page 17 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 3 x 2 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 x x x x x x STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 3 3 x 2 x 3 x Grange Hill House E52 S59470 Grange Hill House V2425124 300805.doc Version 1.40 Page 18 no 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 35 Regulation 17 schedule 3 Requirement Receipts for all residents financial transactions undertaken must be kept. Timescale for action Immediate 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. 2. Refer to Standard 3 7 Good Practice Recommendations Information sought at assessment should be developed to provide a more detailed picture of the prospective resident. Daily records should reflect how residents have spent their days including what activities they have taken part in. 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