Inspection on 21/12/05 for Grangemoor House Nursing Home

This inspection was carried out on 21st December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Grangemoor House Nursing Home 25/06/07

Grangemoor House Nursing Home 09/01/07

Grangemoor House Nursing Home 22/02/05

Grangemoor House Nursing Home 17/08/04

Grangemoor House Nursing Home 26/01/04

Grangemoor House Nursing Home 18/09/03

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

CARE HOME ADULTS 18-65 Grangemoor House Nursing Home 110 Cannock Road Burntwood Walsall Staffordshire WS7 OBG Lead Inspector Mrs Sue Mullin Unannounced Inspection 21st December 2005 12:45 Grangemoor House Nursing Home DS0000022328.V272887.R01.S.doc Version 5.0 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 Grangemoor House Nursing Home DS0000022328.V272887.R01.S.doc Version 5.0 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. Grangemoor House Nursing Home DS0000022328.V272887.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Grangemoor House Nursing Home Address 110 Cannock Road Burntwood Walsall Staffordshire WS7 OBG 01543 675711 n/a 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) Grangemoor Care Homes Andrew Mark Winter Care Home 23 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (23) of places Grangemoor House Nursing Home DS0000022328.V272887.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th August 2005 Brief Description of the Service: Grangemoor House is a 23 bedded nursing home situated in Burntwood. The home is currently registered to admit residents suffering from a mental disorder, excluding learning disability or dementia (23) from the ages of 18 years and over. The home offers continuing care rehabilitation of the mentally ill, either on a short term (respite) or long-term basis. The philosophy of care ensures that all individuals have intrinsic worth and dignity and that their rights will be preserved especially when psychiatric ill health renders patients incapable of exercising those rights independently. Grangemoor House Nursing Home DS0000022328.V272887.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second statutory unannounced inspection to this establishment, this year and the care manager was on duty at the time. There were 23 residents in the home with no vacancies. During the inspection discussions took place with the Care Manager and several residents. Some bedrooms, communal rooms and laundry facilities were inspected on this occasion. A sample of resident documentation was examined, including records of health and safety requirements. On arrival the atmosphere in the home was very lively and a group of residents and staff were preparing to sit down for lunch. There was a nice homely atmosphere and general camaraderie evident. Several residents were engaged in conversation and all were complimentary about the home and the staff. What the service does well: The home was providing a good service to the residents. The residents liked living at the home and were consulted about had choice over the their lives and over aspects of running the home. The residents benefited from a varied lifestyle they had the opportunity to develop their social skills. All the residents were encouraged to undertake worthwhile activities with some attending work/day services. Residents took part in a number of leisure activities including going for walks, visiting the local pub, home leave and outings. All the residents spoken to liked the meals and said the staff asked them what they liked and that there was always a choice of food available. The residents liked the staff stating the staff helped them to do things and listened to what they wanted. Staff were well motivated and were aware of the residents’ individual needs and how these needs were to be met. The Grangemoor House Nursing Home DS0000022328.V272887.R01.S.doc Version 5.0 Page 6 home had the necessary quality of staff and the numbers of staff on duty to meet the needs of the residents. The home met the personal care and health needs of the residents and involved specialist health staff when required. The home was well managed and led by the care manager who had lengthy experience in working with people with mental health problems. He had an open and inclusive style of management that listened to the views of staff and residents. 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. Grangemoor House Nursing Home DS0000022328.V272887.R01.S.doc Version 5.0 Page 7 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 Grangemoor House Nursing Home DS0000022328.V272887.R01.S.doc Version 5.0 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3 The assessments completed prior to admission evidenced there was the necessary information to ensure that the home had the necessary staffing levels and staff skills to meet the needs of the residents. The quality of staff and the working relationships with other professionals provided residents with the support they needed to have their needs met. EVIDENCE: Although there had been no recent admissions the residents’ documentation showed that all residents had an assessment prior to admission. This document covered the areas of health and personal care, social and family contact. Staff had the necessary knowledge, training and experience to be able to meet the needs of residents with a mental health problem and involved the necessary external health professionals to provide advice and support as needed. The home was aware of the individuals needs and was able to meet those needs with the current staffing levels. Reassessments were sought as necessary. Grangemoor House Nursing Home DS0000022328.V272887.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 The home’s care plans identified the residents’ needs and how these would be met, ensuring that staff had the necessary knowledge to meet the identified needs. The home’s risk planning processes identified the nature of risks and the actions taken ensuring that risks to residents were addressed and that there were no unnecessary restrictions. Choice and participation were encouraged in the home, leading to the residents having control over their lives and being involved in aspects of running the home. EVIDENCE: The home developed individual care plans for the residents. These covered the health and personal care needs of the residents as well as occupational preferences, leisure pursuits and needs relating to budgeting. Evidence confirmed that plans had been reviewed. Grangemoor House Nursing Home DS0000022328.V272887.R01.S.doc Version 5.0 Page 10 Discussions with a number of the residents confirmed that they felt involved in their care and that staff respected their wishes. They stated that they were able to make choices over their lives. They decided how to spend their time in the home occupying their bedrooms or communal rooms. They felt involved in choosing activities and were consulted over the meals. They chose when to go to bed and when to get up depending on their agreed schedule. Residents stated that they went out to the shops and decided how to spend their money and were involved in purchasing their own requirements. Individual risks were identified and assessments in place to reduce the level of risk. Risks related to smoking had been reviewed and kept up to date. Up to 70 of residents are smokers. Grangemoor House Nursing Home DS0000022328.V272887.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,17 The residents were involved in a range of educational, social and leisure activities both in the home and in the community providing them with a varied lifestyle. Opportunities to engage in independent living tasks and social skills development were provided, enabling residents to maintain and develop their skills. The home’s meals provided residents with a varied menu and that considered residents’ preferences. EVIDENCE: The home provided residents with the opportunity for personal development. They engaged in a range of independent living tasks dependant on individual ability. Some residents were involved in laying and clearing the table. The home had developed individual plans to aid effective communication for those that needed it. Grangemoor House Nursing Home DS0000022328.V272887.R01.S.doc Version 5.0 Page 12 Some of the residents attended college/work or day services. Some attended for four days with others attending for fewer days. When residents are in the home the staff support them to undertake a range of activities, including indoor games, music, going for walks and watching TV. Residents accessed the community on a daily basis using the local resources. Staff confirmed that relatives were welcomed into the home when visiting and were always informed of important matters relating to their loved ones. A resident spoken confirmed that she had friends both in and out of the home, one of her friends visited almost daily. The home had a varied menu that provided residents with three meals a day as well as supper. Residents stated they liked the meals and that they were consulted over food they wanted and that there was always a choice. The home monitored the food intake for residents if needed and the weight of all residents was monitored on a regular basis. Grangemoor House Nursing Home DS0000022328.V272887.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 The personal care and health care needs were met with evidence of positive interagency working. EVIDENCE: The health and personal care needs were identified in the care plans. Most residents needed support and encouragement to maintain their own personal care and staff were aware of the specific individual needs of the residents. Residents were involved in buying and choosing personal items. Observation showed residents to be appropriately dressed. Discussions confirmed that residents received specialist health care when needed. This included community nurses, and psychological and psychiatric specialists. Residents confirmed that they had a key worker and explained the role they had in ensuring that their needs were met. The residents were registered with a GP and the health care needs were being met. Residents confirmed that if they felt ill they went to the doctor that they went to the dentist, optician and had chiropody treatment. All medication aspects were in order. Grangemoor House Nursing Home DS0000022328.V272887.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 The home had a satisfactory complaints procedure with evidence that the residents felt that their views were heard and acted upon. The adult protection procedures in place increased the protection provided to residents and the home ensures that the procedures relating to the management of residents’ monies is robust and in order. EVIDENCE: The home had a complaints procedure on display and had not received any complaints since the last inspection. Residents spoken to were clear how they would raise any concerns. The home had an adult protection procedure in place that met the requirements of the National Minimum Standards. Sampling showed that the home maintained suitable records of the expenditure of personal monies by residents and these records were supported by receipts. Grangemoor House Nursing Home DS0000022328.V272887.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,30 The premises were suitable for the residents and were satisfactorily maintained. The home provided residents with adequately furnished and decorated communal areas, where they could meet with others and private accommodation which they could make their own and where their privacy was respected. The home’s cleaning and hygiene procedures reduced the opportunity for the spread of infections and provided the residents with a clean environment. EVIDENCE: The home was satisfactorily maintained decoration and furnishings were domestic in style. Externally the home had a car park at the side and rear and there was pleasant garden area. All bedrooms had a washbasin and suitable fixtures and fittings. Bedrooms had been personalised with residents’ belongings, pictures and ornaments. Grangemoor House Nursing Home DS0000022328.V272887.R01.S.doc Version 5.0 Page 16 The home had two suitable communal rooms one which was designated as a smoking area. There was a suitable dining room adjacent to the kitchen, with a hatch area for serving meals. The home had adequate bathing and showering facilities and liquid soap was provided. The home had adequate laundry facilities and the establishment was clean and tidy throughout. Grangemoor House Nursing Home DS0000022328.V272887.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,34 The quality of the home’s staff and the level of staffing provided the necessary support to meet the needs of the residents. The recruitment and selection procedures in place at the home supported and protected the residents. EVIDENCE: As this is a care home with nursing registered prior to April 1st 2002 agreed staffing levels are maintained. There is always a qualified nurse on duty over a twenty-four hour period. Additionally there are: Early shift = with two care assistants. Late shift = two care assistants. Night shift = with one care assistant Staffing levels are based on the dependency levels of the service users in their care. The off duties are prepared well in advance and are very clearly recorded with designation, hours to be worked and all well presented. Ancillary staff are sufficient for the home over a seven-day period. Discussions with staff showed that they were aware of the needs of the residents and how the needs were to be met. Grangemoor House Nursing Home DS0000022328.V272887.R01.S.doc Version 5.0 Page 18 Staff had developed relationships with the residents and they were observed communicating freely demonstrating that residents felt at ease approaching and interacting with the staff. There was a friendly and relaxed atmosphere. The home’s recruitment and selection procedures ensured that pre employment checks were completed. The home had a good record of staff retention with some staff having worked for the home for several years. The care staff undertook laundry tasks within the home and spent time supporting and assisting residents in undertaking individual household tasks, albeit some were noted to be quite limited. Grangemoor House Nursing Home DS0000022328.V272887.R01.S.doc Version 5.0 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,42 The residents benefited from a well managed home with the care manager being supportive to staff and residents and consulting with them over changes and developments and providing the necessary management practices. The homes’ quality assurance scheme provided the information to look at ways that the home could be developed, to provide a better service to the residents. The home’s Health and Safety procedures served to protect the health and welfare of the residents. EVIDENCE: The registered manager had a qualification in nursing people with a mental health disorder and had significant experience of working in the field. He clearly demonstrated that he had the necessary knowledge and skill and is just about to complete the award for managers of care homes. He maintained an open door policy to staff and residents. Grangemoor House Nursing Home DS0000022328.V272887.R01.S.doc Version 5.0 Page 20 Staff stated he was approachable and supportive and that they were kept informed about changes and developments. He had also developed close relationships with residents and they clearly felt at ease in his presence. The home had a health and safety procedures in place. Procedures were in place to ensure that staff received the necessary mandatory training. The home was undertaking the necessary fire training and fire testing of the fire alarm and emergency lighting. Fire equipment had been checked within a year as required. The home checked the temperatures of hot water and had had restrictors fitted on the upstairs windows. The nurse call system is fully operational the home has one hoist, which is serviced twice a year. The owners of the home undertook the budgeting and financial planning. The home had the necessary insurance cover in place. Grangemoor House Nursing Home DS0000022328.V272887.R01.S.doc Version 5.0 Page 21 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 4 X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score 4 X 4 3 X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Grangemoor House Nursing Home Score 4 3 X X Standard No 37 38 39 40 41 42 43 Score 4 4 3 X X 3 X DS0000022328.V272887.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Grangemoor House Nursing Home DS0000022328.V272887.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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. 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