Inspection on 23/06/08 for Granville Court Care Home

This inspection was carried out on 23rd June 2008.

CSCI found this care home to be providing an Adequate service.

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

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Granville Court Care Home 19 Station Road Maryport Cumbria CA15 6LT Lead Inspector Nancy Saich Unannounced Inspection 23rd June 2008 7:00 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 Granville Court Care Home DS0000071101.V366121.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 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. Granville Court Care Home DS0000071101.V366121.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Granville Court Care Home Address 19 Station Road Maryport Cumbria CA15 6LT 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) 01900 818513 01900 818513 Granville Court Care Home Ltd Mrs Helen Stevens Care Home 12 Category(ies) of Dementia (2), Old age, not falling within any registration, with number other category (10) of places Granville Court Care Home DS0000071101.V366121.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only. Care home only - code PC, to people of the following gender:- Either. Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP, maximum number of places: 10) Dementia - Code DE (maximum number of places: 2) The maximum number of people who can be accommodated is: 12 Date of last inspection Brief Description of the Service: Granville Court is an older terraced property set in a residential area of Maryport. It is near to the railway station and to all the amenities of this small coastal town. The home has been in existence for a number of years but has had new owners since January 2008. There are four people in this partnership and one of them - Mrs Helen Stevens -is the registered manager. The home can take up to 12 older people and two of them may also have dementia. Residents’ accommodation is on the ground and first floor with access to the first-floor by a stair lift. All rooms are presently single occupation and have ensuite toilet facilities. Charges range from £337 to £449 per week. Further information can be accessed by contacting the manager at the service. Granville Court Care Home DS0000071101.V366121.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This was the first inspection of the service since the change of ownership earlier in the year. The lead inspector Nancy Saich asked the manager to fill out a form called the Annual Quality Assurance Audit (the AQAA). This asks for details of what has improved in the home since the last inspection and for the plans for the coming year. This was completed promptly with plenty of detail. We (The Commission for Social Care Inspection) then sent out postal surveys to people who live in the home and to the staff group. When people asked us we also followed up these surveys with telephone conversations. We had a good response to these surveys and we quote from them in the report. The responses gave us a good picture of what its like to live and work in the home. We walked around the building, sat in lounges and shared a meal with residents. We also looked at files and documents that backed up what was said and what was seen. What the service does well: Granville Court is a comfortable home and most residents feel well cared for there. The home provides good information for new people to the home. Most of the residents told us they were happy with the staff team and felt they looked after them well. As one person told us: • I can find no fault with the staff team, they are pleasant and polite and very caring. On the day of the visit we saw staff treat people with kindness and patience. Most of the people spoken to told us that they were happy enough with the activities on offer. Several people said that they: • .... enjoy the entertainers and have been watching DVDs of old Maryport... that brought back happy memories. DS0000071101.V366121.R01.S.doc Version 5.2 Page 6 Granville Court Care Home Our surveys and discussions told us that friends and relatives were made welcome in the home. • I feel comfortable visiting my relative in the home and I feel relaxed and this makes it pleasant for all of us. People told us that the food in the home was very good and we saw evidence that confirmed this. On the day of the visit the home was clean, warm and tidy - even early in the morning. Residents were happy with their bedrooms and the shared spaces and said everything was kept just so. Several people told us that they especially liked the fact that the home was: • • …small and friendly, …just a nice size -like being at home. We were told that in general there are enough staff on duty to meet peoples needs. We had evidence to show that there were both experienced and newer people on the staff team. A number of people have National Vocational Qualifications in care. The home has been under new management for a little under six months and residents told us that the changeover went very well. • The new manager is a very nice person and she made the change easy for us all. We have quickly learned to trust her... there have been no problems with this at all. The manager has a lot of experience and training in caring for people and showed us that she was very committed to giving residents a happy life. She has made sure that things like repair and maintenance are being attended to and that food hygiene and fire safety at up to date. What has improved since the last inspection? This was the first inspection since the home changed ownership. The new owners have already made changes to some parts of the building. This has mainly been to the external structure but they have plans to improve things inside. We could see that they were taking time to consider improvements and changes so that there would be little disruption to the running of the home. Granville Court Care Home DS0000071101.V366121.R01.S.doc Version 5.2 Page 7 What they could do better: The manager needs to make sure that she completes a full assessment on any prospective new resident and we recommend that she use a written assessment form. She needs to make sure that every resident has their care needs and wishes written down in a care plan. These plans need to be detailed and updated on a regular basis. Some details of health care needs in these plans were not specific enough. We want to see more details and some updates to staff knowledge on things like nutritional planning and pressure care. We also want to see a more robust way of checking how medicines are accounted for. We judged that some arrangements for the routines of the day - for example the times people get up and go to bed - now need to be looked at again so that all the residents can have individualised care given to them. We would also like to see people being consulted more on future planning for the home. We discovered that the manager had, in error, taken on new staff without checking on their backgrounds first. Generally we judged that people were being kept safe in the home but that this error might have put people at risk of abuse. We want to see a review of how people are kept safe. Some staff told us that they would like more in depth training and we want to see a new training plan that will cover all the training needs identified by the staff team. We judged that after this first six-month settling in period the time is now right for the new owners to look at whether they are giving residents all the things they want and need. We want them to complete a quality assurance audit where they consult with residents, the staff and other people who are involved in the home. We also found that staff were undertaking manual handling without training and although some training was in place we need the manager to make sure that residents are only helped to move by people who are fully trained and competent to do so. Granville Court Care Home DS0000071101.V366121.R01.S.doc Version 5.2 Page 8 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. Granville Court Care Home DS0000071101.V366121.R01.S.doc Version 5.2 Page 9 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 Granville Court Care Home DS0000071101.V366121.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. A more formal approach needs to be taken to initial assessment so that care and support can be planned before admission. EVIDENCE: This home has a document called the Statement of Purpose and a Service User Guide. Together these documents give a good picture of what the home can provide. In discussion with the manager we asked that she update these when she has made changes to the way the home operates. We met with residents who had come to the home since the change of ownership. They said that they had been visited by the manager and she had asked them about the kind of life they wanted in the home. They also told us that they had been supported by a social worker. They were happy with the way their admission to the home had been arranged. Granville Court Care Home DS0000071101.V366121.R01.S.doc Version 5.2 Page 11 The manager told us that she had gone out to see prospective new residents and we judged that she was able to make suitable decisions about the type of person that the home could care for and who would fit in with existing residents. When we looked at residents’ files we found that the records to support this were not up to date. We discussed the need to have good assessment records with the manager. Granville Court Care Home DS0000071101.V366121.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care delivery needs to become more planned and consistent so that people will be guaranteed the kind of care they need and want. EVIDENCE: We looked at the written plans that help staff to understand what residents need and prefer. Every person in the home had one of these written care plans. We discovered that some of the plans had not been updated for some time despite the fact that individual needs had changed. When we spoke to residents and staff we found that they thought changing needs had been addressed but plans had not been evaluated or updated. We also saw some plans did not include all the needs or wishes of the person. Some plans did not contain enough detail of the support necessary. For example some people had problems maintaining their weight but files did not contain detailed nutritional plans. When we looked at care plans and daily notes and spoke to residents we discovered that people in this home have their health care needs met quite Granville Court Care Home DS0000071101.V366121.R01.S.doc Version 5.2 Page 13 well. Residents told us that the doctor or nurse was called for when they were unwell. We did have some evidence to show that a little more training for staff and more detail in care planning might benefit people who had ongoing problems. We suggested that the manager may want to update the staff team on some health care procedures –for example on managing pressure care. We checked on the medicines kept on behalf of residents in the home and we found that this was generally managed well. We did however judge that the staff need to be able to account for all medication kept in the home and we recommended ways to audit the medicines in the home. The manager said that she was going to review how medicines were managed and would include this. The residents told us that the staff were always very nice with them and treated them in a friendly and caring way. We observed both the day and night staff working with the residents and we thought that the staff we met on the day treated these older people with the dignity and respect they deserve. Granville Court Care Home DS0000071101.V366121.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The routines of the day are not flexible enough to allow residents to have as individualised a life as they might want. EVIDENCE: We started our visit to the home at seven oclock in the morning because we had been told by a number of people that they thought residents got up too early in this home. When we arrived just after seven there were six people up and dressed in the lounge. One or two people said they were early risers but some of the others said they did not particularly want to be up at an early hour. We were told that staff started to get people up at six oclock and we judged that this is not appropriate for all the residents. We did talk to residents about their lifestyle in general and about the options and choices they had. No one was particularly unhappy about the way things were in the home but some people said they just followed what everyone else did and what they thought staff expected. We judged that the time is now right for the manager to review how people are supported in making choices about how they spend their time. Granville Court Care Home DS0000071101.V366121.R01.S.doc Version 5.2 Page 15 Residents told us that staff tried to do some activities with them most days and that from time to time they had entertainers into the home. The staff team were keen to do more with residents and said that they tried to take people out locally if there were enough people on duty. On the day of the visit one person went out to buy some new makeup. The manager and responsible individual told us that they hoped to increase and vary the type of activities on offer. Residents said they had enjoyed watching DVDs about local history and there were plans to do more of this type of reminiscence activity. We had a number of surveys that told us that relatives were always welcome in the home. Residents said they could have visitors when they wanted and were encouraged to see them privately if that was their preference. The residents told us that staff asked their opinions and gave them choices in their day-to-day lives. Most people we spoke to said that they were happy to go along with the arrangements that were already in place. We spoke to management about how they could help people to become empowered in their lives and we recommend that they consider new ways of helping people to do this. We sat with residents at breakfast time and we also saw a nicely prepared lunch being taken to them. Residents told us that they enjoyed their meals and everybody was very complimentary about the recently recruited cook. We spent some time with her and could see that she was interested in helping and supporting people to get the right kind of nutrition whilst also enjoying their meals. Granville Court Care Home DS0000071101.V366121.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The arrangements for safeguarding people need to be strengthened so that residents are always safe from harm. EVIDENCE: We were pleased to see that a copy of the complaints procedure was on view near the entrance to the home. Residents and other people in surveys told us that they knew how to make a complaint. There had been no formal complaints made to the home since the new company took over. We spoke to residents in a group but also spent some time with individual people in their bedrooms. We asked the people we spoke to about the way they were treated in the home. No one had any concerns about their treatment. A number of residents were fully aware of how to report anything that was potentially abusive. We spoke to staff about how to safeguard vulnerable adults and most were confident about how to prevent and report abuse. We were pleased to see that a majority of staff had completed training on the subject recently. Some new staff still need to attend this training. We also spoke to the registered manager about the need for the management team to understand fully the local arrangements in place with outside agencies. She was aware of this and plans to undertake further training on safeguarding to make sure that residents are always protected from harm. Granville Court Care Home DS0000071101.V366121.R01.S.doc Version 5.2 Page 17 We also noted that a potential problem that arose early in their ownership had been dealt with correctly. We did however judge that the problems with recruitment checks that we deal with later in the report could have put the residents at some risk. We therefore have to judge that the outcome for this area is only adequate because there had been a potential risk in the home. Granville Court Care Home DS0000071101.V366121.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This home provides a safe and pleasant environment so that residents can feel relaxed and ‘at home’. EVIDENCE: This home is situated very near to shops, transport and other amenities like the local library. This means that residents can go out and that people can come and visit them. The people who live in Granville Court were relaxed and comfortable in their environment. Several people commented on how nice their bedrooms were. We walked around the home and even early in the morning everything was clean, neat and orderly. Several people said that they liked the home because it was small and friendly and felt like a normal domestic house rather than a large institution. Residents Granville Court Care Home DS0000071101.V366121.R01.S.doc Version 5.2 Page 19 had their personal possessions around them in their rooms. Some people prefer to spend a lot of time there and can have meals in their room if they so choose. The new owners had been busy attending to some matters of maintenance with the building and had plans to improve the environment even more once they had become more established. The staff team were aware of their responsibilities in relation to keeping the house safe and free from infection. Residents were happy with the way the staff look after their personal clothing and bed linens Granville Court Care Home DS0000071101.V366121.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Staff in this home need to be vetted properly before they start work and then need ongoing training to make sure that they know how to work with vulnerable older people. EVIDENCE: We looked at four weeks worth of rosters for the home, and we spoke to residents and staff about staffing levels. We found that there are two members of staff on each shift and that the manager and another member of the management team work in the home fulltime. The home has a cook, and domestic hours are covered two days a week. Some people did comment on the staffing levels, saying that there were times that they wished there were more staff so that they could spend more time with residents. However generally people felt that the staffing levels were suitable. A good proportion of existing staff have National Vocational Qualifications in care and the manager told us that she was planning to register new staff once they had completed some core training. We were pleased to see that some staff had completed training in safeguarding adults, manual handling and first aid. Some of the surveys said that staff were looking forward to having more in-depth training in the future. We asked to Granville Court Care Home DS0000071101.V366121.R01.S.doc Version 5.2 Page 21 see the training plan for the home but were told that they had not compiled one yet. We also looked at staff files and discovered that some people had unmet training needs. We want the company to make sure that they complete an analysis of training needs and put a comprehensive plan into place. The company had taken on some new staff and we looked at the files for these people. We found that the files did have references and that things like police checks had been completed. However when we checked the start dates for these new recruits with the rosters we discovered that they had been taken into the home to work before all (and in some cases any) checks were completed. This means that potentially residents could have been cared for by people who might have been unsuitable for the job. We could see that this had not happened but the company must not take anyone into the home until they are entirely satisfied that they are the right kind of person to care for vulnerable older adults. Granville Court Care Home DS0000071101.V366121.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. This service needs to consult residents more and make sure that all their systems keep residents and staff safe. EVIDENCE: The manager of this home was registered as a fit person by the Commission for Social Care Inspection earlier in the year. She has a background in nursing and has also previously had a management role. This is her first post as a manager of a residential home. She is aware that she needs to complete further training and has plans to do this as soon as possible. Residents told us that they had a lot of confidence in her ability and that she had helped them get used to the changes after the home had been sold. She impressed us with Granville Court Care Home DS0000071101.V366121.R01.S.doc Version 5.2 Page 23 her commitment to the residents and we look forward to the changes she plans to implement in the home. The new company have not yet completed a quality assurance audit as they feel they have not been running the home long enough. We discussed this with them and asked that they put arrangements into place to make sure that people who live in the home are consulted about their future plans. We checked on the money kept on behalf of residents in the home and found this to be in order. We also looked at the records of maintenance and checks on equipment. We found that these things were up-to-date. We checked the fire safety systems and these were up-to-date. Staff had received suitable training in fire safety. The cook told us that environmental health had done a recent inspection and they were happy with the food safety arrangements in place and they were awarded a four star assessment for food hygiene. We learnt that staff had recently received training and updates on manual handling. However we did discover that some new staff had been involved in manual handling procedures but had received no training. We judged that allowing people to work without suitable training poses a risk to both residents and staff. Granville Court Care Home DS0000071101.V366121.R01.S.doc Version 5.2 Page 24 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 3 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Granville Court Care Home DS0000071101.V366121.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N/A 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 OP7 Regulation 15 Requirement All care plans must be updated so that they give details of the support people need, their preferred way of being supported and any aspirations or choices that will give them the care they want and need. The routines of daily living must be made as flexible as possible so that people may have individualised lifestyles that meet their personal requirements. New staff must not be allowed to work directly with residents until two references are received, a criminal records bureau check is completed, their name is checked against the protection of vulnerable adults list and their identity is verified. The registered person must complete a training plan for the staff team after they have assessed the needs of individual staff members. All staff must receive manual handling training suitable for the tasks they undertake and in line with the manual handling DS0000071101.V366121.R01.S.doc Timescale for action 15/09/08 2. OP12 12 15/09/08 3. OP29 19 15/09/08 4. OP30 18 15/09/08 5. OP38 13 (5) 15/09/08 Granville Court Care Home Version 5.2 Page 26 Operations Regulations 1992 before they undertake any manual handling task. 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 OP3 OP8 Good Practice Recommendations It is recommended that a full written assessment be made for each new person who is admitted to the home. It is recommended that the registered manager makes sure through care planning or refresher training that the staff team understand how to support older people when they have specific health care needs. It is recommended that the manager review the way she audits medication in the home so that all medication can be properly accounted for at any time. It is recommended that the registered manager looks at current good practice in how to support older people in exercising choice and control over their lives. We also recommend that she takes into account the implications of the Mental Capacity Act when considering these matters. It is recommended that the registered manager reviews the arrangements for training and the policies and procedures to make sure that together these things protect people from potential and actual harm. It is recommended that a Quality Assurance exercise is completed and that the company complete an annual development plan for the home based on the outcomes of this Quality Assurance audit. 3. 4. OP9 OP14 5. OP18 6. OP33 Granville Court Care Home DS0000071101.V366121.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Granville Court Care Home DS0000071101.V366121.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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