Random inspection report
Care homes for older people
Name: Address: Granville House 40 Woodgreen Road Wednesbury West Midlands WS10 9QS three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Mandy Beck Date: 1 1 0 8 2 0 0 9 Information about the care home
Name of care home: Address: Granville House 40 Woodgreen Road Wednesbury West Midlands WS10 9QS 01215022654 F/P01215022654 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Amarjit Kaur Sandhu,Mr Avtar Singh Sandhu care home 21 Number of places (if applicable): Under 65 Over 65 21 21 dementia old age, not falling within any other category Conditions of registration: 0 0 The maximum number of service users who can be accommodated is: 21 The registered person may provide the following category of service only: Care Home Only (Code PC); To service users 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 (OP) 21 Dementia - over 65 years of age - (DE(E)) 21 Date of last inspection Brief description of the care home The home is an adapted and extended traditional detached property that is sited within a short distance of Wednesbury Town centre with access to good transport links and the M6 motorway. Accommodation in the home includes three lounges, a conservatory, dining area with toilets and bathrooms on every floor. Communal areas are divided
Care Homes for Older People Page 2 of 9 Brief description of the care home into separate units with a number of key padded doors around the home to assist with security and the safety of residents. There are 14 single and 3 shared rooms, these on three floors, with only the first floor accessible via shaft lift. There is parking to the front and rear of the home and a patio and small garden area to the side and rear. There are a number of aids available including adapted baths, raised toilet seats and call system. The home is run by a manager who oversees staff including seniors and carers. The home provides a service to older people with dementia. Whilst nursing may be provided by primary health care staff on occasions (such as district nurses) the home does not itself offer any nursing care. Care Homes for Older People Page 3 of 9 What we found:
We visited in response to an anonymous telephone call to the Care Quality Commision about the poor standards of cleanliness and hygiene in the home. The caller told us that a toilet was blocked and had not been repaired, people were bathing in luke warm water and the home was dirty and did not provide a pleasant place for people to live. We found the home to be in need of a thorough deep clean. We looked at the toilet and bathing facilities in the home for peoples use. We saw toilets that had dried on faeces, toilet brushes were filthy, tiles were missing from some of the walls and hot water pipes were not covered and were very hot to touch. Flooring in all of the bathrooms and toilets was dirty and in need of replacement. We tested the hot water in all bathrooms and found that there was an inconsistent supply of hot water, some bathrooms the water felt excessivley hot and in the bathroom on the top floor there was no hot water at all. We asked for the hot water temperature records and a probe to test the water during the inspection but neither could be provided. We were told by the manager and the owner that a toilet that was blocked, we saw this and asked when this would be repaired. We were told that a contractor had already been to the home to try to sort this out but was unable to do it. We asked if another contractor had been contacted to finish the work, we were told no. We looked at the laundry, we found it to be dirty. The cleaning detergent and fabric softener were kept on shelves and on top of the washing machine. We saw that mop heads were grey and in need of a thorough clean. We noted that the flooring and the walls of the laundry needed to be deep cleansed. The home is not storing soiled and clean clothing seperatly in the laundry. This is not effective infection control and the home will need to review their practices in order to reduce the risk of cross infection to the people who live there. We looked at some peoples bedrooms, we saw that in most cases furniture was in need of replacement as it was worn or broken. Peoples carpets were soiled and stained and in need of replacement. We found cat excrement under one persons bed. Radiator covers have been provided by the home but were not secured to the wall as recommended. We were told by both the manager and the owner that there is currently no domestic, mainentance or laundry staff employed by the home. We were also told that care staff are taking on these roles as part of their day to day duties. The manager showed us on the rota when this happens. We saw only two entries supporting this. As a result of this visit we have also contacted the Environmental Health Office and Sandwell Contracts and Monitoring department to inform them of our findings and share our concerns. What the care home does well: What they could do better:
We have sent the home an urgent action letter. This means that we are very worried about the findings of this visit and we have asked the owner to take very prompt action to put things right. The home must make sure that there is a consistent supply of hot water throughout the building for peoples use. Records of hot water temperatures must be available for
Care Homes for Older People Page 4 of 9 inspection and the home must be able to demonstrate what action it has taken when temperatures fall outside of recommended safe levels. The home must take action to mend the toilet that is out of order. People living in that area of the home must have access to a toilet in full working order. The home must review the staffing situation. There must be sufficient staff on duty to make sure the home is cleaned thoroughly and is free from grime. This will reduce the risks of cross infection to the people living there. The laundry needs to be deep cleaned so that the risk of cross infection is reduced for people. The home needs to review its infection control policy and consider further training for the staff working in the home. The home should take steps to cover the copper piping found in the toilets and bathrooms in order to reduce the risk of injury to the people living in the home. The home will need to provide us with an improvement plan that tells us when these improvements will be completed by and who will be doing them. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action 1 19 13 The home must make sure that the blocked toilet is mended without delay. People need to have access to a toilet that is in full working order. 17/08/2009 2 21 12 The home must make sure that there is consistent hot water supply to all bathrooms. People must be able to have a bath in water that is a suitable temperature. 17/08/2009 3 26 13 The home must make sure there are sufficient staff to keep the home clean and free from dirt at all times. People should be able to live in a clean environment and be free from infection. 17/08/2009 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 26 13 Staff must have further 16/09/2009 training in infection control. This training should be based upon current best practice. People will be less likely to be placed at risk by poor Care Homes for Older People Page 7 of 9 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action practice if staff are appropriately trained. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 19 The home should put together a plan for the redecoration and refurbishment of the home with timescales for completion of works. This will keep the people living in the home informed of the progress being made to the environment. All radiator covers should be secured to the wall. This will offer further protection for people from burns or other injury. The home should have suitable arrangements in place for the management of the cat. This will help reduce the risk of cross infection to the people living in the home. The home should obtain a copy of the current best guidance in infection control from the Department of Health. The laundry room should be deep cleansed. The home should then develop a cleaning schedule that includes the cleaning products to be used, the frequency it should be done and the daily laundering of mopheads. The home should seek further advice on infection control from the Health Protection Agency. When care staff are covering domestic, laundry or maintenance tasks this should be clearly recorded on the rota. 2 19 3 26 4 26 5 26 6 27 Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!
