Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Grasmere 49 Grange Road Sutton Surrey SM2 6SY The quality rating for this care home is: The rating was made on: two star good service 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Mohammad Peerbux Date: 2 9 1 0 2 0 0 8 Information about the care home
Name of care home: Address: Grasmere 49 Grange Road Sutton Surrey SM2 6SY 02086428612 02086429953 grasmereresthome@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Zeenat Nanji,Salim Nanji care home 25 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 25 Conditions of registration: Date of last inspection Brief description of the care home Grasmere is registered with the Commission For Social Care Inspection to provide personal care for twenty-five older people. The home is situated in south Sutton and is within reasonable walking distance of shops and public transport. The original building has been extended over recent years and a number of the single rooms lead directly onto the garden. Many of the rooms have ensuite facilities and there are also sufficient numbers of bathroom and toilet facilities conveniently located throughout the home. There is also a well-equipped kitchen and a separate laundry room The garden is used by residents in suitable weather and can easily be accessed by those whose mobility is restricted. There are three communal rooms including the dining room and a shaft lift. Residents have regular access to services of healthcare professionals such as district nurses, dentist and opticians as well as chiropodists. Care Homes for Older People Page 2 of 7 What we found:
This unannouced inspection was carried out following concerns raised by the local social services.It lasted approximately two hours and was facilitated by the registered manager and provider.We mainly looked at residents care plans,risk assessements and the general record keeping in the home. Four residents care plans were sampled at random and it was noted they generally included information necessary to deliver the residents care but did not cover all the residents needs. For example two of the residents suffer from diabetes, these were not covered in their care plans.This was discussed in depth with the registered manager and also with the provider. Residents care plans must include all aspects of their health, personal and social care needs to ensure that all their needs are being met. Although care staff and professionals write the care plans, this could be improved, as there was little evidence that the residents and their family contributed or were actively involve in the process. The care plan should sets out in detail the action which needs to be taken by care staff to ensure that all aspects of the health, personal and social care needs of the resident are met. The care plans must also meet relevant clinical guidelines produced by the relevant professional bodies concerned with the care of older people, and includes a full risk assessment, with particular attention to prevention of falls. Some care plans, which were sampled, had not been reviewed and updated on a monthly basis. The home must ensure that residents plans are reviewed at least once a month, updated to reflect changing needs and current objectives for health and personal care, and actioned. It was identified during the inspection that the daily records were sometimes brief and did not give enough information on the changes in residents needs. Daily records are a good source of evidence to show that care is being provided, as detailed in the care plan. When well written they help to ensure a consistent approach and good quality of care for residents. Changes in people individual health care needs must be made aware to all staff and recorded to ensure they receive support and care as needed. What the care home does well: What they could do better: 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 3 of 7 Care Homes for Older People Page 4 of 7 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 5 of 7 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 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes 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 7 15 Residents care plans must include all aspects of their health, personal and social care needs. To ensure that all their needs are being met. 10/12/2008 2 7 15 Residents care plans must be reviewed by care staff in the home at least once a month, updated to reflect changing needs and current objectives for health and personal care, and actioned. This will ensure that all their needs are being met. 10/12/2008 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 Care Homes for Older People Page 6 of 7 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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: 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 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 © (2008) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 7 of 7 - 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!
