Inspection on 14/06/05 for Grasmere House

This inspection was carried out on 14th June 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

Grasmere House 10/06/06

Grasmere House 19/12/05

Grasmere House 27/10/04

Grasmere House 13/05/04

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

CARE HOMES FOR OLDER PEOPLE Grasmere House 33 Cargate Avenue Aldershot Hampshire GU11 3EZ Lead Inspector Pat Griffiths Unnannounced 14.06.05 10:00 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. Grasmere House H54 S12106 Grasmere House V230883 140605.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Grasmere House Address 33 Cargate Avenue Aldershot Hampshire GU11 3EZ 01252 328052 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) Mrs Ramtohal Mrs Ramtohal Care Home 9 Category(ies) of Dementia, over 65 - DE(E) - 9 registration, with number Mental Disorder, over 65 - MD(E) - 9 of places Old Age - OP - 9 Grasmere House H54 S12106 Grasmere House V230883 140605.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 27.10.04 Brief Description of the Service: Grasmere House is a large house in a residential area of Aldershot. The home is a short walk from the local shops and close to the main shopping centre of Aldershot. The home is registered to provide care for nine older people including those with dementia. The home provides accomodation on two floors, with one shared and seven single bedrooms. There is a large lounge and separate dining room. There are gardens to the front and back of the home, with paved seating areas for the residents. Grasmere House H54 S12106 Grasmere House V230883 140605.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first of the two statutory unannounced inspections for the inspection year 2005/06. The key standards will be inspected over the course of the two inspection visits. The standards covering the requirements made during the last inspection were also inspected on this visit. The inspector visited the home for four hours and was able to tour the home and the garden, talk to staff and residents, to review some files and read policies and procedures. The inspector was unable to obtain comments or opinions from most of the residents because of communication problems. Through observation and by joining in with the activities it was apparent that the residents were happy and had a good relationship with the staff. What the service does well: What has improved since the last inspection? Decoration of the home is on going and many parts have been decorated since the last inspection, including a bedroom, hallways and the office. Grasmere House H54 S12106 Grasmere House V230883 140605.doc Version 1.30 Page 6 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. Grasmere House H54 S12106 Grasmere House V230883 140605.doc Version 1.30 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 Grasmere House H54 S12106 Grasmere House V230883 140605.doc Version 1.30 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) x Standard 6 does not apply to this service EVIDENCE: These standards were not inspected. The home does not provide intermediate care. Grasmere House H54 S12106 Grasmere House V230883 140605.doc Version 1.30 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) 8, 9 and 10 The health, social and personal care needs of the residents are not fully met. EVIDENCE: The medication administration records were looked at and were found to have been signed properly when drugs are given. None of the residents selfadministers medication. The inspector and the manager discussed the need to keep a record all the drugs received into the home. Medication policies and procedures have been reviewed and updated. The residents are registered with a local GP; a chiropodist visits regularly and other health professionals, such as the District Nurse, visit when requested by the staff or GP. The residents also visit the local dentists and opticians when necessary. Observation during the inspection showed that the staff were respectful and considerate in their interactions with the residents and maintained their dignity. Grasmere House H54 S12106 Grasmere House V230883 140605.doc Version 1.30 Page 10 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) 13 The residents take part in various informal activities within the home. There is an open visiting policy and visitors are encouraged. EVIDENCE: On the day of the inspection a relative called in to visit after taking her children to school. The vicar from the local church visits to give communion to one resident, as she does not wish to go out to church. On the afternoon of the visit the residents and staff had a music and movement session, which everyone seemed to enjoy. The home has a cat that is very popular with all the residents. Grasmere House H54 S12106 Grasmere House V230883 140605.doc Version 1.30 Page 11 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 complaints policy in place that is accessible to residents, their friends and relatives and members of staff. EVIDENCE: During the last year there have been no complaints made to the home or CSCI. The home has a complaints policy, containing all the relevant information, which is available to staff, residents and their visitors. One visitor told the inspector that the family had no complaints about the home or the care that their relative received; they felt that they could complain if a problem did arise. Grasmere House H54 S12106 Grasmere House V230883 140605.doc Version 1.30 Page 12 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 A safe standard of accommodation is provided for the residents, which is also comfortable and homely. EVIDENCE: The inspector was able to see all the bedrooms, which were clean and looked homely, as they had been personalised with the resident’s own furniture and possessions. The home is decorated and furnished to a standard that is comfortable, homely and suited to the residents needs. Several areas of the home have been redecorated since the last inspection, including a bedroom and the office. All areas of the home were cleaned to a high standard and smelled pleasant. Grasmere House H54 S12106 Grasmere House V230883 140605.doc Version 1.30 Page 13 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, 29 & 30 The staff at the home are employed in sufficient numbers to meet the residents needs. The staff have been suitably trained, some require updating of their training. EVIDENCE: The inspector was able to see copies of the recent rosters and saw that staffing levels are sufficient to meet the need of the residents. Residents that were able to speak to the inspector confirmed that there was always enough staff available for them. The home has a suitable recruitment policy in place. The inspector was able to see some of the staff files, including those of family members, which showed that manager does follow the homes policies when recruiting new staff; references and CRB (Criminal Records Bureau) disclosures were seen. All new staff undertake induction training in the home when they start. Much of their other training, such as manual handling, is done in conjunction with the other homes in the area. The registered person must ensure that all staff training is up-to-date and a training record is kept Grasmere House H54 S12106 Grasmere House V230883 140605.doc Version 1.30 Page 14 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) 33, 35 & 38 The home is run in the best interests of the residents. The home is not responsible for the financial affairs of the residents. The welfare, health and safety of the residents and staff is promoted and protetcted. EVIDENCE: The home does have a service users survey, when the views of the residents their relatives and visitors are sought. The manager is going to develop the results so that they can be made available to prospective service users and the Commission. The home does look after small amounts of pocket money for some of the service users, but are not responsible for the resident’s financial affairs. A record is kept of all money that is spent, usually for the hairdresser and newspapers, and receipts are given to the nominated friends or relatives of the resident. Grasmere House H54 S12106 Grasmere House V230883 140605.doc Version 1.30 Page 15 The registered manager is a trained nurse and is currently undertaking the Registered Managers Award, which is an NVQ 4 in management. Staff will be undertaking further training in adult protection and prevention of abuse. Staff are aware of the safety needs of the residents, the inspector observed that the front door is kept locked and residents are escorted out into the garden. The home is well maintained, service records for the boilers, stair lift and safety equipment were seen by the inspector. Visitors that spoke to the inspector were very positive and complimentary about the staff and management of the home, commenting that they felt their relatives were well looked after. Grasmere House H54 S12106 Grasmere House V230883 140605.doc Version 1.30 Page 16 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 x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 x COMPLAINTS AND PROTECTION x x 3 x x x 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 3 x 3 x x 3 Grasmere House H54 S12106 Grasmere House V230883 140605.doc Version 1.30 Page 17 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 9 Regulation 13(2) Timescale for action The registered person shall make 30/9/05 arrangements for the recording of all medicines received into the care home The registered person must 30/09/05 ensure that all staff training is up-to-date. The registered person must 30/06/05 ensure that a staff training record is kept Requirement 2. 3. 30 30 18 (1)c Schedule 2.4 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. Refer to Standard Good Practice Recommendations Grasmere House H54 S12106 Grasmere House V230883 140605.doc Version 1.30 Page 18 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW 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. Extracts may not be used or reproduced without the express permission of CSCI Grasmere House H54 S12106 Grasmere House V230883 140605.doc Version 1.30 Page 19 - 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. 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