Inspection on 17/03/08 for Gravesham Place Integrated Care Centre

This inspection was carried out on 17th March 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

Gravesham Place Integrated Care... 14/01/09

Gravesham Place Integrated Care... 17/08/07

Gravesham Place Integrated Care... 07/03/07

Gravesham Place Integrated Care... 13/10/06

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

CARE HOMES FOR OLDER PEOPLE Gravesham Place Integrated Care Centre 22-22a Gravesham Place Stuart Road Gravesend Kent DA11 0BZ Lead Inspector Lisbeth Scoones Unannounced Inspection 09:30 17 March 2008 th 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 Gravesham Place Integrated Care Centre DS0000067174.V359342.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. Gravesham Place Integrated Care Centre DS0000067174.V359342.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gravesham Place Integrated Care Centre Address 22-22a Gravesham Place Stuart Road Gravesend Kent DA11 0BZ 01474 360500 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) Kent County Council Susan Barbara Giblin Care Home 80 Category(ies) of Dementia - over 65 years of age (40), Old age, registration, with number not falling within any other category (40) of places Gravesham Place Integrated Care Centre DS0000067174.V359342.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 7 of the 40 elderly beds may be used for service users aged 55 years and over for dementia. 3 of the 20 older people beds may be used for service users aged 55 years and over for rehabilitative care. 20 of the 40 older people beds are provided for people requiring nursing care. 17th August 2007 Date of last inspection Brief Description of the Service: Gravesham Place Integrated Care Centre provides Health and Social Care in Partnership for eighty older people. Forty places are for older people, twenty of which can be for nursing care. Twenty places are for rehabilitative care, 3 of which may be used for residents aged fifty-five and over. Twenty places are for older people with dementia, seven of which can be from fifty-five years of age. The home is divided into three units, Topaz, Opal and Emerald. Grosvenor Facilities owns the building and the care service is provided by Kent County Council. The home is part of a complex that includes a hospital and day services, which is located in Gravesend within easy reach of the usual town facilities and public transport. Each unit of the home has access to outside areas, such as gardens, a balcony and a roof garden. There is a visitors’ car park to the front of the property. All residents are accommodated in single rooms with en-suite facilities. The home is purpose built and can be accessed at all levels by the use of a passenger lift. The inspection report, Statement of Purpose and information regarding weekly fees charged is on display in the entrance hall. The manager advised that up to the 9th of April 2008 the maximum weekly fee is £ 364.79. Additional costs include hairdressing, toiletries, chiropody, some outings and newspapers. Gravesham Place Integrated Care Centre DS0000067174.V359342.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 unannounced visit took place on 17th March 2008 when the inspector was accompanied by an ‘expert by experience’ who spent time in the dementia care unit. The visit comprised discussions with the nurses in charge, team leaders, other staff, many residents and a visiting relative. The nursing, dementia and intermediate care units were visited. Documentation was examined in respect of care plans and risk assessments, complaints, accident records, rotas, staff training, staff files and activities records. A return visit was made the following day to meet with and give feedback to the manager. The commission has not received any complaints. What the service does well: Following the previous inspection visit, the home was served a Statutory Requirement Notice requiring the registered provider to take action in respect of risks identified to the environment and poor care planning. The home responded well and in accordance with the set time scales for improvement. The CSCI was kept informed of progress made with regularly updated improvement plans. The most recent one was dated 7th March 2008. Residents are treated with kindness and respect for their privacy. Residents said they liked the meals provided which are served in a pleasant environment. Residents live in a safe, clean, tidy and well-maintained environment. Residents are provided with opportunities to air their views. The centre employs staff who are appropriately supervised and trained to meet residents’ needs. Residents are protected from potential abuse. Good recruitment procedures are in place. Gravesham Place Integrated Care Centre DS0000067174.V359342.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The personal care element of care plans currently does not specify residents’ needs in respect of oral/dental hygiene. Care plans do not include residents’ wishes in respect of death and dying Multidisciplinary pages in care plans do not provide sufficient evidence of contact with or visits from GP’s, other health care professionals and care manager’s reviews. Medication records need further improvement and audit. The new activities programme in the dementia care unit is in its early stages and needs to be further developed and enhanced. The provision of activities in the nursing unit needs to be reviewed. Gravesham Place Integrated Care Centre DS0000067174.V359342.R01.S.doc Version 5.2 Page 7 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. Gravesham Place Integrated Care Centre DS0000067174.V359342.R01.S.doc Version 5.2 Page 8 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 Gravesham Place Integrated Care Centre DS0000067174.V359342.R01.S.doc Version 5.2 Page 9 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, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with comprehensive and up to date information about the services the centre provides. Prospective residents and their representatives are provided with adequate information to decide whether to move into the centre. They are assessed to ensure that the centre can meet their needs. Residents assessed and referred for intermediate care are helped to maximise their independence and return home. Gravesham Place Integrated Care Centre DS0000067174.V359342.R01.S.doc Version 5.2 Page 10 EVIDENCE: The centre keeps its statement of purpose and service user guide updated. Prospective residents are assessed before they move in, to ensure that the centre is suitable to meet their needs. It was stated that there are currently no self-funding residents and the local authority has undertaken all assessments prior to admission. Prospective residents have the opportunity to look around the centre before they move in. Staff must ensure that residents have a timely care review particularly when care needs change. The centre provides a service for older people, aimed at meeting a wide range of needs. This includes nursing, dementia and residential, short-term respite and rehabilitation care. In respect of the latter, specialist facilities, equipment and staff are provided, such as an occupational health team and physiotherapist in order that people can return to their own homes. Designated therapy rooms are provided within the centre complex. Gravesham Place Integrated Care Centre DS0000067174.V359342.R01.S.doc Version 5.2 Page 11 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, 11 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ health, personal and social care needs are mostly reflected in their care plans providing staff with the information to care for the residents’ needs. Residents’ health care needs are met but input from health care and other professionals is not clearly recorded. Residents are mostly protected by the centre’s medication policies and procedures. Residents are treated with respect and their privacy is upheld. There is little evidence in care plans seen that staff are provided with information of residents’ wishes in respect of death and dying. Gravesham Place Integrated Care Centre DS0000067174.V359342.R01.S.doc Version 5.2 Page 12 EVIDENCE: Since the previous inspection, a new care-planning format has been introduced throughout the centre. Staff have received training and regular audits are carried out by senior staff to ensure that these are current and comprehensive. A marked improvement was noted. Care plans provide staff with the information they need to look after residents’ health, social, cultural and spiritual needs. However, the personal care component currently does not refer to oral/dental care and should be included. Care plans do not specify residents’ wishes in respect of death and dying. This was reported at the previous inspection and has not been addressed. Care plans are signed by the resident or relative. Care plans are supported and informed by appropriate risk assessments. It is evident that residents have access to health and social care professionals. District nurses, GPs, community psychiatric nurses and older people specialist nurses visit the centre on a regular basis. The centre has access to psychiatric specialists and some services of the adjoining hospital if necessary. Visits from and contact with professionals are not always fully recorded in the designated section of the care plan. This information is pertinent to ensure continuity and follow up of specialist input. Medication charts examined in the nursing unit were mostly well maintained. However, not all handwritten entries had been signed by two members of staff. A ‘gap’ for non-administration could not be explained. Whilst a medication audit folder was available, the contents did not evidence that audits had been carried out. A medication error had been well recorded and acted upon. This included notification to the Commission. Good systems are in place to ensure appropriate disposal of waste medication. The ‘expert by experience’ commented on staff’s cheerfulness, courtesy and kindness towards the residents. This was conformed by residents spoken with who said that the staff were kind and caring. Residents’ privacy is respected. They are able to meet with their visitors in private, either in their rooms or in the smaller lounge areas. Each room has a telephone, which may be programmed to make outgoing calls. Gravesham Place Integrated Care Centre DS0000067174.V359342.R01.S.doc Version 5.2 Page 13 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 good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a range of activities and those provided in the dementia care unit are being enhanced. Residents can exercise choice and control over their lives. Residents are able to keep in contact with their family and friends. Wholesome and varied meals are provided and the centre caters for residents’ cultural dietary needs. EVIDENCE: In an effort to improve activities, residents have recently been asked which activities they would like. From information provided an activities programme has been devised which is to be further developed. Activities currently provided include art and crafts, sewing, knitting and handicrafts, softball and memory games. Care staff provide the majority of the activities. Gravesham Place Integrated Care Centre DS0000067174.V359342.R01.S.doc Version 5.2 Page 14 In the dementia care unit the ‘expert by experience’ observed that, “one carer spent some time doing a jigsaw with four residents, another sat and read a paper with (not to) another resident. Others sat and listened to music or dozed. A resident had a dance with one of the main carers. This carer spent a lot of time with several of the residents and had a genuine rapport with each of them as an individual.” The centre does not employ an activities organiser. Staff in the nursing unit said that they often do not have the time to provide activities. A resident spoken with said that more activities would be welcomed. A visitor said her relative was often bored. With the input from a dementia care specialist trainer and occupational therapist team, an activities programme is beginning to develop in the dementia care unit. The team leader has been identified as Champion to take forward the development of the service. The manager now has a budget to spend on activities in the dementia care unit. An equipped sensory room is now available to the residents. The ‘expert by experience’ observed that “a visitor said that she and the relative used it every time she came and found it very comforting.” Reminiscence therapy is being looked into. Relatives have been asked to bring in photographs and memorabilia to be included in individual Life Story books. The occupational therapy team is in the process of compiling these with input from the residents and staff. They are also involved in designing features for the enclosed roof garden that would include sensory plants, flowers and suitable equipment. A local school is involved in a project to help planning the improvement of the patio area. Some residents are supported to go shopping and others attend day services within the centre complex, which provide a variety of activities. The centre provides accommodation to residents of differing ethnicity. Residents are able to make some choices within the constraints of group living and their own abilities. Since the previous inspection, automatic door closures have been fitted to rooms situated in link corridors. As a result residents now have a choice as to leave their bedroom doors open or not. Since the previous inspection, the balconies on the first floor have been made safe. Residents can now have free and safe access to these areas Residents are supported to undertake religious observance of their choice if they wish. A chaplain visits the home and services are held twice a week. A resident said she enjoyed such visits. The grounds include a multi-faith chapel, which provides the facility for various forms of worship. Gravesham Place Integrated Care Centre DS0000067174.V359342.R01.S.doc Version 5.2 Page 15 Residents are encouraged to keep contact with their relatives and friends if they wish. Visitors are welcome at the centre at any reasonable hour and are able to be received in private. A visiting relative said, “ I visit regularly and know the staff well. “ The catering service and staff is shared with the adjoining hospital. It was noted that crisp tablecloths, flowers on the table and serviettes are provided. Residents said they enjoyed the variety of the meals. Residents are asked for their choice of food and this is recorded. There are three options, two main courses and one salad. For these residents with cultural dietary needs, a choice of appropriate meals is provided. Gravesham Place Integrated Care Centre DS0000067174.V359342.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 good. This judgement has been made using available evidence including a visit to this service. The views of residents and their representatives are listened to, complaints recorded and acted upon. Residents are protected from abuse. EVIDENCE: Residents are at ease talking with staff who listen to their concerns. Regular residents’ meetings are held to welcome views and concerns. The complaints file was examined and indicates that complaints are investigated and acted upon. Procedures and staff training ensure that residents are protected from potential abuse. Staff spoken with demonstrated a good awareness of what constitutes abuse and the steps to take to report this. Gravesham Place Integrated Care Centre DS0000067174.V359342.R01.S.doc Version 5.2 Page 17 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. Residents benefit from living in a clean, tidy and well-maintained environment which has been made more homely. Residents are protected by good infection control practices. EVIDENCE: The premises are purpose built. Grosvenor Facilities owns the building and the care service is provided by Kent County Council. The home is part of a complex that includes a hospital and day services. The home is divided into three units, Topaz, Opal and Emerald. CCTV is provided in the main entrance of the home for the security of residents. Gravesham Place Integrated Care Centre DS0000067174.V359342.R01.S.doc Version 5.2 Page 18 Since the previous inspection, some homely features such as pictures, cushions and decorations have been made available giving the centre a less clinical feel. Residents have been asked for suggestions. Ideas are being explored for signage on residents’ doors. The manager said that there is still some money in the budget to enhance the environment further. The manager is somewhat restricted as, “For items to be attached to the wall, set procedures need to be followed to commission Grosvenor House Facilities management to carry out these works”. All residents have access to outside areas, such as gardens, balconies and a roof terrace. Since the previous inspection, the balconies on the first floor have had additional glass panels installed thus providing a safe environment for the residents to access these independently. Initially the centre was to install canopies, to maintain residents’ privacy from windows overlooking the balconies. The CSCI has been advised that due to structural issues it is not possible to erect these. Other forms of privacy are being explored such as planting and sunshades. The garden is well designed and has disabled access. It includes a multi-faith chapel and a covered walkway. Swipe card locks have been provided in the dementia care unit thus ensuring safety for the residents. There are doors linking the home with the adjoining hospital. These are secured and can only be accessed by authorised individuals. Grosvenor Facilities is responsible for maintenance and repairs. Since the previous inspection, those residents whose rooms are situated in link corridors now have a choice as to whether they keep their bedroom doors open or not. Automatic door closures have been installed which are linked into the fire alarm system. A small number of residents smoke in their rooms. Whilst risk assessments have been written and measures introduced to reduce risk, it is recommended that these are agreed by the fire officer. All areas of the centre seen were clean, tidy and odour free. On the day of the inspection visit, the intermediate care unit was being deep cleaned temporarily interrupting residents’ routine. Residents are provided with en-suite facilities. Since the previous inspection, all en-suites have now been provided with liquid soap and paper towel dispensers and foot operated bins. These are for the use of staff to practice universal precautions. Residents are further protected by staff who use alcohol gel in addition to hand washing. Gravesham Place Integrated Care Centre DS0000067174.V359342.R01.S.doc Version 5.2 Page 19 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 good. This judgement has been made using available evidence including a visit to this service. Suitably trained staff are employed to meet residents’ needs. Whilst sufficient staff are employed for care and nursing duties, insufficient staff may be available to provide activities. Sound recruitment procedures ensure that the residents are in safe hands. EVIDENCE: The manager and senior staff confirmed that there are sufficient staff on duty to meet residents’ care and nursing needs at all times. However, a resident and a relative in the nursing unit commented that staff have little time to provide activities. See also standard 12. At the previous inspection visit it was recorded that the nursing unit has 24hour nurse cover. However, the night nurse is also responsible for providing advice and assistance for the other units. This arrangement may result in a possible absence from the unit, which would therefore not have a guaranteed 24-hour cover. This subject was again discussed at this inspection. The manager said that this issue is currently being monitored. Gravesham Place Integrated Care Centre DS0000067174.V359342.R01.S.doc Version 5.2 Page 20 The centre provides accommodation to residents of differing ethnicity. Several staff are able to communicate with the residents in their own language. Care and administrative staff are directly employed by the home but nurses have a contract with the PCT. Grosvenor Facilities provides maintenance, laundry, cleaning and catering staff. The recruitment file of a recently employed member of staff was examined. It confirmed that good staff recruitment procedures are in place. All staff receive statutory training updates. Over 50 of the staff have an NVQ qualification. Training records in the managers’ office evidence recent staff training including NVQ, all statutory training, adult protection, medication, diabetes and dementia awareness as well as an introduction to the Mental Capacity Act. Gravesham Place Integrated Care Centre DS0000067174.V359342.R01.S.doc Version 5.2 Page 21 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, 36, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a well managed home. The manager endeavours to run the home in the best interests of residents and staff are well supervised. A system is in place ensuring that residents’ monies are safeguarded. Residents’ health and safety are promoted and safe guarded. Gravesham Place Integrated Care Centre DS0000067174.V359342.R01.S.doc Version 5.2 Page 22 EVIDENCE: The registered manager has over 20 years previous experience in residential and day care for older people and an additional ten years experience in social and health care settings. She is currently studying for a NVQ 4 in Health and Social Care, has a certificate in management and has been awarded the registered manager’s award. She is assisted by two senior team leaders and 9 team leaders, which include registered nurses. She is an NVQ assessor and inhouse trainer. It is evident that the manager endeavours to provide a quality service. The centre has formal monthly visits from a representative of the registered provider. Care planning audits are carried out by the person in charge of the nursing unit (Emerald) and regularly overseen by the Operational Manager. Residents’ meetings on each unit and staff meetings within the home are held on a regular basis. The quality assurance system includes residents’ satisfaction questionnaires sent out annually. The centre carries out an annual review that includes feedback from residents, their representatives and health and social care professionals. Residents are encouraged to manage their own personal allowance. If this is not possible, the centre can arrange for a Personal Property Account to be opened. A staff supervision structure is in place. Staff spoken with confirmed that oneto-one sessions are provided and recorded. As the manager is not a registered nurse, the nurses are provided with supervision from a PCT clinical specialist nurse. The manager provides supervision to nurses regarding managerial issues. Care staff are provided with supervision from either a team leader or a nurse depending on which unit they work. Grosvenor Facilities is responsible for regular testing and maintenance of equipment and facilities within the home. Identified at the previous inspection, visitors mentioned that they still encounter difficulties in gaining access to the centre through the ring call facility. This issue was discussed with the manager. She replied that the entrance is normally manned and that few problems have been brought to her attention. Records of accidents and incidents were examined and well maintained. The manager ensures that the Commission is informed of all reportable events in accordance with Regulation 37. Gravesham Place Integrated Care Centre DS0000067174.V359342.R01.S.doc Version 5.2 Page 23 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 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Gravesham Place Integrated Care Centre DS0000067174.V359342.R01.S.doc Version 5.2 Page 24 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. 1 Standard OP7 Regulation 15 (1) Requirement Timescale for action 30/04/08 2 OP9 13 (2) The registered person shall prepare a written plan as to how the service user’s needs in respect of his health and welfare are to be met (in respect of oral/dental care and spiritual care) The registered provider shall 30/04/08 make arrangement for the recording, handling, safekeeping, safe administration and disposal of medicines received in the care home (in respect of recording and audit) 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 OP8 OP9 Good Practice Recommendations That all visits by and contact with health and social care professionals be recorded That all hand written entries in the medication charts are signed by two members of staff DS0000067174.V359342.R01.S.doc Version 5.2 Page 25 Gravesham Place Integrated Care Centre 3 OP12 That the activities programme in the dementia care unit be extended That the roof garden be made more user friendly That an activities programme be introduced in the nursing unit That dedicated staff are available to provide a programme of activities That the centre provides 24 hour nursing cover on the nursing unit 4 OP27 Gravesham Place Integrated Care Centre DS0000067174.V359342.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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. 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