Inspection on 15/02/06 for Gregory House

This inspection was carried out on 15th February 2006.

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

Gregory House 03/03/09

Gregory House 06/12/06

Gregory House 20/09/05

Gregory House 30/03/05

Gregory House 26/05/04

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

CARE HOMES FOR OLDER PEOPLE Gregory House Welby Gardens Grantham Lincs NG31 8BN Lead Inspector Mr David Bacon Unannounced Inspection 16th February 2006 08:00 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 Gregory House DS0000002367.V273492.R01.S.doc Version 5.0 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. Gregory House DS0000002367.V273492.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Gregory House Address Welby Gardens Grantham Lincs NG31 8BN 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) 01476 562192 The Orders Of St John Care Trust Mrs M Cooke Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37) of places Gregory House DS0000002367.V273492.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st December 2005 Brief Description of the Service: Gregory House is a purpose built care home situated in a quiet residential area within Grantham and is set in its own grounds having landscaped gardens with several seating areas and a summer house. It was built in the 1960’s for the Local Authority and since then has been registered by the Orders of St Johns Care Trust. Grantham town centre is within close proximity. The home is registered to provide residential care for 37 service users over the age of 65 years, category OP. There are 23 single bedrooms and 7 shared bedrooms and several lounge and dining areas. The home is one of a group of homes run by the Order’s of St John Trust and its stated aim is to provide a homely, relaxed and caring environment that takes into account the individual needs of the residents. Gregory House DS0000002367.V273492.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 3 hours; it was unannounced and was carried out by one inspector. A tour of the premises was conducted, service users care records and staff records were inspected along with the homes provision of meals and activities. The inspector spoke with the registered manager, six service users, five staff members and two visiting community nurses. What the service does well: What has improved since the last inspection? What they could do better: Service users were satisfied with the homes provision of meals although some service users said that they would like to be more involved in the planning of meals. Whilst the home staff do seek service users views, this has not formally taken place recently. Gregory House DS0000002367.V273492.R01.S.doc Version 5.0 Page 6 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. Gregory House DS0000002367.V273492.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Gregory House DS0000002367.V273492.R01.S.doc Version 5.0 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 the following standard(s): 3, 4, 5, 6 Satisfactory procedures and administrative systems are in place for the introduction of residents to the home. EVIDENCE: The care records viewed documented where each service users care needs had been assessed and the information within these overall was brief but clear. The completed risk assessments identified the risks to each service user and a record of where each service user or their representative had been consulted with regarding the care plan. Service users were satisfied with admission arrangements. Comments included: “I was made very welcome by the staff, they gave me all the information I needed”. “The staff have been good from the start so I’ve no complaints”. “They all staff made me feel welcome, and put my mind at rest”. Written confirmation is sent to service users prior to admission, where the home is able to meet an individuals care needs. The home does not provide intermediate care services. Gregory House DS0000002367.V273492.R01.S.doc Version 5.0 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 the following standard(s): 7, 8, 10 Care records are well maintained overall and the service users spoken with feel that staff treat them respectfully and they are satisfied with the standards of care provided. EVIDENCE: The service users spoken with confirmed that staff respected their privacy and dignity. Comments included: “Yes, they are very respectful, well, I would let them know if they were not”. “They have been a tremendous help to me”. “I’ve no complaints, well not yet, they are caring and helpful always in a kind way”. A care plan is completed for each service user and information within these documents how each individual’s care needs are met. The completed risk assessments identified any potential risks and the action required to be taken by staff to minimise these. Care records are generally updated daily and are reviewed as and updated as service users care needs change and document where service users or their representatives had been consulted with regarding their care plan. Gregory House DS0000002367.V273492.R01.S.doc Version 5.0 Page 10 The care plans viewed evidenced where residents were seen by health care professionals in relation to their health care needs. The community nurses spoken with were fully satisfied with the homes care provision and that staff appropriately followed any given instruction or advice. Comments included: “We have absolutely no concerns about the home, they approach us when necessary and follow any given advice”. Gregory House DS0000002367.V273492.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 12, 15 The meals provided are enjoyed by service users who are supported to express their views regarding the care they receive, life within the home, and to maintain and develop community links as they prefer. EVIDENCE: The service users spoken with were satisfied with the homes provision of meals. Service users needs and preferences regarding meals are sought upon admission and periodically. Food records are maintained along with records of temperatures and cleaning schedules. The service users spoken with confirmed that they were no restrictions as to how they spend their time and that staff respected their individual wishes and preferences. Comments included: “We can do as we please, well I do”. “I don’t think there any restrictions you can spend your time as you please”. “You are able to do what you like, when you like but just to let them know if you want to go out”. Service users interests are recorded and a record is maintained of the activities provided. An activity co-ordinator is now working at the home and service users confirmed that they enjoyed the provision of activities. Gregory House DS0000002367.V273492.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 16, 18 The service users spoken with feel able to express their views regarding the care they receive and complaint guidelines are in place regarding this. Staff are made aware of the homes whistle blowing and abuse policies and procedures. EVIDENCE: Complaint policies and procedures are in place and information regarding these is provided to service users and displayed in the home. Staff attend abuse awareness training and policies and procedures regarding complaints, whistle blowing and abuse are in place. The service users spoken with said that they felt able to voice any opinions regarding the home to staff and that any views would be appropriately acted upon. Comments included: “I don’t have any complaints but would speak with a carer or the manager if I needed to”. “You would just talk with the staff and yes they would listen”. “I have said my bit on occasion and they have listened”. Gregory House DS0000002367.V273492.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 19, 20, 22, 24, 26 The home is clean, tidy and maintained to a very good standard. All private and communal space is suitable for the residents and is homely and comfortable and service users are able to personalise their own accommodation, as they prefer. EVIDENCE: Service users can gain access to all areas of the home although the external doors are alarmed to minimise risks to service users who may be prone to wandering. Domestic staff keep the home clean and odour free and health and safety policies and procedures give guidance to staff. The twelve service users rooms viewed had been personalised and contained individual’s personal effects. The home has two fixed bath-hoisting chairs and now two portable hoists. Gregory House DS0000002367.V273492.R01.S.doc Version 5.0 Page 14 Hot water temperatures within the home are monitored and regulating valves are fitted to water outlets. Systems are in place to prevent risks from legionella. Protective covers are fitted to radiators. The manager confirmed that any requirements placed upon the home following the most recent inspection visits from the fire safety officer and environmental health officer inspections had been met. Gregory House DS0000002367.V273492.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 30 There are sufficient numbers of staff overall. Robust recruitment procedures are in place and the staff are receive induction when starting at the home. EVIDENCE: The service users spoken with confirmed that the homes care staff met their individual care needs. Comments included: “I have no real complaints and I want to stay here”. “The staff are a caring lot, I am settled here”. “They look after you properly, they are well trained and work hard”. The staff records viewed were well maintained and clearly evidenced that appropriate recruitment procedures had been followed. Gregory House DS0000002367.V273492.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 35, 38 The staff are trained to meet service users care needs and the staff, service users and community nurses spoken with are satisfied with the overall management of the home. EVIDENCE: The staff attend a comprehensive amount of statutory training, which is ongoing. The manager is experienced and is has attended relevant management training. The service users, staff and community nurses spoken with were satisfied with the manager’s approach to the role. The home refrains from involvement in service users finances where possible and policies and procedures are in place where this occurs. Gregory House DS0000002367.V273492.R01.S.doc Version 5.0 Page 17 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 X X 3 3 3 N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X 3 X 3 X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 3 Gregory House DS0000002367.V273492.R01.S.doc Version 5.0 Page 18 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. Standard Regulation Requirement Timescale for action 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 15 Good Practice Recommendations It is recommended that service users should be invited to become more involved in the planning of meals. Gregory House DS0000002367.V273492.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Gregory House DS0000002367.V273492.R01.S.doc Version 5.0 Page 20 - 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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