Inspection on 01/06/07 for Grimsargh House Residential Home

This inspection was carried out on 1st June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Grimsargh House Residential Home 20/11/08

Grimsargh House Residential Home 23/09/08

Grimsargh House Residential Home 25/10/05

Grimsargh House Residential Home 24/05/05

Grimsargh House Residential Home 13/12/04

Grimsargh House Residential Home 27/07/04

Grimsargh House Residential Home 23/01/04

Grimsargh House Residential Home 07/08/03

Grimsargh House Residential Home 20/08/02

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

CARE HOMES FOR OLDER PEOPLE Grimsargh House Residential Home Preston Road Grimsargh Preston Lancashire PR2 5JE Lead Inspector Mr Patrick Rooney Unannounced Inspection 10:00 1st June 2007 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 Grimsargh House Residential Home DS0000009820.V336016.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. Grimsargh House Residential Home DS0000009820.V336016.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Grimsargh House Residential Home Address Preston Road Grimsargh Preston Lancashire PR2 5JE 01772 651031 01772 653994 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) Stanner Manufacturing Limited Mrs Shirley Ithurralde Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Grimsargh House Residential Home DS0000009820.V336016.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Registered Person shall at all times employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. The home shall accommodate no more than 28 (twenty eight) service users within the category of Old Age not falling within any other category. 25th October 2005 2. Date of last inspection Brief Description of the Service: Grimsargh House is situated within extensive grounds in the village of Grimsargh. The home is registered for 28 service users and provides personal care to older people over the age of sixty-five years both male and female. The home is not purpose built and has three floors accessible by a lift. There is ample communal space with two conservatories as well as a large dining room and lounge. The service provided is intended for service users who are fairly dependent but do not require nursing care. Grimsargh House Residential Home DS0000009820.V336016.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit and was carried out over a six-hour period from 10 am. The inspector consulted care records and spoke to residents living at the home. He discussed their care with them and spoke to visiting relatives. Questionnaires were received from residents, relatives and district nurses. de, Staff were also spoken to regarding their role within the home and confirmed they receive a full induction in caring for the elderly and the opportunity for on going training. The inspector toured the building, spoke to individual staff, had discussion with management and consulted records and policies and procedures. What the service does well: Grimsargh house is a well-established care home and has had the same owners for many years. There is a stable professional staff team who are able to provide continuity and stability for residents living there. This was confirmed to be the case from discussions and observations made during the visit. There is an excellent management structure with clear lines of accountability, which shows in all aspects of the homes operation. The home places high importance on training and over 50 of staff are NVQ2 qualified. In the management team the registered manager and one of the deputies has NVQ4 in management. The other deputy has NVQ3 Comments from district nurses received as part of the inspection were positive and include “ Health care needs are well met, privacy and dignity is respected. There is a mature and experienced staff team who treat residents as individuals, we consider this to be one of the better homes, the care is excellent, and we feel comfortable visiting.” Comments received from relatives who completed questionnaires given out for the inspection say. “I visit the home regularly and have observed the good care and attention residents receive, any problems I am able to approach the manager and things are put right”. “this home is brilliant I am always made welcome and am able to attend reviews. Residents comments include “This is a very good home it is next to being at home, you cant beat it”. “I am very pleased with the care I receive and find staff very good, they care for us well”. Grimsargh House Residential Home DS0000009820.V336016.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Grimsargh House Residential Home DS0000009820.V336016.R01.S.doc Version 5.2 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 Grimsargh House Residential Home DS0000009820.V336016.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has good information and assessment procedures, which ensure resident’s needs are comprehensively assessed and appropriate care plans made. EVIDENCE: All residents are provided with a Service User’s Guide. This contains good information about services the home provides however it does not contain reference to anti discriminatory service with regard to race, religion, culture, language, gender, sexuality, disability and age. This is contained in the Statement Of Purpose and should be included in The Service User’s Guide. Grimsargh House Residential Home DS0000009820.V336016.R01.S.doc Version 5.2 Page 9 The assessments of four residents were looked at. A full pre admission assessment had taken place, which identified care to be provided including risk assessments. For residents who are funded by social services social workers assessments were available on file. Terms and conditions of residency are provided and signed by residents or their representatives. Grimsargh House Residential Home DS0000009820.V336016.R01.S.doc Version 5.2 Page 10 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 and 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents have excellent care plans in which their health and personal needs are closely monitored and care is delivered sensitively respecting privacy and dignity. EVIDENCE: The inspector looked at care plans for four residents and then spoke to those residents. They all expressed satisfaction with the care they receive saying that all their care needs are met. Care plans included risks and how staff should deal with these. Monthly evaluations are carried out with the involvement of residents and their relatives or representatives. Any problems regarding weight or diet are recorded and actions taken regarding them. There are good relationships with health care professionals who visit he home and good recording of this is made. Comments from district nurses received Grimsargh House Residential Home DS0000009820.V336016.R01.S.doc Version 5.2 Page 11 as part of the inspection were positive and include “ Health care needs are well met, privacy and dignity is respected. There is a mature and experienced staff team who treat residents as individuals, we consider this to be one of the better homes, the care is excellent, we feel comfortable visiting.” Comments received from relatives who completed questionnaires given out for the inspection say. “I visit the home regularly and have observed the good care and attention residents receive, any problems I am able to approach the manager and things are put right”. “this home is brilliant I am always made welcome and am able to attend reviews. Residents comments include “This is a very good home it is next to being at home, you cant beat it”. “I am very pleased with the care I receive and find staff very good, they care for us well”. Medication policies and procedures were looked and records checked. These were in good order and ensure medication is dispensed and stored safely. Only staff who are trained are allowed to give medication out. There is a controlled drugs register and two staff sign when dispensing controlled drugs. This was maintained correctly and the correct amount of drugs were in the controlled drugs cabinet. Grimsargh House Residential Home DS0000009820.V336016.R01.S.doc Version 5.2 Page 12 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 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The homes routines are flexible and welcoming and residents receive a varied diet. EVIDENCE: The home ensures that ten hours of staff time is allocated for provision of activities. This ensures appropriate activities are provided for individual residents. The inspector saw a good varied programme of activities for residents, which includes entertainment sessions, books, quizzes, games, happy hours/sing-along, baking, outings, visiting shops, tai chi and parties. Residents told the inspector that there are always something available to them if they wish to take part. The atmosphere in the home was observed to be relaxed, residents told the inspector they are able to rise and retire when they wish and that mealtimes are flexible according to their needs and wishes. Meals may be taken privately if residents wish. The inspector spoke to the cooks and looked at menus, Grimsargh House Residential Home DS0000009820.V336016.R01.S.doc Version 5.2 Page 13 these are varied with alternatives always available. Residents meetings are held and they are able to ensure items they want are included in the menus. Care is taken to ensure special diets are provided. Residents told the inspector that staff are very kind and caring and relatives said that the home is relaxed and has a very pleasant atmosphere and they are always made welcome. Grimsargh House Residential Home DS0000009820.V336016.R01.S.doc Version 5.2 Page 14 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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The complaints and protection procedures ensure that any concerns are listened to, taken seriously and acted upon. EVIDENCE: There is a complaints procedure available to residents and there families, this is available in the service users guide and is on the homes notice board. Residents confirmed they are aware of the complaints procedure and told the inspector that any concerns they have are dealt with promptly. The homes manager or senior staff are always available in the home, residents and staff said she is very approachable and helpful. All complaints are recorded including outcomes. The inspector looked at the complaints book and saw that complaints had been dealt with satisfactorily and within the procedures requirements. The inspector saw the homes vulnerable adults procedures including the whistle blowing policy. These are in line with the Department Of Health, ‘No Secrets’ paper. Staff spoken to were aware of the whistle blowing policy and said they would approach the manager if they had any concerns. Training is provided in protection of vulnerable adults and a booklet is available in the home for staff about the recognition and prevention of abuse. Grimsargh House Residential Home DS0000009820.V336016.R01.S.doc Version 5.2 Page 15 Grimsargh House Residential Home DS0000009820.V336016.R01.S.doc Version 5.2 Page 16 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers a good standard of décor and furnishings, which provide residents with a homely comfortable environment. EVIDENCE: The inspector toured the home and viewed the rooms of residents, he observed them to be comfortably furnished and contained items residents were able to bring with them when they were admitted to the home. Public areas of the home were seen to be comfortably furnished and decorated. All residents spoken to said they were happy with accommodation provided by the home. Grimsargh House Residential Home DS0000009820.V336016.R01.S.doc Version 5.2 Page 17 There is an on going programme in place for refurbishment and decoration. A handyman is employed to ensure repairs are carried out promptly and that standards are maintained. The homes infection control procedures are good and soiled waste is disposed of properly. The laundry has machines, which ensure items can be disinfected and cleaned appropriately. The home employs domestics and all areas of the home were observed to be clean and pleasantly odorised. Residents said they are happy with the cleanliness of the home and their accommodation. Grimsargh House Residential Home DS0000009820.V336016.R01.S.doc Version 5.2 Page 18 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 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The numbers of suitable experienced and trained staff on rotas is sufficient to meet the needs of residents. EVIDENCE: The inspector spoke to the manager and interviewed staff on duty. Rotas and staff records were examined. It was noted that there is a stable staff group who have the experience and skills to provide care needed for residents living in the home. The home is committed to ensure staff receive appropriate training and records show that more than half the staff employed in the home are qualified to NVQ 2 in care or above and more staff are due to complete this training. Questionnaires received from residents and relatives confirmed that staff provide the right level of support to residents. Rotas showed that there are sufficient numbers of trained and experienced staff on duty to meet the needs of residents. Residents said that staff are very friendly and approachable, and said all staff are very good and helpful. Grimsargh House Residential Home DS0000009820.V336016.R01.S.doc Version 5.2 Page 19 The files of staff were viewed and showed that all necessary recruitment checks are made including Criminal Records Bureau checks. References are taken up and interviews held. Grimsargh House Residential Home DS0000009820.V336016.R01.S.doc Version 5.2 Page 20 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 and 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed by a qualified experienced manager and there are clear lines of accountability. EVIDENCE: The registered manager and the owners have many years experience in managing and running a care home and the registered manager is qualified and holds the NVQ4 Registered Managers Award. There is a good management structure consisting of the manager and two team leaders, one of the team leaders also has the NVQ4 Registered Managers Award and the other has NVQ3. Lines of accountability are clear, this was confirmed following discussion with staff and residents. Grimsargh House Residential Home DS0000009820.V336016.R01.S.doc Version 5.2 Page 21 There are good quality assurance systems in place; this is evident in all aspects of how the home operates. The home is committed to continual improvement and has an excellent internal auditing system in place. Residents and relatives views are canvassed and changes made accordingly. There are questionnaires and procedures in place to ensure there is good consultation with residents about how the home is run. Resident’s meetings are regularly held and the homes key worker system ensures resident’s views are obtained. The home has been awarded ISO 9001 Quality Management and receives an annual assessment for this. The home looks after resident’s personal allowances, these are kept in a safe and good records are maintained of any transactions. All the homes policies and procedures have been reviewed and updated. Health and safety is taken seriously and staff receive training in moving and handling, health and safety and first aid. All safety certificates and risk assessments are carried out and are up to date. Grimsargh House Residential Home DS0000009820.V336016.R01.S.doc Version 5.2 Page 22 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 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 3 X X X X X X 3 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 4 X X 4 Grimsargh House Residential Home DS0000009820.V336016.R01.S.doc Version 5.2 Page 23 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. 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. Refer to Standard Good Practice Recommendations Grimsargh House Residential Home DS0000009820.V336016.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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. Extracts may not be used or reproduced without the express permission of CSCI Grimsargh House Residential Home DS0000009820.V336016.R01.S.doc Version 5.2 Page 25 - 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. 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