Inspection on 08/10/08 for Groby Lodge

This inspection was carried out on 8th October 2008.

CSCI found this care home to be providing an Good 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

Groby Lodge 18/02/08

Groby Lodge 17/10/06

Groby Lodge 26/10/05

Groby Lodge 09/08/05

Extracts from inspection reports are licensed from CQC, this page was updated on 17/12/2008.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Groby Lodge 452 Groby Road Leicester LE3 9QB     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Kim Cowley     Date: 0 8 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Groby Lodge 452 Groby Road Leicester LE3 9QB 01162871970 01162547343 pineviewcarehomes@ntlworld.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Dinesh Raja Type of registration: Number of places registered: Pine View Care Homes Ltd care home 12 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Service User Numbers No one falling within category OP may be admitted into Groby Lodge where there are 12 persons of category OP already accommodated within Groby Lodge Service User Numbers No person to be admitted to Groby Lodge in categories OP or DE(E) when 12 persons in total of these categories/combined categories are already accommodated in Groby Lodge. Service User numbers: No one falling within category DE(E) may be admitted into Groby Lodge where there are 3 persons of category DE(E) already accommodated within Groby Lodge To be able to admit the named person in the category PD(E) subject of variation application V22846. Date of last inspection 0 0 Over 65 3 12 Care Homes for Older People Page 4 of 27 Brief description of the care home Groby Lodge is a converted property in a residential area situated on the A50 close to Glenfield Hospital. Access to Groby Lodge is via a slip road off the A50 It is easily accessible by car or public transport and there is parking at the front of the home. It is a care home providing personal care and accommodation for 12 older people with a physical frailty and/or mental health needs. Pine View Care Homes Ltd owns the home together with two other homes in the area. The Registered Provider Mr Dinesh Raja is registered as the manager. There is large lounge and dining room, which overlook the garden. There are double doors, which can be used to divide the room into two separate rooms. The bedrooms are on the first floor, most of which have en-suite facilities. The bedrooms can be accessed by the stairs or the passenger lift. In the garden there is a large paved seating area where the residents will be able to sit in the better weather when the new furniture is bought. The current registration certificate from the Commission for Social Care Inspection is displayed in the reception area. The latest report is available in the manager?s office. The home can be contacted by telephone or fax. The current level of fees is between #330:00 and #360:00 per week. There are extra charges for hairdressing, chiropody, newspapers and personal items. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This was a key inspection that included a visit to the home and inspection planning. Prior to the visit, we (throughout the report the use of we indicates the Commission for Social Care Inspection) spent half a day reviewing information relating to the home. During the course of the inspection, which lasted five hours, we checked the key standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means we looked at the care provided to three residents living at the home by meeting them; talking with the staff who support Care Homes for Older People Page 6 of 27 their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management, were examined. We also talked to four other residents, two relatives, the Registered Manager, and two carers. What the care home does well: What has improved since the last inspection? What they could do better: Some care plans relating to health care are in need of improvement. This must be done to ensure residents medical needs are met. Advice should be sought from the pharmacist about the administration and record keeping required for a specific medication, and whether the homes controlled drug storage arrangements meet with current legislation. Care Homes for Older People Page 8 of 27 The daily menus should be displayed so residents know what they are having at meal times. Staff files must contain clear photos of staff members for identification purposes. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. Residents needs are assessed prior to admission to ensure the home is suitable for them. This judgment has been made using available evidence including a visit to this service.(Standard 3 was inspected.) Evidence: Residents and relatives talked to us about how they chose to come to Groby Lodge. One resident said, I heard about this home from a friend. A relative said, We came here and had a look round and we liked what we saw. Potential residents and their families/representatives are invited to visit as often as they like to help them decide if the home is right for them. People who are interested in coming to live in the home are assessed by the Care Manager to ensure their needs can be met. We looked at three assessments belonging Care Homes for Older People Page 11 of 27 Evidence: to the case tracked residents and saw they were clear and detailed, covering all potential areas of need. Staff use these when residents first move in to make sure they get the care they need. Standard 6 was not inspected, as this home does not provide intermediate care. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. Staff in the home, and in the wider community, meet residents health and personal care needs. Some improvements are needed to care plans concerning medical needs. This judgment has been made using available evidence including a visit to this service. (Standards 7, 8, 9, and 10 were inspected.) Evidence: All the residents and relatives we spoke to said they were pleased with the care at Groby Lodge. Comments included, I know my relative is being looked after well here, and The social workers thrilled to bits with how my relative has come on since hes been here and so am I. The care plans we looked at were of good standard and most of them contained clear instructions to staff on how best to care for the residents. However some, relating to medical care, were in need of improvement: Care Homes for Older People Page 13 of 27 Evidence: One resident has a hearing aid and although this was referred to in his care plan, there were no instructions for staff on how to look after and maintain it, and monitor its effectiveness. These must be put in place. Another resident has a risk assessment that needed amending to better reflect the circumstances when medical intervention might be necessary. (This was done by the Manager during the inspection.) And there was no reference in a third residents notes regarding their arrangements to consult with a physiotherapist. The above must be addressed to ensure residents medical needs are met. Medication is safely stored and managed. All staff who give out medication have completed a Safe Handling of Medication course. There is a policy and risk assessment in place for the residents who look after their own medicines. One resident currently self-medicates and records showed she is properly supported. Since the last inspection photographs of residents have been put on the front of their administration records. This will make it easier for staff to identify who the medication is for and reduce the risk of mistakes being made. Advice should be sought from the pharmacist about the administration and record keeping required for a controlled drug supplied to the home is liquid form. Advice should also be sought about whether the homes controlled drug storage arrangements meet with current legislation. We observed during the inspection that staff treat residents with respect and help to maintain their dignity by providing care discreetly and sensitively. One relative told us, From what Ive seen the staff are always pleasant and polite to the residents. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. Residents social and cultural needs are identified and met. A varied and wholesome diet is served. This judgement has been made using available evidence including a visit to this service. (Standards 12, 13, 14, and 15 were inspected.) Evidence: Regular activities held at the home include sing a longs with a visiting entertainer, bingo, card games, and hairdressing. Staff told us that activities had been discussed at the residents meeting the previous day. More pub lunches were requested, so one had been arranged for the following week. Visitors are welcome to come to the home and any time. One said, The staff always make me welcome when I visit and when I phone up they ask me how I am. Residents told us they liked the food served at the home. Comments included, I had a fry up for breakfast. You can pretty well have what you want here, and, We get a Care Homes for Older People Page 15 of 27 Evidence: choice at all meals. Yesterday we had turkey. Two residents said they would like their teatime sandwiches cut in halves not quarters. Staff were told during inspection and agreed to do this. One relative said would like the daily menus to be displayed so residents knew what they were having and visitors could chat to them about their meals. This was discussed with the Manager who agreed that this was a good idea. At the residents meeting (referred to above) those present asked for a wider choice of hot and cold drinks at tea breaks. This was implemented on the day of inspection and residents were served tea, coffee, hot chocolate, Ovaltine, and juice. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. Residents and their representatives are encouraged to talk to staff about any concerns they might have. Staff know how to safeguard residents. This judgment has been made using available evidence including a visit to this service. (Standards 16 and 18 were inspected.) Evidence: The home has a complaints procedure which explains how to complain and who to, if it is necessary. This is available in large print on request. Every resident has a copy of the policy in their bedroom wardrobe. A copy should also be displayed in the entrance hall so visitors can see it to. The residents and relatives we talked to all said they would be happy to speak to the Manager or a member of staff if they had any concerns. There have been no complaints about Groby Lodge since the last inspection. Staff are trained in safeguarding adults during their induction. They also sign to say they have read and understood the homes safeguarding procedure. The training and information they receive helps to ensure they know what to do if they have concerns about how a resident is being treated. Care Homes for Older People Page 17 of 27 Evidence: Since the last inspection the homes safeguarding procedure has been updated to include information on the role of social services in any investigation. Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. Residents live in an environment that is safe, comfortable, and well maintained. This judgment has been made using available evidence including a visit to this service. (Standards 19 and 26 were inspected.) Evidence: Groby Lodge provides homely and comfortable accommodation to its residents. Downstairs there is a spacious and sunny lounge/dining room, which overlooks the garden. Most of the residents were sitting in there during the inspection. Some were watching television and others were chatting in small groups. The atmosphere was friendly and welcoming. We looked at three bedrooms and found each to be personalized and unique to their occupants. One resident said, I love my bedroom. Its cosy and Ive got it just how I want it. A relative told us, When my relative came here they decorated his room for him and put a new carpet in. Since the last inspection a cleaner has been employed and all areas we inspected were clean, tidy and fresh. This means that care staff no longer have to clean, so they are able to spend more times with the residents. In addition some carpets have been Care Homes for Older People Page 19 of 27 Evidence: replaced which has improved the environment for residents. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. An established staff team of well trained and competent staff meet residents needs. This judgment has been made using available evidence including a visit to this service. (Standards 27, 28, 29, and 30 were inspected.) Evidence: The staff we met were friendly and helpful. We saw they got on well with the people who live in the home. All the residents and relatives we talked to praised the staff team. One resident said, Ive always found the staff to be very good indeed. A relative told us, If I ask the staff about how my relative is getting on and what hes been doing they tell me. I can also phone them and ask them. We looked at the rota, and talked to the people who live and work at Groby Lodge, and found that the home is reasonably well staffed. Residents said they didnt have to wait long if they needed staff assistance. One told us, If we call for them the staff come. We also interviewed two carers. Both said they were happy at Groby Lodge and enjoyed caring for the residents. One told us, I love working here. The Owner is wonderful - if theres a problem you can tell him and hell sort it out straight away. For example if we run out of something, like soap powder, we tell him and its there within Care Homes for Older People Page 21 of 27 Evidence: 10 minutes. All new staff are subject to CRB and POVA First checks and references are obtained. Records were examined and showed that no one is allowed to start work in the home until all the necessary background checks have been done. This will help to ensure residents are safeguarded. One of the staff files we looked at did not contain a clear photo of the member of staff in question, but only a small photocopy of one taken from a driving license. It is a requirement that photos of staff are kept in the home for identification purposes. The Manager agreed to make sure this was done. Staff receive good training opportunities including a comprehensive induction. One member of staff told us, Although I have worked in care homes before I still did a three day induction here. This is followed by NVQs (National Vocational Qualifications), and short courses. There is also a programme of staff appraisal and supervision in place. The training and support provided helps to ensure staff have the knowledge and skills they need to carry out their work. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. Residents live in a home that is safe and well managed. This judgment has been made using available evidence including a visit to this service. (Standards 31, 33, 35, and 38 were inspected.) Evidence: A Care Manager oversees the day to day running of the home. She works on the floor supervising staff, and liaising with relatives and health care professionals to ensure residents get the care they need. The Manager who is well qualified and experienced supports her. He has NVQ 4 and the Registered Managers Award, recognized qualifications for people who run care homes. He comes to the home six days a week and residents, relatives and staff all said they found him approachable and helpful. One resident told us, The Owners very nice and has been good to me. Hes proved himself over the years. Care Homes for Older People Page 23 of 27 Evidence: In order to involve residents and relatives in the running of the home annual questionnaires are given out. The last survey was carried out in January 2008. The results, which are available in the home for anyone who wants to see them, showed that all respondents were satisfied with the home. Residents meetings are also held, the last one being the day before this inspection. All the residents attended and changes have already been made in response to their comments and suggestion they made (see Daily Life and Social Activities). Residents look after their own money or their relatives look after it for them. If they need money, eg for hairdressing or chiropody, the Manager will pay and then invoice them afterwards. The Manager confirmed that appropriate checks and maintenance are carried out to help to ensure the home is safe for residents and staff. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action 1 8 13 Residents health care needs must be identified and met. To help to ensure residents are healthy. 09/12/2008 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 9 Advice should be obtained from the pharmacist about the administration and storage of a specific controlled drug, and whether the homes controlled drug storage arrangements meet with current legislation. The daily menu should be displayed so residents know what they are having at mealtimes. A copy of the complaints procedure should be displayed in the entrance hall so visitors can see it. Staff files should be audited to make sure all the required documents are in place including a recent clear photograph. 2 3 4 15 16 29 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!