Inspection on 09/08/05 for Groby Lodge

This inspection was carried out on 9th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Groby Lodge 08/10/08

Groby Lodge 18/02/08

Groby Lodge 17/10/06

Groby Lodge 26/10/05

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

CARE HOMES FOR OLDER PEOPLE Groby Lodge 452 Groby Road Leicester Leicestershire LE3 9QB Lead Inspector Kim Cowley Unannounced 9 August 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Groby Lodge C51 C01 S63629 Groby Lodge V239403 150705 STAGE 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Groby Lodge Address 452 Groby Road Leicester Leicestershire LE3 9QB 0116 2855868 0116 2855868 pine_view@hotmail.com Pine View Care Homes Ltd Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Vacant Care Home 12 Category(ies) of OP Old age(12) registration, with number of places Groby Lodge C51 C01 S63629 Groby Lodge V239403 150705 STAGE 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection Brief Description of the Service: Groby Lodge, which has been a care home for 18 years, was taken over by a new owner at the beginning of 2005. It is situated on the A50 close to Glenfield Hospital. The home is registered for twelve older people. It has 12 single bedrooms, 11 of which have ensujite facilities. Downstairs there is a large lounge/dining room which overlooks the garden. There is good car parking at the front of the home and a large secluded garden at the back with seating areas. Groby Lodge C51 C01 S63629 Groby Lodge V239403 150705 STAGE 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection that took place on a weekday. The inspector talked to five residents, the Owner, the Acting Manager, and the chef. The premises were toured and communal areas and bedrooms inspected. Care and medical records were examined. Three Recommendations were made. The premises have been improved and this is commended. What the service does well: Groby Lodge provides a homely and comfortable environment to 12 older persons. Residents made many positive comments about the home including, ‘I like everything about this home’, ‘It’s home from home here’, and ‘This home is a nice size.’ Since taking over the home earlier this year the new Owner has substantially improved the premises. Both staff and residents commented on how good the home now looks. Improvements include new furniture and carpets, redecoration, the purchase of additional moving and handling equipment, and the fitting of thermostatic valves to control hot water temperatures. All care plans have been rewritten since the new Owner took over and those inspected were of good quality. A local practice of six GPs and a District Nursing team provides health services to residents. The Acting Manager said ‘They are second to none. I can ring any time there’s a problem and they’ll be here straight away.’ Since the new Owner took over a qualified chef has been appointed who works for 25 hours per week. Menus showed a varied and wholesome diet being provided. Diabetics are catered for. Residents praised the food and comments included, ‘The foods lovely and it’s all home cooking’, ‘The cook’s excellent’, and ‘The catering is grand – I couldn’t fault it.’ The care staff team consists of the Acting Manager, two senior carers, and nine care workers. Relationships between staff and residents were seen to be good and residents made the following comments about the staff, ‘The staff are friendly’, ‘The staff are good’, and ‘The staff are always kind to me.’ One Relatives/Visitors Comments card was returned. The respondent said they were made welcome at the home and were consulted about their relative’s care. They wrote ‘The home is quiet and (my relative) settled in immediately. Groby Lodge C51 C01 S63629 Groby Lodge V239403 150705 STAGE 4.doc Version 1.40 Page 6 The staff are friendly and caring and the Owner seems to make a point of talking to all the residents regularly and knows all their names.’ 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. Groby Lodge C51 C01 S63629 Groby Lodge V239403 150705 STAGE 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Groby Lodge C51 C01 S63629 Groby Lodge V239403 150705 STAGE 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,5 Information about the home is available in a comprehensive information pack. Assessments are carried out, but would benefit from being formally recorded. Potential residents are welcome to visit the home prior to admission. EVIDENCE: The Owner has produced a detailed information pack for the home. This includes the Statement of Purpose, Service User Guide, Activity Information, Inspection Reports, and Terms and Conditions. The information pack is sent out to interested parties on request. The home provides care for private and social services funded residents. The Acting Manager assesses all residents prior to admission, either in their own homes or in hospital. She keeps written notes of her assessment, but it is recommended that she use an assessment checklist to ensure all areas of need are covered. Potential residents are invited to visit the home prior to admission, as are their relatives/friends. They can stay for a couple of hours or for a day depending on what they would like. Groby Lodge C51 C01 S63629 Groby Lodge V239403 150705 STAGE 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 Care plans have been rewritten and are of a good standard. A range of health care professionals meet residents’ health care needs. Improvement is needed to residents’ case files. EVIDENCE: All care plans have been rewritten since the new Owner took over. Four were inspected and found to be of good quality, being clear and comprehensive and subject to regular review. A new section called ‘Family History’ has been introduced where information about residents’ lives can be recorded if they wish, so staff can learn about them. At present not all residents’ case files contain photographs of the residents in question. This must be rectified in order to comply with the Care Homes Regulations 2001. A local practice of six GPs and a District Nursing team provide health services to residents. The Acting Manager said ‘They are second to none. I can ring any time there’s a problem and they’ll be here straight away.’ At present District Nurses visit the home three times a week to attend to dressings. If residents Groby Lodge C51 C01 S63629 Groby Lodge V239403 150705 STAGE 4.doc Version 1.40 Page 10 become ill staff endeavour to have them nursed at the home if this is what they prefer. The home has a visiting optician and dentist. A chiropodist comes to the home every six weeks and charges £8.00 for treatment. Medication is stored in a lockable trolley. This must be secured to the wall. Medication records were mostly in order although some missing signatures were noted. The Acting Manager said she would monitor the records to ensure they are properly signed in future. The Acting Manager said she trains all staff to treat residents with dignity and respect. Groby Lodge C51 C01 S63629 Groby Lodge V239403 150705 STAGE 4.doc Version 1.40 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 standard(s) 12,13,14,15 A programme of activities is provided to suit residents’ needs. Visitors are made welcome at the home and have a choice as to where they see residents. A part-time chef provides a varied and wholesome diet, which was praised by all the residents interviewed. EVIDENCE: Residents play bingo twice a week. This is organised by a friend of the home and is a popular event with 10 – 12 residents taking part each session. Sing-alongs are also popular and visiting entertainers come to the home. The Owner has booked a series of armchair exercise classes to start in a few weeks time. A church service is held in the home four times a year. The Acting Manager said relationships between staff and relatives/friends are good. Visits take place in residents’ bedrooms or in the lounge/dining room and refreshments are offered to visitors. Some relatives/friends of past residents still visit the home to keep in touch with staff and residents. Since the new Owner took over a qualified chef has been appointed. He works for 25 hours per week and prepares mainly homemade English food. Menus showed a varied and wholesome diet being provided. Diabetics are catered for. A meal served on the day of inspection consisted of roast turkey, stuffing, Groby Lodge C51 C01 S63629 Groby Lodge V239403 150705 STAGE 4.doc Version 1.40 Page 12 Yorkshire pudding, roast and mashed potatoes, cauliflower, swede and carrots. Dessert was egg custard. Residents made many positive comments about the food including: ‘The foods lovely and it’s all home cooking.’ ‘The cook’s excellent.’ ‘The catering is grand – I couldn’t fault it.’ Groby Lodge C51 C01 S63629 Groby Lodge V239403 150705 STAGE 4.doc Version 1.40 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These Standards will be inspected at the next inspection. EVIDENCE: Groby Lodge C51 C01 S63629 Groby Lodge V239403 150705 STAGE 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 26 The premises are homely and comfortable and have been substantially refurbished. All areas inspected were clean, fresh and tidy. EVIDENCE: Groby Road is accessed via a slip road off the A50 near Glenfield Hospital. There is car parking at the front of the home. Inside the premises are homely and comfortable. There is a lounge/dining room on the ground floor. This overlooks a large secluded garden with a patio, lawn, mature trees, and seating areas. The home is well positioned for transport with bus routes close by. Residents made many positive comments about the premises including: ‘I like my room.’ ‘I like to sit in the garden and watch the birds.’ ‘There is a nice view of the garden from my bedroom.’ ‘I’m very happy with my room.’ ‘I’ve brought lots of pictures to make my room nice.’ Groby Lodge C51 C01 S63629 Groby Lodge V239403 150705 STAGE 4.doc Version 1.40 Page 15 Since the new Owner took over the premises have been substantially refurbished and the following improvements carried out: • • • • • • • • • • • New carpets and furniture in the lounge/dining room Communal areas and some bedrooms wallpapered and painted New radiators in six bedrooms and ‘high risk radiators’ covered New ‘fire strips’ put on main fire doors Thermostatic valves put on all hot water points except kitchen New shower and bathroom New freestanding hoist and bath hoist New carpets in six bedrooms Anti-slip flooring fitted in all toilets New cooker, fridge, and boiler Some windows replaced and window restrictors fitted where deemed necessary Both staff and residents commented on how nice the home now looks. The Owner said the further on-going improvements are planned. The care staff are responsible for cleaning the home. All areas inspected were clean, fresh, and tidy. Groby Lodge C51 C01 S63629 Groby Lodge V239403 150705 STAGE 4.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27. 30 The home has sufficient numbers of experienced and qualified staff. There are good relationships between staff and residents, and residents are pleased with the staff team. EVIDENCE: The home has an Acting Manager, two senior carers, nine care workers, a chef and a cook/carer. Two carers are on duty during the days and one waking carer at night. All staff are CRB checked, or are waiting for the outcome of their CRB applications (in which case they work under supervision at all times). Two staff have NVQ Level 2 and a further eight have began the course. Other staff qualifications include First Aid, Moving and Handling, Basic Food Hygiene, Safe Handling of Medication, and Healthy Eating. Relationships between staff and residents are good and residents made the following comments about the staff: ‘The staff are friendly.’ ‘The staff are good.’ ‘The staff are kind to me.’ Groby Lodge C51 C01 S63629 Groby Lodge V239403 150705 STAGE 4.doc Version 1.40 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These Standards will be inspected at the next inspection. EVIDENCE: Groby Lodge C51 C01 S63629 Groby Lodge V239403 150705 STAGE 4.doc Version 1.40 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 4 x x x x x 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 Standard No 16 17 18 Score x x x x x x x x x x x Groby Lodge C51 C01 S63629 Groby Lodge V239403 150705 STAGE 4.doc Version 1.40 Page 19 N/A Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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. 2. 3. Refer to Standard 7 9 9 Good Practice Recommendations Groby Lodge C51 C01 S63629 Groby Lodge V239403 150705 STAGE 4.doc Version 1.40 Page 20 Commission for Social Care Inspection The Pavillions 5 Smith Way, Grove Park Enderby, Leicestershire LE19 1SX 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. 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