Inspection on 30/11/05 for Grosvenor Park Nursing Home

This inspection was carried out on 30th November 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Grosvenor Park Nursing Home 16/02/09

Grosvenor Park Nursing Home 05/03/07

Grosvenor Park Nursing Home 31/05/05

Grosvenor Park Nursing Home 29/11/04

Grosvenor Park Nursing Home 21/05/04

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

CARE HOMES FOR OLDER PEOPLE Grosvenor Park Brookfield Road Bexhill On Sea East Sussex TN40 1NY Lead Inspector Melanie Freeman Unannounced Inspection 30th November 2005 10:00 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 Grosvenor Park DS0000013992.V265733.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. Grosvenor Park DS0000013992.V265733.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Grosvenor Park Address Brookfield Road Bexhill On Sea East Sussex TN40 1NY 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) 01424-213535 BUPA Care Homes Limited Mrs Christine DuBery Care Home 57 Category(ies) of Old age, not falling within any other category registration, with number (57) of places Grosvenor Park DS0000013992.V265733.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users that can be accommodated is fifty seven (57) The maximum number of service users in receipt of Nursing Care is not to exceed forty four (44) and in receipt of Personal Care should not exceed thirteen (13). That the care home provides general Nursing Care and Personal Care to people over the age of sixty five (65). That one (1) named service user under the age of sixty five (65) can be cared for in the home. 31st May 2005 3. 4. Date of last inspection Brief Description of the Service: Grosvenor Park is owned and run by BUPA Care Homes, and is registered to provide personal care for 13 residents and nursing care for 44, and admits service users who are privately funded and also those who are funded by social services. Grosvenor Park admits a number of service users for respite and holidays. The home is purpose built and situated in a residential area enjoying views of the seafront, shops are within walking distance and the home is convenient for public transport. Service users can enjoy four lounges, a large dining room and a library room. There are attractive gardens, which are accessible to wheelchair users and these are used when weather permits. Grosvenor Park DS0000013992.V265733.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 often use the term ‘service user’ to describe those living in care home settings. For the purpose of this report those living at Grosvenor Park will be referred to as ‘residents’. This report should be read in conjunction with the report of the inspection that took place on 3 May 2005 for an overview of the core standards inspected over the year. This unannounced inspection took place on a weekday in November with a follow up visit in December. The deputy manager was on duty during both these visits and facilitated the inspection and received the inspector’s feedback. In order to gather evidence on how the home is performing, the inspector provided comment cards to all the residents in the home receiving personal care prior to the inspection 15 in total, 3 of these comment cards were returned. The care documentation relating to 3 residents were reviewed along with the recruitment files and training records of 4 staff members. The training coordinator was interviewed along with the homes bursar. Staff were observed and spoken to during the inspection on an informal basis. The homes facilities were reviewed along with some of the homes policies and procedures. The inspector spoke to residents in their own rooms 3 of these were in depth. What the service does well: The terms and conditions of residency give clear information on the services and facilities provided in the home and residents are assessed before admission to ensure the home is suitable. Residents confirmed a satisfaction with the staff verbally and within comment cards. The provision of activities and entertainment in the home is well developed and is varied and much enjoyed by the residents able to attend. The home is well decorated and maintained and provides good facilities in a very pleasant location. Staff and residents are consulted on the care and facilities and quality review is given a high priority. Grosvenor Park DS0000013992.V265733.R01.S.doc Version 5.0 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. Grosvenor Park DS0000013992.V265733.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 Grosvenor Park DS0000013992.V265733.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): 2,3,4 and 5 The inspector found that the home provides prospective and existing residents, with a good level of information on the services and facilities provided. The admission procedures ensure that appropriate placements are made. EVIDENCE: During the inspection it was confirmed that all residents are provided with a copy of the homes terms and conditions of residence. This document is clear and informative. The admission process ensures residents admitted can have their needs met within Grosvenor Park although it was noted that staff training on the specialist needs of residents like care for a resident with a cognitive impairment and pressure area care need to be further developed. Prospective residents and their relatives are invited to visit the home prior to admission and many are able to do this. A number of residents have knowledge of the home prior to making a choice to move in. Grosvenor Park DS0000013992.V265733.R01.S.doc Version 5.0 Page 9 New residents are able to have a trial period to ensure the placement is suitable. Grosvenor Park DS0000013992.V265733.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 9 The home was found to be meeting resident’s health and general needs with accessed additional community support when needed. The home has established procedures for safe administration of medicines within the home. EVIDENCE: All residents are assessed following admission and these assessments are then used to inform the plans of care. The plans of care provide clear guidance to staff on what care each resident needs and include residents social needs. Three individual plans of care were inspected and were found to be sufficiently detailed, up to date, and contained clear information to support staff to meet the care and any nursing needs of residents. Grosvenor Park has good systems for the safe administration of medicines, which are administered from drug trolleys and are dispensed in a weekly monitored dose storage cassette. Grosvenor Park DS0000013992.V265733.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 and 15 The provision of meals on the whole is good and provides choice and quality. Residents are able to make choices and social activity is provided to meet individual assessed needs. EVIDENCE: The provision of entertainment and activities in the home continue to be delivered to a high standard and satisfaction with the provision was demonstrated through the comment cards and feed back from residents spoken to at the time of the inspection. It was also noted that the activities coordinators do not just focus on group activity but visit residents in their own rooms to provide individual time. Most residents eat in the communal dining room that provides restaurant facilities and standards. This inspection focussed on the experience of residents who choose to eat in their own rooms. Meals are transported in a heated trolley and are served by the care staff. Residents spoken to were satisfied with the food provided although one resident said that the meals could be more individualised and warmer. Grosvenor Park DS0000013992.V265733.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 and 18 Complaints received may not be responded to effectively. Procedures and practices in the home ensure that any allegation or suspicion of adult abuse, are managed appropriately. EVIDENCE: The home has a complaints procedure, which includes an easily accessible complaint form, which can be used by residents and visitors. Following discussion with the deputy manager it was not clear how or where complaints would be recorded if a resident did not wish or was unable to complete a complaints form. The records held in respect of complaints received were incomplete and did not demonstrate that they had been responded to effectively. The home has an adult protection procedure that has been adapted to ensure local guidelines are followed. Staff training does include training on adult protection although this was not clearly evidenced with staff training records. Grosvenor Park DS0000013992.V265733.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 Grosvenor Park is a purpose built care home and physical standards throughout are very high ensuring that residents live in a spacious, comfortable and safe environment. EVIDENCE: Grosvenor Park provides a very light and airy environment with good accommodation to meet the needs of the residents. During the inspection it was noted that a good standard of decoration and cleanliness is maintained, and redecoration of rooms was being progressed at the time of this inspection. Grosvenor Park DS0000013992.V265733.R01.S.doc Version 5.0 Page 14 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): 29 and 30 The recruitment practice was full and robust and ensures suitable staff are employed. Not all staff are given regular training to meet all the care needs of residents in the home. EVIDENCE: There were 45 residents living in Grosvenor Park at the time of this inspection. During the inspection 3 care staff recruitment files were examined and were found to be full and complete. The staff training records for 5 staff members were reviewed in depth and identified that induction training that meets the National Training Organisation workforce training targets is provided for new staff and that that this is given with regular support and supervision. For staff that have worked in the home for some time regular staff training on core areas was not evidenced. An individual training and development assessment/ profile was also not available. The inspector noted during the inspection that staff did not wear protective clothing when serving meals and feeding residents and that an air mattress was not set at the correct pressure and many of the residents had a cognitive impairment. The records indicated that staff had not recently received training on Dementia care, infection control, pressure area care or adult protection. Grosvenor Park DS0000013992.V265733.R01.S.doc Version 5.0 Page 15 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, 33,35 and 38 Resident’s views on how the home is run are taken into account and reviewed in order to develop and change the provision to meet their needs and best interests. Systems are in place to safeguard resident’s finances. In general good health and safety procedures are in place to ensure staff and resident’s safety. EVIDENCE: The current registered manager is retiring in December 2005 and a recruitment process for her replacement is being progressed. The home has systems in place to monitor the quality of care in the home which include regular resident and staff meetings, a self audit tool and resident Grosvenor Park DS0000013992.V265733.R01.S.doc Version 5.0 Page 16 questionnaires that have been audited and reported in a satisfaction survey. This survey records a good satisfaction with the home. There is a strict procedure is followed when dealing with resident’s ‘personal allowances’ receipts are retained and residents receive individual monthly statements. It was however not clear what procedure is followed for the safe keeping of valuables and a record of furniture brought into the home is not recorded. All records relating to health and safety matters were found to be full and thorough. During the inspection it was however noted that the temperature of the hot water supplied to residents is not checked when it is supplying water at its hottest temperature. This shortfall was identified to the maintenance manager and the deputy manager at the time of the inspection. Grosvenor Park DS0000013992.V265733.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 3 3 2 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 X X 2 Grosvenor Park DS0000013992.V265733.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? Yes 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 OP4 18(1)a) 2 OP16 22(4) 3 OP30 18(1)c) 4 OP35 17c) Regulation Requirement That staff individually and collectively have the skills and experience to meet the needs of residents in the home. That all complaints are investigated fully with clear documentation to evidence investigation and conclusion. That staff training is established for all staff based on individual profiles and the assessed needs of residents. That a clear procedure for the safe keeping of resident’s valuables is established and that a list of property/furniture is recorded. That all hot water provided in resident areas is controlled and checked to be delivered at a safe temperature ie close to 43 degrees C. Timescale for action 01/04/06 01/02/06 01/04/06 01/02/06 5 OP38 13(4)a) 20/12/06 Grosvenor Park DS0000013992.V265733.R01.S.doc Version 5.0 Page 19 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP11 OP22 Good Practice Recommendations That a clear procedure and guidance to staff based on research is provided in relation to the dying resident. That an assessment of the premises and facilities should be undertaken by a suitably qualified person including a qualified Occupational Therapist, to advise on the suitability of disability equipment and environmental adaptations. Grosvenor Park DS0000013992.V265733.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Grosvenor Park DS0000013992.V265733.R01.S.doc Version 5.0 Page 21 - 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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