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Inspection on 31/05/05 for Grosvenor Park Nursing Home

Also see our care home review for Grosvenor Park Nursing Home for more information

This inspection was carried out on 31st May 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents and visitors spoke highly of the staff working in the home and the home saying `they are lovely girls` marvellous staff` `everything is perfect here lovely place`. The assessment of prospective residents is full and takes into account the homes facilities and staffing to ensure that the care needs of a resident can be fully met from admission. 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 care and nursing needs of residents are fully assessed following admission and care is planned and clearly documented. The home is well decorated and maintained and provides good facilities in a very pleasant location.

What has improved since the last inspection?

The home has responded positively to the requirements made at the last inspection. All residents now have individual plans of care and staff receive regular supervision. Ongoing redecoration, maintenance and upgrading of equipment and facilities is evident. Unfortunately staff training records were not available to the inspector and could not be assessed.

What the care home could do better:

The assessment and planning of care around individual social care needs should be further developed to ensure all residents have access to activities and entertainment to meet their needs. Staff training records were not available and therefore not assessed.

CARE HOMES FOR OLDER PEOPLE Grosvenor Park Brookfield Road Bexhill-on-Sea East Sussex TN40 1NY Lead Inspector Melanie Freeman Unannounced 31 May 2005 10:00 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. Grosvenor Park H59-H10 S13992 Grosvenor Park V228178 310505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Grosvenor Park Address Brookfield Road Bexhill-on-Sea East Sussex TN40 1NY 01424 213535 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) BUPA Care Homes Limited Mrs Christine DuBery Care Home with Nursing 57 Category(ies) of Old age, not falling within any other category registration, with number (OP) 57 of places Grosvenor Park H59-H10 S13992 Grosvenor Park V228178 310505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of service users that can be accommodated is fifty seven (57) 2. 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) 3. That the care home provides general Nursing Care and Personal Care to people over the age of sixty five (65) 4. That one (1) named service user under the age of sixty five (65) can be cared for in the home Date of last inspection 29 November 2004 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 H59-H10 S13992 Grosvenor Park V228178 310505 Stage 4.doc Version 1.30 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 unannounced inspection took place on a weekday in May between the hours of 12.30 and 16.30. The deputy manager was on duty and was able to contribute to the inspection process. The inspector was able to spend time with residents in communal areas and in their own rooms and met with 2 visitors. The care documentation relating to 3 residents were reviewed in depth along with some of the homes policies and procedures. Staff were observed and spoken to during the inspection on an informal basis. What the service does well: What has improved since the last inspection? The home has responded positively to the requirements made at the last inspection. All residents now have individual plans of care and staff receive regular supervision. Ongoing redecoration, maintenance and upgrading of equipment and facilities is evident. Unfortunately staff training records were not available to the inspector and could not be assessed. Grosvenor Park H59-H10 S13992 Grosvenor Park V228178 310505 Stage 4.doc Version 1.30 Page 6 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 H59-H10 S13992 Grosvenor Park V228178 310505 Stage 4.doc Version 1.30 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 Grosvenor Park H59-H10 S13992 Grosvenor Park V228178 310505 Stage 4.doc Version 1.30 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) 1,3 and 6 The inspector found that the home provides prospective and existing residents, with a good level of information on the services and facilities provided. Pre-admission procedures are good and help ensure that service users are appropriately placed in a service that is suitable to meet their needs. EVIDENCE: During the inspection it was confirmed that a statement of purpose and service users guide is available in the front entrance area, and a copy of these documents are provided in each room. These contain good information on the home and the facilities it provides. Residents views are not included in the service users guide and this was discussed with the deputy manager who agreed to ensure this is addressed. Any pre admissions assessments are completed either by the home manager or the deputy manager and the 2 assessments reviewed identified that the assessments completed are full and comprehensive, with the involvement of other health care professionals and taking into account the facilities equipment and skills of the staff in the home. Intermediate or rehabilitative care is not provided at Grosvenor Park. Grosvenor Park H59-H10 S13992 Grosvenor Park V228178 310505 Stage 4.doc Version 1.30 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 and 10 The home was found to be meeting service users health and general needs and accessed additional community support when needed. The inspector judged that service users privacy and dignity rights were upheld. EVIDENCE: At the last inspection residents who had minimal care needs did not have care plans. Appropriate care plans are now provided for all residents. 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. It was however noted that the social care needs are not fully assessed and identified in a care plan in all cases. Appropriate risk assessments are used to inform the care provided, a recognised risk assessment for the prevention of pressure sores is well documented and appropriate equipment was seen to be in use. One visitor expressed a particular satisfaction with the nursing care that her relative received before admission to hospital, which she said was recognised by the hospital staff. All rooms are used as single rooms and staff were seen to respect the privacy of residents by knocking on doors and speaking in a polite manner. Grosvenor Park H59-H10 S13992 Grosvenor Park V228178 310505 Stage 4.doc Version 1.30 Page 10 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) 13 and 14 Links with relatives and friends is well promoted through the homes supportive approach to visiting. Residents are able to make a range of choices about their lives and daily routines. EVIDENCE: Visiting is not restricted and is an important and recognised recreational and social need for residents. Visitors spoken to said that they were welcomed and did not feel restricted with any visiting times. Resident rooms seen during this inspection confirmed that they had been personalised and were individual. Residents spoken to said that they could spend their day where they wanted and could make choices about daily routines. The care documentation recorded how residents wish to be addressed many preferring to be known as Mr or Mrs. Grosvenor Park H59-H10 S13992 Grosvenor Park V228178 310505 Stage 4.doc Version 1.30 Page 11 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 were not assessed at this inspection EVIDENCE: These standards were not assessed at this inspection Grosvenor Park H59-H10 S13992 Grosvenor Park V228178 310505 Stage 4.doc Version 1.30 Page 12 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 and 26 Grosvenor Park is a purpose built care home and physical standards throughout are high ensuring that service users live in a spacious, comfortable and safe environment. Procedures and practice in the home ensures good infection control measures are maintained. EVIDENCE: A tour of the home confirmed that a good standard of decoration is maintained throughout providing a light and airy feel, along with a good standard of cleanliness. Resident accommodation is found on three floors and communal space is located on the ground and in the basement area as a result the passenger lift is used regularly throughout the day and can become congested at busy times. The deputy manager confirmed that ongoing redecoration and upgrading is planned and a new bed pan washer is to be provided along with a new hoist and carpeting. Grosvenor Park H59-H10 S13992 Grosvenor Park V228178 310505 Stage 4.doc Version 1.30 Page 13 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 Staffing arrangements and numbers were satisfactory to meet the needs of residents. EVIDENCE: At the time of this inspection 43 residents were living in the home of these 36 were in receipt of nursing care and 8 were very independent with minimal personal care needs. At the time of this inspection 6 carers were on duty with 2 registered nurses. The inspector noted that the staffing provision was adequate and the needs of the residents were being met. In addition to the care staff appropriate catering and domestic staff are employed the home also employs a secretary and staff trainer and two activities co-ordinators. The inspector was not able to review the staff training records in detail, as the staff trainer’s records were not available to her. Grosvenor Park H59-H10 S13992 Grosvenor Park V228178 310505 Stage 4.doc Version 1.30 Page 14 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) 32, 34 and 36 Management and administration systems are good and allow for an environment where residents and staff can be listened to. The budgeting arrangements are robust and demonstrate efficient management of the business. EVIDENCE: Conversations with residents and visitors confirmed that the deputy manger and home manager are accessible. As the deputy manager works on the floors she is usually he first contact for staff and residents. Regular staff and resident meetings are held and notes of a recent meeting with the catering staff were seen by the inspector. A budgeting framework is well established with the home manager completing monthly financial reports. The insurance details of the home are displayed in the front entrance and comply with the standard. Formal supervision has been established and is being recorded, these records were seen by the inspector during the inspection. Grosvenor Park H59-H10 S13992 Grosvenor Park V228178 310505 Stage 4.doc Version 1.30 Page 15 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 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x 3 x 3 x 3 x x Grosvenor Park H59-H10 S13992 Grosvenor Park V228178 310505 Stage 4.doc Version 1.30 Page 16 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. 2. Standard 7 30 Regulation 15(1) 18(1)c) Requirement Timescale for action 1.8.05 That the social care needs of service users are clearly set out in the individuals plan of care. That all staff receive induction 1.4.05 and foundation training which meets National Training Organisation (NTO) specifications within the time limits specified in NMS 30.2 & 30.3.( not assessed at this inspection as records not available) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 22 Good Practice Recommendations 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 H59-H10 S13992 Grosvenor Park V228178 310505 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection 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 H59-H10 S13992 Grosvenor Park V228178 310505 Stage 4.doc Version 1.30 Page 18 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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