Inspection on 23/01/06 for Grove Hill Residential Home

This inspection was carried out on 23rd January 2006.

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

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

Other inspections for this house

Grove Hill Residential Home 02/05/07

Grove Hill Residential Home 09/08/05

Grove Hill Residential Home 07/12/04

Grove Hill Residential Home 27/07/04

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

CARE HOMES FOR OLDER PEOPLE Grove Hill Residential Home Grove Hill Highworth Swindon Wiltshire SN6 7JN Lead Inspector Bernard McDonald Unannounced Inspection 23 January 2006 09:20 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 Grove Hill Residential Home DS0000003210.V275122.R01.S.doc Version 5.1 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. Grove Hill Residential Home DS0000003210.V275122.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Grove Hill Residential Home Address Grove Hill Highworth Swindon Wiltshire SN6 7JN 01793 765317 01793 765553 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) Mr James William Charles Dunn Mr James William Charles Dunn Care Home 27 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (27) of places Grove Hill Residential Home DS0000003210.V275122.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th August 2005 Brief Description of the Service: Grove Hill is a private residential home offering accommodation and personal care to 27 residents over the age of 65. Grove Hill was first registered in 1986. The home is situated close to the centre of Highworth with easy access to local amenities. There is a regular bus service to Swindon town centre. Ample parking facilities are available at the front of the property. The accommodation consists of 7 shared and 13 single bedrooms, which are located on the ground, first and second floor. A passenger lift has been installed, which services all floors. In addition there is a lounge, a dining room and two small sitting areas on each floor. The sitting area on the second floor is a designated smoking area for residents. There is a laundry room with adequate facilities and residents clothing is washed and ironed by staff. There are choices at breakfast with set meals at lunch and teatimes although alternatives are provided. A wide range of activities is provided which residents can participate in if they wish. The home is normally staffed by four members of staff in the morning and afternoon shifts and three members of staff on the evening shift. There is two waking staff on duty throughout the night. Grove Hill Residential Home DS0000003210.V275122.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was completed over seven hours. At the request of those using the service they will be referred to collectively as “residents” throughout the remainder of this report. The inspector had opportunity to meet with residents in private to obtain their views on the care provided. The inspector met with relatives of three residents and received a further three relative comment cards as part of the pre inspection documentation that was sent to the home. The inspector had opportunity to meet with six members of the care staff who were on duty. The inspector viewed the majority of resident’s bedrooms and all communal living areas. The inspector examined a sample of four resident care plans, three staff recruitment files together with policies and procedures for the protection of residents. What the service does well: What has improved since the last inspection? The home has improved the recruitment records to ensure all staff have a satisfactory criminal records bureau clearance at enhanced level prior to commencing work. Since the last inspection the home has successfully applied to the Commission for a variation to their registration to ensure they did not admit residents outside the homes category of care. Grove Hill Residential Home DS0000003210.V275122.R01.S.doc Version 5.1 Page 6 A large number of commodes have been replaced and decorating is in progress on the second floor to ensure residents are able to live in a safe, clean and comfortable environment. 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. Grove Hill Residential Home DS0000003210.V275122.R01.S.doc Version 5.1 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 Grove Hill Residential Home DS0000003210.V275122.R01.S.doc Version 5.1 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): 3, 5. The home is providing opportunities for residents and their families to visit the home prior to admission but not all residents are having their needs fully assessed before taking up residency EVIDENCE: The inspector examined the community care assessments of two residents admitted to the home since the last inspection. The records of one resident were comprehensive and contained a full community care assessment outlining their needs. In addition the home had completed their pre admission assessment, which forms the basis for the initial care plan. Discussion with the manager and staff confirmed the resident’s family had opportunity to visit the home prior to admission. The home had confirmed in writing that they could meet their needs. The relative of one resident confirmed they had visited the home prior to their family member moving in. The relative stated they were made to feel welcome and were provided with a copy of the last inspection report. Grove Hill Residential Home DS0000003210.V275122.R01.S.doc Version 5.1 Page 9 The records of the second resident did not provide sufficient detail to demonstrate how the needs of the resident could be safely met. The placing authority had not completed a needs assessment. The manager confirmed the resident had visited the home several times with their care manager and relative during which time a significant amount of information was obtained on their needs. In addition the home had completed their pre admission assessment. This document provides the home with information on the residents needs including any support required with mobility and personal care needs. It does not provide any information on the resident’s mental health and if this document is to be used as a pre assessment tool in the absence of a care programme approach assessment or community care assessment the document must be updated. Grove Hill Residential Home DS0000003210.V275122.R01.S.doc Version 5.1 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, 9. The home is ensuring residents’ health and personal care needs are being met and medication is safely managed. EVIDENCE: Examination of a sample of residents care plans demonstrated resident’s needs were being reviewed every month. Care plans provide clear details on resident’s social, emotional and physical needs and include goals and outcomes for residents. The document provides staff with clear guidance on how the residents care is to be managed. The resident or their relative had signed the care plan. Discussion with resident’s confirmed they feel supported and safe in the home. One resident stated, “staff are very good”. Another resident stated they, “have everything they need”. Discussion with staff demonstrated a good understanding of the needs of residents and how they wish to be supported. Throughout the inspection staff were observed interacting with residents and taking time to speak with residents and involve them in activities. One resident stated, “nothing is to much trouble for them”. Grove Hill Residential Home DS0000003210.V275122.R01.S.doc Version 5.1 Page 11 Examination of a sample of medication records demonstrated the home is accurately recording medication when it is administered to residents. Staff confirmed they had received in house training in safe handling of medication. Records examined show the home is accurately recording medication received and returned to the pharmacy. Grove Hill Residential Home DS0000003210.V275122.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14, 15. The home is ensuring residents are supported to exercise choice over their lives and that they receive a wholesome and appealing diet. EVIDENCE: The manager confirmed that residents are encouraged to manage their financial affairs. Where this is not possible then their relative or solicitor manages the resident’s financial affairs. The manager confirmed they are not appointee for any of the resident’s benefits. Residents are able to bring personal items of furniture to the home, which is normally agreed, on admission. The home operates a six-week rotating menu. Discussion with the cook confirmed resident’s likes and dislikes are recorded and if a resident was to refuse a meal then an alternative would be offered. The inspector shared the lunchtime meal with residents. The meal was well presented and comprised of three vegetables and a meat dish. In addition a sweet trolley offered a choice of several dessert. Service users spoken to during the inspection all commented favourably on the quality of meals. Grove Hill Residential Home DS0000003210.V275122.R01.S.doc Version 5.1 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 the following standard(s): 16, 18. The home is striving to ensure residents concerns are listened to and they are protected from abuse. EVIDENCE: The manager confirmed no complaints have been received since the last inspection. The inspector received a number of pre inspection comment cards from the relatives of residents, which confirmed they were aware of the homes complaints procedure, and were very satisfied with the care provided at the home. The inspector also had opportunity to meet with the relatives of three residents. Comments received were very complimentary about the standard of care at the home. A copy of the complaints procedure and details on how to contact CSCI were on display at the entrance to the home. One resident confirmed if they were unhappy they would speak to the manager and another resident stated they would speak to staff. Discussion with staff demonstrated a good awareness of what action they would take if they were concerned about the welfare of residents. The majority of staff have completed abuse awareness training and copies of the local vulnerable adults procedure were available at the home. Grove Hill Residential Home DS0000003210.V275122.R01.S.doc Version 5.1 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 the following standard(s): 19. The home provides residents with a safe, clean and comfortable environment, but not all residents benefit from a having a single bedroom. EVIDENCE: The home is situated on the edge of Highworth and provides residents with accommodation on three floors. The home offers a choice of single and double bedrooms. Discussion with residents confirmed they were happy with the standard of accommodation provided. The relative of one resident confirmed they had made an informed decision over choosing a double room, which had been fully discussed with the resident. One resident stated they were offered a choice of a double room and “were happy to share”. The inspector viewed all communal living areas and the majority of resident’s bedrooms. The home was clean, tidy and free from odour. Furnishings and decor were of a good standard and a number of commodes have been replaced since the last inspection. On the day of the inspection with second floor was being decorated. Once completed the manager stated new carpets would be fitted in the hallway and staircase. Grove Hill Residential Home DS0000003210.V275122.R01.S.doc Version 5.1 Page 15 There is a large communal living room and separate dining area .A passenger lift and two stairways provide access to the first and second floor. Grove Hill Residential Home DS0000003210.V275122.R01.S.doc Version 5.1 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 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): 28, 29, 30. The home is ensuring staff are trained, competent and appropriately supervised to meet the needs of residents. Safe recruitment practices are being followed. EVIDENCE: The inspector examined the recruitment records of three members of staff. Deficits found in the previous inspection have been addressed and all staff have now received a satisfactory criminal records bureau check at enhanced level. However records did not contain a statement as to staff being medically fit to work at the home and it is a requirement that this information is obtained for all staff. Discussion with two staff recently appointed at the home confirmed they followed a structured induction programme. Copies of the staff induction checklist were available for inspection. The majority of staff have completed National Vocational Qualification (NVQ) training level 2 in care. In addition two members of the domestic staff have successfully completed NVQ level 2 in domestic and support services. Additional training has been provided in dementia care and safe working practices. Staff meetings are held each month and staff confirmed they receive regular supervision. The rota shows that there are normally four members of staff on duty in the morning and part of the afternoon and three staff on duty in the evening. This is in addition to the manager and deputy manager. Staff felt this was sufficient for the needs of service users. Residents stated that Grove Hill Residential Home DS0000003210.V275122.R01.S.doc Version 5.1 Page 17 staff are “wonderful” and “ they always have time” to spend with them. Another resident stated that “nothing is to much trouble” Residents confirmed that emergency call bells are promptly answered and that there was always plenty of staff on duty. Grove Hill Residential Home DS0000003210.V275122.R01.S.doc Version 5.1 Page 18 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): 32, 35, 38. Residents’ benefit from a home that is effectively managed which strives to safeguard their interests and welfare. EVIDENCE: The manager who is also the owner provides a “hands on” approach to the running of the home, setting clear standards and expectations for staff to follow. Discussion with staff confirmed they feel supported in their work and feel the manager is approachable at all times. The inspector examined a sample of resident’s monies and found the home was keeping an accurate account of all money held on behalf of residents. Fire safety checks are being carried out and the last fire safety drill was held in December 2005. To ensure the safety of residents radiators are guarded and hot water is regulated close to 43c. General risk assessments on the safety of the environment have been completed and reviewed in the past year. Portable Grove Hill Residential Home DS0000003210.V275122.R01.S.doc Version 5.1 Page 19 appliance testing is up-to-date. Discussion with staff confirmed they had received training in moving and handling, first aid and infection control. Grove Hill Residential Home DS0000003210.V275122.R01.S.doc Version 5.1 Page 20 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 X 2 X 4 X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X X STAFFING Standard No Score 27 X 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 X X 3 X X 3 Grove Hill Residential Home DS0000003210.V275122.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP3 Regulation 14(1)(a) (b) Requirement The registered person must ensure a full assessment from a suitably qualified or trained person on the needs of service users is obtained prior to admission. The registered person must ensure they obtain written confirmation that the member of staff is physically and mentally fit to work in the home. Timescale for action 01/03/06 2. OP29 19(4)(a) (b)(i) 01/03/06 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 OP3 Good Practice Recommendations The registered person should review the pre admission assessment tool to include details on service users mental health including needs associated with dementia. Grove Hill Residential Home DS0000003210.V275122.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Chippenham Area Office Avonbridge House Bath Road Chippenham SN15 2BB 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 Grove Hill Residential Home DS0000003210.V275122.R01.S.doc Version 5.1 Page 23 - 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!