Inspection on 16/06/05 for Grove House

This inspection was carried out on 16th June 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

Grove House 20/12/06

Grove House 22/05/06

Grove House 01/02/06

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

CARE HOMES FOR OLDER PEOPLE Emmanuel Christian Care Home Grove House 1 Palm Grove Prenton Wirral CH43 1TE Lead Inspector Jeanette Fielding Announced Thursday, 16 June 2005 09.30 th 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. Emmanuel Christian Care Home F52 F02 S63096 Emmanuel V226565 160605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Grove House - Emmanuel Christian Care Home Address Grove House, 1 Palm Grove, Claughton, Prenton, wirral CH43 1TE 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) 0151 652 1021 0151 652 2629 Gladman Care Homes Mrs Siobhan Dean Care Home with Nursing 63 Category(ies) of DE Dementia 23 registration, with number OP Old Age 23 of places IC Intermediate Care 17 Emmanuel Christian Care Home F52 F02 S63096 Emmanuel V226565 160605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may from time to time admit persons from the ages of sixty years to sixty five years of age 2. 17 Intermediate Care beds aged 50 years and over Date of last inspection N/A Brief Description of the Service: Grove House is part of the Emmanuel Care Centre located in a residential area in Birkenhead, Wirral. The home is registered to provide transitional care for up to 46 persons and intermediate care for up to 17 persons. All service users are accommodated in single bedrooms, each having en-suite facilities. A number of lounges and seating areas are provided to enable service users to choose where they spend their day. Service users accommodated for intermediate care have a greater input from Occupational and Physiotherapists to provide them with the skills to enable them to return home following hospitalisation and are accommodated at the home for a period of up to six weeks. The ground floor provides for 17 persons requiring Intermediate Care. The first floor provides for 23 persons who have dementia and are awaiting a place in a care home of their choosing, and the second floor provides for 23 elderly persons who are awaiting a place in a care home of their choosing. Service users accommodated for transitional care are usually accommodated for up to eight weeks. Emmanuel Christian Care Home F52 F02 S63096 Emmanuel V226565 160605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first inspection of the home since it was registered with CSCI. The inspection was conducted over a period of seven hours and all standards were assessed. A high number of service users, relatives and staff were spoken to, to obtain a broad view of the service provided. What the service does well: 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. Emmanuel Christian Care Home F52 F02 S63096 Emmanuel V226565 160605 Stage 4.doc Version 1.30 Page 6 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 Emmanuel Christian Care Home F52 F02 S63096 Emmanuel V226565 160605 Stage 4.doc Version 1.30 Page 7 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, 6 The homes Statement of Purpose and Service User Guide are good and provide prospective service users and their families with sufficient information to enable them to make an informed decision regarding admission to the home. EVIDENCE: A statement of purpose and a service user guide were submitted to CSCI as part of the registration process. These documents contain full information regarding the care provided at the home and the facilities available. All service users accommodated are funded by the Local Authority who issues the contracts. Assessments are undertaken on service users prior to their admission to ensure that the home can meet their identified needs. These assessments are made by the Social Workers, the Long Term Care team and one of the senior members of staff from the home. The service users and their families are also involved with the assessment and their views are taken into consideration when a place is being sought. The assessments for those persons who have dementia are not sufficiently detailed in relation to the service users mental Emmanuel Christian Care Home F52 F02 S63096 Emmanuel V226565 160605 Stage 4.doc Version 1.30 Page 8 health and how the dementia is displayed or is progressing. The information given by Social Workers for those persons accommodated for intermediate care should also include the expected outcome from the intense intervention given by the home. The manager stated that she would discuss this with the relevant personnel. The daily reports prepared by the staff are detailed and give full information regarding the care given to each individual. Service users and their family are encouraged to visit the home prior to admission to view the rooms available and to meet with staff. Some of the facilities within the home have been provided by the PCT. This includes the equipment within the physiotherapy room. The home is still awaiting the provision of a cooker and a domestic size washing machine as these items are necessary for the staff to give training to service users and to enable risk assessments to be undertaken prior to the service user returning home. Emmanuel Christian Care Home F52 F02 S63096 Emmanuel V226565 160605 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, 9, 10, 11 The manager is continuing to review the documentation within the home to ensure that the service users individual needs are identified and met and so benefit the service users. EVIDENCE: Individual care plans are prepared for each service user. The manager regularly reviews the care plan format and content and is looking to make improvements in the current format as part of the care plan audit. Risk assessments are undertaken on all service users and risk management strategies are put in place to remove or reduce all risks. None of the service users accommodated at the home have developed pressures sores following their admission, however, a number of service users have been admitted with this problem. The advice of the Tissue Viability Nurse is sought to ensure that appropriate treatment is provided at the earliest opportunity. The medications are generally dealt with as required, although staff should ensure that hand written entries on the Medication Administration Record Emmanuel Christian Care Home F52 F02 S63096 Emmanuel V226565 160605 Stage 4.doc Version 1.30 Page 10 sheets to provide evidence of accuracy. Problems have been encountered regarding the ordering of medications due to the different admission dates of the service users. The manager is currently liaising with the GP’s and the pharmacist to overcome this difficulty. The home has a policy and procedure for the administration of medications and this was seen to have been followed by the staff. All service users are provided with a single bedroom, each having en-suite facilities. Personal care is given to service users in their bedroom or in the bathroom as appropriate to ensure their privacy and dignity. Service users may meet with their visitors in the privacy of their bedroom or in one of the communal areas as they wish. The home has a policy and a procedure to be followed in the event of the death of a service user. Information is held in the home of ministers who can be contacted whenever necessary. Emmanuel Christian Care Home F52 F02 S63096 Emmanuel V226565 160605 Stage 4.doc Version 1.30 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 Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets service users tastes and choices. EVIDENCE: The routines within the home are flexible to suit the service users preferences. All preferences are detailed within the care plans. Those service users accommodated for rehabilitation have a more structured day to work around the routines of the occupational and physiotherapy professionals. Visiting is available at any time and relatives and friends are encouraged to visit. The home provides short-term care for the service users and so it is not feasible for new links within the community to be developed, however, maintaining existing links is encouraged. Some family members take service users out during the day. Choices are offered within the home and these are based on individual preferences and abilities. All preferences are recorded in the plan of care. The home offers a four-week rotating menu that offers a selection of meals at each mealtime. Service users are encouraged to take their meal in the attractive dining rooms to promote social interaction, but can be served their meal in the privacy of their bedroom if they wish. The menus provide evidence Emmanuel Christian Care Home F52 F02 S63096 Emmanuel V226565 160605 Stage 4.doc Version 1.30 Page 12 that a varied and balanced diet is offered to all service users. Special diets can be provided on the advice or recommendation of the GP or dietician. The meal served on the day of the inspection looked and smelled appetising. Meals are prepared in the main kitchen. The home employs dedicated catering staff and is currently advertising for a kitchen assistant. The kitchen was clean and well organised. Some additional kitchen equipment had been ordered and its delivery is awaited. Emmanuel Christian Care Home F52 F02 S63096 Emmanuel V226565 160605 Stage 4.doc Version 1.30 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) 16, 17,18 Appropriate checks are made on staff prior to them commencing work at the home to ensure the protection of service users. EVIDENCE: The home has a detailed complaints procedure and information regarding this is documented in the Service User Guide and is also displayed on the notice board within the home. The home does not deal with any legal issues on behalf of service users as they are accommodated at the home for short-term care only. The home has an Adult Protection procedure, including a whistle blowing policy. Some training has been given to staff on adult protection issues although it is recommended that a more comprehensive training opportunity is made available to staff on the different types of abuse and the action to be taken in the event of it being suspected. All staff are fully vetted prior to working at the home which includes Criminal Record Bureau and Protection of Vulnerable Adults checks. Emmanuel Christian Care Home F52 F02 S63096 Emmanuel V226565 160605 Stage 4.doc Version 1.30 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, 20, 21, 22, 23, 24, 25, 26 The quality of the building and facilities within the home are high creating a safe and comfortable environment for the service users. EVIDENCE: Grove House is a purpose built care home located within the Emmanuel Care Home Centre. It is located close to shops, parks and is accessible by public transport. Car parking areas are provided. The home is on three floors with all areas being accessible by a passenger lift. All service users are provided with a single bedroom, each having en-suite facilities. Bedrooms are decorated and furnished to a high standard. A selection of communal areas is provided and these too, are decorated and furnished to a high standard. The home provides sufficient sitting and dining space for the number of persons to be accommodated. Emmanuel Christian Care Home F52 F02 S63096 Emmanuel V226565 160605 Stage 4.doc Version 1.30 Page 15 All en-suite facilities are provided with a shower. Additional toilets and baths are provided together with an additional shower room. All areas of the home were found to be clean and there were no offensive odours. The occupational therapists have been involved in the assessment of the premises to ensure that it provides the appropriate facilities to meet the individual needs of service users. Each service user accommodated for intermediate care is individually assessed to ensure that the appropriate aids and adaptations are provided to assist them in their rehabilitation. The home is central heated and all rooms have windows that can be opened to provide natural light and ventilation. Thermostatic valves have been fitted to all hot water outlets to ensure that the service users are not put at risk of scalding. Emmanuel Christian Care Home F52 F02 S63096 Emmanuel V226565 160605 Stage 4.doc Version 1.30 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, 28, 29, 30 The standard of recruitment and vetting of staff is good to ensure the protection of the service users. EVIDENCE: The home employs qualified nurses and care staff to provide for the service users care needs. There is always a minimum of three qualified nurses on duty, with four during the morning period up to 2pm. Sufficient care staff are employed and deployed to meet the assessed needs of the service users. The home is promoting NVQ training amongst the staff and this training continues. Staff spoken to during the inspection confirmed that they were given training relevant to the work that they did and to meet the assessed needs of the service users. The home has a robust recruitment procedure, based on equal opportunities, with all prospective staff being required to complete an application form before attending for interview. Two references are taken and all staff have CRB and POVA checks made on them prior to commencing work at the home. Qualifications are also checked. A selection of staff files were inspected and were found to contain all relevant documentation as required. New staff complete an induction training programme. staff files of all training given. Emmanuel Christian Care Home Records are held on F52 F02 S63096 Emmanuel V226565 160605 Stage 4.doc Version 1.30 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) 31, 32, 33, 34, 35, 36, 37, 38 EVIDENCE: The manager is a qualified nurse and an experienced manager. She has achieved an NVQ level 4 in management and could evidence details of ongoing training. She has an open door policy and is available to service users and families each day. Staff meetings are held on a regular basis and minutes of these meetings are held. A quality monitoring system is currently being established. Questionnaires have been prepared and it is hoped to issue these over the next few months. The home does not deal with any of the service users financial matters. These are dealt with by family members or advocates. Emmanuel Christian Care Home F52 F02 S63096 Emmanuel V226565 160605 Stage 4.doc Version 1.30 Page 18 All new staff are required to follow a structured induction training programme. Evidence of this training is held on staff files. A staff supervision programme is currently being established and all staff will be required to have an annual appraisal. Risk assessments have been carried out on the premises and these will be reviewed on a regular basis. Safety certificates inspected were found to be well maintained and up to date. Equipment for the detection of fire is tested regularly and these tests are duly recorded. Health and safety issues are the responsibility of the Manager, the handyman and the Registered Person. Evidence that health and safety issues are addressed is held in the home. Monthly reports are prepared by the Registered Person and copies of these are held in the home. Emmanuel Christian Care Home F52 F02 S63096 Emmanuel V226565 160605 Stage 4.doc Version 1.30 Page 19 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 2 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 4 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 4 3 3 3 3 3 3 3 Emmanuel Christian Care Home F52 F02 S63096 Emmanuel V226565 160605 Stage 4.doc Version 1.30 Page 20 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 3 Regulation 14 Requirement The Registered Person must ensure that the pre-admission assessments contain all necessary information to ensure that the specific needs of the service users can be met. Timescale for action 29/7/05 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 7 18 Good Practice Recommendations The Registered Manager should look to reviewing the format of the care plans to ensure that all care needs are identified. Dedicated training on abuse and the action to be taken should be given to all staff. Emmanuel Christian Care Home F52 F02 S63096 Emmanuel V226565 160605 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Liverpool Area Office 3rd Floor, 10 Duke Street Liverpool L1 5AS 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 Emmanuel Christian Care Home F52 F02 S63096 Emmanuel V226565 160605 Stage 4.doc Version 1.30 Page 22 - 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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