Inspection on 05/07/05 for Grove House

This inspection was carried out on 5th July 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

Grove House 10/07/07

Grove House 09/05/06

Grove House 23/11/05

Grove House 28/01/05

Grove House 23/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOMES FOR OLDER PEOPLE GROVE HOUSE Moor Road Ashover Chesterfield S45 0AQ Lead Inspector Marie Bonynge Uannounced Inspection 5th July 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. GROVE HOUSE C52 CO2 S19999 Grove House V236902 050705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Grove House Address Moor Road Ashover Chesterfield Derbyshire S45 0AQ 01246 590222 01246 590287 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) Peak Care Ltd Jannine Stevens Care Home only 31 Category(ies) of OP 30 registration, with number LD 1 of places GROVE HOUSE C52 CO2 S19999 Grove House V236902 050705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 place in the category LD for named service user. Date of last inspection 28th January 2005 Brief Description of the Service: Grove House is a care home registered to provide care and accommodation for up to 31 older people including 1 place for a named individual with learning disabilities. The home is well established and is part of a care complex that also provides services for very sheltered housing. The home is set in its own grounds and overlooks fields and mature trees in the surrounding countryside. Car parking space is provided. Ameneties are available in the village of Ashover including pubs, a post office and small shops. The accommodatin is a mixture of older buildings combined with a purpose built extension. There is a choice of lounges and dining rooms. 13 single bedrooms have en suite facilties, there is 1 double bedroom and the remainder are single accommodation. Car parking space is provided. GROVE HOUSE C52 CO2 S19999 Grove House V236902 050705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day in July 2005. It found that most of the requirements from the last inspection had been met or that the home had made progress in their compliance. Many of the national minimum standards were fully met or partially met and the management of the home continues to strive towards raising standards in the home. Inspection methods used included discussions with residents and staff, the examination of records such as care plans, training records and accident records. Residents spoke highly of the care provided and of the kindness of staff. What the service does well: What has improved since the last inspection? What they could do better: Further developments are expected regarding care planning and record keeping. The training plan is also expected to be fully implemented in the forthcoming months. GROVE HOUSE C52 CO2 S19999 Grove House V236902 050705 Stage 4.doc Version 1.40 Page 6 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 HOUSE C52 CO2 S19999 Grove House V236902 050705 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection GROVE HOUSE C52 CO2 S19999 Grove House V236902 050705 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 4 and 5 Residents can be assured that the home carries out generally comprehensive assessments to assist with the planning and implementation of care that assists in their needs being met. EVIDENCE: Three residents’ care plans were examined. These indicated that progress had been made regarding the implementation of the new care planning documentation. Detailed assessment information had been obtained for all the residents records examined. The home had also begun to confirm in writing to residents that having regard to the assessment their needs could be met in respect of their health and welfare. Discussions with staff indicated that the needs of residents were well known and there was a mix of skills and experience within the staff group to meet with the assessed needs of residents. A requirement from the last inspection has therefore been met. Prospective residents were able to visit the home prior to their admission and respite care could also be offered to assist residents in their decision as to whether to live in the home. GROVE HOUSE C52 CO2 S19999 Grove House V236902 050705 Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10 The health and care needs of residents were generally met, however further development of the care planning process will serve to underpin the practices of the home. EVIDENCE: Of the 3 residents’ care plans examined, 2 of these were comprehensively completed and described how care staff should meet the health and personal care needs of the residents. These included a nutritional assessment and an assessment for the risk of falls. Details of oral and foot care were included and the daily routines of residents, their likes and dislikes. However the care plan for one resident was not fully completed and where a change in their needs had been identified the follow up action regarding falls had not been recorded. The weight of this resident had not consistently been recorded nor had their mental state and cognition been included in the care plan although this was identified as a primary need. Records of hearing and sight tests, dental and chiropody services were clearly documented. Visits of health professionals including the GP, community nurses and social services personnel were also recorded. GROVE HOUSE C52 CO2 S19999 Grove House V236902 050705 Stage 4.doc Version 1.40 Page 10 Progress had been made regarding the medication system and two requirements had been met since the last inspection, two requirements remained outstanding and have been carried forward. Residents spoke highly of the attitudes of staff and confirmed that they felt their privacy and dignity was maintained during personal care giving and when they had visitors. GROVE HOUSE C52 CO2 S19999 Grove House V236902 050705 Stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15 Residents’ preferences and lifestyle generally matched with their expectations and contributed to the enhancement of their daily lives. EVIDENCE: An activities coordinator is employed by the home who organises trips out using community transport. A programme of excursions and activities was displayed on the notice board in the hall. Residents who were spoken with today said that they had plenty to do and could pursue their own interests if they so wished. The patio area is accessible from the lounge and residents said that they enjoyed being able to sit out under the gazebo in the good weather. An open visiting policy was in place where visitors were welcomed at any reasonable time. Written information was available to inform visitors of this. Residents were able to bring their personal possessions into the home subject to prior agreement with the manager. Residents commented positively about the food provided and said that there was always plenty to eat and drink. Meals were served in 2 dining areas and the lunch time meal appeared informal and pleasant with assistance given to any resident who needed it. GROVE HOUSE C52 CO2 S19999 Grove House V236902 050705 Stage 4.doc Version 1.40 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 standard(s) 18 Policies and procedures were in place to assist in the protection of residents, however formal training regarding adult abuse will contribute to the implementation of these. EVIDENCE: A protection of vulnerable adults policy and procedure was in place. Not all of the staff had attended Derbyshire’s multi agency Protection of Vulnerable Adult Procedures and a requirement has been carried forward in respect of this. A whistle blowing policy was in place and discussions with staff indicated that they knew what to do if they were concerned about a residents’ welfare. GROVE HOUSE C52 CO2 S19999 Grove House V236902 050705 Stage 4.doc Version 1.40 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 standard(s) 19 and 26 Residents live in a comfortable and generally well maintained home that provides homely accommodation. EVIDENCE: Grove House is set in lovely and well kept gardens that have a patio area with seating. Residents said that one of the best things about the home was being able to enjoy the gardens and flowers and the view over the surrounding countryside. The home was generally well decorated and the proprietor has plans to redecorate the lounge and dining area. Those parts of the building seen on this visit were clean and free from offensive odours. GROVE HOUSE C52 CO2 S19999 Grove House V236902 050705 Stage 4.doc Version 1.40 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 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) 30 The staff training and development programme does not currently serve to ensure that staff are fully trained to do their jobs. EVIDENCE: Induction and foundation training had been implemented with new staff having attended formal courses. Discussions with staff indicated that a comprehensive training programme was in place with a commitment to the completion of NVQ training in the home. However not all staff had completed updates in mandatory training such as food hygiene, first aid and infection control. The Registered Manager was aware of the deficits in training and was taking steps to remedy the shortfalls. A training matrix was provided and records of training were examined. GROVE HOUSE C52 CO2 S19999 Grove House V236902 050705 Stage 4.doc Version 1.40 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 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, 36 and 37 The home is generally well run with strong support from the management team. EVIDENCE: The Registered Manager is part way through the level 4 NVQ in management and care and expects to complete this by the beginning of 2006. Staff spoke highly of the management support they are given and reported that they could approach both the provider and manager if they had any suggestions or concerns regarding the home. Staff commented that they enjoyed working in the home and there was a positive attitude towards improving care for residents. A system of formal supervision was in place with records kept. Records were generally in good order and well kept with the exception of some gaps in the care plans. GROVE HOUSE C52 CO2 S19999 Grove House V236902 050705 Stage 4.doc Version 1.40 Page 16 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 x x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 3 x x x x 3 2 x GROVE HOUSE C52 CO2 S19999 Grove House V236902 050705 Stage 4.doc Version 1.40 Page 17 YES 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 OP7 Regulation 15 (1) Requirement The registered person must ensure that the care plans are fully completed and that follow up action is clearly recorded. The registered person must ensure that the care plan is reviewed in accordance with recommended guidelines. The maximum and minimum temperatures of the refrigerator used for the storage of medication needing cold storage must be recorded daily. From inspection report 25.05.04. The medication policy must include homely remedies. From inspection report 25.05.04. Timescale for action 01.11.05 2. OP7 15 01.11.05 3. OP9 13 (2) 23 (2) (l) 4. OP9 13 (2) 17 (1) (a) Schedule 3 18 (1) (a) (c) (i) 5. OP18 The remainder of the staff must attend training for Derbyshires multi agency Protection of Vulnerable Adult Procedures. From inspection report 25.05.04. The registered person must ensure that all mandatory training is completed. The registered manager must complete level 4 NVQ 6. 7. OP30 OP31 18 9 (2) (b) (i) Previous timescale 01.11.04. New timescale 01.11.05 Previous timescale 01.11.04. New timescale 01.11.05 Previous timescale 01.11.04. New timescale 01.01.05 01.12.05 Previous timescale Page 18 GROVE HOUSE C52 CO2 S19999 Grove House V236902 050705 Stage 4.doc Version 1.40 inmanagement and care. From inspection report 28.01.05. 8. OP37 17 (1) (a) The records specified in standard (b) (3) (a) 7 must be completed. 31.12.05. New timescale 01.03.05. 01.11.05 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. Refer to Standard Good Practice Recommendations GROVE HOUSE C52 CO2 S19999 Grove House V236902 050705 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Cardinal Square Nottingham Road Derby DE1 3QT 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 HOUSE C52 CO2 S19999 Grove House V236902 050705 Stage 4.doc Version 1.40 Page 20 - 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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