Inspection on 12/09/05 for Grove Lodge Care Home

This inspection was carried out on 12th September 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 Lodge Care Home 10/01/08

Grove Lodge Care Home 19/12/06

Grove Lodge Care Home 15/03/06

Grove Lodge Care Home 22/03/05

Grove Lodge Care Home 05/10/04

Grove Lodge Care Home 12/02/04

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

CARE HOMES FOR OLDER PEOPLE Grove Lodge 62 Buxton Road Hazel Grove Stockport SK7 6AF Lead Inspector Jacqueline Kelly Announced 12 September 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 Lodge F54 F04 grove lodge A s8589 v243762 130905 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Grove Lodge Address 62 Buxton Road, Hazel Grove, Stockport, SK7 6AF 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) 0161-483-8654 0161-456-5703 silkland@hotmail.com Grove Lodge Care Home Limited Mr J R Stokes CRH - Care Home 18 Category(ies) of DE - Dementia (18) registration, with number DE(E) - Dementia over 65 (18) of places MD - Mental Disorder (18) MD(E) - Mental Disorder over 65 (18) Grove Lodge F54 F04 grove lodge A s8589 v243762 130905 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The number of persons for whom residential accommodation is provided shall not exceed 18 persons; categories DE, DE(E), MD or MD(E). In the event that Mrs A ceases to be a resident of the home, the number of persons for whom residential accommodation is provided shall not exceed 17 persons. The above condition of registration will only take effect once the following two conditions of registration have effect. The wooden beam that runs across the ceiling of Room 3 and the en-suite bathroom is to be removed. Any replacement shall not intrude into the space occupied by Room 3 or the en-suite bathroom below the current height of the ceiling of those rooms. The door between Room 3 and the adjoining bathroom is to be re-hung so that it does not impede, in any way, the opening of the door between Room 3 and the landing. No persons under the age of 50 to be accommodated. Date of last inspection 22 March 2005 Brief Description of the Service: Mr Robert Stokes has owned and managed Grove Lodge since October 2001. The home is registered to take service users from the age of fifty years and upward who had or are recovering from a mental health problem. The home also has up to three day care places seven days a week. The day care service is not registered with the Commission for Social Care Inspection. Grove Lodge was originally a small detached dormer bungalow, which has over a number of years been extended and converted into a residential care home for eighteen service users (see condiditions of registration). The two single rooms on the first floor have an en-suite facility (there is no passenger or stair lift). The remaining twelve beds are on the ground floor. The communal space consists of two lounge areas, conservatory and a separate dining room. There is a reasonably sized, well laid out garden to the rear of property. The front of the house has parking space for a small number of cars. The home is situated on the main A6 trunk road on the outskirts of the Hazel Grove area of Stockport but is within a short car ride of Hazel Grove railway station which allows for easy access to Stockport, Buxton and Manchester. There is also a regular bus service to Stockport town centre and Manchester. There are shops, restaurants, post office, banks and churches within a fifteen to twenty minute walk or short car ride to the centre of Hazel Grove. Grove Lodge F54 F04 grove lodge A s8589 v243762 130905 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an annual announced inspection, which took place over one day. Time was spent talking with the compliance and operations manager Mrs Fay Cameron, care workers and residents. Care plans, staff files, and drug administration records were looked at. A tour of the home took place. Questionnaires were sent to the home for the residents and relatives to complete; at the time of writing this report 6 resident, 1 GP, 2 Consultant Psychiatrists, 1 health care professional and 5 relative/visitors questionnaires had been returned to the Commission. For the most part the questionnaires that were returned were positive. All the residents who were interviewed or completed a questionnaire indicated that they were well cared for. Comments received were ‘like living here’ and ‘best place ever been’. The majority of the relative visitors questionnaires contained positive feedback with comments such as ‘very happy with the care’, ‘very satisfied’, ‘needs well catered for’. There was one criticism in that there was not always somewhere private to go when visiting a relative. The owner is looking into providing a small room for this purpose. What the service does well: Grove Lodge has registered with Investors In People and are to have an assessment on the 4 October 2005. The home has also acquired the services of care management consultants and is to have an inspection by the company in the near future. The management have invested heavily in the refurbishment and upgrading of the environment which has had a positive effect on the staff team and the residents. A member of the staff team who was interviewed said that the home had ‘much improved’; ‘felt part of a team – training opportunities marvellous’ and that the ‘residents were happier and go out more’. The home employ’s a support worker whose job it is to take residents out into the community. Residents go swimming, to the cinema, shopping, and meals out. Other activities include visits to the theatre, garden centres and day out to Blackpool for the illuminations. Grove Lodge F54 F04 grove lodge A s8589 v243762 130905 stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Grove Lodge F54 F04 grove lodge A s8589 v243762 130905 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 Lodge F54 F04 grove lodge A s8589 v243762 130905 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) 1,2,3,4,5. Standard 6 is not applicable. Written information was available to inform residents and their relatives what the home provided. The staff team were able to meet the needs of the residents. EVIDENCE: A service user guide and statement of purpose was available for residents and their relatives. There were social work assessments, the homes own assessments and contracts; all of which gave the relatives, residents and care workers facts about the home and the care needs of the resident. All prospective residents were given the opportunity to visit the home as many times as necessary before making the decision to move in for the trial period of six weeks. One resident had attended Grove Lodge for day and respite care before deciding to live at the home permanently. Grove Lodge F54 F04 grove lodge A s8589 v243762 130905 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) 7,8,9,10,11 The owners and care workers met the health care needs and privacy of the residents. Medication was handled safely. EVIDENCE: The care plans were satisfactory and contained all the relevant information. One of the relatives said that they ‘felt their relatives needs were very well catered for, and the staff at Grove Lodge have a perceptive view of their relative’s social and character requirements’. The residents who were spoken with said that they were happy with the care they received; one resident said that they ‘like living here – very comfortable’; ‘everything lovely and clean’; ‘best place ever been’. All the resident questionnaires that were returned indicated that their privacy was respected. The service user guide contained a ‘Charter of Rights’, which covered dignity, fulfilment and autonomy. Medication records were looked at and had been completed properly. None of the current group of residents manages their own medication. Grove Lodge F54 F04 grove lodge A s8589 v243762 130905 stage 4.doc Version 1.40 Page 10 The care workers had received training on care of the dying using a distancelearning package from the Learning and Skills Council. Grove Lodge F54 F04 grove lodge A s8589 v243762 130905 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 were given choices so that they could maintain control over their daily life as far as their capabilities would allow. EVIDENCE: Resident satisfaction questionnaires had been used. The inspector saw the completed questionnaires; all of which indicated that the residents were satisfied with the care they were receiving. The questionnaires will be distributed again for 2005. On the day of the inspection the residents who were spoken to said they were happy with the food. Each resident was allocated a care worker known as a ‘key worker’ with whom the resident could talk to on a personal and private level. The key worker was also responsible for the care plan. Friends and relatives were welcomed at the home at all reasonable times of the day and evening. Residents were encouraged to maintain contacts with friends and services in the community through the support worker. Grove Lodge F54 F04 grove lodge A s8589 v243762 130905 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) 16,17,18. Residents are protected through the complaints procedure, training and daily monitoring of care workers. EVIDENCE: None of the residents with whom the inspector had contact with had any complaints. The home was not responsible for any of the residents’ finances apart from a small amount of money for daily items such as hairdressing; a record was kept. The policy and procedure for the protection of vulnerable adults from abuse contained all the relevant information including name and telephone numbers for the adult protection unit of Stockport Adult and Community Care Services. Those staff who had a National Vocational Qualification had received training on abuse. Grove Lodge F54 F04 grove lodge A s8589 v243762 130905 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) 19,20,21,22,23,24,25,26. The home was maintained, decorated, furnished and fitted to a satisfactory standard EVIDENCE: The inspector looked round home; which has benefited from a plan of improvement. The entrance hall has had new floor covering as had other areas such as the dining room, lounge and two of the bedrooms. A second lounge area was in the process of being decorated and once completed a new carpet and curtains were to be fitted. There were enough bathrooms and toilets all of which had recently been refurbished. New curtains and bedding have been provided for all the bedrooms. Some of the bedrooms were more personalised than others depending on the individual residents’ choice. Grove Lodge F54 F04 grove lodge A s8589 v243762 130905 stage 4.doc Version 1.40 Page 14 There is no passenger lift or stair lift however there are only two rooms situated on the first floor so this does not cause too great a problem. The garden to the rear of the house had been landscaped and was much more suitable for the residents. There was a summerhouse where the residents who smoked could go and there were a number of seats situated around the garden. Grove Lodge F54 F04 grove lodge A s8589 v243762 130905 stage 4.doc Version 1.40 Page 15 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 recruitment and selection methods used ensured that suitable care workers are employed. Experienced care workers looked after the residents. EVIDENCE: The application form being used required an amendment regarding previous employment. The manager rang the day after the inspection to say that this had been done. It is also essential that the prospective care workers complete the application forms fully and not leave any gaps. The rota’s seen by the inspector showed that there were sufficient numbers of care workers on duty to meet the needs of the residents and that the staffing levels are within the Department of Health Guidelines. Many of the care workers had been working at the home for a number of years. Fifty-four percent of the care staff had a National Vocational Qualification; others were registered to start their training. The care workers who were spoken with were happy with the care the residents received and the general management of the home. The inspector received a number of completed resident questionnaires all of which said that the staff team treated them well. Grove Lodge F54 F04 grove lodge A s8589 v243762 130905 stage 4.doc Version 1.40 Page 16 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) 31,33,35,36,37,38 The home was run for the residents by a staff team who were experienced and were aware of the health and safety of residents. EVIDENCE: A manager is employed to manage the personal care of the residents and the staff team on a day-to-day basis. The manager is to register with the Commission for Social Care Inspection. The residents were asked their views through individual talks with the manager, owner, key-workers and questionnaires. A new questionnaire had been devised for 2005. The home was not responsible for any of the residents’ finances other than day-to-day requirements for which receipts and accounts were kept. Grove Lodge F54 F04 grove lodge A s8589 v243762 130905 stage 4.doc Version 1.40 Page 17 Training for care workers on first aid, administration of medication and moving and handling was in place. Formal supervision and staff meetings had taken place. The manager had produced an annual report, which had been discussed with the staff team, and a copy was given to the Commission for Social Care Inspection during the inspection. This report must also be made available to the residents and/or relatives. All the necessary health and safety checks had been undertaken. Grove Lodge F54 F04 grove lodge A s8589 v243762 130905 stage 4.doc Version 1.40 Page 18 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 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 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 3 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 2 x 2 x 3 3 3 3 Grove Lodge F54 F04 grove lodge A s8589 v243762 130905 stage 4.doc Version 1.40 Page 19 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 31 Regulation 8 Requirement The registered person must register the manager with the Commission for Social Care Inspection. The registerd person must make sure that the quality assurance report is made available to the residents and or their relatives. Timescale for action 31 December 2005 31 October 2005 2. 33 24 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 Lodge F54 F04 grove lodge A s8589 v243762 130905 stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 2nd Floor Heritage Wharf Portland Place Ashton under Lyne, OL7 0QD 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 Lodge F54 F04 grove lodge A s8589 v243762 130905 stage 4.doc Version 1.40 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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