CARE HOMES FOR OLDER PEOPLE
Grove Lodge Care Home 62 Buxton Road Hazel Grove Stockport Cheshire SK7 6AF Lead Inspector
Jacqueline Kelly Unannounced Inspection 15th March 2006 10:00 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 Lodge Care Home DS0000008589.V284598.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 Lodge Care Home DS0000008589.V284598.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Grove Lodge Care Home Address 62 Buxton Road Hazel Grove Stockport Cheshire SK7 6AF 0161 483 8654 0161 456 5703 silklands@hotmail.com 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) Grove Lodge Care Home Limited Fay Cicelia Cameron Care Home 18 Category(ies) of Dementia (18), Dementia - over 65 years of age registration, with number (18), Mental disorder, excluding learning of places disability or dementia (18), Mental Disorder, excluding learning disability or dementia - over 65 years of age (18) Grove Lodge Care Home DS0000008589.V284598.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The number of persons for whom residential accommodation is provided shall not exceed 18 person(s) Cat 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 person(s). The above condition of registration will only take effect once the following two conditions of registration has 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 rehung 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. 2. 3. 4. 5. Date of last inspection 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 have or are recovering from a mental health problem. The home also provides day care for up to three people 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 conditions 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 the 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 Care Home DS0000008589.V284598.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place mid morning/lunch time. Time was spent talking with the manager Mrs Fay Cameron, residents and care workers. The owner Mr Robert Stokes was also present at the home. The file for the most recent person to be admitted was looked at. On the day of the inspection there were seventeen people living at the home. No one was using the day care service. A tour of the home took place, which included bathrooms, dining room, lounge, and bedrooms. The home was clean and homely with bedrooms reflecting the residents’ personality. There are plans to upgrade the kitchen and the manager was expecting a representative from the environmental health department to visit the home for them to give advice on suitable cupboard doors and work surfaces. Care workers had achieved National Vocational Qualifications Level 2 and others were taking a Level 3. The owner had also provided other training such as adult protection. Not all the standards were looked at during this inspection as they had been met and found to be satisfactory during previous inspections. Neither the home nor the Commission for Social Care Inspection had received any complaints and there had been no adult protection investigations. The owner has obtained the services of a quality assurance company, which entails the home being inspected by a company representative to the company’s own set of standards. A report had been written and published. The owner had registered a ‘live in service’, under the Domiciliary Care Agency legislation, which subject to inspection. The organisation had also acquired two properties as supported accommodation. This service does not require registration with the Commission for Social Care Inspection and is therefore not inspected. Grove Lodge Care Home DS0000008589.V284598.R01.S.doc Version 5.1 Page 6 What the service does well: What has improved since the last inspection? What they could do better:
There are no new requirements or recommendations made in this report. The management and staff continued to maintain and improve on the standard of care provided. Grove Lodge Care Home DS0000008589.V284598.R01.S.doc Version 5.1 Page 7 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 Care Home DS0000008589.V284598.R01.S.doc Version 5.1 Page 8 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 Lodge Care Home DS0000008589.V284598.R01.S.doc Version 5.1 Page 9 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): 3,4,5. Standard 6 is not applicable. Residents were assessed before being offered a place. The staff team were able to meet the needs of the residents. EVIDENCE: The inspector looked at the care file for the last person to be admitted to the home. There were social work and the homes own assessments on file. There had been no amendments to the statement of purpose or service user guide. The staff team were equipped with the necessary skills to look after the current group of residents. Grove Lodge Care Home DS0000008589.V284598.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): 8,9,10. The owners and care workers met the health care needs and privacy of the residents. EVIDENCE: One of the residents health had improved and it was felt that they could now live semi-independently in a sheltered housing scheme. A second resident was moving to another establishment, which he felt would better suit his lifestyle. None of the residents were responsible for their own medication. The residents who were spoken with said that they were happy with the care they received. Grove Lodge Care Home DS0000008589.V284598.R01.S.doc Version 5.1 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 the following standard(s): 12,13,14. Residents were given choices so that they could maintain control over their daily life as far as their capabilities would allow. EVIDENCE: The home met the requirements and expectations of those residents who were continuing to live at the home and they were helped to exercise choice. As stated previously one resident had decided to move to another home which they feel will be more suited to their cultural requirements. They have been assisted to do this by the manager and social worker. Friends and relatives were welcomed at the home at all reasonable times of the day and evening. Grove Lodge Care Home DS0000008589.V284598.R01.S.doc Version 5.1 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 the following standard(s): 16,17,18. The owner and manager protected the residents through the complaints procedure, training and daily monitoring of care workers. EVIDENCE: 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 which was not looked at during this inspection. The manager had recently attended the launch of the new Stockport Adult Abuse:- Safeguarding Adults policy and procedures. Neither the home nor the Commission for Social Care inspection had received any complaints. There had been no Adult Protection investigations. Grove Lodge Care Home DS0000008589.V284598.R01.S.doc Version 5.1 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 the following standard(s): 19,20,21,22,23,24,25,26. The home was clean, satisfactorily maintained and decorated. All furnishings, fittings and equipment were in good condition and suitable for the needs of the residents. EVIDENCE: The inspector looked round the home which was satisfactorily maintained and decorated, clean, and pleasant. The lounge area at the rear of the home had been decorated and refurbished to a good standard and was comfortable and inviting. One of the bathrooms had been fitted with a new bath and furnishings. The bedrooms that were seen by the inspector were well furnished and contained personal items. One bedroom had been completely refurbished.
Grove Lodge Care Home DS0000008589.V284598.R01.S.doc Version 5.1 Page 14 There is no passenger lift or stair lift for access to the first floor. The Commission did not register one of the rooms in the home for due to structural problems in the form of a low beam. The owner has written to the homes tribunal to seek their opinion on proposals to reduce the depth of the beam to enable the room to be used. Grove Lodge Care Home DS0000008589.V284598.R01.S.doc Version 5.1 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 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): 27,28,30. Experienced care workers who had received appropriate training looked after the residents. EVIDENCE: There had been no changes to the number of staff employed since the previous inspection of September 2005, which were sufficient to meet the needs of the residents. The owner and manager were on duty most days. Many of the care workers had been working at the home for a number of years. Fifty percent of the care workers had completed a National Vocational Qualification (NVQ) Level 2. Two others were taking a NVQ Level 3. All care workers had done dementia care training. Grove Lodge Care Home DS0000008589.V284598.R01.S.doc Version 5.1 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 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): 31,32,33. 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: The owner and manager have many years of experience and relevant qualifications. The home had produced a quality assurance report, which included the results of service user surveys. On the day of the inspection the Quality Assurance Consultant visited the home to meet with the manager. The owner and manager oversaw the health and safety of the residents and care workers in a satisfactory manner.
Grove Lodge Care Home DS0000008589.V284598.R01.S.doc Version 5.1 Page 17 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 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x x x x x Grove Lodge Care Home DS0000008589.V284598.R01.S.doc Version 5.1 Page 18 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Grove Lodge Care Home DS0000008589.V284598.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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