CARE HOMES FOR OLDER PEOPLE
Grove Lodge Care Home 62 Buxton Road Hazel Grove Stockport Cheshire SK7 6AF Lead Inspector
Jackie Kelly Unannounced Inspection 19th December 2006 12:20 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 Lodge Care Home DS0000008589.V317775.R01.S.doc Version 5.2 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.V317775.R01.S.doc Version 5.2 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.V317775.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. The number of persons for whom residential accommodation is provided shall not exceed 18 person(s) Cat DE, DE(E), MD or MD(E). No persons under the age of 50 to be accommodated. Date of last inspection 12 September 2006 Brief Description of the Service: Mr Robert Stokes has owned Grove Lodge since October 2001 with Mrs Fay Cameron as the registered manager for the past two years. The home is registered to take service users from the age of fifty years and upward who have or are recovering from mental ill health. 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. There are three single rooms on the first floor, which 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 garden to the rear of the property and a small number of parking spaces at the front of the house. The home is situated on the main A6 trunk road on the outskirts of the Hazel Grove area of Stockport. Hazel Grove railway station is within a short car ride and there is also a regular bus service to Stockport town centre and Manchester. There are shops, restaurants, post office, banks and churches within a twenty to thirty minute walk of the centre of Hazel Grove. The fees range from £380.00 to £440.00 per week. There is a service user guide that provides information about the home and the inspection report is available on request. Grove Lodge Care Home DS0000008589.V317775.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced key inspection, which took place lunch time/mid afternoon. Time was spent talking with the provider Mr Robert Stokes, manager Mrs Fay Cameron and residents. Care workers were observed during the inspection. The files and care plans for the last two people admitted were looked at along with a care workers file. A copy of the latest edition of ‘Our Achievements To Date’ was given to the inspector and a copy of the programme for activities leading up to Christmas. On the day of the inspection there were seventeen people living at the home. A tour of the home took place, which included bathrooms, dining room, lounge, and bedrooms. The provider had received planning permission to build a conservatory to extend the dining room. The manager said that the home had received no complaints. However the Commission for Social Care Inspection had received a report of alleged race discrimination. The home had policies regarding equal opportunities/race equality and did employ people from ethnic communities. The Commission was unable to substantiate the claim and no further action was necessary. There had been no adult protection investigations. The owner had 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 is subject to inspection. The organisation had also acquired a property adjacent to the home 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.V317775.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection?
There had been further improvements to the decoration and fittings within the home. The lounge area had been fitted with a coal effect fire and surround, which had given the room a focal point and had made it welcoming. The residents were pleased with this addition. The kitchen had been completely refurbished and was a great improvement.
Grove Lodge Care Home DS0000008589.V317775.R01.S.doc Version 5.2 Page 7 Training was ongoing. Anti-bacterial hand dispensers have been positioned throughout the home. A new gas meter has been installed. 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. The summary of this inspection report can be made available in other formats on request. Grove Lodge Care Home DS0000008589.V317775.R01.S.doc Version 5.2 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.V317775.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1,3,6. Quality in this outcome area is good. Residents were assessed and provided with information to enable them to make a choice as to the suitability of the care home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector looked at the care files for the last two people to be admitted to the home. There were social work and the homes own assessments on file, which contained all the necessary information. Confirmation was also on the file that they had been given a copy of the service user guide. Standard 6 did not apply, as the home did not have any intermediate care beds. Grove Lodge Care Home DS0000008589.V317775.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9,10. Quality in this outcome area is good. The owners and care workers met the health care needs and privacy of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans of the last two people to be admitted were looked at and found to be satisfactory. They contained information that showed residents health and personal care needs were being met. One of the resident’s who had lived at the home for a number of years was now able to live independently and had moved to a sheltered housing scheme. The inspector was informed that the person regularly kept in touch by visiting or telephoning the home. None of the residents were responsible for their own medication. Grove Lodge Care Home DS0000008589.V317775.R01.S.doc Version 5.2 Page 11 One person managed his own insulin injections with the support of the District Nurses. Risk assessments had been written by the nurses and were kept on their case notes. None of the staff at the home had any responsibility for the insulin injections. Grove Lodge Care Home DS0000008589.V317775.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14,15. Quality in this outcome area is good. Residents were given choices so that they could maintain control over their daily life as far as their capabilities would allow. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home met the requirements and expectations of those residents who were living at the home and they were helped to exercise choice. A programme was on display for all residents to see of activities that had been organised for the weeks leading up to Christmas. Friends and relatives were welcomed at the home at all reasonable times of the day and evening. An evening of Christmas celebrations had been organised for all residents, relatives and any others who wished to join them. A small number of residents attend a day centre with others go out to the shops. Trips out are also organised throughout the year. None of the residents had any complaints about the food. Grove Lodge Care Home DS0000008589.V317775.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16,18. Quality in this outcome area is good. The owner and manager protected the residents through the complaints procedure, training and daily monitoring of care workers. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There were policies and procedures for the protection of vulnerable adults and the ‘alerter’ training for the prevention of abuse was on going. The Commission for Social Care Inspection had received one report regarding possible race discrimination. The complainant did not follow up the original phone call however the inspector discussed the allegations with the provider and manager and as a result did not substantiate the allegation. The home had a policy in place and did employ workers from an ethnic minority. The home had received no complaints. Two relative/visitor survey forms were received. Both said that they had made no complaints however only one of the two said that they were aware of the complaints procedure. The provider should ensure that all relatives and service users where applicable have received information on how to complain and the procedures involved. There had been no Adult Protection investigations. Grove Lodge Care Home DS0000008589.V317775.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19,25,26. Quality in this outcome area is good. 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. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector looked round the home which was satisfactorily maintained and decorated, clean, and pleasant. The main lounge had been fitted with a coal effect fire and surround, which gave the room a focus and made it homely; all the residents liked it. The Kitchen had been completely refurbished. The bedrooms that were seen by the inspector were well furnished and contained personal items. There is no passenger lift or stair lift for access to the first floor.
Grove Lodge Care Home DS0000008589.V317775.R01.S.doc Version 5.2 Page 15 The home is to build a conservatory during 2007, which will extend the dining room. The bedroom that has been altered to comply with the requirements of registration is now occupied. One of the relative/visitors who completed a survey form commented that the radiators are low and are timed which results in the home not feeling warm. The provider should conduct an anonymous survey to see if others feel that the home is not warm enough. Grove Lodge Care Home DS0000008589.V317775.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29,30. Quality in this outcome area is good. Experienced care workers who had received appropriate training looked after the residents. This judgement has been made using available evidence including a visit to this service. 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. Nine of the staff team had a National Vocational Qualification (NVQ) Level 2 with two others had a NVQ Level 3. Staff training was on going. Training that had taken place was; HASAP, fire safety, alerter training, basic food hygiene, safe handling of medicines, dementia care training, infection control and death and dying. Grove Lodge Care Home DS0000008589.V317775.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33,35,38. Quality in this outcome area is good. The home was run for the residents by a staff team who were experienced and were aware of the health and safety of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The owner and manager had many years of experience and relevant qualifications. The home had produced a quality assurance report update titled ‘Our Achievements to Date’, which was given to the inspector on the day of the inspection. The provider contracts with a Quality Assurance Consultant to visit the home and right a report a copy of which is available to the inspector and relevant others.
Grove Lodge Care Home DS0000008589.V317775.R01.S.doc Version 5.2 Page 18 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 owner and manager oversaw the health and safety of the residents and care workers in a satisfactory manner. Grove Lodge Care Home DS0000008589.V317775.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 x 18 3 3 x x x x x 2 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 3 x 3 x 3 x x 3 Grove Lodge Care Home DS0000008589.V317775.R01.S.doc Version 5.2 Page 20 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. 1. 2. Refer to Standard OP16 OP25 Good Practice Recommendations The registered person should ensure that all residents and relative know who to complain to and the procedures involved. The registered person should conduct a survey to ensure that all residents are happy with the temperature of the home in all areas. Grove Lodge Care Home DS0000008589.V317775.R01.S.doc Version 5.2 Page 21 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: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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