Inspection on 03/02/06 for Grove Park Nursing Home

This inspection was carried out on 3rd February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Park Nursing Home 05/11/08

Grove Park Nursing Home 21/11/07

Grove Park Nursing Home 22/02/07

Grove Park Nursing Home 30/09/05

Grove Park Nursing Home 10/11/04

Grove Park Nursing Home 13/04/04

Grove Park Nursing Home 18/12/03

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

CARE HOMES FOR OLDER PEOPLE Grove Park Nursing Home 9 Plymouth Grove West Manchester M13 0AQ Lead Inspector Richard Dankwa Unannounced Inspection 12:30 3 February 2006 rd 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 Park Nursing Home DS0000021644.V278997.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 Park Nursing Home DS0000021644.V278997.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Grove Park Nursing Home Address 9 Plymouth Grove West Manchester M13 0AQ 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) 0161 273 4557 0161 273 8456 gillespie170@aol.com Roja Limited Care Home 20 Category(ies) of Dementia - over 65 years of age (0), Mental registration, with number disorder, excluding learning disability or of places dementia (0), Mental Disorder, excluding learning disability or dementia - over 65 years of age (0) Grove Park Nursing Home DS0000021644.V278997.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users requiring nursing care shall be 20 aged 50 years and over. One named service user currently accommodated requires care by reason of mental disorder but is below 50 years of age. Registration is subject to compliance with the minimum staffing levels indicated in the Notice previosuly served under Section 25(3) of the Registered Homes Act 1984 issued on 3 October 2001. 30th September 2005 Date of last inspection Brief Description of the Service: Grove Park Nursing Home is registered to provide nursing care for up to 20 residents, aged 50 years and over with a diagnosis of mental disorder or dementia. Grove Park is a large home that has been extended to improve accommodation and increase the number of single rooms available. Accommodation is situated over three floors and comprises of 18 single rooms and one double room. One single room has en-suite facilities and all other rooms have wash hand basin facilities. There is a smoking lounge, which is fitted with an electronic ventilation system and a lounge/dining room situated on the ground floor. There is a passenger lift to assist residents to their bedrooms on the first and second floors of the home. There are large garden areas and ample parking facilities at the front and rear of the property. The home is situated in Plymouth Grove West in the Longsight area of Central Manchester close to local shops, public houses, leisure facilities and amenities. The home is close to public transport routes to the City Centre and South Manchester areas. Grove Park Nursing Home DS0000021644.V278997.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 that took place on the 3 February 2006. The manager of the home was present during the inspection. Several of the residents were also present and the opportunity was taken to talk to them. Some of the paperwork kept at the home was examined. The areas needing improvements during the last inspection had been carried out. Other areas were identified as requiring improvements during this inspection. Not all the standards were inspected so this report should be read with the previous report to get a good picture of the services being provided by Grove Park Nursing Home. 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. Grove Park Nursing Home DS0000021644.V278997.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Grove Park Nursing Home DS0000021644.V278997.R01.S.doc Version 5.1 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 the following standard(s): 1, 6. Prospective residents received all the necessary information to help them decide whether to use the services of the home. EVIDENCE: There was a Statement of Purpose and a Service User Guide in place and these were issued to all prospective residents to help them decide whether to use the services of the home. All residents received terms and conditions of the home. The Statement of Purpose and the Service User Guide needs to be updated on a regular basis. The home does not provide intermediate care. Grove Park Nursing Home DS0000021644.V278997.R01.S.doc Version 5.1 Page 8 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): 10. Arrangements for health and personal care ensured that the residents are treated with respect and dignity at all times. EVIDENCE: Observations during the inspection regarding the way the staff supported the residents indicated that they were treated with respect and dignity. The residents are treated as individuals and their independence promoted. There is a telephone in place for the residents’ use. The manager said that the residents could make private calls using the office telephone. Screening is provided for shared rooms. Grove Park Nursing Home DS0000021644.V278997.R01.S.doc Version 5.1 Page 9 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): These outcomes were not looked at as they were fully met during the previous inspection. EVIDENCE: Grove Park Nursing Home DS0000021644.V278997.R01.S.doc Version 5.1 Page 10 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): 17. The residents’ legal rights are protected and they are supported to exercise them. EVIDENCE: The home encourages and supports the residents to seek advocate assistance from groups such as Age Concern and Mind on some occasions to help them exercise their rights. Care managers also represented the residents on a regular basis to review the care they were receiving and ensured that their rights and interests were safeguarded. The manager said that the key workers of individual residents also ensured that the residents’ rights and interests were safeguarded. Grove Park Nursing Home DS0000021644.V278997.R01.S.doc Version 5.1 Page 11 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, 21, 24. The residents live in a comfortable environment and the home appeared safe and well maintained. EVIDENCE: There is an on-going programme of refurbishment and redecoration in place. The smoke lounge has been redecorated. The dinning area and the nonsmoking lounge is being decorated. There were sufficient and suitable number of lavatories and washing facilities for residents’ use. The toilets were close to the residents’ bedrooms and they were easily accessible by wheelchair users. One bedroom had an en-suite facility. The home has bought new chairs and beds and all residents had access to comfortable chairs and beds. The residents had personal belongings in their rooms. Grove Park Nursing Home DS0000021644.V278997.R01.S.doc Version 5.1 Page 12 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): 30. The home provides the necessary training required by the staff to enable them do their work appropriately. EVIDENCE: There was evidence on individual staff files indicating that the staff received the necessary training required to do their jobs properly. There was evidence of induction training, moving and handling training, health and safety awareness, fire prevention, induction to care, protection of vulnerable adults and management of violence and aggression. However, not all staff had received health and safety training and this must be addressed. It is recommended that all staff should receive training on mental ill health. The manager said that two of the staff had completed NVQ Level 2 and there were 4 other staff under taking it. There was an NVQ assessor at the day of the inspection helping the staff to do their NVQ work. Grove Park Nursing Home DS0000021644.V278997.R01.S.doc Version 5.1 Page 13 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): 33 The home did not have an effective quality assurance and monitoring systems based on seeking the views of the residents and their representatives in place. EVIDENCE: The manager said that he regularly meets with the relatives of the residents to discuss the care being provided by the home. The manager also indicated that the staff seeks the views of the residents on a daily basis regarding the care they received. Although this might be the case there was no record of the home seeking the views of the residents or their representatives. The home must carry out regular surveys to find out what the residents and their representatives think of the home. The views of residents’ friends and other professionals that visit the home must be sought on how the home is achieving its objectives. Grove Park Nursing Home DS0000021644.V278997.R01.S.doc Version 5.1 Page 14 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X 3 X 3 X X 3 X X STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X X X X X Grove Park Nursing Home DS0000021644.V278997.R01.S.doc Version 5.1 Page 15 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. 1 Standard OP33 Regulation 24 Requirement The registered person must ensure that a quality assurance system is in place that allows for the recording of consultations of the residents and their representatives. All staff must receive health and safety training. Timescale for action 01/03/06 2 OP30 13 (6) 30/04/06 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 OP1 OP30 Good Practice Recommendations The Service User Guide and the Statement of Purpose should be reviewed. All staff should have an insight into mental ill health. Grove Park Nursing Home DS0000021644.V278997.R01.S.doc Version 5.1 Page 16 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Park Nursing Home DS0000021644.V278997.R01.S.doc Version 5.1 Page 17 - 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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