Inspection on 30/09/05 for Grove Park Nursing Home

This inspection was carried out on 30th 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 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 Park Nursing Home 05/11/08

Grove Park Nursing Home 21/11/07

Grove Park Nursing Home 22/02/07

Grove Park Nursing Home 03/02/06

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 Kathleen Mcall Unannounced Inspection 30th September 2005 10:50 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.V249937.R01.S.doc Version 5.0 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.V249937.R01.S.doc Version 5.0 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 4557 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.V249937.R01.S.doc Version 5.0 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. 10th November 2004 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. Roja Limited is the registered owner and the registered manager is a Mr John Gillespie. 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. At the time of the inspection the home was in the process of decorating a new lounge area to which the current smoke lounge was being relocated with plans to redecorate and refurnish the existing smoke lounge. There are also plans to redecorate the dining room area and install a shower room on the 3rd floor of the home. Since the last inspection 3 new single bedrooms have been provided on the ground floor along with a residents’ kitchen. 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 and other social areas and amenities. The home is close to public transport routes to the City Centre and South Manchester areas. Grove Park Nursing Home DS0000021644.V249937.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place over the course of a day. The registered manager was on duty at the time of the inspection along with the deputy manager both of whom assisted the inspector throughout the inspection process. Care plans, assessment documentation, medication and their storage were examined. The inspector spoke with a number of residents in the home and with several members of staff on duty. What the service does well: What has improved since the last inspection? Since the last inspection the home had provided three new single bedrooms on the ground floor. A service users’ kitchen had also been provided where service users could make drinks and snacks if they wished. At the time of the inspection the home was in the process of decorating and refurbishing a new lounge area to which the current smoke lounge was being relocated. The home had plans to redecorate and refurnish the existing smoke lounge. There were also plans to redecorate the dining room area. Grove Park Nursing Home DS0000021644.V249937.R01.S.doc Version 5.0 Page 6 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.V249937.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Grove Park Nursing Home DS0000021644.V249937.R01.S.doc Version 5.0 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 the following standard(s): 3, 4 and 5 Service users care needs were fully assessed before admission. The home met service users care needs and arrangements were in place for them to visit the home prior to their admission. EVIDENCE: Service users were assessed prior to their admission to the home; no service users were admitted to the home without their care needs having been assessed. Assessments were obtained from social workers and health professionals if they had been involved in the admission. Those files of service users recently admitted to the care home were examined and contained up to date assessment documentation held in respect of each person. In addition to this Grove Lodge undertook their own assessment of a service users’ care needs and together this information was used to develop an appropriate plan of care. The needs and preferences of service users were recognised and met by care staff. Service users told the inspector that they were quite satisfied with the way in which the home met their care needs. Grove Park Nursing Home DS0000021644.V249937.R01.S.doc Version 5.0 Page 9 Arrangements were in place for service users to visit the home prior to their admission. The home liaised closely with nursing and social work staff when a service user was admitted from hospital, and in some instances service users were admitted directly from the ward. Grove Park Nursing Home DS0000021644.V249937.R01.S.doc Version 5.0 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): 7, 8 and 9. Service users’ health and personal care needs were identified and met. EVIDENCE: All service users had a care plan. Care plans were drawn up with the service user, signed and dated. Care plans seen were individualised to each service user’s care needs with information held in one accessible document. Included in this information were risk assessments, moving and handling and lifting care sheets, weight charts, pressure sores monitoring charts, daily records and a review sheet. Care plans were reviewed on a regular basis and any changes needed were included. Care plans were written in a manner that encouraged service users to retain their self care skills and remain independent within the home. Risk assessments were completed on those service users where a risk had been identified and were regularly reviewed. A detailed and comprehensive risk plan was put in place to address any identified risks including the likely consequences of the identified risk, how it could be minimised and recommended actions. Completed risk assessments seen at the time of the Grove Park Nursing Home DS0000021644.V249937.R01.S.doc Version 5.0 Page 11 inspection were both specific and thorough in their detail and content and complemented needs identified in the care plan. GP’s, chiropodists and consultant psychiatrists were regular visitors to the home. Service users told the inspector that they were satisfied with the way in which the home met their health needs, one service user said that the home was good at getting in touch with their GP when they were feeling unwell. Others thought the care they received was ‘very good’. Medication was provided in the Vena Link system, this was stored appropriately and medication records were accurately maintained. The home had a secure dedicated refrigerator for the storage of medication requiring refrigeration, although at the time of the inspection there was no medication in the home that required such storage. The home did not have a photograph of each service user. Some serivce users photographs were on the MAR sheets, however the majority of medication records did not have a photograph of the service user and care plans did not contain a photograph of the service user. Service users told the inspector that staff treated them well; they liked them and felt they could talk to them. Grove Park Nursing Home DS0000021644.V249937.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 The day-to-day routine of the home was relaxed and informal and met service users needs. Mealtime arrangements were well managed and satisfied service users expectations. EVIDENCE: Grove Park offered a flexible routine to service users. Staff encouraged service users to make choices as to how they spent their time, whether they wished to join in activities or not, and what they ate. Staff encouraged service users to maintain friendships outside of the home and one service user was actively involved in voluntary work in the local community. Some service users were more dependent and required staff to accompany and assist them on visits outside of the home. Those service users who required assistance told the inspector that they enjoyed their visits with staff and would welcome more of this. Whilst the home did not have a formal structured activities programme events were arranged on a monthly basis ie pub lunches and the home was planning a Christmas lunch. These arrangements appeared to suit the majority of service users however one service user did say that they occasionally felt that there was not enough going on in the home for them. The inspector discussed this with the deputy manager who agreed to take on board this issue. Grove Park Nursing Home DS0000021644.V249937.R01.S.doc Version 5.0 Page 13 Service users and staff told the inspector that visitors were made welcome at the home and service users kept in touch with family and friends. Meals were served at regular intervals and were usually taken in the main dining room area. Breakfast was flexible and service users had the option of having a full cooked breakfast on Sundays. The lunchtime meal tended to be a lighter meal with three options available, this was due to breakfast being served later to meet the preferences of service users. The teatime meal was a full hot meal. Service users told the inspector that they had enjoyed their lunch and that the meals provided were very good and, that a wide choice was available. Grove Park Nursing Home DS0000021644.V249937.R01.S.doc Version 5.0 Page 14 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 and 18 Service users felt confident that their complaints would be taken seriously and acted upon. Staff had not undertaken appropriate training in adult protection. EVIDENCE: The home had a detailed complaints policy and procedure; there had been no complaints since the last inspection. Service users with whom the inspector spoke said that they knew who to complain to if they had a problem and all felt confident that the problem would be resolved in a satisfactory manner. The home had a procedure for responding to allegations of abuse. Staff had not undertaken specific training in adult protection. Care staff with whom the inspector spoke demonstrated a good understanding of the issues around adult protection and were clear about their responsibility with regard to reporting abuse and poor practice. Whilst a number of care staff had completed or were undertaking National Vocation Qualification training which looked at issues around adult protection and abusive care practices in residential care homes a large number of staff had not completed specific training in adult protection. Grove Park Nursing Home DS0000021644.V249937.R01.S.doc Version 5.0 Page 15 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, 24 and 26. The majority of service users lived in comfortable surroundings, however some service users bedrooms were not of an acceptable standard. EVIDENCE: Since the last inspection the home had provided three new single bedrooms on the ground floor. A service users kitchen had also been provided where service users could make drinks and snacks if they wished. At the time of the inspection the home was in the process of decorating and refurbishing a new lounge area to which the current smoke lounge was being relocated. The home had plans to redecorate and refurnish the existing smoke lounge. There were also plans to redecorate the dining room area. A number of service users rooms were seen, the majority of which were furnished and equipped to a comfortable standard with many having been personalised by the occupants. However standards were not consistent throughout the home. The standards of furnishings and beds provided in rooms 12, 14 and 15 were not of an acceptable standard to meet the needs of Grove Park Nursing Home DS0000021644.V249937.R01.S.doc Version 5.0 Page 16 the service users occupying these rooms. Broken and damaged wardrobes and beds need to be replaced. The home was clean and tidy and was free from any unpleasant odours. Grove Park Nursing Home DS0000021644.V249937.R01.S.doc Version 5.0 Page 17 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 and 29. The home was sufficiently staffed and service users were protected by the recruitment procedures operated by the home. EVIDENCE: At the time of the inspection the home was sufficiently staffed to meet the needs of service users. A staff rota showing which staff were on duty and in what capacity was kept at the home. Staff appeared to have a positive relationship with the service users and several service users spoke fondly about members of staff. Three new members of staff had commenced employment at the home since the last inspection; the registered manager had followed appropriate recruitment procedures with regard to newly appointed staff. Two members of staff held an NVQ Level 2 and a further five members of staff were waiting to begin NVQ Level 2 training, scheduled for October and December 2005. Grove Park Nursing Home DS0000021644.V249937.R01.S.doc Version 5.0 Page 18 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, 35, 36 and 38. A competent and suitably qualified manager ran the home. Staff were supported and supervised in their work and health and safety issues at the home were addressed. EVIDENCE: Mr John Gillespie is both the responsible individual and the registered manager. He is a qualified registered mental nurse and a registered general nurse. Mr Gillespie has worked in the independent healthcare sector since 1990 and has approximately 14 years experience of managing services for older people and people with mental health issues. He has been the registered manager of Grove Park Nursing Home for 4 years. The registered manager has chosen not to complete the Registered Managers’ Award. However he has seconded a senior RMN / RGN staff member onto the award and it is anticipated that this member of staff will subsequently apply to be the registered manager at the home. Grove Park Nursing Home DS0000021644.V249937.R01.S.doc Version 5.0 Page 19 Staff confirmed that they received regular supervision and written evidence to support this was made available at the time of the inspection. The home employed an administrative assistance who was responsible for ensuring that service users finances were safeguarded. Small amounts of cash were kept for individual service users for day-to-day expenses ie. hairdressing costs, cigarettes. All service users had a secure facility in their bedrooms for personal items and the home was in the process of upgrading these facilities in a number of service users bedrooms. The home maintained records in respect of fire safety at the home. Certificates confirming the maintenance of the bath hoist, electrical and gas supplies to the home were seen on inspection. The home records information in respect of falls and accidents by service users. Grove Park Nursing Home DS0000021644.V249937.R01.S.doc Version 5.0 Page 20 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 3 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 Standard No Score 16 3 17 X 18 2 3 X X X X 2 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 3 X 3 Grove Park Nursing Home DS0000021644.V249937.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 OP9 Regulation 17(1)(a) Schedule 3 Requirement The registered manager must ensure that a photograph is kept of each service user living at the home and that these are placed on the MAR sheets. The registered manager must provide training in Adult Protection to all care staff employed at the home. The registered manager must provide adequate furniture and beds in rooms 12, 14 and 15 to meet the needs and requirements of those service users occupying these rooms. Timescale for action 31/10/05 2 OP18 13(6) 31/03/06 3 OP24 16(2)(c) 31/10/05 Grove Park Nursing Home DS0000021644.V249937.R01.S.doc Version 5.0 Page 22 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 OP28 Good Practice Recommendations The registered manager should ensure that a minimum of 50 of the care staff employed to work at the home are trained to NVQ level 2. The registered manager should consider either completing the Registered Managers Award or appointing a member of staff who holds the qualification as the registered manager. 2 OP31 Grove Park Nursing Home DS0000021644.V249937.R01.S.doc Version 5.0 Page 23 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.V249937.R01.S.doc Version 5.0 Page 24 - 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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