Inspection on 20/12/05 for Hinton Grange

This inspection was carried out on 20th December 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

Hinton Grange 21/12/09

Hinton Grange 17/08/09

Hinton Grange 04/08/09

Hinton Grange 17/06/08

Hinton Grange 03/09/07

Hinton Grange 01/08/06

Hinton Grange 05/07/05

Hinton Grange 04/01/05

Hinton Grange 16/07/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Hinton Grange Bullen Close Cambridge Cambridgeshire CB1 4YU Lead Inspector Mrs Alison Hilton Unannounced Inspection 20th December 2005 11:15 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 Hinton Grange DS0000024273.V266511.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. Hinton Grange DS0000024273.V266511.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hinton Grange Address Bullen Close Cambridge Cambridgeshire CB1 4YU 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) 01223 246360 01223 246361 manger.hintongrange@creul.com Care UK Community Partnerships Limited Sharlene Van Tonder Care Home 60 Category(ies) of Dementia (2), Dementia - over 65 years of age registration, with number (28), Mental Disorder, excluding learning of places disability or dementia - over 65 years of age (30), Old age, not falling within any other category (30), Physical disability (1), Physical disability over 65 years of age (29) Hinton Grange DS0000024273.V266511.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. Mental Disorder, excluding learning disability or dementia - over 65 years of age (MD(E)) not exceeding 30 places. Physical disability over 65 years of age (PD(E)) not exceeding 29 places. Old age not falling within any other category (OP) not exceeding 30 places. Dementia over 65 years of age (DE(E)) 28 places Dementia under 65 years of age (DE) 2 named individuals Physical Disability - over 60 but under 65 years of age (PD) 1 Date of last inspection 5th July 2005 Brief Description of the Service: Hinton Grange is a purpose built home registered to provide accommodation, support and nursing care for people over the age of 65 some of whom have a mental disorder. It is a two-storey building, surrounded by safe, well maintained enclosed gardens, and is situated in the suburbs of Cambridge close to local amenities and shops. Public transport to the city of Cambridge is readily available. Hinton Grange Care Home provides 52 single and 4 double occupancy bedrooms some of which have en-suite facilities. There are 4 separate bathrooms, 4 separate shower facilities and ten toilets. Hinton Grange DS0000024273.V266511.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place on Tuesday 20th December 2005 over three hours. The home was in the middle of various Christmas activities and there was a festive spirit throughout. Two admissions were expected during the day and one was brought to the home whilst the inspection was taking place. The manager was present during the inspection. 7 Residents (some of whom had dementia), 3 visitors and 3 staff were spoken to and general files were seen. There are two ongoing informal complaints that are being dealt with by the home. 7 relatives comment cards were received between July and October, prior to the inspection. 2 relatives felt there were not enough staff on duty. 1 was not aware of the complaints procedure. 4 were unsure how to access inspection reports. Comments included, “ The carers and staff are exceptional.” “ The staff are always friendly and treat all their residents in the EMI with great respect.” “It (the home) is kept very clean and the food is good.” “ The staff do an excellent job and as a result the residents appear happy and relaxed.” “An excellent home with a very caring staff from the management to the cleaners.” “All rooms are kept scrupulously clean. “ “If every nursing home in the country rose to this standard there would be many contented relatives.” “Clearly labelled articles of clothing are mislaid.” “At least one piece of fresh fruit per day would be desirable.” What the service does well: The large grounds continue to be well kept. Staff said that the home offer a variety of training to enable them to meet the needs of residents. The home has a continuing programme of decoration (the manager is aware that the lounge downstairs needs to be a priority). Staff were seen to be very caring and professional with residents and their visitors. Hinton Grange DS0000024273.V266511.R01.S.doc Version 5.0 Page 6 Meals are served individually and staff use a probe to ensure correct serving temperature. Informal complaints currently being dealt with are being handled professionally and with sensitivity. 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. Hinton Grange DS0000024273.V266511.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 Hinton Grange DS0000024273.V266511.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): NONE No standards were inspected. EVIDENCE: Hinton Grange DS0000024273.V266511.R01.S.doc Version 5.0 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 the following standard(s): 10 The staff demonstrated that they treat residents with respect. EVIDENCE: On the day of inspection residents spoken to and what the inspector saw indicated that they are treated with respect and care. Staff were seen persuading/discussing with a resident that she take her coat off, but her wishes were respected when she decided she did not want to do this. Hinton Grange DS0000024273.V266511.R01.S.doc Version 5.0 Page 10 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): 12,13,14,15 The food seen on the day of inspection was well presented, and appeared to be wholesome. The dining rooms provided pleasant, clean and companionable areas in which to eat. Activities provided were varied and open to those who wished to participate allowing interests to be followed. EVIDENCE: Residents said they could choose to participate in activities if they wish. On offer recently has been aromatherapy, keyboard player, foods from around the world, talks about other countries, coffee mornings and 1-1 sessions. On the day of inspection there was to be a party in the ground floor flat, with a similar event the following day in the upstairs flat. On the day of inspection the residents were preparing for the festivities to begin and the ground floor flat was due to have the manager dance the dance of the sugar plum fairy. She was then due for a repeat performance in the first floor flat the following day. It was discussed with the manager that one comment from those received from relatives was that fresh fruit should be offered daily. The manager said that fresh fruit was available but she would ensure residents were offered it instead of it just being on hand. The food provided at lunchtime was served individually, was tested for temperature and looked appetising. Residents appeared to enjoy their meals. Hinton Grange DS0000024273.V266511.R01.S.doc Version 5.0 Page 11 Visitors were made welcome to the home. Hinton Grange DS0000024273.V266511.R01.S.doc Version 5.0 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): 18 The complaints procedure continues to be displayed in the home so that residents and visitors can see the process to be undertaken. EVIDENCE: Staff spoken to said they had completed elder abuse courses and explained what they had learned. There had been no official complaints made in the home but the manager was dealing with two unofficial complaints. Hinton Grange DS0000024273.V266511.R01.S.doc Version 5.0 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): 19,20,26 The gardens are secure and provide a pleasant area for residents. The home was free from offensive odours. EVIDENCE: There were no unhygienic or unpleasant odours in the home. In general the home is well maintained but the carpet in the corridor in the first floor flat is discoloured and the lounge downstairs is in need of redecoration. The manager is aware of these areas and is in the process of dealing with them. The garden and patio area outside is easily accessible and secure. The home was decorated for Christmas and staff and residents were preparing for the start of the festivities put on in the home. Hinton Grange DS0000024273.V266511.R01.S.doc Version 5.0 Page 14 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): 28,30 Staff have completed a variety of training ensuring they are competent to do their jobs. EVIDENCE: Staff spoken to during the inspection said they had received the statutory training and had completed other courses to enable them to competently care for residents. One member of staff has completed the Protection of Vulnerable Adults trainer course and can now train staff on site. Hinton Grange DS0000024273.V266511.R01.S.doc Version 5.0 Page 15 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): 36,38 Staff receive supervision from staff qualified to do so. EVIDENCE: Formal supervision is taking place and the manager said that where documented the notes are now signed by the manager (or supervisor) and supervisee. This was a recommendation at the last inspection. The manager said that clinical supervision for nurses will be covered within the company by herself and the homes deputy. Hinton Grange DS0000024273.V266511.R01.S.doc Version 5.0 Page 16 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 X X X X 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 3 X X X X X 3 STAFFING Standard No Score 27 X 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X 3 X 3 Hinton Grange DS0000024273.V266511.R01.S.doc Version 5.0 Page 17 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 Hinton Grange DS0000024273.V266511.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB1 5XE 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. 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