Inspection on 07/06/05 for Neville Grange Resource Centre

This inspection was carried out on 7th June 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Neville Grange Resource Centre 12/12/06

Neville Grange Resource Centre 23/11/05

Neville Grange Resource Centre 07/12/04

Neville Grange Resource Centre 15/07/04

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Larchfield Manor

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The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Neville Grange Queens Road Saltaire Shipley BD18 4SJ Lead Inspector Carol Haj-Najafi Announced 7 June 2005 th 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 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. Neville Grange CS0000033532.V185311.R01.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Neville Grange Address Queens road Saltaire Shipley BD18 4SJ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01274 593399 City of Bradford Metropolitan District Council Department of Social services Mr Roy Wilks CRH 35 Category(ies) of OP 35. PD 2. registration, with number of places Neville Grange CS0000033532.V185311.R01.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th December 2004 Brief Description of the Service: Neville Grange is a local authority resource centre that provides a variety of services to older people. They offer long term and short term care, respite care and intermediate care. They also offer day care provision, which is not part of the registered service. The home is registered to provide personal care for up to 35 older people. It is situated in the village of Saltaire, which is an urban area of Bradford, and locally known as the doorstep of the world heritage site. Accommodation is provided on two floors and is offered in a combination of twenty-seven single and four double rooms. The first floor is accessed by a passenger lift. The home is divided into four separate units, two provide long term care, one respite, and one intermediate care. There is an enclosed courtyard, which offers service users a place where they can sit and socialise in a congenial setting.It is within easy reach of many local amenities including shops, post office, and a main bus route, and is close to Shipley Town Centre.St Peters church and churches of all other denominations are in close proximity.Parking to this facility is quite limited. Neville Grange CS0000033532.V185311.R01.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector carried out this announced inspection on 9th June 2005, the inspection started at 9.30am and finished at 5.00pm. The purpose of the inspection was to ensure the home was operating and being managed to a satisfactory standard. The inspector spoke to nine residents, two visitors, three staff members and the registered manager. Records were inspected, which included resident’s care plans, risk assessments and staff training records. A completed pre inspection questionnaire was sent into the commission before the inspection. What the service does well: What has improved since the last inspection? What they could do better: The home must improve the service user plans and assessments to ensure that each service user’s needs are properly met and they are not exposed to unnecessary risk. Other records in the home must be properly filed to make sure they do not get lost. Bradford social services must issue contracts to all service users when they are admitted to the home and change the contracts to include the cost and the bedroom they are allocated. They also need to look at how service users will receive any interest for their individual savings. Neville Grange CS0000033532.V185311.R01.doc Version 1.20 Page 6 Requirements and recommendations identified at this inspection can be found at the end of this report. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Neville Grange CS0000033532.V185311.R01.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Neville Grange CS0000033532.V185311.R01.doc Version 1.20 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 standard(s) 2, 3, 4, 5 The home has a good admission process which gives service users an opportunity to consider the suitability of the home. The organisation does not provide service users with proper information when they move into the home, therefore service users could be unaware of the terms and conditions that apply. EVIDENCE: Many service users admitted to the home for long term care have previously used Neville Grange’s day or respite services. Once a vacancy becomes available an allocation meeting is arranged; social workers and wing managers attend. A decision is then made about the most suitable person for the vacancy. In addition to the social work assessment, the home’s management team also carry out an assessment, which includes home visits. One resident discussed her experience of the admission process, which she confirmed included discussions with family, the home and social worker. An initial sixweek trial period was agreed, and this has just been made a long-term placement. Neville Grange CS0000033532.V185311.R01.doc Version 1.20 Page 9 Contracts are issued to long stay service users from Bradford Social Services main headquarters although these are not issued at the point of admission and do not include the current range of fees or the room to be occupied. Respite care and intermediate care service users are not issued with contracts. These shortfalls have been identified as requirements at the last four inspections. Neville Grange CS0000033532.V185311.R01.doc Version 1.20 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 standard(s) 7, 8 & 10 The home provides a good standard of care, and promotes good care practice. The standard of service user plans and risk assessments is poor. They do not identify how resident’s needs should be met and are not effective working documents, as a result support levels are not identified and risks are not satisfactorily minimised. Healthcare needs are appropriately met but proper health care assessments must be carried out. EVIDENCE: Staff had a good knowledge of the service users and were able to describe the level and type of support given, the care plans did not contain this information. Care plans only had very basic information and could not be used to determine how service users’ needs should be met. Proper risk assessments have not been completed. From nine care records only one service user had a manual handling assessment, no nutritional, falls, continence or pressure care assessments have been carried out for any service users even though concerns had been raised regarding two service users which related to weight loss and falls. One service user had a number of falls but action to minimise the risk had not been taken. The service user was able to explain why the falls kept occurring. Service users do not know about their care plans and have not contributed to the contents; some service users are able to clearly explain what support they need. Neville Grange CS0000033532.V185311.R01.doc Version 1.20 Page 11 Service users were happy with the arrangements for healthcare and said if they feel unwell, staff always look after them or arrange for a GP or nurse to visit. They spoke of opticians and chiropodists visiting the home. The home has some ‘sit on weighing scales’ and service users confirmed they are weighed regularly. Weight records and healthcare visits are maintained. A physiotherapist and physiotherapy assistant is employed at the home, and carry out assessments with all service users as required. Service users also confirmed that privacy is respected and spoke of personal care arrangements, private telephone calls and meetings. Neville Grange CS0000033532.V185311.R01.doc Version 1.20 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 standard(s) 12, 13 & 15 Meals and activities programme are good, and service users are very satisfied with these aspects of the service. Family and friends are encouraged to visit the home and made to feel very welcome. EVIDENCE: Service users said they enjoy the different activities that are provided, and especially seemed to enjoy bingo, clothes parties, nail painting, newspaper reading, and craft sessions. They felt activities are organised regularly and opportunities to go out into the community are provided. An activity worker is employed to work in the units, and arranges group and individual activities; on occasions service users are invited to join in activities at the day centre. Service users and visitors confirmed that family and friends can visit at any reasonable time. Relatives said they were made welcome and informed about any issues or concerns. The inspector ate lunch with service users, the mealtime was well organised and relaxed. Each morning service users choose their main meal and dessert from the lunch menu. Residents, staff and visitors said the meals were good. Neville Grange CS0000033532.V185311.R01.doc Version 1.20 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of the standards were assessed at this inspection. EVIDENCE: Neville Grange CS0000033532.V185311.R01.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20 Although the home does not meet the standard in relation to providing smoke free sitting rooms, steps have been taken to address this and the problem should soon be resolved. EVIDENCE: The inspector spent most of the inspection in one of the long stay units, and did not visit the respite or intermediate care unit. Therefore the inspector has not assessed most of the environmental standards at this inspection. The long stay unit was clean and tidy, and pleasantly decorated. Two service users who live at the home share a bedroom; both would prefer single rooms. The home is aware of this and has agreed that the next vacancy that becomes available will be offered to one of the service users. The service users were aware of this and felt the plans were fair. The last inspection specified that the smoking arrangements must be reviewed as two units do not provide smoke free lounges. A smoking room has been identified but some building work needs to be completed before this can be used. Plans have been agreed and the home is waiting for the work to commence. Neville Grange CS0000033532.V185311.R01.doc Version 1.20 Page 15 Neville Grange CS0000033532.V185311.R01.doc Version 1.20 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 30 The home is adequately staffed. The staff team are caring and well respected. Training programmes are varied and staff have a lot of opportunities to attend, however, fire training must be updated. EVIDENCE: Service users were very positive about the staff, and said they are caring, a good laugh and will always find time to talk to us.’ A group of service users said they ‘are well looked after and they enjoyed living at the home.’ Staff members had a good understanding of individual needs and the general needs of older people. Staff rotas were examined. Staff and management confirmed that although they can get busy, there is time to complete tasks properly. The manager has the authority to bring in additional staff to work if necessary. Staff have attended a good range of training courses which cover health and safety areas and good care practice; these include dementia, activities, palliative care, cultural awareness and data protection. Nearly all care staff have completed NVQ level 2, and domestic staff are completing cleaning and support NVQ level 2. All care staff are about to start a medication distance learning programme. Many staff have not received any recent fire training. The assistant manager confirmed that fire training had been cancelled at the end of last year and had not yet been rearranged. Individual training records are maintained. Neville Grange CS0000033532.V185311.R01.doc Version 1.20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35, 36, 37 & 38 Service users are not receiving the full amount of interest on their savings that they would receive if their savings were held in a bank or building society, therefore losing out financially. Good supervision and staff support is provided. Daily records are well written but generally the recording systems are disorganised and need to be reviewed to prevent information going missing. The health and safety of service users and staff are protected. EVIDENCE: Mainly, service users or relatives are responsible for managing individual finances. Bradford social services is the corporate appointee those service users who need assistance with finances. Service users who have savings with Bradford social services do not receive any interest for the first £500; this does not comply with the care homes regulations or guidance published by the Commission for Social Care Inspection. Individual statements have recently started being issued to service users but this is still very infrequent. The Neville Grange CS0000033532.V185311.R01.doc Version 1.20 Page 18 manager should soon be able to access this information and print the relevant details, which will therefore resolve this issue. All transactions are recorded and receipted; service users sign for monies received. Staff receive formal 1-1 supervision on a regular basis, and a good management structure is in place for providing daily supervision. Staff confirmed that records are completed in the event of an accident, however, a number of accident records could not be found on the day of the inspection. A substantial amount of information is stored in two files, which has possibly led to information being mixed up or misplaced. Daily records contain good information and are detailed. The pre inspection questionnaire confirmed that regular maintenance and health and safety checks are completed at the home. Neville Grange CS0000033532.V185311.R01.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 2 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION x 2 x x x x x x STAFFING Standard No Score 27 3 28 x 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x 2 3 2 3 Neville Grange CS0000033532.V185311.R01.doc Version 1.20 Page 20 Yes Are there any outstanding requirements from the last inspection? 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 OP2 Regulation 5 Requirement The registered person must ensure that all service users, at the point of admission, are issued with a statement of terms and conditions. (Timescales of 31/03/05, 31/10/04 & 31/10/03 not met) The registered person must ensure the bedroom to be occupied and current charges are included within the statement of terms and conditions. (Timescales of 31/03/05, 31/10/04 & 31/10/03 not met) The registered manager must ensure service users have an up to date service user plan and relevant risk assessments; unless it is impracticable service users must be involved in this process.. The registered manager must ensure nutritional, continence, and tissue viablility assessments are carried out The registered manager must ensure all staff receive fire training. The registered provider must demonstrate how each individual service user will receive any CS0000033532.V185311.R01.doc Timescale for action 30th September 2005 2. OP2 5 30th September 2005 3. OP7 15 31st August 2005 4. OP8 14 31st August 2005 31st July 2005 30th September 2005 Page 21 5. 6. OP30 OP35 23 20 Neville Grange Version 1.20 7. OP37 17 interest applicable to their individual savings. The registered manager must ensure records are in good order. 31st July 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 OP20 OP35 Good Practice Recommendations The registered provider should provide a smoke free sitting rooms in all units. The registered provider should provide regular individual financial statements for savings held on behalf of service users. Neville Grange CS0000033532.V185311.R01.doc Version 1.20 Page 22 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Neville Grange CS0000033532.V185311.R01.doc Version 1.20 Page 23 - 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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