Inspection on 16/02/06 for Ogwell Grange Care Home

This inspection was carried out on 16th February 2006.

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

Ogwell Grange Care Home 01/03/07

Ogwell Grange Care Home 10/08/05

Ogwell Grange Care Home 17/01/05

Ogwell Grange Care Home 08/06/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Ogwell Grange Care Home Rectory Road East Ogwell Newton Abbot Devon TQ12 6AH Lead Inspector Doug Endean Unannounced Inspection 16th February 2006 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 Ogwell Grange Care Home DS0000032352.V269684.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. Ogwell Grange Care Home DS0000032352.V269684.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ogwell Grange Care Home Address Rectory Road East Ogwell Newton Abbot Devon TQ12 6AH 01626 354576 01803 400321 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) Ogwell Grange Ltd Sylvia Betty Kay Care Home 20 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (20) of places Ogwell Grange Care Home DS0000032352.V269684.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Registered for max 20 (OP) Registered for max 20 DE(E) service users 65 years and over Date of last inspection 10th August 2005 Brief Description of the Service: Ogwell Grange is registered as a Care Home that offers personal care for up to 20 (twenty) people who are of retirement age, some of whom may have a memory problem. It is in the village of East Ogwell that is a short distance from the market town of Newton Abbot in South Devon. The home is a listed building and was an old rectory that has been used as a residential care home since late 1994. Ogwell Grange is a large, detached, stone built construction within its own grounds that offers uninterrupted countryside views from many of the rooms across to Dartmoor National Park on the horizon. The grounds are easily accessed by the independently mobile, disable or wheel chair user, and are well maintained. The home is full of character in its design and furnishings. It offers a large lounge and also a large separate dining room that is used for the varied activities that take place at the home. There are 14 (fourteen) single rooms and 3 (three) double rooms all with en-suite facilities. The home has been adapted over the years to meet the needs of the people who live there. This includes the provision of a small shaft lift that goes from the ground to the first floor and a stair lift to the mid landing serving the mezzanine floor. The care is led by the Registered Manager who motivates her well-trained team of social care staff to provide good standards of personal care. Ogwell Grange Care Home DS0000032352.V269684.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report should be read along side of the previous report in order to establish the homes performance against the National Minimum Standards during this inspection year. This inspection was unannounced and began at 10.50 hours on the 16th February 2006. The Lead Inspector was accompanied by a second inspector on this occasion. Together they spent time in discussion with the Registered Manager before meeting all the clients in the lounge and one in her bedroom. Most of the clients spent time in conversation with the inspectors and offer mostly positive remarks about the overall service they receive. Three of the clients files were looked at during the course of the inspection alongside additional information such as day and night reports and a sample of maintenance information. The Lead Inspector also discussed the recruitment procedure that the home uses. This inspection lasted 2 hours and 30 minutes. What the service does well: What has improved since the last inspection? What they could do better: One client did feel that she would like the choice of a less stimulating area should she feel the desire to be away from the larger group of clients without being on her own in her bedroom. There are discussions about the use of the internal courtyard that may include a conservatory being built. Ogwell Grange Care Home DS0000032352.V269684.R01.S.doc Version 5.1 Page 6 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. Ogwell Grange Care Home DS0000032352.V269684.R01.S.doc Version 5.1 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 Ogwell Grange Care Home DS0000032352.V269684.R01.S.doc Version 5.1 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): 1&2 The level of information that is available to a prospective client, or their advocate, is sufficient for them to make an informed opinion about whether the home will offer them an environment that they wish to live in. EVIDENCE: The key standards were found to be satisfactory at the last inspection and therefore not fully inspected again on this occasion. The home does provide a satisfactory level of information to prospective and current clients and their advocates in the Statement of Purpose that holds all the information required of it by Schedule 1 such as details of the Registered Managers experience, the services offered and how to complain if a client is dissatisfied with a portion of the service. The terms and conditions of residence or contract, is complete in that it informs the clients of their rights, the services they can expect to receive and the fee that they are expected to pay. It also holds information relating to how to give notice should a client wish to leave the home. Ogwell Grange Care Home DS0000032352.V269684.R01.S.doc Version 5.1 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): EVIDENCE: The key standards were found to be satisfactory at the last inspection and therefore not fully inspected again on this occasion. Ogwell Grange Care Home DS0000032352.V269684.R01.S.doc Version 5.1 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): 14 & 15 The home does encourage the clients to be in control of their lives as much as possible and to make their individual choices known. The food that is provided is of a high standard and is served in very attractive surroundings. EVIDENCE: The home conducts its business around the needs of the clients that live there. The staff encourage the clients to maintain as much of their independence in all of their activities of daily living as possible and are there to supervise and assist where this has become necessary. Where it is appropriate the clients manage their own finances or have appointed an advocate to help them. The home is able to offer guidance to those who become less able to manage their affairs. The clients also have a great deal of autonomy over how they decorate their own rooms with personal possessions. The inspectors were shown a variety of single rooms and a large double room and found them to clean and attractively decorated in the way the clients wished to have them. Some clients had brought their own beds as well as other furniture, pictures and ornaments. Each meal is prepared in the homes kitchen by one of the two cooks who plan the meals with the Registered Manager who has the benefit of a nutritional assessment and knowledge of the likes and dislikes of each of the clients. A weekly, seasonally changed, menu is prepared and displayed on the wall Ogwell Grange Care Home DS0000032352.V269684.R01.S.doc Version 5.1 Page 11 outside the dining room. Clients may choose to have an alternative to the main meal if they wish and this will be prepared for them. Only fresh local produce is bought including vegetables, meat and fish with little is made of frozen products. The meals are taken in the dining room that has real character with a large, decorated dining table in the centre of the room that seats at least half the clients who live in the home. There is also the choice of smaller tables for those who wish to have more intimate dining or who may needs some discrete assistance that is quietly provided. The tables are laid with place mats, attractive cutlery, condiments and napkins. Meals are unhurried events that are enjoyed by all the clients and those spoken too during the inspection were very pleased with the standard of food and the environment they eat in. The inspector did observe the clients enjoying their main meal of the day in the company of each other. The meals looked well presented, were in good portions and seemed to be enjoyed by all the 20 clients in the dining room. Hot and cold drinks are prepared for the clients during the day and assistance given where it is needed so that adequate fluids are taken by all. The clients are weighted regularly to provide evidence of good or failing health and these records have been seen by the inspector. An additional service by a masseur is now offered to the clients in the privacy of their own rooms. Ogwell Grange Care Home DS0000032352.V269684.R01.S.doc Version 5.1 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): EVIDENCE: The key standards were found to be satisfactory at the last inspection and therefore not fully inspected again on this occasion. Ogwell Grange Care Home DS0000032352.V269684.R01.S.doc Version 5.1 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): 20, 21, 23, 24 & 25 The home provides a high standard of accommodation, that is of good proportion, and well maintained, for the clients to live in and staff to work in. EVIDENCE: This home is a large stone built listed building that was a Rectory. It offers more communal space than the standards suggest as a minimum that is provided in a well used lounge and large dining room that is also used for some of the varied activities that occur at the home. Each room is full of character being attractively decorated, well lit both naturally and artificially, and comfortably furnished. All the clients spend time with each other in the lounge talking or taking part in whatever entertainment that is occurring. There is a driveway from the rural main road to a good sized gravel car park that leads to the front entrance of the home. The lounge and dining room look out onto a large mainly level grassed area to the side of the home with several mature trees and uninterrupted views of Dartmoor National Park in the distance. The inspector has seen activities taking place in the garden, under the cover of a material pergola to protect the Ogwell Grange Care Home DS0000032352.V269684.R01.S.doc Version 5.1 Page 14 clients from the sun in the summer weather. At this time of year it does provide visual stimulation to the clients and is kept in good order. There is a ground floor bathroom with a bath that has an integral hoist and Jacuzzi system built in. A further wheel in shower room is located also on the ground floor of the home. The home has fitted thermostatic mixer valves where full body immersion is possible. All the bedrooms are of good size and in excess of the national minimum standards, each has an en-suite with at least a toilet and wash hand basin. Three also have a shower and one has a hip bath. There are 14 single rooms and three doubles. The doubles are only used by those who have made a conscious decision to share. The bedrooms are furnished to the choice of the clients who are using them with their own possessions where they have chosen to provide them such as large beds and their own chests of draws. Bed side lamps are provided although on resident has chosen not to have one. There is also a nurse call system that includes a pendant system for some clients who are assessed as more suitable for this system than the cord system. The clients are also given the choice as to whether they have a lock fitted to their door, one will be fitted if they express a wish to have one. Some of the clients do have locks fitted and they are key holders. The windows on the first floor are provided with restrictors to prevent them opening beyond a safe distance. All the fixed radiators are provided with a guard to reduce the risk of burns. There is a shaft lift from the ground floor to the first floor and a stair lift from the ground floor to the mezzanine level. Ogwell Grange Care Home DS0000032352.V269684.R01.S.doc Version 5.1 Page 15 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): EVIDENCE: The key standards were found to be satisfactory at the last inspection and therefore not fully inspected again on this occasion. Ogwell Grange Care Home DS0000032352.V269684.R01.S.doc Version 5.1 Page 16 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 & 38 The Registered Manager is suitably trained and experienced to manage the home and, with her staff, meet the needs of the clients who have chosen to live there. EVIDENCE: The Registered Manager has attained her National Vocational Qualification in care and management to level 4. She has shown that she has the skill and experience to manage the home using the skills of her staff to achieve high standards of satisfaction from the clients and their advocates. She has an ongoing commitment to up date her own skills through training as well as those of her staff. This was reported on during the previous inspection. There are clear lines of accountability in the management structure of the home with the Registered Individual taking a regular active part in the management of the home through weekly quality control meetings. The home is well maintained by the in house service manager who has very good records of all the work undertaken to keep the home safe and meet Ogwell Grange Care Home DS0000032352.V269684.R01.S.doc Version 5.1 Page 17 Health & Safety legislation. He is personally responsible for the fire training of staff and regular drills and has produced records as evidence that this is up to date. There are very clear records of maintenance of all essential systems such as electrical wiring and appliances, the hot water system and hoists. Standard 38 was inspected fully during the last inspection but not scored in error. Ogwell Grange Care Home DS0000032352.V269684.R01.S.doc Version 5.1 Page 18 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 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X 4 3 X 3 3 3 X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X 3 Ogwell Grange Care Home DS0000032352.V269684.R01.S.doc Version 5.1 Page 19 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 Refer to Standard OP14 Good Practice Recommendations The services of the masseur should be provided in the privacy of each clients own room if they wish to use the service. Ogwell Grange Care Home DS0000032352.V269684.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton Devon TQ13 7UP 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 Ogwell Grange Care Home DS0000032352.V269684.R01.S.doc Version 5.1 Page 21 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!