Inspection on 30/05/06 for Shalden Grange

This inspection was carried out on 30th May 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

Shalden Grange 20/01/09

Shalden Grange 10/12/07

Shalden Grange 16/02/06

Shalden Grange 04/10/05

Shalden Grange 24/11/04

Shalden Grange 23/06/04

Shalden Grange 22/03/04

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 Shalden Grange 1-3 Watkin Road Boscombe Bournemouth Dorset BH5 1HP Lead Inspector Martin Bayne Key Unannounced Inspection 09:00 30th May 2006 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 DS0000003979.V298059.R01.S.doc Version 5.2 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. DS0000003979.V298059.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Shalden Grange Address 1-3 Watkin Road Boscombe Bournemouth Dorset BH5 1HP 01202 301918 NO FAX 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) Mr Amrik Singh Benepal Mrs Kuldeep Kaur Benepal Mrs Janine May Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places DS0000003979.V298059.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named service user (as known to CSCI) in the category LD (Learning Disability) may be accommodated. 16th February 2006 Date of last inspection Brief Description of the Service: Shalden Grange is registered to provide accommodation and personal care for 35 older people with frailty of old age. The home is situated in a residential area of Boscombe within half a mile of the shops and also the seafront. The home is made up of two large older properties with a single floor extension between the two. The ground floor connecting extension provides the communal areas with a reception conservatory, main lounge, dining room, kitchen and second conservatory. There are also three resident’s bedrooms with all other bedrooms provided in the older properties at either end of the home. One of the properties has a shaft lift for accessing the floors above ground level. The other property has no lift or stair lift and so residents accommodated here must be able to use the stairs safely. DS0000003979.V298059.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that was unannounced and took place between 9:00am and 2.30pm. The aim of the inspection was to evaluate the home against the core standards. There were no requirements made at the last inspection. Fourteen residents were spoken with during the inspection about their experience of living at the home. The Registered Manager, Mrs May assisted throughout the inspection and was able to provide records evidencing the care provided at the home. Comment cards were received from 6 placement officers, 3 GPs, 11 service users, 12 relatives and 4 health and social care staff. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. DS0000003979.V298059.R01.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000003979.V298059.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 The Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs are assessed by the manager prior to their being offered a place at the home, thus ensuring that the home provides a suitable placement. EVIDENCE: Throughout the inspection a sample of three residents files were used to track required paperwork that should be maintained with respect to the care of residents. It was found that for these three people the manager prior to their being offered a place at the home had carried out a pre-admission assessment. Once a place has been offered a letter is sent to the resident offering a place at the home. The pre-assessment records were found to cover all of the topics set out in the Standards. For those people funded by Social Services a copy of the care management assessment had also been obtained and used in the home’s assessment processes. The home does not provide an intermediate care service. And therefore standard 6 does not apply. DS0000003979.V298059.R01.S.doc Version 5.2 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 The Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health needs are met at the home and medication administered safely by trained staff. Residents dignity and privacy is respected by the staff. EVIDENCE: A further period of assessment takes place once a person has been admitted to the home and a care plan developed. Care plans were found to be in place for the three residents tracked through the inspection. In addition a summary version of the care plans are kept in the file for daily recording together with a photograph of the resident. It was found that all of the care plans had been reviewed during the month to ensure that they are kept up to date. Positive comments were received from GPs, health and social care professionals about the care received at the home. All of the residents spoken with said that the staff were kind and met their care needs. In the case of one resident who is a wheelchair user, a skin care programme has been put in place. Specialist equipment had been obtained for this resident and turning charts being put in place that staff sign. DS0000003979.V298059.R01.S.doc Version 5.2 Page 9 Residents spoken with informed that their health needs were met at the home. On the day of inspection one resident was being taken for a hearing appointment. The optician was due to visit the home the following week. Residents said that a chiropodist regularly visit the home. The home has policies and procedures for the safe administration of medicines in the home. On arrival the manager was administering medication to residents. The home has a medication trolley that is kept in a locked cupboard from which medication is administered from a unit dosage system. All of the staff who administer medication have received training from an external trainer and samples of signatures and guidance on administration are held at the front of the medication administration records. The records of administration were seen for all of the residents and were completed correctly with no gaps in the records. Medication was found to be store correctly in the medication cabinet and trolley. The cabinet has an inner lockable facility for storing controlled drugs. Controlled drugs had been administered correctly, recorded in a controlled drugs register with two staff signing the record and a balance of medication held. Residents are assessed as to whether they are able to manage their own medication and at the time of the inspection there were two residents who self-administered their medication. Residents spoken with informed that they felt that their privacy and dignity were respected by the staff. Staff are trained in core values as part of induction. There was evidence from one of the care plans seen that residents are consulted as to their preferred form of address. DS0000003979.V298059.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to maintain control over their lives and are involved in choosing activities that take place in the home. They also benefit from visitors being made welcome at the home and a wholesome and varied diet being served at the home. EVIDENCE: Within the home there is resident’s notice board on which are advertised activities that are to take place in the home each week as well as photographs of previous activities that have taken place with residents. Bingo is held two afternoons each week, craft sessions, sing-a-longs and visits from outside entertainers. The hairdresser visits the home each Friday and representatives from Pets for Therapy also make visits to the home. The home has active residents meetings, with meetings being held on the last Friday of each month when suggestions as to future activities can be raised and discussed. The minutes of the previous meeting were displayed on the residents’ notice board. With regards to spiritual needs of residents a Holy Communion service is held by a priest for Catholics living at the home. Visits are also made to the home by the vicar of the local church. The home accommodates one person of DS0000003979.V298059.R01.S.doc Version 5.2 Page 11 Jewish faith, for who a specialist diet is prepared, however this person does not wish to visit the local synagogue. Residents spoken with said that they were able to receive visitors at times that suited them and that visitors were made welcome at the home. On the day of inspection a relative was spoken with who made positive comments about the home. Residents spoken with said that they were able to get up and go to bed when they choose, have meals in the dining room or within their room and that generally they were free to make decisions that affected their lives. Risk assessments are carried out by the staff to ensure that residents are supported to make choices within a risk assessment framework. Residents receive their mail unopened and can make private phone calls as there is a payphone in the home or they can use one of the two portable phones. All of the residents are on the electoral role. In general the comments made by residents about the food provided in the home were favourable. Residents can either have a continental breakfast served within their rooms or can go down to the dining room where a cooked breakfast is served. At lunchtime residents are able to choose from a choice of two main meals or a salad. On Tuesdays and Thursdays residents are able to choose their dessert from a sweet trolley. In the evenings residents are able to choose either a hot light meal or soup and a selection of sandwiches. From reading the resident’s meeting minutes there was evidence that menu planning is discussed with residents. The records of food were seen and these reflected that the home provides a varied and wholesome diet to residents. Specialist diets are catered for. DS0000003979.V298059.R01.S.doc Version 5.2 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): 16 & 18 The Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well-publicised complaints procedure being available to them and the staff being trained in adult protection. EVIDENCE: The complaints procedure for the home is displayed on the residents’ notice board, within the Service User Guide (a copy of which is available at the main reception into the home), or within the Terms and conditions of residence. Residents and their relatives are therefore informed on how to make a complaint. Since the time of the last inspection there has been one complaint made to the management of the home. The complaint had been logged and investigated by one of the home’s proprietors and letters were seen that this had been investigated properly and responded to. There have been no complaints brought to the attention of CSCI. The home has all of the required policies and procedures relating to adult protection and staff have received training in adult protection. DS0000003979.V298059.R01.S.doc Version 5.2 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 & 26 The Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides a suitable, safe and well-maintained environment for the residents. EVIDENCE: The home was found to be clean and in good decorative order throughout with no adverse odours. Residents remarked that there were always good standards of cleanliness maintained in the home. The radiators have been covered and thermostatic mixer valves fitted to the hot water outlets in order to protect residents from scalding water and from receiving burns. Window restrictors have been fitted to the windows to eliminate risks of residents falling from windows. The home is made up of two older style buildings with an extension between the two in which are the main communal areas. One of the older buildings does not have a shaft or stair lift and so residents must be able to handle the stairs safely. The needs of one resident who lives on the first floor in this building were discussed as concerns had been raised as to whether they could manage stairs safely. It was found that an occupational DS0000003979.V298059.R01.S.doc Version 5.2 Page 14 therapist had been invited to make an assessment to ensure that the needs of this person could be met. At one end of the building there is an emergency exit from the building where wheel chairs were being stored. It was agreed that an alternative area would be found for storage as the wheelchairs could obstruct this means of escape from the building. The home has an enclosed garden to the ear of the home that residents are able to access. There was evidence within residents’ bedrooms that they were able to bring their own possessions to personalise their rooms. An inventory is kept of all furniture brought into the home. The home has policies and procedures concerning infection control with all staff being trained in this field. Staff are issued with protective clothing and alcohol hand cleaning gels. An example was discussed where one resident had contracted scabies and how the manager had liaised infection control nurses on how to eradicate this from the home. Since the last inspection the laundry room has been expanded with the washing machines being moved to the adjoining garage area. A new commercial washing machine had also been purchased. The staff at the home wash residents clothes, however sheets are sent out to be cleaned by an external launderers. Soiled laundry is put into alginate bags and then transferred directly to the washing machine in line with the infection control policy. DS0000003979.V298059.R01.S.doc Version 5.2 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): 27, 28, 29, 30 The Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are recruited in line with the Regulations and receive suitable training in order to carryout their duties. Staffing levels were assessed as meeting the needs of the residents accommodated. EVIDENCE: The home provides the same staffing levels as at the time of the last inspection with six staff on duty in the mornings and four in the afternoons and evenings. During the nighttime period there are two awake members of staff on duty. In addition the home employs a manager and deputy, housekeeper and a chef. Residents spoken with said that the levels of staffing met their needs. A sample of three staff personnel files were seen to check that the recruitment procedures had been carried out. These staff had been recruited through an agency since the time of the last inspection from overseas. References had been received on each applicant, appropriate paperwork obtained concerning immigration, a police check that had been carried out within their country of origin and a CRB on entering the UK. All of the staff receive induction training and records of this were seen in respect of the new staff. Core training is offered to staff in the following areas; medication, fire safety, manual handling, first aid, basic food hygiene, infection DS0000003979.V298059.R01.S.doc Version 5.2 Page 16 control and health and safety. Five of the staff have qualifications equivalent to NVQ level 3 and seven are currently studying for NVQ Level 2. The residents all spoke highly of the staff with regards to them being respectful and competent to care for residents. DS0000003979.V298059.R01.S.doc Version 5.2 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 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, 33, 35 & 38 The Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed in the interests of the residents. Health and safety of residents is promoted. EVIDENCE: Mrs May has completed NVQ level 4 in management and care. Some of the comment cards received from health and social care staff who visit the home said that over the last year there have been many improvements concerning the management of the home. A service user survey has been carried out by the home. Residents meetings are held each month in the home and minutes of meetings displayed on the resident’s notice board. DS0000003979.V298059.R01.S.doc Version 5.2 Page 18 The home safe keeps small sums of money of some residents. The records for one resident were seen. The record detailed all monetary transactions with a balance of money held. The fire log book was inspected and it was found that all tests and inspections to the fire safety system had been carried out to the required timescale. Stickers on electrical equipment provided evidence that tests of portable electrical equipment wring were being tested as required. Certificates for the servicing of the boilers were seen. The home has a current certificate of employers liability insurance. With the exception of the storing of wheelchairs, here were no hazards identified during the inspection. DS0000003979.V298059.R01.S.doc Version 5.2 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. 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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X 3 DS0000003979.V298059.R01.S.doc Version 5.2 Page 20 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 DS0000003979.V298059.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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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