Inspection on 04/10/05 for Shalden Grange

This inspection was carried out on 4th October 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

Shalden Grange 20/01/09

Shalden Grange 10/12/07

Shalden Grange 30/05/06

Shalden Grange 16/02/06

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 Unannounced Inspection 08:30 4 October 2005 th 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 Shalden Grange DS0000003979.V250176.R02.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. Shalden Grange DS0000003979.V250176.R02.S.doc Version 5.0 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 Shalden Grange DS0000003979.V250176.R02.S.doc Version 5.0 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. 24th November 2004 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. Shalden Grange DS0000003979.V250176.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place between 8.30am and 2pm. The aim was to follow-up on the seven requirements and six recommendations made at the last inspection of the home. It was found that there had been compliance with the exception of one requirement and one of the recommendations. The home was also evaluated against some core standards with reference to outcomes for the residents. During the inspection over half of the 31 residents living at the home were spoken with, all of whom gave a very positive account of what it was like to live in the home. 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. Shalden Grange DS0000003979.V250176.R02.S.doc Version 5.0 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 Shalden Grange DS0000003979.V250176.R02.S.doc Version 5.0 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): 36 Residents benefit from their needs being assessed to ensure that the home can meet their needs. EVIDENCE: Throughout the inspection a sample of three resident’s files was sampled to track the paperwork and record keeping that is required by the standards. It was found that where resident are funded through social services a copy of the care management assessment is obtained before a place is offered to a resident and where a person is privately funded a full assessment is carried out by the home’s manager. It was agreed that a letter would be sent out to the prospective resident following the assessment, formally offering a place at the home and informing that the home can meet their needs. This will then meet the requirement made at the last inspection. Residents spoken with said they or their relatives had been party to choosing the home. Shalden Grange DS0000003979.V250176.R02.S.doc Version 5.0 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): 789 Resident’s health and personal care needs are met through the care planning system and medications administered safely. EVIDENCE: At the last inspection a requirement was made concerning the care planning and risk assessment process. New care plans have been developed since the last inspection as well as the risk assessment process. On admission to the home a full assessment that covers all aspects of a resident needs, such as care an health needs, spiritual and emotional needs and leisure and recreational interests is discussed and recorded with the resident. Potential risks to health and welfare are then assessed with actions that can be taken to minimise these. From this information a concise care plan is drawn up. The main individual file for each resident is kept locked in the office; whilst a working file is kept in the kitchen that contains residents’ care plan and a daily recording sheet. There are also recording sheets for medical involvement and additional sheets that can be added for specific recording such a fluid intake or nutritional monitoring if this is assessed as being required. The residents spoken with all said that their needs were met, including spiritual and health needs and that the staff knew how to look after them. This was Shalden Grange DS0000003979.V250176.R02.S.doc Version 5.0 Page 9 supported by the notice board informing of the next visit to be made by the optician. At the last inspection a requirement was made concerning the medication procedures and it was found at this inspection the requirement had been met. The registered manager orders repeat prescriptions and these are taken to the appropriate surgery. The home uses a unit dosage system and the pharmacist delivers this to the home. There is a locked medication cabinet where the medication trolley is kept with one member of staff having responsibility for the key. All of the staff who administer medication have received training in administering medication arranged through the pharmacist. The medication administration records for half of the residents were inspected and it was found that there were no gaps within the records. On the front of the medication administration file are samples of signatures for all the staff who administer medication. The home has now obtained a copy of the guidelines of the Royal Pharmaceutical Society and also record allergies for residents. A record is also maintained of medicines returned to the pharmacist. Shalden Grange DS0000003979.V250176.R02.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 15 Residents are provided and informed of a range of activities and also benefit from being able to receive visitors at any time. Residents enjoy a menu to their liking. EVIDENCE: Leaflets on the resident’s notice board inform of entertainers due to visit the home as well as other activities. The date for when the visiting library was next due to visit the home was also displayed. Residents spoken with said that there were regular activities in the home including an exercise group that is held in the main lounge each week. As agreed at the last inspection the assessment process addresses the leisure and recreational needs of residents. During the inspection one visitor received a visit from members of their family. Residents reported that their relatives were welcome to visit at any time. All of the residents spoken with said that the food was of a good standard and that there was always plenty to eat. They informed that there was always a choice of the main meal. Breakfasts are served in resident’s bedrooms with the main meal served in the dining room. Residents said they were able to have their meals in their rooms if this was their choice. Shalden Grange DS0000003979.V250176.R02.S.doc Version 5.0 Page 11 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): Not assessed on this occasion. EVIDENCE: Shalden Grange DS0000003979.V250176.R02.S.doc Version 5.0 Page 12 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 The ongoing refurbishment of the home will provide a safer and more pleasing environment for the residents. EVIDENCE: The refurbishment of the home was discussed and will be monitored at future inspections. It was agreed that residents in the part of the building not serviced by the lift must be able to manage the stairs safely and this should be carefully monitored. It was reported that all of the radiators are now covered to protect residents from burns and hot water outlets to baths and showers have thermostatic mixer valves fitted. On the day of inspection the home was clean and there were no adverse odours. During the inspection the inspector was invited into 5 residents rooms and it was evident that they could personalise their rooms with their own possessions. One of the bedrooms seen had just been redecorated. Residents have a lock on their bedroom door should they wish privacy. All of the rooms were provided with adequate furniture. New furniture has been provided in the main lounge, dining room and the reception conservatory. Shalden Grange DS0000003979.V250176.R02.S.doc Version 5.0 Page 13 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 The home provides adequate staffing levels to meet the needs of residents and required recruitment checks and processes are in place. The residents benefit from better training of the staff team. EVIDENCE: At the last inspection the staffing levels were assessed and determined that the home meet the guidance of the Residential Forum. Residents spoken with said that they felt the levels of staff were adequate to meet their needs. A requirement was made at the last inspection concerning the recruitment procedures. A sample of four staff recruitment files was sampled. It was found that the home now ensures that a CRB, or a POVA First check has been obtained prior to a person working at the home. It was found that the new member of staff was being supervised appropriately as required when a POVA First check has been received. It was agreed that the staff application form would be amended to ask applicants for a full employment history and that one of their references should come from their last place of employment of not less that three months where they worked with vulnerable adults. It was found that two references had been taken up and all paperwork was in place. The home is on track for getting at least 50 of the staff team trained to NVQ level 2 with funding obtained for 9 staff to start NVQ training; 2 at level 3 and 7 at level 2. 14 of the staff are trained in First Aid and 4 staff have just finished their foundation training. Photographs of the staff together with their names are displayed for the benefit of the residents on one of the notice boards. Shalden Grange DS0000003979.V250176.R02.S.doc Version 5.0 Page 14 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): 33 The management of the home continues to improve. EVIDENCE: The registered manager has now completed their NVQ level 4. Since the last inspection quality assurance has been improved. Residents meetings are held each month and a residents survey has been undertaken. Staff and residents said that there was an open and approachable management style adopted for the running of the home. Shalden Grange DS0000003979.V250176.R02.S.doc Version 5.0 Page 15 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 2 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x 3 x x x x x x x STAFFING Standard No Score 27 3 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 3 x x x x x Shalden Grange DS0000003979.V250176.R02.S.doc Version 5.0 Page 16 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. Standard Regulation Requirement It is required that the Registered Person confirms in writing to the prospective service user that based on the assessment, the home is suitable for the purposes of meeting the service user’s needs in respect of their health and welfare. Timescale for action 1 OP3 14(1)(d) 07/11/05 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 Shalden Grange DS0000003979.V250176.R02.S.doc Version 5.0 Page 17 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. Extracts may not be used or reproduced without the express permission of CSCI Shalden Grange DS0000003979.V250176.R02.S.doc Version 5.0 Page 18 - 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. 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