Inspection on 03/10/06 for Stockwell Grange Residential Care Home

This inspection was carried out on 3rd October 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Stockwell Grange Residential... 23/03/09

Stockwell Grange Residential... 19/04/07

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Heathlands

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Bank House

Inspirations

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

CARE HOMES FOR OLDER PEOPLE Stockwell Grange Greystones Stockwell End Tettenhall Wolverhampton West Midlands WV6 9PH Lead Inspector Mr Ian Harris Key Unannounced Inspection 3rd October 2006 08:00 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 Stockwell Grange DS0000067755.V310401.R02.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. Stockwell Grange DS0000067755.V310401.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stockwell Grange Address Greystones Stockwell End Tettenhall Wolverhampton West Midlands WV6 9PH 01902 752 353 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) Jasvinder Takhar Mr Arjan Bhoja Odedra, Mr Vijay Odedra, Daljit Takhar, Mrs Shanta Odedra Vacant Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Stockwell Grange DS0000067755.V310401.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26 July 06 Brief Description of the Service: Stockwell Grange formally Greystones provides accommodation and personal care for 19 people over the age of 60 years old. The lounge and dining areas are homely and comfortable. There is two double bedroom with the remaining all single occupancy 10 rooms have en-suite facilities. They are all well decorated with many items belonging to service users. The home overlooks Tettenhall golf course and is situated in a private road approximately a half mile from Tettenhall village where there is a good range of small shops and a bus service to the city centre The current fees range from £400 for an en-suite single room to £370 per week. Stockwell Grange DS0000067755.V310401.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced key inspection and took place over 6. hours in the presence of the Acting Care Manager and some of the time with the Proprietor . During the inspection a tour of the premises took place and staff and care records were inspected. Also staff rotas and general records regarding the maintenance of the home were checked and the last reports of the Fire Prevention Officer and Environmental Health Officer were considered. 3 members of staff 6 residents were spoken to. What the service does well: What has improved since the last inspection? There has been considerable improvements made to the home and the care provided since the change of ownership these include the redecoration of the Stockwell Grange DS0000067755.V310401.R02.S.doc Version 5.2 Page 6 Hall /Reception area, ground floor corridors dining room and 7 bedrooms. Four bedrooms were being worked on during the inspection. All the bedrooms that have been re-decorated are also being refurbished with new furniture are colour co-ordinated bedding and curtains. New floor covering has been fitted to the Hall, ground corridors, dining room and 2 bedrooms. It is planned to completely refurbish the home by Christmas. In addition to this the home has introduced a very good staff training programme and provided new residents files and care plans, and a new administration of medication system. The Acting Care Manager and proprietor are to be commended on the progress made in such a short time. 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. Stockwell Grange DS0000067755.V310401.R02.S.doc Version 5.2 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 Stockwell Grange DS0000067755.V310401.R02.S.doc Version 5.2 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, 3 and 6 The home has a Statement of Purpose and a Service users Guide. The home has a satisfactory admissions procedure ensuring the individual needs of the residents are fully met. The home does not provide intermediate care they only provide short stay and introductory stays when the home has a vacancy. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The home has a Statement of purpose and a Service Users Guide however the Acting Care Manager could not find them and there was no evidence that the residents had received a copy. All the residents who are funded by the Local Authority undergo a full multidisciplinary assessment prior to admission. The residents’ who are self funding are assessed by the Care Manager, using the homes assessment forms. Copies of the assessment, Care Plan and Reviews are on the residents’ files. The Six residents files and care plans inspected contained pre admission Stockwell Grange DS0000067755.V310401.R02.S.doc Version 5.2 Page 9 assessments of the persons needs, both from assessments by the home’s staff and other relevant professionals. Observations and discussions with residents, the Acting Care Manager and staff on duty indicated that the home continues to meet the individual needs of the elderly people living at the home in a satisfactory and sensitive manner. Stockwell Grange DS0000067755.V310401.R02.S.doc Version 5.2 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 the following standard(s): 7, 8, 9, and 10 Each resident has a comprehensive, individual care plan that is reviewed on a monthly basis. The home has good contact with local G.P. s. local hospitals and paramedical services, which ensures that resident’s health needs are met. The systems for the administration of medication are good with clear and comprehensive recording arrangements being in place to ensure resident’s medication needs are met. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: It was evident during the inspection from looking at records, inspecting the facilities, observation of care given and chatting to staff and residents that individual health, personal and social care needs were being met. Residents were being treated with respect, staff were working sensitively in meeting individual needs, and frail residents looked comfortable and well cared for. Stockwell Grange DS0000067755.V310401.R02.S.doc Version 5.2 Page 11 The home provides a comprehensive Care Plan for each individual resident based on the initial assessment. The Care Plans are drawn up by the Care Staff in consultation with the resident and their family. There was evidence on the files to show the care Plans are being carried out and reviewed on a monthly basis. The home is well supported by local G. P. s. and all of the paramedical services. Wherever possible, the residents are encouraged to retain their own G. P s, Opticians, and Dentists. It was noted that if the resident has moved out of their area the Care Manager ensures that, these services are provided by local practitioners. A number of residents stated that the staff arrange hospital visits and G.P. visit and that they feel that their health is much better since coming into the home. The acting Care Manager has recently changed the medication administration system to a Boots monitored dosage system. The system appears to be working very well. The home receives good support from the Boots pharmacist who visits the home every three months to check the system and offer advice and training. All Senior Staff have been trained to use the system before they are allowed to administer medication and it is recommended that all care staff under go a Safe Handling of Medication training course. The home has very good policies and procedures, regarding the administration, storage and recording of medication. Consultation with health care and social care professionals is carried out within the resident’s bedrooms. Visitors are able to meet residents in their bedrooms or the quiet lounge on the ground floor, which offers that privacy when not being used. It was observed that residents’ were being treated with respect and staff were working both professionally and sensitively in meeting individual needs. Those residents and spoken to were complimentary regarding the quality of their lives at the home. Stockwell Grange DS0000067755.V310401.R02.S.doc Version 5.2 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 the following standard(s): 12, 13, 14, and 15 The home provides a good programme of social activities within the home, which are designed to meet the resident’s capabilities, which, the staff encourage residents to pursue. However there is a lack of outings/trips provided The Care Manager and staff encourage family and friends to maintain good contact with their relatives at the home. The meals in the home are good offering both choice and variety and also catering for special dietary needs. The quality outcome in this area is adequate. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The routines and activities within the home are flexible and are built around the needs of the residents. The home does not have a staff member designated to organise social and leisure activities and who identified interests that the residents wish to pursue. However there was evidence to show staff do consult with the residents regarding the choice of meals and activities within the home through the Acting Care Manager and key-workers. It was Stockwell Grange DS0000067755.V310401.R02.S.doc Version 5.2 Page 13 noted that the home organises entertainment delivered by external entertainers and during the inspection the residents were enjoying a session of chair aerobics to music. Comments from residents regarding these activates were very good and it is obvious that the residents benefit from them. It was noted no outings or trips have been arranged throughout the summer months. The staff encourage regular contact between residents and their relatives however a number of residents have little contact with their relatives due to them living abroad. The relatives that visit the home and have returned the Quality Assurance questionnaire have made very positive comments about the improvement to the home and the care provided since the change in ownership. Eight Questionnaires were sent out and six were returned all with positive comments. All residents’ comments were very complimentary about the standard and choice of food provided. It was noted that the menu is changed to incorporate seasonal changes. Several residents told the Inspector that the food was nice, tasty and well prepared. The kitchen is well equipped, kept clean and tidy. The catering staff are trained in food safety and hygiene matters. Stockwell Grange DS0000067755.V310401.R02.S.doc Version 5.2 Page 14 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 and 17 The home has a satisfactory complaints procedures and there is evidence that residents’ and their families feel that their views are listened to and acted upon The home has good policies and procedures regarding protection from abuse, which includes a whistle blowing policy. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The home has a clear complaints procedure, which is given to residents and their relatives before they move into the home and a copy is placed on the notice board in the reception area. No complaints have been received by the home or the CSCI since the last inspection. Those residents spoken to had no concerns regarding the management and care practices at the home and one stated that she could ‘ask for just anything and it would be provided’. The home has a complaints book in which all complaints are recorded. It was noted that the home has not received any formal complaints since the last inspection all minor complaints are dealt with appropriately and quickly. The home has all necessary documentation in relation to the protection of vulnerable adults. However the staff have not received training on this subject. Stockwell Grange DS0000067755.V310401.R02.S.doc Version 5.2 Page 15 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 and 26 The standard of the environment within the home has improved and is now good providing the residents with a comfortable, homely and safe place to live. The home was found to be clean tidy and free of unpleasant odour. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The home is long established and has undergone alterations over the years in order to provide appropriate accommodation for 19 older people. All the bedrooms are of good size 10 with en-suite facilities. The home is maintained to a good standard. Considerable amount of work has taken place within the home since the change of ownership. These include the redecoration of the Hall /Reception area, ground floor corridors dining room and 7 bedrooms. Four bedrooms were being worked on during the inspection. All the bedrooms that have been re- decorated are also being refurbished with new furniture are colour co-ordinated bedding and curtains. New floor covering has being fitted Stockwell Grange DS0000067755.V310401.R02.S.doc Version 5.2 Page 16 to the Hall, ground corridors, dining room and 2 bedrooms. It is planned to completely refurbish the home by Christmas. There are also plans being submitted to extend the home and further improve the facilities and work should start in the new-year. At the time of the most recent Fire Officer’s inspections matters were reported to be satisfactory. At the time of the most recent Environmental Health Officers inspection a number of recommendations were made, it was reported that these have now been complied with. It was noted that the home does not provide a staff room, this should be addressed in the forthcoming building work. The home was found to be clean and tidy and free from odour. However the home only employs 1 part time cleaner. With the building work and redecorating that is taking place within the home there should be increase in cleaning staff by another part time staff to maintain the standard. The home has good policies and procedures regarding infection control and the staff have received training in food hygiene and Infection Control. From observations and discussions with staff they appeared to be conscious of the dangers of cross infection. Stockwell Grange DS0000067755.V310401.R02.S.doc Version 5.2 Page 17 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, and 30 The home is well staffed with adequate numbers and skill mix of staff. The home now has good policies and procedures regarding the recruitment of staff but must ensure they are implemented. The quality outcome in this area is adequate. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The inspection of staff rotas and discussions with staff and residents indicated that the home is well staffed for the number of residents. However as the residents increase so should the staffing levels. There is a good balance within the staff group, which includes experience, mature and younger staff who are embarking on a new career. The home now operates an acceptable recruitment procedure since the new ownership and management has taken over. On inspecting the staff files, it was discovered that C.R.B. checks have not been carried out. The Acting Care Manager is in the process of obtaining C.R.B. checks on all staff. In the past the training opportunities have not been good however the Acting Care Manager has introduced a training programme and the care staff have completed Manual Handling, First- Aid, Administration of Medication, Health and safety, Infection control and Fire Prevention training training. The home does not meet the 50 N.V.Q. trained care staff. However the Acting Care Manager has introduced a programme of N.V.Q. 2, and 3 training for the 6 care staff. It was noted that there was no evidence of a staff induction programme. The Acting Care Manager must ensure that all staff receives Stockwell Grange DS0000067755.V310401.R02.S.doc Version 5.2 Page 18 formal training on vulnerable adult protection from all forms of abuse and Safe Handling of Medication Training. Stockwell Grange DS0000067755.V310401.R02.S.doc Version 5.2 Page 19 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, and 38 The home is well managed, where service users interests and welfare is promoted. The home is operating a good system to assist residents with the safe handling and keeping of their personal finances and good records are being kept of all transactions made. The records inspected, were found to be well ordered and maintained. The home has good policies and procedures regarding Health and safety and meets the requirements of the Fire Officer and Environmental Health Officer, promoting the health, safety and welfare of the residents. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The home is without a Registered Care Manager however the home is well managed by an Acting Care Manager who is qualified in both practice and Stockwell Grange DS0000067755.V310401.R02.S.doc Version 5.2 Page 20 management and has considerable experience in caring for older people in residential homes There are clear lines of accountability within the home and the manager is very supportive of both staff and residents. It was noted the Acting care manager is very well supported by the proprietor. Observations made and discussions with residents’ and staff indicated that the Care Manager is very approachable and operates an open door policy. The staff and residents who could express themselves stated that they are happy to approach the Care Manager and staff with any problems they might have and were confident that they would be responded to. There is a good staff supervision system in place and there is evidence that the staff have regular supervision meetings. It was also noted that the home has a Quality Assurance system in place, which includes questionnaires to residents, visitors and relatives to obtain feedback on the quality of service. The feedback from the last issue of 8 questionnaires was very positive regarding the improvements made since the change of ownership with all feedback stating they are satisfied with the care they are receiving. The routines and activities within the home are flexible and built around the needs of the residents. All the Financial records and administrative procedures within the home that were, inspected were found to be well ordered and maintained. The home has a good heath and safety policy and all staff are aware of their responsibilities regarding these issues and a number of staff have received training on these issues. All recommendations and requirements made at the last inspections of the Fire Prevention Officer and Environmental Health Officer have been actioned. All safety equipment is regularly checked and well maintained. Stockwell Grange DS0000067755.V310401.R02.S.doc Version 5.2 Page 21 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 2 X 3 X X 3 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Stockwell Grange DS0000067755.V310401.R02.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP20 Regulation 23 (3)(a) Requirement The Registered Provider must provide the home with a suitable staff room. Timescale for action 31/12/06 2. OP12 16 & 17 The Registered Provider must 01/11/06 ensure that staff are pro-active in positively encouraging the service users to take part in a range of social and leisure activities both indoor and outdoor of the Home. The activities must be varied in range and appropriate, and in accordance with the service users’ choice, preference and capacities, and displayed in the main lounge for service users’ information. The Home must maintain records of all activities enjoyed by the service users and must also be incorporated into the individual service users’ care plans. The Registered Provider must ensure that all staff receives formal training on vulnerable adult protection from all forms of abuse and all Care staff receive training in The Safe Handling of DS0000067755.V310401.R02.S.doc 3. OP18 13 01/11/06 Stockwell Grange Version 5.2 Page 23 Medication. 4. OP27 18 The Registered Provider must make appropriate arrangements to provide domestic assistant cover throughout the working day. 01/11/06 5. OP29 19 The Registered Provider must 01/11/06 ensure that two written references are obtained before appointing a member of staff and POVA and CRB checks must also be carried out on all current and new members of staff; and that all staff files must have their current photographs and/or copies of their birth certificates. The Registered Provider must ensure that the home provides an induction programme, which meets the skills for Care standards. The Registered Provider Must ensure that The Statement of Purpose and the Service User Guide is made reviewed and made available. The Registered Provider must ensures that a registered manager is provided for the home. The Registered person must ensure that the home achieves a minimum 50 N.V.Q. trained care staff. 01/12/06 6 OP30 18 7 OP1 4 and 5 01/11/06 8 OP31 8 01/11/06 9 OP30 18 01/01/07 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 Good Practice Recommendations DS0000067755.V310401.R02.S.doc Version 5.2 Page 24 Stockwell Grange 1 Standard OP14 The registered provide should ensure the regular residents meetings take place and are recorded in order to consult with the residents regarding the care they receive. Stockwell Grange DS0000067755.V310401.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Stockwell Grange DS0000067755.V310401.R02.S.doc Version 5.2 Page 26 - 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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