Inspection on 01/02/06 for The Grange

This inspection was carried out on 1st 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

The Grange 15/08/05

The Grange 05/10/04

The Grange 03/06/04

The Grange 03/07/03

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Grange (The) 88 Southgate Eckington Sheffield South Yorkshire S31 9FT Lead Inspector Denise Bate Unannounced Inspection 1st February 2006 11:30 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 Grange (The) DS0000035808.V281871.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. Grange (The) DS0000035808.V281871.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Grange (The) Address 88 Southgate Eckington Sheffield South Yorkshire S31 9FT 01246 348644 01246 348601 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) Derbyshire County Council Leshia Kathleen Bunt Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Grange (The) DS0000035808.V281871.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: None Stated Date of last inspection 15th August 2005 Brief Description of the Service: The Grange is a purpose built care home registered to provide personal care and accommodation for up to 25 older people. The home is located in the village of Eckington close to a number of shops including a supermarket, chemist and post office. There are three lounge / dining areas, one on each wing of the home. A kitchenette is adjacent to each lounge for the provision of drinks and snacks. The home is served by a central kitchen and laundry. There are 25 bedrooms offering single accommodation with en suite facilities including a shower. A conservatory provides additional seating and dining space. Grange (The) DS0000035808.V281871.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took approximately four hours. Some of the inspection methods used included discussions with residents, relatives, staff, the manager and the deputy relief manager. Communal areas of the building and some bedrooms were seen. Records were examined including personal development plans (as part of the case tracking process, which is used to help determine how the home meets the needs of individual residents), health related records, and records relating to health and safety. The Inspector was given a warm welcome by residents and staff and cooperation was provided throughout this visit. What the service does well: What has improved since the last inspection? What they could do better: There are some steps in the garden towards the rear of the building and a ramp is planned to be in place by the end of April to improve accessibility for residents with mobility problems. The garden is accessible to residents with mobility difficulties from various other locations in the building, including from some residents’ bedrooms. Grange (The) DS0000035808.V281871.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. Grange (The) DS0000035808.V281871.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 Grange (The) DS0000035808.V281871.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 The home have a service user guide providing full information for the benefit of prospective residents, current residents and relatives. EVIDENCE: A copy of a comprehensive service user guide/statement of purpose was seen. Copies were seen to be available in all the lounge areas and the manager brings these documents to the attention of residents and relatives at residents meetings and reviews. Grange (The) DS0000035808.V281871.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): 7, 8 Care planning was clear and comprehensive with evidence of regular reviews, thus providing staff with the information they need to satisfactorily meet residents’ needs. The personal development plans were detailed and had been signed by residents indicating that they are fully involved in the care planning process. EVIDENCE: The daily records, monthly summaries and personal development plans of two residents were examined. These were extremely detailed and clearly indicated residents’ views and choices, care needs, and daily routines, as well as social and emotional needs. Discussions with residents indicated that they were satisfied with the level of care being provided and staff were felt to be responsive and supportive. Residents commented that staff were conscientious in ensuring that residents health needs were met. A nutritional assessment had been completed for both residents whose records were examined, and these showed evidence that the plans were reviewed regularly. Grange (The) DS0000035808.V281871.R01.S.doc Version 5.1 Page 10 The medication fridge thermometer is working satisfactorily. Grange (The) DS0000035808.V281871.R01.S.doc Version 5.1 Page 11 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 Activities are provided that generally suit the expressed preferences of residents. Most residents have regular visitors who are made welcome. Other community contacts are encouraged and supported. This assists in contributing to a pleasant atmosphere and the overall high level of satisfaction for residents. EVIDENCE: Residents who were interviewed reported that they felt the home provided sufficient activities and catered for their interests, although the home is committed to continuing to improve activities (see ‘Your Views – Our Actions). Residents’ interests were recorded on personal development plans and acted upon. The home provide a computer for residents, and one resident was using it with the help of a staff member on the day of inspection. Residents and relatives spoken to were positive about the atmosphere in the home and felt they were welcomed. Some relatives visit on a daily basis. Residents are able to see their visitors in the communal lounge or in their bedrooms, which are well furnished and comfortable. Grange (The) DS0000035808.V281871.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): 18 There are systems in place which promote the protection of residents from abuse and neglect. The manager is aware of adult protection procedures and staff have received training. EVIDENCE: Derbyshire’s Multidisciplinary Procedures for the Protection of Vulnerable Adults is in operation in the home. A copy is available in the office. During discussions it was clear that staff and the manager were aware of adult protection issues and that appropriate training had taken place. Grange (The) DS0000035808.V281871.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): 19, 23, 24, 25, 26 The standard of the environment within the home is good and provides residents with an attractive and homely place to live. EVIDENCE: During this inspection communal areas of the home were seen and two residents bedrooms seen. There is a regular programme of routine maintenance and renewal of the building and this is evident in the high standard of accommodation provided internally and externally. The home was well furnished and comfortable and homely. Individual bedrooms are comfortable and personalised, with en-suite facilities. Discussions with residents indicated that they were pleased and felt the standard of accommodation met with their expectations. All areas of the home seen were clean and tidy and residents commented that they felt standards were high. Standard 20 was not formally assessed on this occasion, but discussions took place on the home’s efforts to make all areas of the garden accessible to residents with mobility problems. Although the garden area is not large, there are facilities for residents where they can sit outside, some residents’ Grange (The) DS0000035808.V281871.R01.S.doc Version 5.1 Page 14 bedrooms have direct access to small patio areas, and there are plans to put a ramp next to the steps near the rear of the building (which should be completed by the end of April 2006). Grange (The) DS0000035808.V281871.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): 30 Staff are trained and competent to do their jobs. EVIDENCE: The manager ensures that mandatory staff training is up to date, approximately 90 of staff have achieved NVQ2 and some staff have done NVQ3. Staff spoken to said that they received regular supervision and were keen to take advantage of training opportunities. Grange (The) DS0000035808.V281871.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): 32, 33, 38 The manager provides clear leadership throughout the home with staff demonstrating an awareness of their roles and responsibilities. The systems for resident consultation are good with a variety of evidence that indicates that residents’ views are both sought and acted upon. Health and safety matters are dealt with appropriately ensuring that residents are safeguarded. EVIDENCE: The manager is well established and has a clear vision for the home which is communicated to staff. There is one vacancy for a deputy and interviewing is about to take place to fill this post. Conversations with residents, relatives and staff indicate that the home is well managed. The results of a recent resident survey are available and prominently displayed around the home. This indicated a high degree of residents’ satisfaction (100 Grange (The) DS0000035808.V281871.R01.S.doc Version 5.1 Page 17 of residents rating the service as excellent/good), while clearly indicating areas residents would like to see enhanced, e.g. further development of activities. A variety of health and safety records were inspected including fire safety records, hoist maintenance, gas safety records, electric hard wiring and call system. There is a maintenance programme to highlight when routine checks and maintenance are due. There were no hazards noted around the home on the day of inspection. Grange (The) DS0000035808.V281871.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 X X X X x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 x COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X 3 3 3 3 x STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 3 X X X X 3 Grange (The) DS0000035808.V281871.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 OP20 Good Practice Recommendations Arrangements should be made to make the steps near the rear of the building more accessible to residents with mobility difficulties, e.g. by the provision of a ramp. Grange (The) DS0000035808.V281871.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Grange (The) DS0000035808.V281871.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!