Inspection on 05/01/06 for The Grange Residential Hotel

This inspection was carried out on 5th January 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 Residential Hotel 05/12/07

The Grange Residential Hotel 02/03/07

The Grange Residential Hotel 23/06/05

The Grange Residential Hotel 18/02/05

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE The Grange Residential Hotel Townsend Hill Ipplepen Newton Abbot Devon TQ12 5RT Lead Inspector Doug Endean Unannounced Inspection 5th January 2006 10:50 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Grange Residential Hotel DS0000061643.V277547.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. The Grange Residential Hotel DS0000061643.V277547.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Grange Residential Hotel Address Townsend Hill Ipplepen Newton Abbot Devon TQ12 5RT 01803 813656 01803 813656 suttonr@btconnect.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Ogwell Grange Ltd Victoria Jane Kay Care Home 17 Category(ies) of Dementia - over 65 years of age (17), Old age, registration, with number not falling within any other category (17), of places Physical disability over 65 years of age (17) The Grange Residential Hotel DS0000061643.V277547.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Old age, not falling within any other category (OP) maximum 17 Physical disability over 65 years of age (PD(E)) maximum 17 Date of last inspection 23rd June 2005 Brief Description of the Service: The Grange Residential Hotel is a grade two listed building on the edge of the small rural town of Ipplepen, which is just a few miles from the market town of Newton Abbot and the holiday area of Torbay, in the county of Devon. It is located about 150 yards from the town centre and near the shops and Doctors surgery. The home is a large detached property on two levels with a shaft lift and stair lift servicing the first floor level. It has a good number of parking spaces at the front with level access to the front door. There is a large lounge on the ground floor and this is complimented by a large dining room with a small conservatory leading to the secure, attractive garden at the rear of the home. In all there are five single bedrooms on the ground floor and three double and six single bedrooms on the first floor. The home caters for men and woman over the age of retirement who may have a degree of physical disability and memory problem. The home came into the possession of its present owner in August 2004 who, with his Registered Manager and team of workers have made many positive changes to the building and the culture of the home. The Grange Residential Hotel DS0000061643.V277547.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report should be read along side of the previous report in order to establish the homes performance against the National Minimum Standards during this inspection year. This inspection was unannounced and took place on the 5th January 2006 commencing at 10.50 am and lasted a total of four hours. During this period of time the inspector spent time with the Registered Manager looking at the information that the home has that informs both the public of the service they offer and the staff of the expectations the home has of them as recorded in the policies and procedures. There was a tour of the home at which time the inspector spoke to one visitor, three clients and two care staff members. The home presently caters for older people of white European origins. The staff are mainly from the same origins with the addition of a small number coming from the Far East thus providing a multicultural team of care providers. What the service does well: What has improved since the last inspection? What they could do better: A separate procedure’s manual, separate from the policies, would improve access to them when this is needed. Also some procedures need to be clearly writte4n and structured such as the recruitment procedure. The Grange Residential Hotel DS0000061643.V277547.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. The Grange Residential Hotel DS0000061643.V277547.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 The Grange Residential Hotel DS0000061643.V277547.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 The home provides clear information to any client, or prospective client, about the service they can expect to be provided using their Statement of Purpose / Service Users Guide and contract (terms and conditions) for this purpose. EVIDENCE: The Statement of Purpose and Service Users Guide were read along side of the Regulation and Schedule 1 and found to be complete. The documents provide information about the extent of the services that will be offered, the type of activities that clients can be involved in and some house keeping information regarding meal times and personal laundry. Some additional information that will enhance its presentation was discussed with the Registered Manager during this inspection. The homes contract was read by the inspector. It is well laid out and has details of the services that are offered to clients, details about a trial period and information about how the contract can be terminated by either party. The Grange Residential Hotel DS0000061643.V277547.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): 11 The management of the care of the dying and also the care after death has occurred is sensitive to the needs of everyone during this process. EVIDENCE: The home provides a good standard of care to the dying that meets their individual needs and requests should they have made them known to the staff. Their needs are recorded in the case records and how they are to be met are covered in the care plans. The home does involve the General Practitioner, District Nurse and any other health care professional such as the McMillan Nursing Services in the process of their care of the dying. On a previous visit to the home the inspector met a visiting Consultant in Oncology who was making a professional visit to a client. The families wishes regarding contact are also recorded in the care records and followed. The family and friends of the dying can have as much involvement during this time as they wish and receive comfort and support from the staff. Following the death of a client the clients and staff are given support also. The Grange Residential Hotel DS0000061643.V277547.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 The home does encourage and facilitate clients and their friends and relatives to maintain good relationships and contact with each other. EVIDENCE: The home does not restrict visiting beyond what is reasonable and will help Service Users to prepare for trips out with relatives and friends when informed in advance. There are several areas in the home that Service Users can entertain their visitors, including their own rooms and the dining room or conservatory, if they wish. Information regarding visiting is available in the homes brochure and on the notice board as seen by the inspector during this visit. The Service Users are involved in the local community when it best suits them and the staff aids them where necessary with transport and prompting about planned events. A number of the clients have their own telephone lines in their rooms and are able to manage the financial implications of this service. All the clients may have a private telephone line if they wish although there is a public telephone booth inside the front door of the home. This facility allows for greater contact with the community outside the home. The Grange Residential Hotel DS0000061643.V277547.R01.S.doc Version 5.1 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): 17 & 18 The home has taken adequate steps to protect the clients from any form of abuse including the use of training materials. EVIDENCE: The home vets all new employees, following its recruitment process that includes the Protection of Vulnerable Adults First (POVA First) and Criminal Records Bureau checks to safe guard the Service Users. In addition they have the Department of Health’s “Protection of Vulnerable Adults Practical Guidance” document, which was seen by the inspector, and “No Secrets” video to aid staff training on the subject of abuse. There is a very small turnover of staff at this home. There are policies and procedures in place at the home to address any accusation of abuse. The clients, their advocates and any visitor to the home may raise any issue regarding the care and protection of clients with the Registered Manager or person in charge of the shift, informally or formally using the complaints procedure. The home does not act as the agent for any clients in respect of their financial affairs. The clients do have free access to their legal solicitors who do visit the home when requested to do so. These visits were seen to be recorded in the clients case records when they were read. The inspector has reported on the handling of any money belonging to clients in standard 35 in this report. The clients are aided to take part in the political process by entering their names on the voting lists, transporting them to the polling station or arranging for a postal vote. The Grange Residential Hotel DS0000061643.V277547.R01.S.doc Version 5.1 Page 12 The Grange Residential Hotel DS0000061643.V277547.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): EVIDENCE: This section was reported on during the last inspection and each standard that was assessed met the standard. The Grange Residential Hotel DS0000061643.V277547.R01.S.doc Version 5.1 Page 14 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): 28 & 29 The staff have received a good range of training to enable them to meet the task of caring for the clients. Staff recruitment has been satisfactory but a clear structured procedure is needed. EVIDENCE: Six current staff files were looked at by the inspector, including three files of overseas staff. Each file was complete and there was a sheet identifying each check that had been made on each staff member. The files included application forms, work permits for those staff who required one, two references, and the results of the Criminal Records Bureau check and signed contracts. There is a policy on the recruitment of all staff to the home but no actual separate written procedure to follow, other the sheet of required information that was found in each staff file. One problem has been highlighted recently that occurred possibly due to the lack of a clear structured procedure. The inspector advised the Registered Manager that a separate recruitment procedure was necessary that is based upon good practices, equal opportunities and ensures the protection of the clients. The staff files provided evidence that the staff have received training in a variety of subjects including manual handling, infection control, handling medication and National Vocational Qualification training at levels 2,3,and 4. The Grange Residential Hotel DS0000061643.V277547.R01.S.doc Version 5.1 Page 15 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): 35 There are satisfactory arrangements to protect the money and valuables of clients whilst they are resident at the home. EVIDENCE: The Registered Manager is not the appointee for any client resident at the home. The inspector was provided with evidence that each client does have their own money in their own named trust account. The home will purchase goods for clients then invoice them, their solicitor or their advocate for the money. Receipts are provided and samples of these were shown to the inspector such as that produced by the hairdresser. If the home needs to purchase any item that costs more than is held in the trust account the family, solicitor or advocate will be contacted to sanction the purchase and provide any addition money. Some of the clients are totally independent with regard to managing their finances and pay there own bills such as the telephone bill for a private line. The Grange Residential Hotel DS0000061643.V277547.R01.S.doc Version 5.1 Page 16 The home does have a small “tuck shop” that is used by clients to purchase small items such as sweets if they are unable to get to the shops. There are secure facilities for handling small amounts of money and valuables should this be necessary. Records of this nature are kept such as those found on the clients property sheets in their case file. Clients also have lockable rooms and lockable facilities inside their rooms for their valuables. The Grange Residential Hotel DS0000061643.V277547.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 3 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X X The Grange Residential Hotel DS0000061643.V277547.R01.S.doc Version 5.1 Page 18 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 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 OP29 Good Practice Recommendations A recruitment procedure should be written and followed that is based upon equal opportunities and ensures the protection of service users. The Grange Residential Hotel DS0000061643.V277547.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Grange Residential Hotel DS0000061643.V277547.R01.S.doc Version 5.1 Page 20 - 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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