Inspection on 10/04/07 for The Grove

This inspection was carried out on 10th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 Grove 24/11/05

The Grove 18/08/05

The Grove 04/03/05

The Grove 04/08/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE The Grove Bower Mount Road Maidstone Kent ME16 8AU Lead Inspector Justine Williams Key Unannounced Inspection 10th April 2007 09:15 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 Grove DS0000024082.V325341.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Grove DS0000024082.V325341.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Grove Address Bower Mount Road Maidstone Kent ME16 8AU 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) 01622 755292 01622 755292 sally.grove@tiscali.co.uk Smartblade Limited Rosemary Anne Lee Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places The Grove DS0000024082.V325341.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That one service user may be accommodated with the condition dementia. 24th November 2005 Date of last inspection Brief Description of the Service: The Grove is a residential care home providing personal care for 32 older people, and has registered to care for one person with dementia. The home employs care staff, working a roster, which gives twenty-four hour cover. The home also employs staff for management, catering and domestic duties. The home is situated in a quiet residential area near the centre of Maidstone. There are 28 single bedrooms and two double rooms. The property is a large house set in attractive grounds, a level path runs round the house and garden. Most of the bedrooms are equipped with en suite facilities, they are located on the ground and first floor, and a shaft lift provides access to the upper level. The mezzanine level is accessed by a small flight of stairs, 1 toilet, the hairdressing room and 8 bedrooms are located on this level. There are two lounges one with a television, the other without, a library, a dining room and a hairdressing room. The main road into Maidstone is nearby and there is easy access to the M 20. There is a railway station in the centre of Maidstone and bus stops are located nearby. The current fees are £430.00 to £495.00 per week, additional charges are made for hairdressing, chiropody, newspapers toiletries and taxi’s. this information was given in writing in the pre inspection questionnaire. The Grove DS0000024082.V325341.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced inspection was carried out on 10th April 2007 between 9.15 am and 2.30 pm by regulatory inspector Justine Williams. During that time the inspector spoke with residents, staff members and the registered manager. Feedback was given during and at the end of the inspection. This report contains assessments made from observation, conversation and records, as well as case tracking. As part of the inspection process comment cards were sent to service users who live at the home and to GP’s, health care professionals, care managers and relatives of residents. The comment cards indicated good levels of satisfaction. Comments made included: “very caring home with high standard of care where individuals are stimulated and encouraged to participate” “without exception the staff seem to be caring and with sufficient patience to cope with the needs of the residents” “my relative has never voiced any complaint although we think that there has been some discussion about the menu among the residents” “nothing is too much trouble for the staff”. What the service does well: The Grove continues to ensure new residents receive a thorough assessment and detailed information about the home. New residents are encouraged to visit and benefit from the good admission procedures. Residents health and personal care needs are well managed by a caring and well trained staff. Residents enjoy living in a very attractive period building with attention paid by staff to maintain tidiness and cleanliness, and where regular refurbishment and redecoration is organised. The staff are motivated and enjoy their work and are supported by a skilled manager. The residents benefit from the open and inclusive ethos of the home where they feel able to make suggestions and criticisms about the home and are know that any concerns will be acted upon. The Grove DS0000024082.V325341.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. The Grove DS0000024082.V325341.R01.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 The Grove DS0000024082.V325341.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,6 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents and others have access to written and practical information about the Grove to help them decide whether they wish to move into the home, and are assured their needs can be met. EVIDENCE: The home has produced a comprehensive statement of purpose and guide to the home, which is regularly reviewed. This information is given to all prospective residents, and residents spoken with said they had found the information useful. The home is changing their documentation to a system, which will allow them to record more detail about resident’s needs and strengths. Residents who have recently moved to the home have been assessed using this new paperwork and there is a marked improvement in the level of detail, which will enable staff to provide residents with all the help they need. The Grove DS0000024082.V325341.R01.S.doc Version 5.2 Page 9 Prospective residents are invited to visit the home and spend the day, have a meal, and get to know staff and the environment prior to making a decision to move in, if residents are not able to visit their families are welcome on their behalf. The manager and team leader continue to assess prospective residents together, so that they can share views on whether or not the home can meet their needs. The home does not provide intermediate care. The Grove DS0000024082.V325341.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Resident’s health and personal care are well managed. Residents are treated with respect and sensitivity. EVIDENCE: The new documentation which the home is in the process of transferring to will enable staff to record plenty of detail about how resident needs are to be met. Residents care plans completed on the new documentation were very detailed and comprehensive. The home operates a key worker system, key workers are responsible for ensuring that the individual needs of the two or three residents they are allocated are met. Monthly reviews take place with the residents fully involved wherever they are able, and changes are then put into the care plan. The home did not carry out a specific falls risk assessment, but now the new paperwork has been started this is being addressed. Residents are involved in the drawing up of their care plans. The Grove DS0000024082.V325341.R01.S.doc Version 5.2 Page 11 Residents said they can access their GP whenever they wish and the home help to coordinate and organise healthcare appointments. Residents have their moving and handling needs, nutritional risk assessments, pressure sore risk assessments recorded along with any actions taken to address any needs. All visit to and from health care professionals are clearly recorded. The home has a comprehensive medication policy, which includes homely remedies, and the homes policy for residents who wish to self medicate. The home enjoys good working relationships with the pharmacy. Medicines are safely and correctly stored according to guidelines. Staff administering medicines have all completed competency based training and have been assessed by the manager or senior staff. Information on giving PRN or “as required” medicines is included in the care plan. Residents spoken with said that they were very satisfied with the care provided by the home, the attitude of staff towards residents and practice observed was respectful and friendly and resident’s privacy and dignity was maintained. The Grove DS0000024082.V325341.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents lead a life which as closely as possible matches their preferences, beliefs and social aspirations. Residents quality of life will be improved by providing a choice at every meal time and by providing consistently well cooked meals. EVIDENCE: The home does not employ any specific activity staff, the programme is arranged by the staff and manager and activities are carried out by the staff and external groups who visit regularly. The programme of activities is varied and there are activities at weekends and some evenings. Outings have been somewhat limited recently but with the improving weather the manager is planning some trips for the near future. Activities for this month include a clothing sale, Easter party, bingo, quizzes, manicures etc. Residents said there is plenty going on and that they enjoy the range and frequency of activities offered, and could take part if they wished. Residents said the staff make their families welcome at the home and respect their privacy when they have family or guests. The Grove DS0000024082.V325341.R01.S.doc Version 5.2 Page 13 Residents are encouraged to maintain their independence, and many have tea and coffee facilities, fridges and even a mini oven in their own rooms. Many manage their own finances and medication. Resident’s rooms are personalised with their own furniture if they wish to bring it in, photos, pictures etc. There is a rolling menu in place which changes seasonally, at present residents are not offered a choice on the menu and unless a resident expresses that they do not like what’s on the menu they are not offered a choice of main meal, pudding or for their evening meal. Residents spoken with said whilst the menu looked quite appealing despite the lack of choice, the quality of cooking was variable. Some meals were barely edible with undercooked pie, and soup, which was badly mixed and powdery or mushy. The menu does not include an evening snack after the evening meal (which is at 5.30pm). Some residents said they used to have tablecloths and cloth napkins, and they now have paper napkins and no tablecloths. The manager is aware of the resident’s feelings about the food and is working with the cooks to improve the cooking and hopes to be providing a choice in the next month. One new resident said the food was very good. Fresh fruit is available daily from a basket in the dining room and fresh vegetables are served daily. Biscuits are served with morning coffee and cake with afternoon tea. Special diets are catered for such as those requiring a diabetic diet, or soft meals. The Grove DS0000024082.V325341.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents feel listened to and empowered and are protected from abuse as far as possible. EVIDENCE: The home has a complaints procedure that is on display on the resident’s notice board along with the resident’s charter. The home have received no complaints since the last inspection, a suggestions box is going to be put in place in the near future. Residents spoken with new how and who to complaint to and said they would feel comfortable discussing any issues they might have with the manager. Strategies are in place through the residents meetings, and an open door policy from the manager, to record and act on minor issues residents report. Comprehensive records are kept about complaints and details of investigations and actions taken clearly recorded. The home has an adult protection policy in place, the policy makes a reference to investigating abuse, which needs re wording to ensure it is clear that he police or social services investigate, and not the home. Staff demonstrated a good understanding of what forms abuse can take and how to report any concerns they may have. Staff receive adult protection training, and many staff are booked on an update session being held in the next month. The Grove DS0000024082.V325341.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is excellent, This judgement has been made using available evidence including a visit to this service. Residents have a homely, very well maintained and comfortable environment in which to live. EVIDENCE: The home is decorated and maintained to a high standard, and whilst the home is not purpose built the layout is accessible, airy and spacious, with plenty of storage space, allowing for uncluttered communal space and corridors. There is a programme of maintenance and improvement. Plans to be implemented in the near future are to turn one bathroom into a walk-in shower room. A stair lift has been installed to the mezzanine floor. Longer-term plans include moving the laundry to the rear of the house. Rooms are re decorated and re carpeted as they become vacant. The Grove DS0000024082.V325341.R01.S.doc Version 5.2 Page 16 The grounds are very well kept with an attractive seating area for resident to enjoy in good weather. The building complies with fire and environmental health guidelines and regulations. Residents doors can be locked from the inside but opened by coin from the outside, the provision of different locks should be looked into. The home was clean, tidy and pleasant smelling. The sluice rooms and bathrooms were very clean, with the necessary equipment in place to help prevent and cross infection, i.e. liquid soap disposable paper towels, pedal bins, etc. the laundry was clean and well organised. The manager took urgent action to rectify the problem of lime scale in the laundry sink. The washing machines have a sluicing cycle, for dealing with foul or infected laundry should the need arise and the manager said plans were being considered for the installation of an automated sluicing device for the cleaning of commodes. The Grove DS0000024082.V325341.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good, This judgement has been made using available evidence including a visit to this service. Residents are cared for and supported by properly recruited and trained staff. EVIDENCE: The home runs a shift system to provide staff 24 hours a day, the shifts are 8am-2pm, 2-8pm and 8pm-8am. 4 care staff work the morning shift 3 in the afternoon and 2 waking and 1 sleeping are on at night. The rota clearly shows what staff are on duty and in what capacity. In addition to care staff, staff are employed for cleaning, cooking, maintenance etc. and in addition to the care staff senior care staff and the manager are on duty. Residents said they never have to wait long for assistance, and are helped to get up and go to bed at a time they chose. 43 of staff have attained NVQ 2 qualifications and more staff are enrolled to start NVQ training in the near future. The home operates thorough and robust recruitment practices, files seen contained all the required checks and documentation. Staff said there continues to be plenty of training offered which includes other training of interest and not just mandatory or core training. Staff have regular training updates arranged on their behalf to ensure they stay up to date. Staff receive more than 3 days paid training per year. The Grove DS0000024082.V325341.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe and well managed home which is run in their best interests. EVIDENCE: The registered manager has been running the home for over a year and has many years of management experience. The manager is a Registered General Nurse and is in the process of doing the Registered Managers Award course. The manager undertakes training periodically and there are clear lines of accountability within the home. Some quality assurance systems are in place with surveys being carried out annually to residents, their relatives and other professionals, regular residents The Grove DS0000024082.V325341.R01.S.doc Version 5.2 Page 19 and relatives meetings and staff meetings, and some informal auditing is carried out. The manager must obtain a copy of the amended Care Homes Regulations and ensure her responsibilities as far as quality assurance are being met. The home does not accept responsibility for residents money and an invoicing system is used instead, whereby residents who have some difficulty managing their finances may be treated by the chiropodist for example, and the home pays the bill then invoices the resident or designated family member. The health and safety of residents staff and visitors is well managed with equipment being regularly serviced and relevant checks being carried out. Staff receive training in first aid, food hygiene, moving and handling, infection control etc and regular training updates are arranged by the manager. Environmental and fire risk assessments are regularly reviewed and the manager is aware of her responsibilities regarding reporting of incidents and accidents etc. The Grove DS0000024082.V325341.R01.S.doc Version 5.2 Page 20 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 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 The Grove DS0000024082.V325341.R01.S.doc Version 5.2 Page 21 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. 1 Standard OP15 Regulation 12 (3) Requirement The registered person shall, for the purpose of providing care to service users, and making proper provision for their health and welfare, so far as practicable ascertain and take into account their wishes and feelings. In that the menu offers choice. Timescale for action 30/05/07 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 Standard Good Practice Recommendations The Grove DS0000024082.V325341.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Grove DS0000024082.V325341.R01.S.doc Version 5.2 Page 23 - 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!