Inspection on 14/02/06 for The Grove

This inspection was carried out on 14th 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 Grove 21/05/09

The Grove 28/05/08

The Grove 19/06/07

The Grove 17/10/06

The Grove 19/07/05

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE The Grove 181 Charlestown Road St. Austell Cornwall PL25 3NP Lead Inspector Elaine Bruce Announced Inspection 14th February 2006 09:00 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 The Grove DS0000063217.V271047.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 Grove DS0000063217.V271047.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Grove Address 181 Charlestown Road St. Austell Cornwall PL25 3NP 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) 01726 76481 01726 67457 Venetian Healthcare Limited Mrs Kerry Ann Lewis Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31) of places The Grove DS0000063217.V271047.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service users to include up to 31 adults of old age (OP) Two named persons (married couple) only below the agreed age range may be accommodated Total number of service users not to exceed a maximum of 31 Date of last inspection 19th July 2005 Brief Description of the Service: The Grove is registered for thirty one service users within the category of old age. There is currently a variation of certificate in place to accommodate a married couple who are under 65 and over 60. A permanent respite bed is available at the home and day care is provided on a daily basis. The home stands within beautiful substantial grounds on the approach road to Charlestown harbour. Seating areas are provided in the grounds. There are sea views available from some of the bedrooms in the home. Parking is available in the grounds of the home. The communal accommodation consists of three spacious and comfortable lounges (one smoking lounge) and a very pleasant dining room with flowers on the tables and freshly laundered table linen. Bedrooms are available on the ground and first floor. Bedrooms to the first floor are served by the use of a shaft lift. Nineteen of the single bedrooms have en suite accomodation and all double bedrooms have an en suite facility. There are additional toilets and bathrooms to suit the care needs of the service users. The Grove DS0000063217.V271047.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection at The Grove took place over seven hours and was carried out as an announced inspection. Service users and staff were spoken to during the course of the inspection. Care records, staff files and policies and procedures were inspected. Service users commented positively on the kindness of the staff at the home. The dependency levels of the service users at The Grove have recently increased and this would appear to have been addressed by employing an additional evening staff member. Some of the service users commented indirectly on this point resulting in negative comments on a number of issues. This was discussed in detail at feedback and it is recommended that a review of the philosophy of the care being delivered at The Grove takes place to ensure that care needs of all the service users are being met at all times and service users are able to once again offer very positive comments on the home. The registered manager was on duty at the time of the inspection and the registered provider travelled to Cornwall to attend the inspection. What the service does well: What has improved since the last inspection? The Grove DS0000063217.V271047.R01.S.doc Version 5.1 Page 6 All good practice recommendations of the inspection report dated the 19th July 2005 have been addressed. 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 Grove DS0000063217.V271047.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 Grove DS0000063217.V271047.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): 3 The registered manager assesses all service users prior to admission to the home to ensure that the home will be able to meet their care needs. Visits to the home prior to admission are encouraged. EVIDENCE: Each service user is assessed prior to admission to the home by the registered manager. In the absence of the manager another senior staff member would undertake this assessment. A permanent respite bed is available in the home allowing service users and opportunity to stay at the home on a short term basis. Clients also attend the home for day care. All admissions to the home are on a trial basis for the first month of the placement. Records are in place of all “enquiries” to the home. It is recommended that further information be included in the service user guide on the criteria for admission to The Grove and then further information should a service user be asked to move on from the home. The Grove DS0000063217.V271047.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): 7,8,10 and 11 Care planning documentation evidences that the care needs of the service users are being met. Some conversations with the service users (and observations) would suggest that it is becoming harder for the home to maintain this due to increasing dependency levels. EVIDENCE: Each service user has a care plan in place which evidences the service users involvement in the care planning process. All the staff are involved in the care planning documentation recording. The care plans include a risk assessment and moving and handling assessment. The care plans are supplemented by day and night recording. Monthly reviews of the care plans are taking place. The health care needs of the service users are identified in the care planning documentation and the care plans evidence the involvement of health care professionals as required. Each service user is registered with a general practitioner. Dietary information/needs are included in care planning and service users are offered the opportunity of being weighed regularly. The Grove DS0000063217.V271047.R01.S.doc Version 5.1 Page 10 It is noted that there are some gaps in the information boxes on the wishes of the service user re death and dying. This should be addressed where possible. The dependency levels of some of the service users have increased at this time which has resulted in an additional staff member being employed in the evening. Some conversations with the service user resulted in negative comments on particular issues. These were discussed in detail with the registered manager and provider. It is recommended that the home reviews some of it’s documentation but also considers it’s philosophy of care and ensure that at all times the care needs of all the service users are being met. The Grove DS0000063217.V271047.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 and 15 The home employs a full time activities co-ordinator to meet the social, religious and recreational needs and interests of the service users. The meals in the home are good with a very good range of choice offered at all meals. EVIDENCE: An activities co-ordinator is employed by the home on a full time basis. She was spoken to during the course of the inspection. A number and variety of activities go on in the home to include special evenings and events. On the afternoon of the inspection some of the service users played bingo. The service users expressed very positive comments on the choir that had been into the home the night before the inspection. All the activities on offer are displayed for the week for everyone to see. The activities co-ordinator keeps good records of all the social activities and care plans evidence that the social interests of the service users have been addressed. On the day of the inspection the hairdresser was at the home. The Grove DS0000063217.V271047.R01.S.doc Version 5.1 Page 12 Visitors are welcome to the home although documentation suggests that visiting at meal times should be avoided. Daily records evidence when visitors have come to the home and all visitors to the home are encouraged to sign in the “visitors book” in the entrance of the home. The cook was spoken to on the day of the inspection. The meals provided at The Grove are rotated over a four week period. The menu has been recently changed and reviewed with the involvement of the service users. On the day of the inspection the main meal of the day was steak cobler with a choice of potatoes and fresh vegetables. The alternative meal was fish or chicken. The pudding was bakewell tart with custard. The service users are able to express their choices for all meals provided at the home on a menu choice form displayed at their meal table. A choice is made 24 hours in advance. The service users have recently been very involved in the meals having made written suggestion as to what they would like to eat. The home would appear to have been very accommodating in trying to ensure that everyone is satisfied with the meals being provided at the home. A satisfactory inspection of the kitchen was carried out by the district council environmental health officer on the 18th January 2006. The Grove DS0000063217.V271047.R01.S.doc Version 5.1 Page 13 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): 16,17 and 18 The home has a satisfactory complaints procedure provided to the service users and their representatives in the service user guide. Information on the rights of the service user are also included in the service user guide. Staff are provided with adult protection training and documentation to ensure that they have the knowledge and understanding of adult protection issues to protect service users from abuse. EVIDENCE: The home has a complaints policy and procedure in place which all the service users have been provided with in their service user guide. A comments book is available to the service users in the dining room should they wish to make any comments negative or positive about the home. The home is keeping records of any complaints received as required by legislation. Information is included in the service user guide on the rights of the service user when at the home, for example the right to privacy. The home has an adult protection policy and procedure in place which includes the “No Secrets” documentation and local social services department protection procedures. A whistle blowing policy and procedure is also in place and staff are signing to say that they have read the policies. Some of the staff have attended the local social services adult protection training. The Grove DS0000063217.V271047.R01.S.doc Version 5.1 Page 14 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): 19,20,21,22,23,24,25 and 26 The Grove is a well maintained, very pleasant, safe and comfortable environment for the service users and the staff. EVIDENCE: The Grove is situated in a residential area within easy car access to the centre of St Austell. The home is well maintained externally and internally with a maintenance person and a gardener employed. The grounds are particularly pleasant with a circular walk (and handrail) available to the service users. Car parking is available in the grounds of the home. Communal areas are very spacious and include a quiet lounge, larger lounge and dining room off. A smoking lounge is also available at the home. Bedrooms are available on the ground and first floor of the home. A shaft lift is available to the first floor of the home if required. Bedrooms can be individually personalised and some of the bedrooms have views out to the sea. The Grove DS0000063217.V271047.R01.S.doc Version 5.1 Page 15 All the bedrooms at the home are lockable. In total nineteen of the bedrooms have en-suite facilities, with fourteen of these having either a bath or a shower as well as a hand basin and toilet. The registered provider has plans to add a walk in shower facility to the home. Service users are provided with the specialist equipment that they may require to maximise their independence. This may include for example grab rails, hoists and assisted toilets and baths. A call bell system is available in every room. Radiators are guarded and pre set valves fitted to taps for safe bathing. The home was found to be very clean on the day of the inspection with staff employed specifically for these duties and laundry duties. All maintenance records are in place for equipment within the home to include the gas maintenance, maintenance of hoists, portable electrical appliances etc. The Grove DS0000063217.V271047.R01.S.doc Version 5.1 Page 16 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 Staffing levels have recently been reviewed and should continue to be to ensure that the care needs of the service users are being met at all times. Dependency levels have recently increased at the home. Recruitment procedures are satisfactory. Staff training is ongoing. EVIDENCE: All the staff employed at the home are included in the staffing rota which rotates over a four week period. Team leaders are employed on all shifts and three senior carers are also employed. The different levels of staff wear different coloured uniforms and all have staff name badges. The home operates a key worker system. Two waking night staff members are employed by the home. Staffing levels have recently been increased in the evenings to meet the higher dependency levels at the home of late. Staff information including criminal records bureau checks, written references and fully completed application forms are kept in good order by the home’s administrator. The home provides all statutory training and good practice training. Sixty two per cent of the staff have obtained an NVQ level 2 in care which is above the requirements of the minimum standards. All staff are regularly provided with fire drill training, first aid training and moving and handling training. Staff files The Grove DS0000063217.V271047.R01.S.doc Version 5.1 Page 17 are well organised with evidence of training in place. Induction training documentation has recently been improved. The Grove DS0000063217.V271047.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,36 and 37 The registered provider and manager are committed to delivering a good standard of care at The Grove. EVIDENCE: The registered manager was on duty on the day of the inspection. She has recently completed studies to obtain her registered managers award qualification. The manager is supported in her duties by a full time experienced administrator. The registered provider visits the home monthly (and more if required) and provides the Commission for Social Care Inspection with a report of his visits as required by legislation. Documentation is in place on the accounting and financial procedures for the home. The Grove DS0000063217.V271047.R01.S.doc Version 5.1 Page 19 Staff meetings take place at the home and minutes are available of these meetings. A recent team leader and senior carers meeting has taken place. The service users are very involved in the running of the home to include having their own service users meetings and a committee. The registered provider and registered manager attend the service users meetings so that any direct questions can be answered immediately. Minutes are available from the meetings. In addition a twice yearly questionnaire is circulated to the service users for their opinions on the running of the home. It is recommended that this information once obtained is formally analysed and recorded by management with an action plan to address the points raised by the service users. The staff are receiving supervision from the registered manager, although the amount of supervision requires increasing to meet the requirements of the legislation. It is recommended that some of these responsibilities are delegated. Policies and procedures are in place as required by legislation. These are regularly updated The Grove DS0000063217.V271047.R01.S.doc Version 5.1 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 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 4 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 4 3 x 3 3 x The Grove DS0000063217.V271047.R01.S.doc Version 5.1 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. 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. 2. 3. Refer to Standard OP3 OP11 OP33 Good Practice Recommendations To clearly establish in the service user guide the criteria for admission to the home and further information if a service user has to move on from the home. To include as much information as possible on the wishes of the service user re death and dying. To formally analyse the information received from the twice yearly questionnaire to the service users. The Grove DS0000063217.V271047.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Grove DS0000063217.V271047.R01.S.doc Version 5.1 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. 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