This inspection was carried out on 25th August 2009.
CQC found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: The Grove and The Courtyard 341 Marton Road Marton Middlesbrough TS4 2PH two star good service 15/12/2008 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Jean Pegg Date: 2 5 0 8 2 0 0 9 Information about the care home
Name of care home: Address: The Grove and The Courtyard 341 Marton Road Marton Middlesbrough TS4 2PH 01642819111 01642819103 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Beverley Denise Grimes Type of registration: Number of places registered: Conditions of registration: Category(ies) : Bramble Care Homes Ltd care home 55 Number of places (if applicable): Under 65 Over 65 0 0 15 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 19 26 0 The maximum number of service users who can be accommodated is: 55 The registered person may provide the following category of service only: Care Home with nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following category: Older Person Code OP 15, Mental Disorder Code MD 26, Dementia Code DE 19 - maximum number of places 55 Date of last inspection 1 5 1 2 2 0 0 8 Care Homes for Older People Page 2 of 9 Brief description of the care home The Grove and The Courtyard is a purpose built care home providing care for three different client groups, within four separate units. The Grove Suite incorporates a 15 bedded unit for older people. The Lodge provides 14 nursing beds for people with dementia. The Cleveland provides 14 beds and The Courtyard 12 beds for younger adults with a mental disorder of a neurological cause. All rooms have ensuite facilities which include toilet and wash-hand basin and some rooms include a shower. The home is located centrally in Middlesbrough; it is on a busy main road, close to public transport, shops, public houses and churches. The weekly fees for The Grove and The Courtyard range from three hundred and ninety five pounds to five hundred and twenty five pounds. Care Homes for Older People Page 3 of 9 What we found:
This home was last inspected on 15th December 2008. It was rated as good. In August 2009 we received some information that indicated that the home may have breached regulations. It was decided that a random inspection visit would be carried out. The random inspection visit was carried out on 25 August 2009 by two inspectors, one regulatory inspector and one pharmacist inspector. This inspection focused on the arrangements that are put into place to support service users who spend time away from the home for example on social leave or holiday. We did not look at evidence to confirm that any previous requirements had been met. These will be looked at during the next key inspection visit. We looked at the care plans and medicine administration charts for three people who have recently spent time away from the home. We also talked to staff who are responsible for these arrangements. We found that none of the individual service user files that we looked at had evidence of a social leave risk assessment or care plan being put into place. We would have expected that these documents would be required to identify the care and support that was needed to facilitate each persons holiday or social leave arrangements. Care plans covering social leave arrangements were produced for these people before our inspection visit ended. We asked to see any guidance that the home had for the preparation of holidays and short breaks away from the home. The only guidance that was available to us was the policy for issuing medication for holidays and short breaks. The medication administration records that we looked at showed that on occasions the policy had not been followed correctly by staff. For example, for one person a separate dispensing arranged to cover a holiday period had not been collected on time resulting in medication being dispensed in an unsatisfactory manner. We also found that the procedure of recording medication given for short breaks and holidays and had not been followed for two people. We found that staff had not used the correct code on the front of the medicine administration record indicating social leave had been taken. And staff had not recorded medication, that had been issued for social leave, on the back of the medicine administration record. Signatures to confirm that the medication had been issued by the home or returned to the home were also missing. One person had a risk assessment covering medication for social leave but this had not been signed by the person who had completed the assessment. We looked at the process being followed for service users who self medicate and found that the practices being used were not covered by any policy documentation. For example, staff transferring medication from the pack supplied by the pharmacist into unlabelled weekly packs. We asked about the arrangements that are put into place when service users go on holidays for longer periods. We were shown the documents that would be completed and were shown some examples of consent forms that had been signed for a forth coming holiday. We were told that risk assessments would be completed nearer the date of the holiday.
Care Homes for Older People Page 4 of 9 What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 9 13 The temperature of the 02/02/2009 medication rooms must be monitored to ensure that the medication is being stored at the correct temperature. This will ensure that peoples medication is stored at the correct temperature. 2 29 19 The appropriate checks must 02/02/2009 be completed prior to commencement of employment of new staff, this includes appropriate written references. This will mean that the appropriate information is in place to ensure wellbeing and protection of people living at the home. Care Homes for Older People Page 6 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 7 13 Risk assessments must be completed for service users who go on social leave. This will ensure that any unnecessary risks are eliminated. 31/10/2009 2 7 15 Care plans must be in place for service users who go on social leave. This will ensure that all needs continue to be met whilst service users are away from the home. 31/10/2009 3 9 13 Medication must only be adminstered from the containers supplied by the pharmacy. This will reduce the risk of mistakes. 31/10/2009 Care Homes for Older People Page 7 of 9 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 12 Guidance should be produced for staff to follow when service users are planning holidays away from the home. Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!
