Inspection on 01/08/05 for Thornham Grove

This inspection was carried out on 1st August 2005.

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

Thornham Grove 04/07/06

Thornham Grove 03/05/05

Thornham Grove 27/07/04

Thornham Grove 10/03/04

Similar services:

Hillside

Applegarth

Trevayler Residential Care Home

122 Scorer Street

Byars Care Home

St Marys Nursing Home

Jubilee Villa Care Home

Bramble Lodge

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

CARE HOMES FOR OLDER PEOPLE Thornham Grove 137 Chapel Street Ibstock Leicestershire LE67 6HG Lead Inspector Mrs Carole Burgess Unannounced 1 August, 2005 09:45 am st 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 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. Thornham Grove C51 C01 S58944 Thornham Grove V238831 010805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Thornham Grove Address 137 Chapel Street Ibstock Leicestershire LE67 6HG 01530 262573 01530 262573 surjit@rushcliffecare.co.uk karen@rushcliffecare.co.uk Rushcliffe Care Limited Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Patricia Lynn Austen Care Home (CRH) 34 Category(ies) of Dementia - over 65 years of age (DE(E)) 15 registration, with number both, Learning disability over 65 years of age of places (LD(E)) 4 both, Physical disability over 65 years of age (PD(E)) 4 both, Sensory Impairment over 65 years of age (SI(E)) 4 both, Old age, not falling within any other category (OP) 34 both, Mental Disorder, excluding learning disability or dementia - over 65 years of age (MD(E)) 3 both. Thornham Grove C51 C01 S58944 Thornham Grove V238831 010805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. No person falling within category DE(E) may be admitted to the home when 15 persons who fall within category DE(E) are already accommodated within the home. 2. No person falling within category MD(E) may be admitted to the home when 3 persons who fall within category MD(E) are already accommodated within the home. 3. No person falling within category LD(E) may be admitted to the home when 4 persons who fall within category LD(E) are already accommodated within the home. 4. No person falling within category PD(E) may be admitted to the home when 4 persons who fall within caregory PD(E) are already accommodated within the home. 5. No person falling within category SI(E) may be admitted to the home when 4 persons who fall within category SI(E) are already accommodated within the home. 6. Service useres between the age of 55-65 years who fall within the above categories and were resident in the care home at the date of registration may continue to reside there. Date of last inspection 3rd May 2005 Brief Description of the Service: Thornham Grove is a residential care home for thirty-four older persons of both sexes. It is a modern, purpose built home comprising of four interlinked zones – ‘Redlands’, ‘Rose Villa’, ‘Park View’ and ‘Elbow Row’. The home provides care for a limited number of older persons with learning disability, mental disorder, physical disability and sensory impairment. It also offers a small number of respite placements and has a Day Care Unit for up to twelve older persons. The home is bright and clean with a high standard of décor throughout and provides a safe and caring environment for all of the residents. One double bedroom has an en-suite facility and there are adequate toilet and assisted bathing facilities throughout the building. Each zone has its own sitting room/dining area and kitchen. There is also a bar where residents are able to obtain a drink in the evening. There is a safe, attractive courtyard garden in the centre of the property and well-kept gardens to the front. It is situated in the centre of Ibstock, close to all the usual amenities such as, shops, post office etc. and is easily accessible by public transport or car. There is sufficient parking for visitors. Thornham Grove C51 C01 S58944 Thornham Grove V238831 010805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day. An opportunity was taken to look around the home, view records, policies and care plans and to talk to staff and residents and relatives. The primary method of inspection used was ‘case tracking’ which involved selecting three residents and tracking the care they receive through review of their records, discussion with them, the care staff and observation of care practices. Many of the residents were seen during the inspection and five of the residents and one relative spoken with gave the Inspector their impressions of the home. Standards not inspected during this inspection were inspected and found to be satisfactory at the previous inspection during this inspection year. What the service does well: Thornham Grove, Rushcliffe Care Limited provides a high standard of care for the residents. The home is well maintained and provides a good standard of accommodation. The atmosphere is homely and welcoming and staff are caring and supportive to residents and their relatives. Comments from residents during the inspection were very positive and demonstrated that they were very satisfied with the standard of care provided. Care plans are detailed to ensure that each resident’s individual and specific needs are met. Residents are provided with a varied range of activities and are able to join in with those provided for people who use the Day Care facility. Meals are nutritious and well presented. The home’s Registered Manager and Senior Care Team Leaders work well together to ensure that staff are well trained and able to meet the residents’ needs. Thornham Grove C51 C01 S58944 Thornham Grove V238831 010805 Stage 4.doc Version 1.40 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. Thornham Grove C51 C01 S58944 Thornham Grove V238831 010805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Thornham Grove C51 C01 S58944 Thornham Grove V238831 010805 Stage 4.doc Version 1.40 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 standard(s) 3 & 6. The admission process is well managed and residents are given clear and detailed information regarding the service; thereby ensuring that the residents’ health and welfare needs are being met. EVIDENCE: The pre-assessment process is detailed and robust and reflective of the health and welfare needs of the residents. The home can provide respite care for a small number of people but does not provide intermediate care. Thornham Grove C51 C01 S58944 Thornham Grove V238831 010805 Stage 4.doc Version 1.40 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 standard(s) 7, 8, 9, 10 & 11. Residents are looked after well in respect of their health and personal care needs. EVIDENCE: New care plans following a 72-hour assessment period are being implemented to ensure that residents specific care needs are met. Current care plans are detailed and reflect residents’ specific and individual needs. Contact with other healthcare professionals is well documented in a separate file. The quality of record keeping is of a high standard provided and ensures that the needs of the residents are met. However, further attention could be given to involve residents and/or their relatives in the care planning process. The care plan of a resident, who had been living in the home for three months, did not show resident/relative/representative involvement. The Registered Manager is addressing this issue as new care plans are introduced for all of the residents to ensure that their health and welfare needs are fully met. Thornham Grove C51 C01 S58944 Thornham Grove V238831 010805 Stage 4.doc Version 1.40 Page 10 Medication administration is managed effectively within the home’s robust medication policy and procedural guidelines to ensure the safe and timely delivery of residents’ prescribed medicines. Residents are able to self-medicate following an assessment to ensure that they are safe to do so, although no residents were self-medicating at the time of the inspection. Residents who are near to the end of their life can remain in the home, where this is appropriate, in consultation with their GP and relatives. Staff consult with relatives and are able to provide sensitive and supportive care at this difficult time. Observation during the inspection showed that staff have a good awareness of how to protect residents privacy and dignity. They were seen to be kind and patient and treated the residents in a respectful, friendly and supportive way. Residents and their relatives said that staff are respectful and very caring. Residents were very positive about the care they received and said that staff were kind and that the care received was ‘excellent’. Thornham Grove C51 C01 S58944 Thornham Grove V238831 010805 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 14 &15. Residents experience a stimulating and varied life at the home with visitors encouraged and a variety of activities made available. Meals are well presented and nutritious and staff are caring and supportive of residents and their relatives. EVIDENCE: Residents are able to take part in activities, such as sing-a-longs and bingo, which are provided daily in the lounge as part of the Day Care programme. The hairdresser visits the home every Tuesday to enable residents to have a haircut, a shampoo and set or a perm. One resident said that she had spent an enjoyable weekend away with her family. Staff had worked with the family to enable them to arrange the visit. There are celebrations throughout the year at Christmas, Valentines Day, and Easter etc; there will also be a summer fete. This enables residents and their relatives to enjoy seasonal and community activities. Menus are balanced and appealing, and are flexible enough to accommodate individual preferences and healthcare needs. They are freshly prepared and are of a good standard and the residents said that they enjoyed their meals and are able to choose when and where they take them. Thornham Grove C51 C01 S58944 Thornham Grove V238831 010805 Stage 4.doc Version 1.40 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 standard(s) 16, 17 & 18. Arrangements for receiving and responding to complaints are sound, resulting in satisfactory protection of residents’ rights. EVIDENCE: Residents and staff comments demonstrate that people feel at ease discussing any concerns with the Registered Manager and the staff. The CSCI has not received any complaints about the home and the home’s complaints process reflects the government’s adult protection guidelines, set out in the No Secrets’ publication. Complaints and concerns made to the home are dealt with correctly. Staff receive training in the protection of vulnerable adults and are aware of their responsibilities to safeguard residents from abuse. Residents and a relative spoken with during the inspection said that they had no concerns about the home. One relative said that he had heard very good reports about the home, had visited a number of homes on behalf of his relative, and was impressed by the standards of care at Thornham Grove. Thornham Grove C51 C01 S58944 Thornham Grove V238831 010805 Stage 4.doc Version 1.40 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 standard(s) 19, 20, 21, 23, 24, 25 & 26. A comfortable, homely and safe standard of accommodation is provided for the residents. EVIDENCE: The home is safe and well maintained with many adaptations to suit residents’ specific needs. It is decorated and furnished to a high standard that creates a comfortable and homely environment, and there is a system of maintenance and refurbishment. There is safe garden area and the home is set in pleasant surrounding with grass, shrubs and seating areas. The garden paths could benefit from a general tidy up to ensure that overhanging bushes and plants do not make it less accessible to residents with walking frames or wheelchairs. Residents’ rooms are clean and well decorated, and residents are able to bring items of their own furniture and possessions with them to personalise their rooms. There are sufficient toilet, bathing and assisted bathing facilities. Thornham Grove C51 C01 S58944 Thornham Grove V238831 010805 Stage 4.doc Version 1.40 Page 14 Hot water temperatures are checked to ensure they comply with Health & Safety legislation and were satisfactory when checked during the inspection. All areas of the home were clean and maintained to a good standard. Residents said that the home was always very clean and well maintained. Thornham Grove C51 C01 S58944 Thornham Grove V238831 010805 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 & 30. Staff at the home are well trained and supported, and employed in sufficient numbers to meet the residents’ needs. EVIDENCE: Residents and staff said that they felt that there are sufficient staff on duty. The Senior Manager/Registered Manager maintains overall responsibility for the home. Staffing levels, at the point of inspection were satisfactory and in line with the Department of Health Residential Forum Guidelines and were sufficient to meet the residents’ needs. Training for staff, including extensive ‘in house’ training, supports staff in meeting the residents’ health and welfare needs. A calendar in the office gives a clear indication of staff training for the year. Rushcliffe Care Limited, Epinal Way Care Centre undertakes the recruitment of care staff centrally. This has been inspected during this inspection year and appears to be robust. Thornham Grove C51 C01 S58944 Thornham Grove V238831 010805 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 36, 37 & 38. The Registered Manager, with effective supervision of staff, manages the home efficiently to protect the rights and needs of the residents. EVIDENCE: The home has a Registered Manager with ten years of experience in care. There is an ethos of openness in the home; staff are friendly and helpful towards the residents, their relatives and each other. Staff support the residents to make decisions in their everyday life, which promotes residents’ rights and independence. The Registered Manager undertakes yearly staff appraisals and is in the process of implementing supervision (a regular review of staff performance and training needs) to ensure that staff maintain the standards of care expected throughout Rushcliffe Care Limited. Thornham Grove C51 C01 S58944 Thornham Grove V238831 010805 Stage 4.doc Version 1.40 Page 17 Health & Safety Policy and Procedures, such as regular recorded fire drills and fire alarm tests are completed, to ensure the health and safety of the residents and staff. Thornham Grove C51 C01 S58944 Thornham Grove V238831 010805 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION 4 x 3 x 4 4 4 4 STAFFING Standard No Score 27 3 28 4 29 x 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 4 4 4 x x 3 4 4 Thornham Grove C51 C01 S58944 Thornham Grove V238831 010805 Stage 4.doc Version 1.40 Page 19 NO 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. 1. Standard Regulation NONE 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. Refer to Standard 7.6 20.3 Good Practice Recommendations The Registered Persons are recommended to ensure that residents care plans are drawn up with the involvement of the residents or their representative The Registered Persons are recommended to ensure that the outside space is safe and accessible to all residents. Thornham Grove C51 C01 S58944 Thornham Grove V238831 010805 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection The Pavilions 5 Smith Way, Grove Park Enderby, Leicestershire LE19 1SX 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 Thornham Grove C51 C01 S58944 Thornham Grove V238831 010805 Stage 4.doc Version 1.40 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. 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