Inspection on 16/02/06 for WCS - Attleborough Grange

This inspection was carried out on 16th 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

WCS - Attleborough Grange 20/01/10

WCS - Attleborough Grange 13/09/07

WCS - Attleborough Grange 24/10/06

WCS - Attleborough Grange 21/09/05

WCS - Attleborough Grange 06/12/04

WCS - Attleborough Grange 19/04/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE WCS - Attleborough Grange Attleborough Road Nuneaton Warwickshire CV11 4JN Lead Inspector Patricia Flanaghan Unannounced Inspection 16th February 2006 11:45 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 WCS - Attleborough Grange DS0000004261.V284429.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. WCS - Attleborough Grange DS0000004261.V284429.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service WCS - Attleborough Grange Address Attleborough Road Nuneaton Warwickshire CV11 4JN 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) 02476 383543 02476 326704 Warwickshire Care Services Limited Mrs Dorothy Collis Care Home 31 Category(ies) of Dementia - over 65 years of age (11), Old age, registration, with number not falling within any other category (20) of places WCS - Attleborough Grange DS0000004261.V284429.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st September 2005 Brief Description of the Service: Attleborough Grange was built in the early 1900’s and totally refurbished in 1995. A large extension was added to the rear and side of the original building providing purpose built accommodation. The home is one in a group of care homes owned by Warwickshire Care Services. The home is currently registered to provide personal care for people over 65 and has specialist registration for dementia care. The accommodation includes single bedrooms and one shared bedroom. Twenty of these rooms have en suite facilities. The home is designed for group living in four self contained units. Each unit has its own lounge/dining area and kitchenette facilities. Griff House is a specialist dementia care unit for eleven service users. In addition to long/short stay accommodation; the home also provides day care services for up to 8 clients. Day care service has its own facilities and staff. The home has mature gardens and patio areas, which are accessible to the homes service users. These have been designed to meet the needs of the service user groups catered for at Attleborough Grange. Further developments are planned for the garden areas. WCS - Attleborough Grange DS0000004261.V284429.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine unannounced inspection took place between 11.45pm and 4.00pm. This was the second visit of this inspection year. Discussions took place with residents, the manager and staff. The inspection focused on the requirements arising out of the previous inspection, and the standards relating to health and safety, staffing and management. Various documents were seen during the inspection, including care plans, policies and procedures and certificates verifying training and health and safety checks. Three visitors and five residents were spoken to and discussion took place with four members of staff and the manager. Prior to this inspection a service questionnaire was completed by the home and returned to the Commission for Social Care Inspection (CSCI). The manager was asked to distribute other questionnaires regarding the service to residents, relatives and health care professionals. The completion of these is voluntary but proves useful in assessing the various views that are held. No responses from residents had been received by the CSCI at the time of writing this report. What the service does well: What has improved since the last inspection? WCS - Attleborough Grange DS0000004261.V284429.R01.S.doc Version 5.1 Page 6 Replacement windows have been fitted and new carpets provided in parts of the home. Further redecoration is planned in the coming weeks. 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. WCS - Attleborough Grange DS0000004261.V284429.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 WCS - Attleborough Grange DS0000004261.V284429.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 Residents are assessed before moving into the home. EVIDENCE: An examination of the home’s policies and procedures demonstrated that the admissions procedure included an assessment by the home completed before admission and provided the opportunity for the prospective residents and/ or their relatives to visit the home. Records showed that assessments had been completed and this provided the necessary information for the home to be able to provide the care needed. The community care plans provided by the social worker, as part of the individual needs assessment process, were seen within one resident’s care plans. WCS - Attleborough Grange DS0000004261.V284429.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 and 9 All residents have individual plans of care, which set out their needs in detail and enable staff to ensure that these needs are met. Medication is administered in a manner that safeguards residents’ safety. EVIDENCE: Standards 7 and 9 were not assessed in detail on this occasion, as they had only minor shortfalls at the last inspection. An examination of two residents care plans noted that the home’s system for care planning has further improved. Medication is generally administered in a safe manner and staff are guided by robust policies and procedures. All staff who handle medication have received accredited training and are competent in administration. WCS - Attleborough Grange DS0000004261.V284429.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): 12, 13 and 14 Residents are able to exercise choice in relation to social activities and mealtimes. The home provides excellent and appropriate in house activities. Residents are encouraged to make decisions about their care. EVIDENCE: A number of activities are organised for the residents and several recently enjoyed a canal barge trip. Residents confirmed that they could choose whether or not to join in activities. Entertainers visit the home and a craft session is organised on a regular basis. A programme of monthly social and leisure activities is available with information located on notice boards around the home. A group of residents were seen to enjoy a game of dominoes during the inspection visit. All residents have single rooms, where they are able to receive their visitors, if they wish. Information on the home’s policy on maintaining involvement with residents once they have moved to the home is contained in the Service User’s Guide. A resident explained how she maintained contact with family and friends and the local community. WCS - Attleborough Grange DS0000004261.V284429.R01.S.doc Version 5.1 Page 11 The administrator advised that the majority of residents are assisted to manage their financial affairs by relatives and/or representatives. During a tour of the home it was seen that residents are encouraged to bring personal possessions with them to Attleborough Grange. WCS - Attleborough Grange DS0000004261.V284429.R01.S.doc Version 5.1 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 the following standard(s): None of these standards were assessed at this inspection. Standards 16 and 18 were assessed as met at the inspection visit on 21/09/05. EVIDENCE: WCS - Attleborough Grange DS0000004261.V284429.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): 26 The home is clean and hygienic, with procedures in place to control and minimise the spread of infection. EVIDENCE: One the day of the inspection the home was clean and free from offensive odours. The large laundry is situated away from the kitchen and areas where food is prepared/stored. A satisfactory system is in place to ensure that cross contamination does not occur between dirty and clean laundry. The laundry floor is impermeable and this and the wall finishes are readily cleanable. Washing machines have suitable programmes to meet disinfection standards. WCS - Attleborough Grange DS0000004261.V284429.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 and 30 A strong commitment to training ensures staff have the knowledge and skills to undertake their duties. EVIDENCE: Training records provided by the home show that staff have attended regular training on the conditions associated with old age. Fifteen care staff have an NVQ Level 2 in Care, with five staff members currently undertaking this award. Three members of staff have achieved an NVQ Level 3 award with a further three working towards this award. Recent training undertaken by staff include Dementia Care, Continence and Catheter Care, Care Practice and Tissue Viability care. Training planned for February included understanding Parkinson’s Disease, Communication Skills and Nutritional Needs. WCS - Attleborough Grange DS0000004261.V284429.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): 31, 33, 35 and 38 The home has an experienced manager and is effectively and well managed. Systems are in place to monitor the quality of the service provided and identify areas in need of improvement. Resident’s financial interests are safeguarded. The health, safety and welfare of residents and staff are promoted and protected. EVIDENCE: The Registered Manager has many years experience in managing a care home for older people. There are clear lines of accountability within the home. Observations made and discussions with both residents and staff indicated that the manager is available and approachable should they wish to discuss any issues. The manager continues to update her knowledge and skills and is familiar with the diseases and conditions associated with old age. WCS - Attleborough Grange DS0000004261.V284429.R01.S.doc Version 5.1 Page 16 Residents and relatives expressed positive comments about the manager and were happy with the way the home is run. An open door policy for residents and relatives is practised. Relatives spoken with stated that they found the managers, care staff and other staff in the home approachable. The quality of the service is continuously monitored through feedback received from the residents and their relatives. Residents are asked one quality question each month and the responses are recorded. Throughout the year this will give an overall indication on residents views of the home. A management matrix is completed monthly, which enables the homes manager and senior managers to monitor aspects of care and staffing throughout the home. This includes dependency levels and staffing, accident/incidents and complaints. Resident meetings are held regularly with records of this seen at inspection. In addition to this there is a compliments/complaints book on each floor. The annual quality assurance survey has recently been completed and the organisation are analysing the results. Monies held at the home on behalf of residents are handled in line with the homes policy of handling resident’s money, ensuring their financial interests are safeguarded. A sample was checked and found to be satisfactory. Secure facilities are provided for the safe keeping of monies. No health and safety hazards were observed. Evidence was seen to confirm that staff receive regular training in moving and handling, fire safety, first aid and food hygiene. The housekeeper advised that the home are currently updating the staff training matrix. It was unclear, however, if all members of staff had received recent training in fire safety and moving and handling. Staff training in the mandatory areas of fire safety, first aid, moving and handling, food hygiene and infection control must be documented on a training plan, which gives details of staff who have up to date training, training arranged and dates when refresher training is needed. Certificates were seen during the inspection for the maintenance and service of major systems. WCS - Attleborough Grange DS0000004261.V284429.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X 3 STAFFING Standard No Score 27 X 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 WCS - Attleborough Grange DS0000004261.V284429.R01.S.doc Version 5.1 Page 18 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. 38 Standard OP38 Regulation 18 (1)(c) Requirement The registered manager must confirm that training in the mandatory areas of first aid, fire safety, food hygiene, moving and handling and infection control is current for all staff. Timescale for action 30/04/06 WCS - Attleborough Grange DS0000004261.V284429.R01.S.doc Version 5.1 Page 19 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 WCS - Attleborough Grange DS0000004261.V284429.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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 WCS - Attleborough Grange DS0000004261.V284429.R01.S.doc Version 5.1 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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