Inspection on 31/01/06 for Woolton Grange Care Home

This inspection was carried out on 31st January 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Woolton Grange Care Home 20/06/08

Woolton Grange Care Home 26/06/07

Woolton Grange Care Home 27/06/06

Woolton Grange Care Home 22/11/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Woolton Grange Care Home High Street Woolton Liverpool L25 7TE Lead Inspector Natalie Charnley Unannounced Inspection 31st January 2006 07:55 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 Woolton Grange Care Home DS0000064524.V283046.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. Woolton Grange Care Home DS0000064524.V283046.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Woolton Grange Care Home Address High Street Woolton Liverpool L25 7TE 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) 0151 428 9861 0151 428 1118 Hill Care Limited Mr Paul Ashmore Care Home 43 Category(ies) of Old age, not falling within any other category registration, with number (43) of places Woolton Grange Care Home DS0000064524.V283046.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 43 beds (OP) providing personal care of which 1 is for a named male service user under the age of 65 years. In addition to 43 service users, 8 older people not needing nursing care may be admitted to Woolton Grange Care Home for day care, between the hours of 9:00 am until 5:00 pm Monday to Sunday. 22nd November 2005 Date of last inspection Brief Description of the Service: Woolton Grange is a care home located in the Woolton area of Liverpool close to local shops and transport links. The home is registered to take up to 43 residents and provide them with personal care. The home does not provide nursing care. The home was taken over earlier in the year by a new company, Hillcare LTD. The home is within a renovated church and has both single and double bedrooms. Communal space is varied and includes a large conservatory. The home has parking space to the rear and residents can access levels of the home via lifts. The home also has residents who attend for day care and are looking to increase this number in the near future. Woolton Grange Care Home DS0000064524.V283046.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over a period of one day The inspector arrived at the home at 07:55 and left at 14:00. The inspector spoke with 3 staff, the home manager and deputy, 1 visitor and 6 residents. The inspector completed the inspection by looking at the homes records, a tour of the building, formal and informal interviews and information from previous inspection reports. The inspector followed an inspection plan written before the start of the inspection to ensure that all areas that needed covering were done so. Feedback was given to the manager during and at the end of the inspection. Not all standards have been covered during this inspection; however all core standards have been checked during the 2005/06-inspection year. What the service does well: What has improved since the last inspection? New pre admission assessments are now in place and are completed by the manager before a resident moves to the home. Physical and mental health needs are assessed and recorded to ensure the home can meet a residents needs. Weekly checks are now being carried out on medication records, and improvements have been evidenced. Staff have received further training, however errors were still noted. Woolton Grange Care Home DS0000064524.V283046.R01.S.doc Version 5.1 Page 6 Staff training is now beginning to be planned and some sessions have already taken place, however core subjects remain outstanding for staff. NVQ training is being undertaken by staff to ensure that at least 50 of staff has a specialist qualification. 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. Woolton Grange Care Home DS0000064524.V283046.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 Woolton Grange Care Home DS0000064524.V283046.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): None of the above standards were checked during this inspection EVIDENCE: Woolton Grange Care Home DS0000064524.V283046.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): 7,9,10 and 11 Care planning at the home is based on the individual and details how care is to be given and staff need to ensure that they are familiar with the home medication policy to ensure that medications are given out safely to protect residents. Death and dying at the home is exceptionally well managed and residents privacy maintained at all times EVIDENCE: New style care plans have been put in place since the last inspection and the manager is planning to develop them further, by adding additional risk assessments on falls, nutrition and manual handling and pre written plans. A sample of this new documentation was seen and is of a good standard. Care plans are reviewed on a monthly basis and detail problems, objectives and how staff are going to support residents in this process. Residents weights are now being recorded monthly by staff as part of monitoring residents health. Residents spoken to during the inspection complemented the home and staff for respecting their privacy. One lady commented “staff never come into my Woolton Grange Care Home DS0000064524.V283046.R01.S.doc Version 5.1 Page 10 room without asking my permission” and another stated “ staff treat me with respect and are so supportive”. Staff were observed in the main lounge taking and addressing residents in a polite way and making sure that their dignity was maintained. Medication records were sampled, however storage areas were not checked at the time. Managers at the home are monitoring records on a daily basis to check for errors. Records showed improvement since the last inspection, however two errors were still found. One controlled drug had not had the time or date of administration recorded, which is a legal requirement, and another resident’s medication dose on 30.1.06 had not been signed as ‘given’. The home is proud of the ways in which they support residents and relatives in the event of a death. The home always holds a ‘case conference’ with other health workers and the family members to decide on any individual or specific requirements that a resident has. Staff confirmed that, wherever possible they try to provide 1:1 care in the final hours. Detailed policies and procedures are in place and staff have undergone specialist training in dealing with death at a care home. Families are supported by the home following the death of their relatives and even have an appointment arranged by the home with the registrar if they wish. Overnight facilities are available for relatives if a bedroom is vacant; however most choose to stay in their relative’s bedrooms. A thank you card recently received by the home stated, “In her last few days she wanted for nothing, thanks for the superb care”. Woolton Grange Care Home DS0000064524.V283046.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): 14 and 15 Residents must be able and encouraged to make choices in their lives in every aspect of their daily routine. EVIDENCE: Residents were observed sitting in the lounge watching the television. Children’s television was on but the residents could not hear, as the sound was very low. Two ladies explained that they would like to watch an episode of “Trisha” and when asked why they were watching children’s TV, they replied, “It doesn’t really matter what you watch if you can’t hear it”. Another resident commented, “The staff are not interested in us”. This was fed back to the deputy manager at the time and the television channel was changed to the one requested by the residents. A menu was in place detailing what was available for breakfast that day, however residents were not aware of any choices for lunch or dinner. One resident said “there isn’t much choice on offer”, “I would like to know in advance of any choices of meals I could have”. This has not been addressed by the manager despite being highlighted during the last inspection. The kitchen area was checked and found to have good stocks of foods for residents to eat. Chef explained that he caters for three vegetarian diets, two Woolton Grange Care Home DS0000064524.V283046.R01.S.doc Version 5.1 Page 12 soft diets, one liquidised diet and five diabetic diets and explained how these are presented so as to look appetising. The freezer in the dry storeroom was noted to need defrosting and need its handle repairing to ensure the freezer id safe to operate. Woolton Grange Care Home DS0000064524.V283046.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): None of the above standards were assessed during this inspection. EVIDENCE: No new staff have been employed at the home since the last inspection. Woolton Grange Care Home DS0000064524.V283046.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 The layout, facilities and location of the home are suitable for the residents who live there. EVIDENCE: The home was found to be warm, well lit and clean. Residents stated they were happy with the accommodation and communal living areas at the home stating it was “ nice”, “cosy” and “a great place to live”. A visitor commented that she felt the home environment was a “pleasant place” and that she felt happy leaving her relative when she goes home. A small car park is available at the side of the home and there is plenty of parking on the main road. Residents access the home mini bus by either walking or using their wheelchairs. Staff stated that this bus usually parks right outside the entrance so residents don’t have far to walk. Woolton Grange Care Home DS0000064524.V283046.R01.S.doc Version 5.1 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 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 Not all staff are up to date with training and may not have the necessary skills to care for residents, however the home have planned to address this shortly. Specialist training is offered to staff and above 50 of staff are now working towards one. EVIDENCE: The home are currently placing staff on NVQ (National Vocational Qualification) training courses. The manager stated that by March 2006, 11 out of the 20 care staff would be studying towards this qualification. When and if all staff complete this the home will have above 50 of care staff that have a specialist qualification. The home must continue to promote this training for staff to ensure that the target is met in order for staff to have a better understanding about the ‘care home’ working environment. Staff interviews and training records showed that recent training had been completed on medication and abuse awareness. Distance learning opportunities are being offered to staff (so they can learn as they work) on many subjects such as infection control and first aid. Dates were shown for planned training at the home on fire safety and health and safety. Staff interviewed stated that training opportunities had increased over recent months and felt that they could approach the manager to request specialist training if they wanted to attend a course. Woolton Grange Care Home DS0000064524.V283046.R01.S.doc Version 5.1 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 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): 35 and 38 A good standard of record keeping safeguards residents’ financial interests and the home maintains the health and safety of staff and residents at all times, protecting them from harm. EVIDENCE: A sample of financial records were checked for six residents. The home operates a non-interest baring account that is currently used for eight residents. A small float is kept on site at the home for residents to access if they need to. The administrator keeps good records and receipts were available for all transactions. The health and safety certificates for the home were checked and found to be up to date. These are done at various intervals to ensure that environmentally, the home is kept in good working order to protect the residents. The home had been visited recently by the fire officer who recommended that the fire doors Woolton Grange Care Home DS0000064524.V283046.R01.S.doc Version 5.1 Page 17 timer mechanism be linked to the control panel. This would make sure that all fire doors automatically shut at a specific time for example at night. This adds further protection in the event of a fire. It is strongly recommended that this be completed as soon as possible. Accident records were found to be satisfactory. Woolton Grange Care Home DS0000064524.V283046.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 2 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X X STAFFING Standard No Score 27 X 28 3 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 3 Woolton Grange Care Home DS0000064524.V283046.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? YES 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 OP9 Regulation 13(2) Requirement Timescale for action 05/02/06 2 OP14 24(1) 3 OP30 18(1) The registered person must ensure that medication administration records are recorded contemporaneously and accurately. (Remains outstanding from previous report: timescale of 1.12.05 not met) The registered person must ensure that all controlled drugs are correctly recorded The registered person must 01/03/06 ensure that the wants and needs of residents are listened to and addressed, especially in regard to choice of television programmes and meal choices The registered person must 30/06/06 ensure all staff are trained in mandatory subjects Woolton Grange Care Home DS0000064524.V283046.R01.S.doc Version 5.1 Page 20 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. Refer to Standard OP15 Good Practice Recommendations The registered person may wish to ensure that all residents are aware of what meals they are having and what alternatives are on offer. The freezer may need a new handle and it is recommended that is defrosted. The inspector recommends that the registered person carries out his plans to enrol staff on NVQ training and continues with this training for all staff. The inspector recommends that the registered person carry out the suggestion of the fire officer regarding the fire exit door timers being connected to the main fire panel. 2 3 OP28 OP38 Woolton Grange Care Home DS0000064524.V283046.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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. 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