Care Home: Cedar Grange

What the care home does well This report has found mainly positive outcomes. The staff were seen to be working well with good training being made available. Service users stated their satisfaction. What the care home could do better: It is important to insist on full service user needs assessments from placing authorities prior to admission. Training of all care staff in the new care plan format should ensure a good consistent standard is achieved. Through constant vigilance and communication with with supporting medical professionals, the standard of in house medication practices should be maintained. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Cedar Grange Crosslanes Landstephen Launceston Cornwall PL15 8JN two star good service 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Michael Dennis Date: 1 0 1 2 2 0 0 8 Information about the care home Name of care home: Address: Cedar Grange Crosslanes Landstephen Launceston Cornwall PL15 8JN 01566773049 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Cornwall Care Ltd care home 60 Number of places (if applicable): Under 65 Over 65 0 0 60 0 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: 60 60 0 60 The registered person may provide the following category of service only: Care home with Nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (Code OP) - maximum 60 places Physical disability (Code PD) maximum 60 places Dementia (Code DE) - maximum 60 places Mental disorder, excluding learning disability or dementia (Code MD) - maximum 60 places The maximum number of service users who can be accommodated is 60. Date of last inspection Care Homes for Older People Page 2 of 7 Brief description of the care home Cedar Grange is a new purpose built home and provides care for 60 elderly people who need care for the reason of old age, dementia, mental disorder, and physical disability. The home also provides nursing care. The building is slit into four units or suites as they are known, each accommodating up to 15 residents. Each suite has a personalised name. Keypads on entrances aid security. Each suite has a kitchenette which allows some simple food and drink preparation - dining area and sitting room and adequate bathing and toilet facilities. Main meals are prepared in the main kitchen, and are transported to each wing by a heated food trolley. Activities are arranged within the home and service users can also partake of activities and functions arranged by the day centre if they so choose. As stated, Cedar Grange is a new build home. It is modern, well designed and offers an array of facilities which are detailed in more depth under the `environment section of this report. The weekly fees at May 2008 were given as from #600 to #1000 Care Homes for Older People Page 3 of 7 What we found: This was a random unannounced inspection. The purpose of the inspection was to focus on specific key national minimum standards as identified following a safeguarding meeting. The role of the CSCI is to determine if a breach of regulation has occurred. We were on the premises for four and a half hours. The methods used were discussion with the manager, staff, and residents, inspection of records and documents, observation of the daily life of the home and inspection of the premises. We are grateful to the providers, staff and residents for their assistance in completing the inspection. We found that the service users case tracked all had preadmission assessments conducted by staff at the home. The majority also had nursing needs assesments drawn up by the placing authorities. These assessments led to the compilation of care plans which were seen to be regularly reviewed. A new format for care planning has been introduced. Staff are currently receiving training on how to maintain these plans. We found evidence indicating that multi disciplin meetings have taken place in respect of some service users to sort out problems that have arisen. We found that medication practices were generally positive. There have been two misunderstandings. The manager is in the process of meeting with the surgery and pharmacist to ensure a continuity of service in future. We considered that staffing levels were appropriate given the number of service users currently accommodated. We were satisfied that current health and safety issues regarding service users is appropriate. We are assured that management will keep these under review in an attempt to balance choice and independence against risk. 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 4 of 7 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 5 of 7 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, Care Homes 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 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 2 3 4 3 7 9 38 Obtain full nursing needs assessments from placing authorities whenever possible Strive to improve on the standard of recording in care plans above and beyond satisfactory levels already achieved. Maintain good professional links with doctors and pharmacists to maintain positive working practices Keep under review the health and safety of service users through a risk management process. Care Homes for Older People Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. 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