Care Home: Grove Hill Residential Home

What the care home does well There is a clear admission procedure, which ensures people `get to know` the home and staff, before they decide upon moving in. People are given a range of information to enable them to decide if the home is suitable for them. People and those important to them are fully involved in the assessment and care planning processes. People receive a very person centred service, which shows an attention to detail. There is a clear focus on enabling people to live their lives as they wish. The home is comfortable, clean and well maintained. The medicine administration systems are well managed therefore reducing the risk of error. The procedure for recruiting staff is organised and thorough so that people can be assured that any prospective staff member is suitable to work with them. Staff training is given priority so that staff have the knowledge and skills to meet people`s needs effectively. The staff team are motivated and committed to enhancing people`s wellbeing. What the care home could do better: A staff member should ensure that they date and countersign any handwritten medicine administration instruction to minimise the risk of error. Random inspection report Care homes for older people Name: Address: Grove Hill Residential Home Grove Hill Highworth Swindon Wiltshire SN6 7JN three star excellent 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 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: Alison Duffy Date: 2 4 0 6 2 0 1 0 Information about the care home Name of care home: Address: Grove Hill Residential Home Grove Hill Highworth Swindon Wiltshire SN6 7JN 01793765317 01793765553 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr James William Charles Dunn Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr James William Charles Dunn care home 27 Number of places (if applicable): Under 65 Over 65 0 27 dementia old age, not falling within any other category Conditions of registration: 27 0 The maximum number of service users who can be accommodated is 27 The registered person may provide the following category of service only: Care home only - Code PC 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) Dementia (DE) Date of last inspection Care Homes for Older People Page 2 of 9 Brief description of the care home Grove Hill is a private residential home offering accommodation and personal care to 27 people over the age of 65. The service is also able to accommodate people under and over the age of 65 years with a dementia. The table above, stating that the service can only accommodate people under the age of 65 years is an error. Grove Hill was first registered in 1986. The home is situated close to the centre of Highworth with easy access to local amenities. There is a regular bus service to Swindon town centre. Ample parking facilities are available at the front of the property. The accommodation consists of both shared and single bedrooms, which are located on the ground, first and second floor. A passenger lift has been installed, which services all floors. In addition there is a lounge, a dining room and two small seating areas on each floor. The home is normally staffed by four members of staff in the morning and afternoon. In the evening, there are generally three members of staff. There are two waking staff members on duty throughout the night. Care Homes for Older People Page 3 of 9 What we found: This unannounced random inspection took place on the 24th June 2010 between 10.30am and 2.30pm. Mr Dunn was available throughout our visit and received feedback. We sent the service surveys, for people to complete if they wanted to. We also sent surveys to be distributed to members of staff and health/social care professionals. This enabled us to get peoples views about their experiences of the service. Five people using the service completed surveys and returned them to us. Within our site visit, we met with people using the service and one relative. We looked at the assessment documentation and care plans of two people who had most recently moved to the service. We looked at accident reports and the recruitment and training documentation of two newly appointed members of staff. We looked around the home with Mr Dunn. The last inspection of this service took place on the 2nd May 2007. We saw that the assessments of the two people most recently admitted to the service were fully completed, detailed and comprehensive. Some assessment documentation included a tick style format yet additional information had been added to ensure greater clarity. Other documentation identified details about the persons general health, emotional, social and cultural needs. There was a form headed My life before you knew me. This contained detailed information which was well written and person centred. There was a copy of the assessment undertaken by the persons placing authority. This information matched what was written within the homes own assessment. Mr Dunn told us that he involved the person, their family and any others, who were involved in the persons care, within the assessment process. One person using the service confirmed this. They told us we had a really thorough discussion about what I needed. They spoke to my XX as well which was good. It was all about what we wanted and they have followed it through. Everything is right, down to the smallest detail. They make us feel that we really matter. They continue to ask us if there is anything else we need or if there is anything we want changed. The person using the service told us that they were given written information about the home whilst deciding to move in. This included the homes Statement of Purpose and the last inspection report. This was evidenced within the persons assessment documentation. Staff told us that when the person moved into the home, the assessment process continued. They said they got to know the person and added any additional information, to the persons assessment. They said that after approximately a month, a care plan would be devised, with the person. Mr Dunn showed us the homes policy regarding the care planning process. It was detailed and showed the timescales that staff needed to work towards. We looked at the care plans of two people. They contained detailed, comprehensive, person centred information. There was a strong emphasis on peoples lives before moving to the home. This included important events, individual preferences, core values and beliefs. One person using the service told us that they were able to contribute fully to their care plan. They said they were given the opportunity to make Care Homes for Older People Page 4 of 9 changes to the information, when it had been written. We saw that the person had signed their care plan to agree its content. People had been assessed in relation to their risk of falling and of developing a pressure sore. There was a medicine profile within the care plan. This identified the medicines the person was prescribed, the reasons for the prescription and possible side effects. Mr Dunn told us that people regularly had their medicines reviewed by their GP. A person using the service confirmed this. Staff told us that they received training before administering peoples medicines. We saw that a monitored dosage system was used for peoples medicines. The system was ordered and well managed. Staff had consistently signed the medicine administration record to show they had administered the medicines, as prescribed. We advised that any handwritten medicine instruction was signed, dated and countersigned by another member of staff. This would reduce the risk of error. We saw that controlled drugs were stored in a locked facility within the medicine trolley. This did not comply with legislation. Mr Dunn said he would purchase a new controlled drug cupboard and would have it fitted without delay. At the end of our visit, Mr Dunn showed us the cupboard he had selected to meet the homes needs. We looked at the accident records and saw that the majority of entries identified falls. The entries were clear and well written. Mr Dunn had informed us of any incident as required under regulation 37. We saw that the environment was comfortable, clean and well maintained. Peoples bedrooms were personalised to a high degree. They had easy access to their call bell. Mr Dunn told us that since the last inspection, a new shower room had been installed. There had been on going redecoration of the home. A new lock on a bathroom door, which conformed to the requirements of the Fire and Rescue service, had been installed. We looked at the recruitment and training records of the two most recently appointed staff members. The files were ordered and well maintained. There was an application form, two written references and a health care questionnaire. There was documentary evidence of the persons identity. There was evidence that the persons suitability to work with vulnerable people had been checked. Staff members had undertaken a range of mandatory training. This included the protection of vulnerable adults, first aid, manual handling, dementia awareness and dealing with aggression. Staff told us that the opportunities for staff training were good. They said that they could request training in certain areas if needed. Within surveys, people told us that they always received the care and support they needed. They said staff were always available when they needed them. People said that staff always listened and acted on what they said. They said the home was always fresh and clean. In relation to what the home did well, one person said there are always some sort of activities going on. Staff are well trained and very helpful. They are always around for you when needed. They make relatives feel very welcome. Another person said no complaints, find food fine. The home sees to all my medication. All clean and tidy. Nothing else to say, all is well. Other comments in relation to what the home did well were everything, the care given is second to none and staff are friendly. A Care Homes for Older People Page 5 of 9 relative told us everything to do with XXs care is done well. XX has been so happy since s/he has been in Grove Hill and everyone is so helpful. 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 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Older People Page 7 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 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 9 A staff member should ensure that they date and countersign any handwritten medicine administration instruction in order to minimise the risk of error. 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. 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