Care Home: Ings Grove House

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What the care home does well All the people and visitors spoken with during this visit were very complimentary about the service and the staff in the home. Three people said they would like to stay permanently at the home, they liked it so much. Everyone spoken with said the food was excellent. People who were in the home for short breaks were happy. People on the rehabilitation unit were very pleased with the support they received and the positive progress and improvements to their independence.One person and their relative said they had feared the person would not recover sufficiently from a fall to be able to return home, however that relative now felt better than they had done for years and was looking forward to returning home. People on the respite unit said they were "happy to stay here" and that it was "very good here". One person in their survey said, " I look forward to my stays in Ings Grove and enjoy the time I spend there". A relative said in their survey "Generally the conditions and service is excellent. I feel every aspect of the home is excellent and if I were to send thanks a million times it wouldn`t be enough". Everyone confirmed they had the information they needed and that staff were helpful and approachable. During the visit staff and people staying at the home chatted constantly and there was a good level of fun and banter, giving the home a welcoming atmosphere. The home is well designed and maintained; people said it is always clean and tidy. The staff team is trained and skilled. One person commented in the survey, " I think from my point of view, everything was done very efficiently. I was very impressed". The home is well managed and care is taken to ask people using the service how it was during their stay and if things could be changed or improvements made. What has improved since the last inspection? Since the last inspection the care records held have improved. The management of medications has improved and is checked regularly to make sure it is running correctly. Staff have received training about protection people from possible abuse and how to report any suspicions of abuse. Staff training records have been updated since the last visit and are now up to date. Records about people`s finances have improved and were clear. What the care home could do better: The home could improve the way they record some of the staff training records, such as the fire training records. The acting manager would then be able to look at records and quickly identify the people still needing training. The way that the home records complaints could be improved. The records should clearly identify what the complaint or concern is, details of the investigation and outcome of the investigation and details of any action that has been taken in light of the findings of the investigation. CARE HOMES FOR OLDER PEOPLE Ings Grove House Doctor Lane Mirfield WF14 8DP Lead Inspector Sally McSharry Key Unannounced Inspection 18th October 2007 13:00 18/10/07 13:00 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 Ings Grove House DS0000067961.V352185.R01.S.doc Version 5.2 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. Ings Grove House DS0000067961.V352185.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ings Grove House Address Doctor Lane Mirfield WF14 8DP 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) 01924 326475 01924 326476 vicky.griffen@kirklees.gov.uk www.kirklees.gov.uk Kirklees MC Position vacant Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability (40), Physical disability of places over 65 years of age (40) Ings Grove House DS0000067961.V352185.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Can only admit service users over the age of 50 years. Date of last inspection 9th November 2006 Brief Description of the Service: Ings Grove House is a purpose built home registered to provide respite care; short stay and intermediate care for up to forty people. The rooms provided are single, en-suite with a nurse call system. All rooms have their own television. There are two floors that may be accessed via a lift. The home is located in its own grounds and there are car parking facilities. Ings Grove House is situated adjacent to parkland close to Mirfield town centre and is near the local shops and facilities. The home is staffed twenty-four hours a day and there are wakeful night staff on duty. The provider informed the Commission for Social Care Inspection on 03/10/07 that the fees range from £140.00 to £514.09 per week. There is no charge for intermediate care for up to six weeks. There are additional charges for hairdressing, newspapers and private chiropody. Information about the home and the services provided are available from the home in the statement of purpose and the service user guide. Ings Grove House DS0000067961.V352185.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As part of a key inspection an unannounced visit took place. This visit to the service started at 13:00 and ended at 18:45. This was a very positive and enjoyable visit where a number of improvements were noted. There was the opportunity to speak to people using the service, the Acting Manager, team leaders, care staff and the Regional Manager. Other information considered included the previous inspection report, the Annual Quality Assurance Assessment (AQAA), the service history and thirteen returned CSCI surveys. One person called in to the CSCI office to make positive comments about the home and one person rang to speak with the inspector. Time was spent chatting with a number of people staying at the home and reviewing the records of four of these people. Two sets of visitors were also spoken with. The inspector looked at assessments, care plans, reviews, daily and medical records. Four staff files were also seen and included, references, Police and POVA checks, training, and supervision records. The monthly management reports and on going annual quality audits provided by the service were also inspected. A tour of the premises was undertaken which included, lounges, dining rooms, bedrooms, toilets and viewing the garden. The inspector would like to take the opportunity to thank everyone for their hospitality and patience throughout this visit to the home. What the service does well: All the people and visitors spoken with during this visit were very complimentary about the service and the staff in the home. Three people said they would like to stay permanently at the home, they liked it so much. Everyone spoken with said the food was excellent. People who were in the home for short breaks were happy. People on the rehabilitation unit were very pleased with the support they received and the positive progress and improvements to their independence. Ings Grove House DS0000067961.V352185.R01.S.doc Version 5.2 Page 6 One person and their relative said they had feared the person would not recover sufficiently from a fall to be able to return home, however that relative now felt better than they had done for years and was looking forward to returning home. People on the respite unit said they were “happy to stay here” and that it was “very good here”. One person in their survey said, “ I look forward to my stays in Ings Grove and enjoy the time I spend there”. A relative said in their survey “Generally the conditions and service is excellent. I feel every aspect of the home is excellent and if I were to send thanks a million times it wouldn’t be enough”. Everyone confirmed they had the information they needed and that staff were helpful and approachable. During the visit staff and people staying at the home chatted constantly and there was a good level of fun and banter, giving the home a welcoming atmosphere. The home is well designed and maintained; people said it is always clean and tidy. The staff team is trained and skilled. One person commented in the survey, “ I think from my point of view, everything was done very efficiently. I was very impressed”. The home is well managed and care is taken to ask people using the service how it was during their stay and if things could be changed or improvements made. What has improved since the last inspection? What they could do better: Ings Grove House DS0000067961.V352185.R01.S.doc Version 5.2 Page 7 The home could improve the way they record some of the staff training records, such as the fire training records. The acting manager would then be able to look at records and quickly identify the people still needing training. The way that the home records complaints could be improved. The records should clearly identify what the complaint or concern is, details of the investigation and outcome of the investigation and details of any action that has been taken in light of the findings of the investigation. 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. The summary of this inspection report can be made available in other formats on request. Ings Grove House DS0000067961.V352185.R01.S.doc Version 5.2 Page 8 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 Ings Grove House DS0000067961.V352185.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People admitted to the home are assessed before admission and receive support at the home to maximise their independence. EVIDENCE: Information about the service is available to people considering Ings Grove House for respite or rehabilitation care. Since the last visit to the home they have developed an “ Occupancy coordinators” post. The current temporary occupancy coordinator helps to plan respite care, provides information about the unit, carries out pre admission assessments and obtains copies of assessments done by other health care professionals on prospective residents. The coordinator also contacts people to arrange a time Ings Grove House DS0000067961.V352185.R01.S.doc Version 5.2 Page 10 for their admission and advises which member of staff will be meeting them when they arrive. Ings Grove House has implemented this system to help people settle into the home and organise admissions and discharges on the busy respite unit. People staying at the home confirmed they had received information about the home before arrival. Copies of pre admission assessments were seen in care records. People admitted to the home are from a wide local area with differing needs and backgrounds. Although people are admitted to the home for a short period staff try to make sure they have the information they need to make each persons care individual and ensure their health and welfare needs are met. Ings Grove House DS0000067961.V352185.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 10. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s health and welfare needs are met, medications are managed well and people’s privacy and dignity is maintained. EVIDENCE: Since the last visit to the home the standard of care records have improved. Records are signed and dated by staff, assessments are completed and information is up to date. Care plans advise staff how to meet people’s health and welfare needs. There is evidence in care records that other health care professionals are asked to visit and provide support where needed. Medication management has improved. Policies and procedures have been reviewed and new safeguards put in place to ensure medications are managed properly. There is now a detailed policy and risk assessment for people who Ings Grove House DS0000067961.V352185.R01.S.doc Version 5.2 Page 12 wish to self medicate and this is encouraged to maintain peoples independence. There is also a checking system to monitor that people are managing to self-medicate safely. The samples of medications checked during this visit were correct and tallied with records. People using the service at the time of the visit and relatives visiting were very clear that Ings Grove House provides an excellent service. People said they could not fault the service and that they were treated well and respected during their stay. One relative said in a returned survey “ They appear to treat each person as an individual”, and “ As far as I could see everyone was treated with respect”. Ings Grove House DS0000067961.V352185.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People in the home are able to exercise choice and control, they have access to activities and there are no restrictions on visiting. The standard of meals provided is very good. EVIDENCE: People in the home said there were activities offered, all but one survey returned by people who had stayed in the home confirmed this. One person said in their returned survey “ I enjoy being with other people and joining in with most of the activities. Time goes quickly”. Staff in the home said there are now two volunteers and an activities person who work three days a week offering activities. The home recently organised an entertainer who visited and a buffet tea was provided to mark the occasion. There are no restrictions on visiting at the home, relatives and people at the home confirmed this during the visit and in returned surveys. Contacts with Ings Grove House DS0000067961.V352185.R01.S.doc Version 5.2 Page 14 the local community are maintained and the minister from the local church visits on a monthly basis. People in the home are encouraged to maintain and improve their independence whilst at Ings Grove House. People said that they had come to the home after being in hospital or a fall and had been helped to improve their mobility and independence. People are able to make choices whilst at Ings Grove House and are involved in decision making about returning home. Everyone asked about the meals said, without hesitation, they were excellent. The meal provided at the time of the visit was appetising. Lots of home baking is provided and many people in the home and their visitors commented positively on this. The catering staff have achieved two awards, one for the cleanliness of the kitchen and the other for the standard and variety of meals provided. Ings Grove House DS0000067961.V352185.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. There is a clear complaints procedure and people are protected from abuse. EVIDENCE: The complaints procedure is included in the statement of purpose, service user guide and welcome pack. The complaints procedure is also available in each bedroom in the home. People said at the visit and in returned surveys that they would be happy to raise concerns with any member of staff and would be confident these would be addressed. Any complaints made are currently recorded on the person’s individual file. This makes it difficult to review complaints. It is recommended a complaints file be maintained to maintain an overview and identify any developing patterns. Since the last inspection all staff have received safeguarding training, which helps members of staff identify different types of abuse and informs them how to report it. Staff in the home at the time of the visit had a good knowledge of the safeguarding policy and procedures. Ings Grove House DS0000067961.V352185.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a well designed well maintained care home. EVIDENCE: Ings Grove House is a relatively new purpose built care home. It offers wellequipped and designed accommodation. The home is being maintained to a good standard. It was clean and tidy during this visit. People confirmed that they feel the accommodation is comfortable and clean. People staying at the home for respite care are informed which room they are going to stay in and where possible those that have regular respite stay in the same room. Ings Grove House DS0000067961.V352185.R01.S.doc Version 5.2 Page 17 Some rooms have overhead tracking into the en suite facilities for those needing to use the hoist. Those people who returned surveys all said the home is always clean and fresh. The acting manager spoke of plans to build a conservatory to extend the ground floor lounge. Ings Grove House DS0000067961.V352185.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Generally people are cared for by skilled and competent staff, in sufficient numbers to meet people’s needs. EVIDENCE: Visitors and people staying at the home commented on the kindness and caring skills of the staff team. Two people specifically named one member of staff for their constant help and support. In surveys people said, “All staff at the care home are professional about their work standards”, “ Staff are helpful” and “All staff appear well trained”. Three staff surveys were returned. In surveys staff said there was a good team who all worked to provide a good level of care, however at times they felt that they were short staffed and unable to provide care to the level they wanted to. This was discussed with the regional manager. He advised that staffing levels were flexible and that when needed, extra staff had been provided. Staff in the home confirmed this had taken place. Admissions to the respite unit are being planned in a more ordered way to ensure there are sufficient staff on duty to deal with new people properly. Ings Grove House DS0000067961.V352185.R01.S.doc Version 5.2 Page 19 The registered provider and manager should monitor staffing levels to ensure there are sufficient staff to meet the needs of the people in the home at all times. There is currently 83 of care staff at Ings Grove House trained to National Vocational Qualification (NVQ) level 2 in care. This is well above the recommended standard. The acting manager advised that they aim to have 100 trained to this level. Samples of care staff records were checked. These showed that recruitment records contained the necessary checks and reference to help protect people from potentially unsuitable members of staff. Supervision and training records show that staff have received the training they require to help them care for people requiring rehabilitation and respite care. The way in which fire training is recorded could be improved, so that the acting manager can see clearly who has received training and taken part in fire drills. Sufficient staff have obtained first aid training to ensure there is a first-aider on duty every shift. Ings Grove House DS0000067961.V352185.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Ings Grove House is well managed and run in the best interests of the people staying there. EVIDENCE: The registered manager of the home left in August 2007. An acting manager has been appointed to cover until the newly recruited manager can start work. The new manager is due to commence work at Ings Grove House in November. The acting manager has ably supported the home and ensured its smooth running. Ings Grove House DS0000067961.V352185.R01.S.doc Version 5.2 Page 21 The home has a thorough quality assurance system. Questionnaires are sent out to everyone who has used the service, resident and staff meetings are held and the content recorded and a suggestion box has recently been put up. People’s comments are summarised about every six months and an action plan developed to address any issues identified. Staff at the home, and managers within Kirklees, also audit systems in the home to ensure they are running smoothly. Most people staying at Ings Grove House are there for a short period and are able to manage their finances independently. The home does hold some small amounts of money safely for some people. Two people’s finances were audited and found to be correct. Ings Grove House has a planned maintenance programme to ensure the health and safety of people is maintained. Ings Grove House DS0000067961.V352185.R01.S.doc Version 5.2 Page 22 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 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Ings Grove House DS0000067961.V352185.R01.S.doc Version 5.2 Page 23 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. Standard Regulation 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. Refer to Standard OP16 Good Practice Recommendations The way that the home records complaints could be improved. The records should clearly identify what the complaint or concern is, details of the investigation and outcome of the investigation. Details of any action that has been taken in light of the findings of the investigation. The home could improve the way they record some of the staff training records, such as the fire training records. The acting manager would then be able to look at fire training records and quickly identify the people still needing training. 2. OP30 Ings Grove House DS0000067961.V352185.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND National Enquiry Line: 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 © 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 Ings Grove House DS0000067961.V352185.R01.S.doc Version 5.2 Page 25 - 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. 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