Jenny Gray Home Care Home Service

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1 Jenny Gray Home Care Home Service Melville Street Lochgelly KY5 9JD Telephone: Type of inspection: Unannounced Inspection completed on: 8 June 2017 Service provided by: Fife Council Service provider number: SP Care service number: CS

2 About the service Jenny Gray Home provides care to a maximum of 32 older people. There are 26 permanent places and six respite beds. The two-storey care home is situated in its own spacious grounds, in a residential area near Lochgelly town centre. There are level access gardens with pleasant areas to sit in around the house and grounds, good access into the house and onsite parking for visitors. The people who live in Jenny Gray Home prefer to be known as residents, therefore this term has been used throughout this report. What people told us We spoke with five service users throughout our inspection. We received back two Care Standard Questionnaires (CSQs) which we asked the service to randomly distribute to residents and relatives or other representatives. Comments made in person to us and in the CSQs were used to inform our report and included: "There are no negatives. Staff are wonderful. Very personal towards people who are here. My elderly parents are made very comfortable and so are we - their family. My father likes his food, he says the food is good - so it must be. They don't involve themselves much with anything, mum did initially but not now. My dad watches TV - he is quite happy with that. I'm happy about the new home, I imagine it will be lovely. There's a lot of pluses about this place. It's just nice. The staff are just nice." "I like it here, I'm just happy the way it is. If anything needs sorted, they sort it. Can't ask for any more than that." "I like it here. Staff are very good and very good with me. Very happy with how they treat me, speak to me and help me. I think there is enough to do - I enjoy the quizzes. Won't know what the new home is like until you get there - but I'm looking forward to it anyway." "I don't think you could get a better home. My wife used to come here for daycare, thought it would also be good for long term care, and she loves it. Could not get better and I've recommended it to others." "Very good here, I like it because I like it and that's it. They take good care of me. In all walks of life there are some people who are better than others and here is no different. The majority are good though. Food is good and you can have as much as you want." "The people here are very good, can't do enough for you. Staff are well trained aye, they ken their jobs. And they are all nice. They help each other out." "I love it here- everything. Everybody is very nice and I get on well with them all. There is something to do, or you can find something to do. I like to chat, like having company. The food is good - no complaints about that. Looking forward to the new home, my son says I will love it, just got to have patience and wait for the move and I have a lot of patience." page 2 of 7

3 Self assessment Services are not required to submit a self-assessment for this inspection year. From this inspection we graded this service as: Quality of care and support Quality of environment Quality of staffing Quality of management and leadership 5 - Very Good not assessed not assessed 5 - Very Good What the service does well The service is merging with another home and jointly moving to new premises towards the end of this year. The local authority has done this with other residential services in the area and with this transition phase in mind they have appointed an interim manager experienced in the processes of transitioning a service. At the current time a lot of consultation is taking place in small stages (to avoid overloading the elderly residents with too much information) around areas such as the name of the new home, a sensory garden, the new fittings of the home and the extent to which relatives wish to be involved in the consultation process. A laptop at the front door keeps people updated with rotating photos of the new build's development. The focus of the home is to maintain current good standards whilst focusing on the tasks of closing the home and preparing for the move. Transition work is taking place with care plans also, to bring them into alignment with the other home being merged. Care plans are generally of a good standard, care alerts are placed at the front, providing a snapshot of residents' needs which is good practice. There is good evidence of responsive care and the involvement of the multidisciplinary team. There was a focus on what tasks residents could manage themselves and what assistance they required, this promoting residents retaining their daily living skills and independence. They contained risk assessment tools in order to promote the safety and wellbeing of residents and were regularly reviewed. During our inspection we saw that residents were well dressed, appeared happy, relaxed and responded positively to support offered by staff. Staff offered care to residents in a respectful and caring manner. Many of the staff have worked at the home for many years, and know each other and residents and their families very well. This fosters good team work (which was commented on positively by people we spoke to) and promotes positive outcomes for service users. What the service could do better Care plans are generally of a good standard, but could be more person centred and outcome focused. This was discussed at feedback and this is an area the service intend to improve as part of the transition process to the new home. Within a care plan we found that a continence care plan and a MUST (nutritional screening tool) had not been completed correctly. These tools are only as useful as they are well completed, therefore this is an area of improvement in order to ensure residents' needs are met as they should be. (See recommendation 1). page 3 of 7

4 We saw that six month reviews were not being held in good time in all cases, as required by law. (See requirement 1). The home does not have an activities coordinator. Whilst we saw from photographic and written evidence that activities are held within the home, there is little evidence that they are person centred or outcome focused. A number of people are recorded as routinely declining activities with no evidence of investigation as to why. These residents in particular need an individualised assessment of what they want to do. (See recommendation 2). Requirements Number of requirements: 1 1. The service should ensure that six monthly reviews are taking place in order to comply with legislation. SSI 2011/210 5 Personal Plans. Timescale: Immediately on receipt of the report. Recommendations Number of recommendations: 2 1. The service should review its risk assessments and ensure their completion is fit for purpose. National Care Standards Care Homes for Older People Standard 5 2. The service should review its activities provision to ensure activities provided are meaningful for all residents. National Care Standards Care Homes for Older People Standard 5 Complaints There have been no complaints upheld since the last inspection. Details of any older upheld complaints are published at Inspection and grading history Date Type Gradings 17 Jun 2016 Unannounced Care and support Management and leadership 17 Jun 2015 Unannounced Care and support page 4 of 7

5 Date Type Gradings Management and leadership 8 Jul 2014 Unannounced Care and support Management and leadership 4 Jul 2013 Unannounced Care and support Management and leadership 15 Aug 2012 Unannounced Care and support Management and leadership 15 Nov 2011 Unannounced Care and support Management and leadership 16 May 2011 Unannounced Care and support Management and leadership 2 - Weak 15 Mar 2011 Re-grade Care and support Management and leadership 23 Nov 2010 Unannounced Care and support Management and leadership 30 Sep 2010 Announced Care and support page 5 of 7

6 Date Type Gradings Management and leadership 27 Jan 2010 Unannounced Care and support Management and leadership 11 Nov 2009 Announced Care and support Management and leadership 5 Feb 2009 Unannounced Care and support Management and leadership 28 Aug 2008 Announced Care and support Management and leadership page 6 of 7

7 To find out more This inspection report is published by the Care Inspectorate. You can download this report and others from our website. Care services in Scotland cannot operate unless they are registered with the Care Inspectorate. We inspect, award grades and help services to improve. We also investigate complaints about care services and can take action when things aren't good enough. Please get in touch with us if you would like more information or have any concerns about a care service. You can also read more about our work online at Contact us Care Inspectorate Compass House 11 Riverside Drive Dundee DD1 4NY enquiries@careinspectorate.com Find us on Facebook Other languages and formats This report is available in other languages and formats on request. Tha am foillseachadh seo ri fhaighinn ann an cruthannan is cànain eile ma nithear iarrtas. page 7 of 7

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