Random inspection report
Care homes for adults (18-65 years)
Name: Address: Care Stanley Grange Samlesbury Preston Lancashire PR5 0RB 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 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: Phil McConnell Date: 1 8 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Care Stanley Grange Samlesbury Preston Lancashire PR5 0RB 01254852878 01254851154 Telephone number: Fax number: Email address: Provider web address: www.selfunlimited.co.uk Name of registered provider(s): Name of registered manager (if applicable) Miss Kelly Estelle Livesey Type of registration: Number of places registered: Conditions of registration: Category(ies) : Self Unlimited care home 42 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 42 The registered person may provide the following categories of service only. Care Home only code PC; to people of the following gender - either; Whose primary care needs on admission to the home are within the following categories: Learning Disability - code LD The maximum number of people who can be accommodated is: 42 Date of last inspection Brief description of the care home Stanley Grange is located in a rural setting half a mile from the A 675, which is one of the main roads linking the towns of Preston and Blackburn. Because of its rural setting, access to local facilities such as post office, shops, public house is via the half-mile walk for the service users or an escort is provided from the home. The service does have a number of vehicles, which are available to be used for transport for the service
Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home users. Stanley Grange is one of eight communities run by the Self Unlimited organisation and provides a range of accommodation and day care facilities for people with a learning disability. There are a number of cottages that surround a central green. Each cottage houses a varying number of residents. One cottage has recently been refurbished to provide specialist accommodation for three gentlemen who have autism. Another of the larger cottages has been decommissioned and is awaiting demolition. There are also five flats that are used for the residents. Residents live in the flats with agreed support networks, to develop their independence living skills. The complex also has an administrative block and a reception area. In this block there is also an IT suite, a pottery workshop and a photographic laboratory, all of which are used by the residents on a regular basis. Information relating to the establishments Service User Guide and Statement of Purpose is included in the welcome pack, which is given to all prospective residents. This information explains the care service that is offered, who the owner and staff are, and what the resident can expect if he or she decides to live at the home. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
This Random inspection visit was carried out to look at the Personal and Healthcare Support and the Concerns, Complaints and Protection Outcomes in the Care Standards for Care Homes for Adults (18-65). The manager for Care Stanley Grange was available throughout the inspection visit. The manager has applied to be registered with the Care Quality Commission (CQC). Five of the service users files were examined and they were found to be very well organised and presented, with a photograph of the person being supported. The files contained, Essential lifestyle plans, which were in a pictorial format, they were very informative and detailed. The plans are person centered, giving specific individualised information to enable the person to be supported in the way they want, which included, Things I like to do, dislikes, whats important to me, support needs , religious needs, (spiritual and social) education and employment and fully detailed daily living routines. Peoples health action plans were incorporated into their Essential Lifestyle plans. All of the documentation was also available in a pictorial format. Health and Welfare check lists are also maintained, with recorded evidence that regular health support access is available including, GPs, opticians, chiropodists, dentist and well man / womans clinics. This helps to give the assurance that individuals health care needs are identified and provided for. The homes medication policy and procedures were examined and they were found to be up to date and accurate. The storage, administration and recording of the homes medicines were examined and it was evident that a satisfactory system is in place. The administration of medication is only carried out by appropriately trained staff, with regular medication audits being carried out by senior staff. Boots pharmacy also undertake an annual medication audit at Stanley Grange. The complaints policy and procedure were examined. They were up to date and thorough. No complaints have been received since the last inspection visit. It was evident that as much as possible is done to enable people to voice any concerns they may have. The training matrix was checked and it was clear that all members of staff have received safeguarding training. In the feedback received from members of staff, it was apparent that people have a good understanding of safeguarding issues and would know what to do if there was any suspicion or allegation of abuse. This helps to give the assurance that vulnerable people are protected from harm or abuse. What the care home does well:
Care Homes for Adults (18-65 years) Page 4 of 8 The care planning process is really good, with Peoples care plans containing excellently presented, detailed, and relevant information for each individual. This helps to demonstrate that members of staff are appropriately informed of peoples assessed needs, giving them the necessary guidance and advice to be able to support vulnerable people. The health care needs of people are being provided in a dignified , sensitive and inclusive manner, with people having the relevant access to health professionals and an assurance that health care needs are satisfactorily met. Peoples medication is administered by trained staff and it was evident that all medicines were safely locked away; this helps to ensure that they are not misused or mishandled. There is a thorough medication process in the home, giving the assurance that the risk of errors is reduced and people are safeguarded from potential mistakes occurring. The complaints procedure is thorough and robust, giving assurance that people being supported, relatives, members of staff or any individual would be encouraged and have the confidence to raise a concern or complain if needed. The recruitment procedures for Care Stanley Grange were checked and it was evident that correct procedures are being carried out including, application forms, relevant references and criminal record bureau checks (CRB). The robust recruitment process helps to show that as much as possible is done, to ensure that only suitable people are employed to support and care for vulnerable people. Staff training records were examined and they were found to be thorough, with evidence that Staff have received training specifically regarding, the safeguarding of adults including, the procedure for whistleblowing. This helps to demonstrate that vulnerable people are protected from abuse. Overall it was apparent that the provider is committed to providing a quality service, that is specifically person centered. 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 Adults (18-65 years) Page 5 of 8 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 Adults (18-65 years) Page 6 of 8 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 Care Homes for Adults (18-65 years) Page 7 of 8 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 Adults (18-65 years) 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. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 8 of 8 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
