Inspection on 10/12/08 for Griffin House Adult Care Home

This is the latest available inspection report for this service, carried out on 10th December 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Similar services:

Clover House

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Park Lodge

Mere Hall View

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Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

CARE HOME ADULTS 18-65 Griffin House Adult Care Home 28 Lethbridge Road Southport Merseyside PR8 6JA Lead Inspector Lynn Paterson Unannounced Inspection 10th December 2008 10:00 Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 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 Griffin House Adult Care Home DS0000072021.V369810.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 Adults 18-65. 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. Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Griffin House Adult Care Home Address 28 Lethbridge Road Southport Merseyside PR8 6JA 01704 380889 01704 380889 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) Griffin Care Limited Meryl Pickstone-Blundell Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category 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: 3 Date of last inspection New service Brief Description of the Service: Griffin Care Ltd have established a residential service to provide care and support for up to three young adults who experience learning difficulties to enable them to maximise their potential in all aspects of daily life. The premises is a well maintained detached property set in large grounds with garden access to the rear and parking facility to the front of the property. The care home provides spacious accommodation, which is staffed by people who are trained and motivated to provide person centred care for the people living there. The property is situated in a quiet residential area of Southport close to shops, cinemas and other local attractions and is easy accessed by all forms of public transport. Fees are currently £3025.00 per week. Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is two stars. This means the people who use the service experience good quality outcomes. Griffin House Adult Care is a newly registered noted that the service previously existed as a residential care for the two people who have achieved adulthood. The premises, staffing uncharged. service. However it should be children’s home and provided remained in residency having and location have remained This report has been put together using information gathered from a number of sources including details contained in the Annual Quality Assurance Assessment (AQAA). The AQAA is a self-assessment document that is completed by the service before a site visit takes place. Also a number of surveys were sent to staff and people who are associated with the service, four of which have been completed and returned. The site visit was unannounced and took place on 10th December 2008. During this visit discussions were held with the registered manager and two staff members. Records and other documentation were examined and a tour of the premises undertaken. The residents who live at the home were attending educational establishments at the time of the visit and it was therefore not possible to meet with them. However discussions with staff, examination of residents care files and daily records and observations of the environment gave an indication about the lifestyle and care and support provided to the people living in the home. All the above methods have been used to formulate this report. What the service does well: The home has detailed information available about the service, which is available to any person who may be considering a Placement and has good assessment procedures to ensure any person admitted would have their needs fully met. Each resident has a Care Plan that detail assessed need and routines, which are specific to the needs of the individual. These are put together in consultation with the resident, families and key professionals and are in place to ensure that each resident has a lifestyle that maximises their independence. Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 6 Comments included: “The service promotes the well being of the people living in the home on an individual basis and also integrated with each other and the community” Staff surveys show that staff are trained and well managed to enable them to support people to be independent in safe way and to give residents the opportunity for personal development. Comments included; “The care plans and files contain much more information about the residents needs choices and capabilities than I have ever seen elsewhere” “I receive ongoing support on a weekly basis and also through structured supervision” “We are a small close knit team who communicate information well, either by written work or staff meetings and supervision” “We have adequate staffing in place plus an on call service although this on call is rarely used due to the competence of the individuals on rota”. The home has positive professional relationships with the residents and their families who regularly express their confidence in the quality of care offered and the progress made by the resident young people. “Residents independence is encouraged on a daily basis and staff provide an excellent support network for the families of the people living in the home to help them maintain the best possible relationships” What has improved since the last inspection? What they could do better: 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. Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1.2. Quality in this outcome area is good The home assessment and admission procedures ensure that people choose a home that will meet assessed needs This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager confirmed that she was fully involved in the process of assessing and admitting new residents to the home and clearly described the process she would follow. This included giving people information about the home such as the statement of purpose and a resident guide. Both documents included all the information people needed to know about the services and facilities and they also provided other information about the staff team and how to complain and the process involved in dealing with a complaint. All documents were in easy read format. Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 9 Care files looked at held full assessments of need for the two people currently living in the home. The assessments showed that they had been drawn up in partnership with the resident and their families and other professionals such as social and health workers. The assessment covers things such as how the person communicates, family contact, social contact, physical and mental health care and risk management. The two people living in the home had been looked after there for a number of years prior to them reaching adulthood and care plans and assessments were already in place to cover their adolescent years. Records show that these plans had been amended where necessary to ensure that changes in need had been identified and the home had staff and services provisions to meet these needs. The needs assessments on file identified that staff of the home and other professionals worked with the resident covering issues relating to essential lifestyle. These included health and personal care, risk management, communication, family contact, education and finances. Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6.7.9. Quality in this outcome area is excellent. The needs of the people living in the home are clearly set out to enable staff to assist people to live independent and safe lives This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each resident has a Care Plan that specifies routines, which are specific to the needs of the individual and are done in consultation with the person, their families and key professionals. These are reviewed and adapted in light of any changes. Current residents have severe learning difficulties and lack the capacity to fully understand the consequences of their choices; therefore the plans are done in consultation to identify what is considered to be ‘in their best interests’. Staff have been involved in contributing and participating in Person Centred Planning Meetings. Staff encourage the young people to access the local community and make choices when eating out and choosing their own clothes. Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 11 They are encouraged to take part in activities of their own choosing and are supported by staff to undertake them safely. Staff actively promote socialisation and participation in the community. They said they discuss risks with the young people, key professionals and families. Risk assessments are in place and are reviewed and adapted in light of change. They are used as a tool to enable young people to participate in a range of activities and learn from their experiences. Outcomes are discussed as a staff team and in 1:1 supervision and they advised that the use of reflective practice helps staff to learn from experience. The person centred plans are very individual and specific to the person. A person centred care plan enables people to have more independence, choice and control over their own lives. The manager said all staff are supported and encouraged to work in a person centred way. Support plans which were looked at covered all aspects of each person’s personal and social support such personal and health care, education, independent living skills, accessing the community, relationships and financial needs. The plans also covered in detail things such as what is important to the person, what they are good at doing, what they like and dislike, what they need help with and what they want to happen with their lives. Support plans, which were looked at, showed that they have been reviewed and updated involving residents and important people in their lives such as their family/representative and key worker. Discussion with staff showed that they are given up to date information about the needs of the people they support or care for, for example, in the support plan. Staff had a good understanding of care plans and the importance of them one member of staff said, “They are a way of getting to know the person, their likes, dislikes and preferred routines”. Each persons support plan had a section, which provided staff with important information about how best to communicate with residents such things as what they are feeling, were to go and what they want to eat. Staff demonstrated an understanding of how to ensure resident’s rights are promoted and how limitations are only put in place for their safety and welfare. Residents’ personal files and discussion with staff showed that independent advocates are consulted when necessary. The current residents present with challenging behaviour. Support plans provided staff with clear instructions about how to deal with this type of behaviour in a positive way and all staff have undertaken accredited training to manage and understand challenging behaviour and the associated triggers, precursors and actions necessary to deal with situations. Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 12 Residents are encouraged to take responsible risks, a range of risk assessments have been carried out to ensure their independence is promoted and they are protected from the risk of harm. The assessments clearly described the action that staff must take to minimise risks. A selection of risk assessments were viewed and showed that they are reviewed and updated at regular intervals. Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12.13.15.16.17. Quality in this outcome area is good. Staff are trained and motivated to assist residents to live healthy active lifestyles. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care records which were looked at, the AQAA and discussion with staff showed residents social care needs have been assessed and there is a range of activities available inside and outside the home to meet peoples needs and promote their personal development. Both of the residents are currently involved in educational programmes and care records showed that staff have supported them by visiting local educational establishments, attending educational meetings and liaising with connection officers. Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 14 Daily records showed that staff have identified local resources for the residents to access to include disco, pub, park, activity centres and promoting and supporting community involvement and family contact. The AQAA showed that arrangements are made for residents to go on holiday at least once a year this year’s venue being Tenby. As well as recreational and leisure activities resident are also encouraged and supported to take part in small tasks around the house including cooking and cleaning. Staff described how they encourage and support these activities for residents. None of the residents have keys to the home this is because assessments showed that it is not safe for them. This information and the reasons why was recorded in their plans of care. Daily records showed that residents are encouraged to maintain contact with family and friends and personal relationships are respected and appropriately supported by staff at the home. The manager said visitors are welcomed at the home and there are no restrictions placed upon them. Records showed that residents receive regular visits from family and other people who they know. Menus which where viewed at the home showed a variety of healthy meals. The manager said that menus are often changed at a resident’s request. A member of staff showed a good awareness of the importance of nutritious and balanced diets and records showed that staff have undertaken training in food hygiene. The AQAA and discussion with the manager showed that dieticians and speech and language therapists are consulted and provide staff with information about special dietary needs. Residents have the use of a dining table in the kitchen/dining room. Care plans included information about peoples likes and dislikes with regard to food and how they communicate them. A good stock of fresh, frozen and tinned food was seen at the home. There were also sufficient crockery, cutlery pots and pans, which were of good quality. There was a fridge, freezer and microwave which were all of a domestic style and in good condition. The manager and a member of staff carry out the main weekly shop. Discussion with staff and daily records showed that none of the residents enjoy taking part in the main weekly shop for food although they do like to shop for their own personal items. Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 15 Record’s show the home have positive professional relationships with the residents and their families who regularly express their confidence in the quality of care provided and the progress of the residents. Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18.19.20. Quality in this outcome area is good Resident’s health and personal care is well supported and monitored to ensure their physical and emotional needs are met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans, which were viewed, included detailed information about the type and level of support that each person requires with personal care as well as their preferred routines. Health action plans, were part of each person’s support plan. They covered in detail the person’s healthcare, needs and the support that they need to stay well. Records within this section showed that residents are offered minimum annual health checks. As well as visits to primary healthcare services such as dentist, opticians and doctors residents are also supported to attend specialist services. Records detailing the visits were available in good detail as was information about specialist health care appointments. Where appropriate visits to the home by healthcare professionals are arranged. Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 17 Records show Staff monitor the health of the residents and access medical advice and respond accordingly. Residents are encouraged to self medicate with staff support. Staff revealed that continence has been discussed with family members and key professionals and care plans include toileting regimes in which residents are encouraged to use the toilet. Consistency of staff enables residents to develop good relationships with staff member particularly in the areas of health and personal care. Staff advised that they have responsibility for reviewing the resident’s monthly plan and for to arranging their healthcare appointments etc. During discussion members of staff described clearly their role and responsibilities. Staff also showed a very good understanding of each person’s personal care routines and health care needs. Staff said that all decisions are made in the best interest of the residents and staff encourage residents parents to attend medical appointments and assist with the management and support of the young people. Care plans identified that the residents are assisted to choose their own clothes and visit a local hairdresser to have their hair done. Staff said they supported people with their personal with due respect to the individual’s privacy dignity and respect. The following comments made by staff during the inspection visit supported this: “It is important to know the persons routine”, “I always talk to the person when helping them” “I always knock on doors and never just walk in ” Medictaion recrods sheets (MAR )sheets were looked at during the visit were fully complete and up to date. A policy for the safe handling and administration of medication was available at the home and discussion with staff indicated that they had read and fully understood the safe practice of medication. Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22.23. Quality in this outcome area is good Residents and their representatives have the information they need to make a complaint and staff are trained to ensure people living in the home are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Records held by the Commission showed that we have not received any concerns, complaints or allegations about the service. Staff said the home has an open and inclusive attitude and they encourage comments, views and opinions. Records show that staff work with families and have regular effective communication. There was a complaints procedure and a complaints book on display at the home. The Service User Guide and the homes Statement of Purpose also included a summary of the homes complaints procedure. The information was available in easy read format. It was not possible to assess residents understanding of the complaints procedure as they were not on the premises at the time of the visit. However, the AQAA showed that all residents are issued with a copy of the complaints procedure and it is explained to them at a pace and manner they are able to understand. Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 19 The manager said residents and their families/representatives are advised of who they can speak to if they have any concerns or issues in the hope that that these can be openly discussed and action taken before a complaint is raised. Staff interviewed said that they knew about the complaints procedure and would be confident about raising any concerns or complaints if they needed to. During discussion staff showed a good awareness of what to do if they suspected or witnessed abuse. A copy of the Local Authorities Protection of Vulnerable Adults (POVA) procedure was available at the home as well as the homes own POVA procedures. The AQAA showed that staff have received Protection of Vulnerable Adults training. This was also confirmed by a number of staff during discussion with them. Other policies, which were available at the home, that aim to protect people included whistle blowing and staff recruitment and staff records revealed that all staff had undertaken accredited training to understand and manage challenging behaviours and associated triggers. Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 20 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24.25.30. Quality in this outcome area is good People live in a comfortable safe environment that is clean and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is a large detached property, which has four bedrooms and a number of shared rooms including a lounge, dining room and kitchen. The home has two bathrooms, which are fitted with specialist equipment so that residents can bath/shower without difficulty. The home is located in a popular residential area of Southport Merseyside close to transport links and local shops. It is in keeping with the local community and provides with a comfortable and homely environment for the people that live there. There is a garden and driveway at the front of the house and a large enclosed back garden. Parking is also available on the road directly outside the front of the property. Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 21 The outside space is easily accessible and contained to maintain the safety of both residents and staff. External lighting is in place to provide additional safety and security during the night. The AQAA and a tour of the home revealed the home was well maintained, warm and welcoming. Each of the resident’s bedrooms was attractively decorated and furnished to a good standard. They were warm, bright and well ventilated. All bedrooms were personalised to suit each person’s own tastes. On the day of the inspection visit the home was clean and tidy and there were no hazards identified. All cleaning materials and products were stored in a locked cupboard. Laundry facilities are sited in a utility room separate to the kitchen. Laundry areas, which were looked at, were clean, well organised and equipped with sufficient washing, drying and ironing machines and equipment. The AQAA showed that the required policies and procedures for control of infection and cleaning routines are in place at the home. The AQAA, discussion with staff and examination of records showed that staff have completed training in relation to infection control. Staff advised that the premises are monitored on a daily basis to ensure it maintains a safe environment. Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 22 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32.34.35. Quality in this outcome area is good Structured recruitment and training procedures ensure the protection of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff team is made up of the registered manager and care support workers. The AQAA and discussion with the manager showed that the staff are of various age, gender and culture and all rotas are put together taking into account the residents care and support needs so that they are able to lead full and active lives. Information about each member of staff including their experience and qualifications were available at the home. The AQAA showed that all new staff are given a copy of their job descriptions when they are recruited. Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 23 Staff spoken with during the inspection visit showed a clear understanding of their roles and resposibilites and were very knowledgable about each of the residents and their specific needs. The manager and two other staff were on duty at the time of the visit however the residents were at college and therefore not on the premises. Staff advised that they were responsible for escorting the residents too and from the college they attend each weekday. The manager reported that there is a minimum of two care support workers throughout the day and one waking care support worker and one sleep care support worker at night. Staffing rotas for a period of four weeks that were examined and conformed the staffing levels of the home. The files for two members of staff were looked at during this inspection visit, this showed that strict recruitment procedures are followed at the home including police checks (CRB) which are carried out for staff before they are allowed to start work at the home. The registered manager confirmed that she is involved in all areas of recruitment to ensure that the staff recruited meet the needs of the residents. A new member of staff who was on duty at the time of the visit said: “The manager interviewed me, I wasn’t allowed to start work until my CRB check came back”. The manager reported that all new staff complete a probationary period and an induction programme. The member of staff said: “The first week I worked here I shadowed other more experienced staff and learned a lot about the residents and emergency procedures at the home. All the staff made me feel welcome”. All staff spoken with confirmed that they receive a lot of training including protection of vulnerable adults (abuse), health and safety, medication awareness and other specialist training which is specific to the residents needs such as communication and positive intervention. The AQAA showed that all staff have an individual training plan and most staff have completed a National Vocational Qualification (NVQ) in Care level 3 or above and others are working towards the award. However the training records did not fully identify when new updated training was due. It was agreed that a staff training matrix would be produced to alert both the manager and staff as to when their mandatory training was due to be renewed. Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 24 The manager revealed that the diversity of staff to include their life experiences, personalities and complimentary skills enhance the life of the resident young people. Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 25 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37.39.42. Quality in this outcome area is good The home is well managed in the very best interests of the residents and staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Meryl Pickstone-Blundell is the registered home manager. Records held by the Commission and information given in the AQAA show that she is qualified and experienced to manage the service. The AQAA and discussion with the manager showed that she has undertaken periodic training to update her knowledge and skills whilst managing the home. Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 26 Staff were complimentary of the manager, comments they made included: “The manager is very good” “She listens and is very approachable” “The manager is very good and fair” “She is a perfectionist but that’s not a bad thing to be” The AQAA and a selection of records viewed during the inspection visit showed that systems are in place to ensure the ongoing monitoring and improvement of the service. This includes supervising staff, reviewing administrative procedures and reviewing resident’s care plans to ensure their care need requirements are being met at the home. The manager advised that she carries out regular audits of the homes systems and procedures. Griffin Adult Care is an equal opportunities employer, discussion with staff and information provided in the AQAA showed this. The AQAA also showed that all other policies, procedures and codes of good practice, which are required for this type of service, are available at the home. There was evidence to show that most of the documents have been reviewed and updated as the care home transferred form children to adult services, so that residents and their representatives have accurate and up to date information about their health safety and welfare. The AQAA showed that all the required checks have been regularly carried out on equipment used at the home. They include electrical circuits, portable electrical equipment, heating system and gas appliances. A selection of certificates and records, which were seen, supported this information. The manager advised that the aims and objectives of the home are to provide quality person centred care and support for the people living in the home. She advised this was done via consultations and acknowledging and listening to all the views of others to include families and key professionals. Records show that the home has achieved positive outcomes and has provided the residents with a seamless transition from children’s to adult services. Staff say they take pride in their success and endeavour to manage the challenging aspects of the young peoples behaviour in a consistent and safe way to ensure the best possible outcomes. Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 27 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 3 X X 3 X Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 28 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 YA32 Good Practice Recommendations Staff training programmes should identify when mandatory training updates are required. Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection North West Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ 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 Griffin House Adult Care Home DS0000072021.V369810.R01.S.doc Version 5.2 Page 30 - 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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