Inspection on 05/04/07 for Grindon Short Break Service

This is the latest available inspection report for this service, carried out on 5th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Grindon Short Break Service 10/05/05

Grindon Short Break Service 01/12/04

Grindon Short Break Service 07/06/04

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Grindon Short Break Service 210 Grindon Lane Grindon Sunderland SR4 8HW Lead Inspector Sam Doku Key Unannounced Inspection 5th and 11th April 2007 09:30 Grindon Short Break Service DS0000032735.V334336.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 Grindon Short Break Service DS0000032735.V334336.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. Grindon Short Break Service DS0000032735.V334336.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Grindon Short Break Service Address 210 Grindon Lane Grindon Sunderland SR4 8HW 0191 525 7620 0191 525 7625 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) Council of City of Sunderland Mrs Mary Elizabeth Hancill Care Home 9 Category(ies) of Physical disability (9), Physical disability over 65 registration, with number years of age (1) of places Grindon Short Break Service DS0000032735.V334336.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th December 2005 Brief Description of the Service: Grindon Lane is a ranch style bungalow, which stands in enclosed grounds, close to all local amenities. The bungalow is purpose built to high specification; the function is to serve as a short break unit offering a hotel type service for up nine people at any onetime. It has nine bedrooms, all of which have en-suite toilet and showers facilities. Some of the rooms have motorised sinks, which can vary the height of the sinks. The rooms have swipe card access, and there are electrical doors which allow access without movement. There are 2 bathrooms with assisted baths and overhead tracking, 2 lounges, dining room, domestic style kitchen and laundry. To the front of the building there is a very large garden, patio, and car park. At the rear of the building is another landscaped garden and an enclosed drying area. The home is able to admit service users over the age of 18 who have a physical disability. The criteria for admission is outlined in The Statement of Purpose which states that service users who use the service will be admitted from 3 days to 1 week. It is not intended that it will be used as an emergency admission service. The people who use the service have a wide range of care needs and are allocated up to a maximum of 56 nights per year. The rate of charges is £12.86 per night to £270.00 for 21 days. Grindon Short Break Service DS0000032735.V334336.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over two days and involved one inspector. The inspection process involved talking to the service users, sitting in the lounge and observing staff interaction with the service users, discussions with the manager and care staff, tour of the house, examination of health and safety records and service users’ personal file including care plans. What the service does well: The accommodation is of the highest possible standard and has facilities to meet the needs of people with physical disabilities. The provider and the staff have continued to maintained house and to keep it in safe, clean and hygienic condition. The staff are highly motivated and carry out their job with dedication. They provide care that is focused on the needs of the service users, ensuring that they are at the centre of all activities and practices in the home. The home is run on the basis of promoting and maintaining independence. The staff support and encourage the service users to maintain their independence and are consulted on all aspects of their care. The home is very good at ensuring that the service users remain in touch with the wider community by arranging in frequent outings and visits to places of interest for those who want it. During the inspection, the home had arranged for some of the service users to visit a bird sanctuary in North Yorkshire. It had also been arranged for some individuals to engage in other community activities such as shopping. The service users commented positively on the arrangements to enable them to maintain contact with the local community and to continue to use community facilities. The manager and the senior staff continue to provide regular staff meetings and individual supervision sessions, which ensured that all staff are aware of the care needs of the service users who are living in the home. The staff are therefore very knowledgeable about each of the service users and are aware of each person’s specific care needs. The staff are provided with good training that equip them for their roles. 10 of the 16 care staff have NVQ 2 or above. There are plans for the remaining staff to achieve this vocational standard. Staff confirmed that they are well supported by the manager and the senior team. They receive regular supervision from the senior staff. The home has gained the Council’s annual Quality Award, indicating the high standard of the service. Grindon Short Break Service DS0000032735.V334336.R01.S.doc Version 5.2 Page 6 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. Grindon Short Break Service DS0000032735.V334336.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 Grindon Short Break Service DS0000032735.V334336.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, 4, 5. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service user guide and other information leaflets provide useful and comprehensive information about the service to the general public. This allows prospective service users to decide if the home can meet their needs. The assessment process allows individual needs to be fully assessed, identifying their individual care needs and how those needs are met. This ensures that individual needs are properly planned for and delivered as agreed in the care plans. EVIDENCE: The service user and the general public are provided with good information about the service and what it offers. These are contained in the service user guide and other information leaflets available in the home. These are regularly updated which ensured that the information contained in these document are current and relevant. Service users have commented positively on the information they received from the home when they were first referred for the Grindon Short Break Service DS0000032735.V334336.R01.S.doc Version 5.2 Page 9 service. The service users confirmed the arrangements for them to visit the home before admissions are arranged. They also described how they were visited by a senior staff member of the home and given written information about the service. Care plans are available for each service user and they clearly identify each person’s need and how those needs are to be met. The manager and the staff team carry out review and evaluation of care plans on regular basis with the service user’s involvement. The individual’s wishes were established and provisions made in the care plans reflected their views and needs. The service users confirmed the regular weekly meetings with the staff to discuss issues relating to their care and also to plan for menus and recreational and social activities during their stay. Service users commented that this arrangement allows them the opportunity to have a say in the way they are cared for. They commented on the opportunity to be involved in the planning of their care. Service users feel that this promoted their rights and maintained their independence. Grindon Short Break Service DS0000032735.V334336.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, 8, 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The assessments and the resulting care plans are formulated with the involvement of the service users. This process allows individual needs to be properly assessed, reflecting the views of the service users on how they wish to be cared for, including risk taking. Information about service users is kept in line with the local authority’s policy on data protection, which ensured security and confidentiality. EVIDENCE: Service users files confirmed that they have been involved in the drawing up of their care plans. Some of the service users have signed their care plans, indicating their involvement in the process. One service user described how Grindon Short Break Service DS0000032735.V334336.R01.S.doc Version 5.2 Page 11 the staff involved her in re-assessing her needs and planning for her care. The manager and the staff indicated that by involving the service users in the process they are able to provide the care that the person needs. Service users also indicated that they feel the manager and the staff recognise their right to be involved in their own care. They all confirmed that the process give them a sense of involvement and participation. The service users’ weekly meetings also provide the opportunity for them to be consulted and be involved in the running of some aspects of the home. The minutes from these meetings provide evidence of their decisions and choices during their stay in the home. These include social activities and meals. The service users confirmed their sense of empowerment by being consulted on matters relating to their care. Risk assessments have been carried out for those service users for whom it is considered necessary. The risk assessments cover specific areas, which have been identified with individuals as requiring risk management strategies. By putting a risk management strategies in place, the home has ensured the safety and wellbeing of the service users concerned, both within the home and outside the home, while at the same time enabling them to lead independent life as much as possible. Files and other documents relating to the day-to-day management of the home are securely stored and kept in line with the provider’s data protection and confidentiality policies. Grindon Short Break Service DS0000032735.V334336.R01.S.doc Version 5.2 Page 12 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, 14, 15, 16, 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides the opportunity for service users to actively engage in community activities. This allows them to continue to engage in their preferred lifestyle. The way the home is managed enables the rights of the service users to be respected by the staff at all times, thus promoting their dignity and respect. EVIDENCE: The home has a well-established reputation for involving service users in social and recreational activities during their short stay in the home. Minutes of service user meetings, activities record and individual daily records show evidence of past social and recreational activities that have been organised for Grindon Short Break Service DS0000032735.V334336.R01.S.doc Version 5.2 Page 13 the service users. A number of the service users, particularly those who have been using the service for some considerable time confirmed that they found these activities very useful and are grateful to the staff for the opportunity to engage in activities that they would otherwise not have been able to engage in. These activities included visits to local pub, cinema, and quiz games, visits to local places of interest and general bus rides. Service users confirmed that the staff give them the opportunity to continue to take part in those activities that they are used to while living in their own homes, and also to experience new ones. During the inspection visit the home had arranged for some service users who had expressed the wish, to visit a bird sanctuary in North Yorkshire. Some individuals also had special arrangements made for them to go shopping. Service users confirmed that staff always respect their privacy and treat them with dignity. This was confirmed by the practices observed during the inspection visits. It was noted that staff always sought permission from individual service users before entering their rooms. This created an atmosphere of independence, respect and empowerment amongst the service users. Past menus confirmed that the service users enjoy healthy home made foods. The records show choices being offered through the involvement of the service users in the preparation of the menus. Service users commented positively on the menus and the quality of the meals provided in the home. Grindon Short Break Service DS0000032735.V334336.R01.S.doc Version 5.2 Page 14 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. This judgement has been made using available evidence including a visit to this service. All aspects of the service users’ healthcare needs have been met and they are supported and encouraged to be involved in the planning of their personal care. There are suitable arrangements in place for the storage and safe administration of medicine, thus promoting the health and wellbeing of the service users. EVIDENCE: The excellent arrangements for meeting the healthcare needs of the service users remain in place. The service users continue to receive good medical and nursing support during their stay in the home. Previous inspection reports had commented positively on the home’s ability to meet the healthcare needs of the service users. Arrangements are in place for the healthcare needs of people coming from the immediate area to be provided by the local GP Grindon Short Break Service DS0000032735.V334336.R01.S.doc Version 5.2 Page 15 surgery. There were details of contacts with healthcare professionals, particularly district nursing and GPs. There are suitable arrangements for service users to retain and administer their own medication if they wish. Examination of the medication system showed no discrepancies in the recording and stock of medicines held on behalf of the service users. All the staff that are responsible for the administration of medication have received appropriate training to equip them for their role. The written policies and procedures to guide staff on the correct drugs administration are clear and easy to understand. Grindon Short Break Service DS0000032735.V334336.R01.S.doc Version 5.2 Page 16 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. This judgement has been made using available evidence including a visit to this service. The training and robust recruitment procedures have enabled the service users to feel safe and protected during their short stay in the home. EVIDENCE: All staff have received training in protection of adult. Staff have good knowledge of the provider’s policies on protection. Staff described their understanding of the policies and what they would do if they witness any form of abuse. A record is maintained which shows concerns raised by service users. One such recent concerns were about contravening the Disability Discrimination Act. The concerns were dealt with promptly and professionally. The service user was satisfied with the way the concerns were addressed. The recruitment process is robust and carried out to ensure that the service users are protected from any form of abuse from people who would otherwise be considered as unsuitable to work with vulnerable people. CRB checks are undertaken and satisfactory references obtained before an employee commences work. Grindon Short Break Service DS0000032735.V334336.R01.S.doc Version 5.2 Page 17 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, 26, 29, 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is clean, safe and provides excellent facilities for people with physical disabilities. It promotes independence and accessibility for the people who use the service. EVIDENCE: The home is specifically designed to cater for people with physical disability and it is of the highest possible standard that can be expected to meet the need of the service users. Toilets, baths and wash-hand basin have been adapted to meet the needs of people with physical disabilities and to promote their independence. Access into and within the home is excellent and service users have commented on how this enables them to maintain their independence. Grindon Short Break Service DS0000032735.V334336.R01.S.doc Version 5.2 Page 18 The home is appropriately maintained and also safety checks are carried out regularly, including water temperatures, fire safety checks, servicing of hoist and other safety checks. The bedrooms are spacious and contain facilities to promote independence. Service users have access to private telephone facility and radio. There is also Internet facility in one of the lounges for service users to use. The grounds are well maintained and free of any hazards. Grindon Short Break Service DS0000032735.V334336.R01.S.doc Version 5.2 Page 19 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, 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff are competent, professional and have good understanding of their caring role. This ensures a competent service delivery that benefits the people who use the service. Staff receive good support from the management through regular supervision, which enhance their professional development for the benefit of the people who use the service. EVIDENCE: Staff training records show well-trained and highly motivated staff team. However, in discussions with staff they highlighted the benefit of having inhouse training, which is specific to the specialist care they provided. A number of staff felt that some training courses organised by the provider is not always appropriate to their specific care environment. Grindon Short Break Service DS0000032735.V334336.R01.S.doc Version 5.2 Page 20 Staff receive regular individual supervision from the senior staff. Staff commented on the positive role model of the manager and the senior staff. Staff feel well supported by the provider and the manager. Staff conduct themselves in a professional manner and show regards for the service users’ rights and dignity. The practices relating to recruitment ensure that the service users are protected from any form of abuse from people who would otherwise be considered as unsuitable to work with vulnerable people. CRB checks are undertaken and satisfactory references obtained before an employee commences work. Staff undergo a six months probation period within which they are assessed to confirm their suitability for the job. Grindon Short Break Service DS0000032735.V334336.R01.S.doc Version 5.2 Page 21 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, 41, 42. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The manager offers good leadership, ensuring that the staff receive proper direction and as a result the service users receive consistently high standard of care, which enhance their health, safety and welfare. EVIDENCE: The manager has long experience in managing a care home. She is well regarded by the staff and the service users. Staff and service users confirmed that she runs the service for the benefit of the service users. Staff confirmed that she has positive and reassuring attitude towards them. Three service Grindon Short Break Service DS0000032735.V334336.R01.S.doc Version 5.2 Page 22 users commented on the pleasant and professional natures of the staff and in particular the manager. The Council produced detailed Health and Safety policies and copies of these were made available for inspection. These cover policy areas such as fire prevention and Care of Substances Hazardous to Health (COSHH). The manager stated that all staff have had training in food hygiene, fire precaution and first aid. There is evidence that these policies have been adhered to by the staff thus ensuring the safety and welfare of the service users. The Council has a comprehensive induction plan for all newly appointed staff. One newly appointed care staff was spoken with and she confirmed the arrangements for her induction and future training. Her induction records were examined and found to be in order. Staff have received statutory training and other training specific to the service users. All the servicing records that were examined were up to date. These included fire fighting equipments, servicing of hoists, overhead tracking systems, water treatment, electrical installation and gas servicing. Up to date servicing and maintenance ensure a safe environment for the service users and the staff who work there. The manager has a quality assurance programme in place, which ensure that the service continues to meet its philosophy and statement of purpose. Service user surveys are carried out regularly to ensure that their comments are taken into accounting when reviewing the service provision. Grindon Short Break Service DS0000032735.V334336.R01.S.doc Version 5.2 Page 23 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 4 2 4 3 X 4 3 5 3 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 4 25 4 26 4 27 X 28 X 29 4 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 4 12 4 13 4 14 3 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 4 X 3 3 X Grindon Short Break Service DS0000032735.V334336.R01.S.doc Version 5.2 Page 24 Yes Are there any outstanding requirements from the last inspection? 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 YA41 Good Practice Recommendations The manager should ensure that all documents or entries are appropriately signed and dated. Grindon Short Break Service DS0000032735.V334336.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South Shields Area Office 4th Floor St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Grindon Short Break Service DS0000032735.V334336.R01.S.doc Version 5.2 Page 26 - 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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