Inspection on 06/11/08 for The Grove (46)

This is the latest available inspection report for this service, carried out on 6th November 2008.

CSCI found this care home to be providing an Excellent service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Grove (46) 22/12/05

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: The Grove (46) 46 The Grove Isleworth Middlesex TW7 4JF     The quality rating for this care home is:   three star excellent service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Jean Bovell     Date: 0 6 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: The Grove (46) 46 The Grove Isleworth Middlesex TW7 4JF 02085685660 Telephone number: Fax number: Email address: Provider web address: info@gcpcare.com Name of registered provider(s): Type of registration: Number of places registered: Grove Care Partnership Ltd care home 7 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 7 The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD Date of last inspection Brief description of the care home 46 The Grove is a care home for seven younger people with learning difficulties. It is situated on a quiet residential street off a main road on which there are local amenities, and bus links to Brentford, Hounslow and East or Central Hounslow underground stations. Brentford Railway Station is within easy walking distance. The accommodation is on two floors is newly refurbished and spacious. The ground floor consists of a lounge, kitchen, separate dining room, adjoining activities? rooms, cloak room, store room, laundry room, en suite - toilet/shower/bathroom, office, staff bedroom with en suite facilities and separate staff toilet. There is a large garden with patio at the rear of the building and ample parking area at the front. There are six bedrooms with en suite facilities and one separate en suit toilet/shower/bathroom on the first floor. One bedroom with separate bathroom/toilet facilities is situated on the Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 7 Brief description of the care home lower first floor level and is accessed via a separate door. The home does not contain a passenger lift. The permanent staff team includes the Registered Manager, two team leaders and nine care support workers. Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced inspection was carried out between 10:00 am and 3:30 pm on 6th November 2008. The Registered Manager, five care staff and seven residents were at the home. During the course of the inspection: records, documents, policies and procedures that are maintained at the home were viewed. A tour of the building was undertaken and observations were made. We spoke to three Team Leaders, one support worker and four residents. Care Homes for Adults (18-65 years) Page 6 of 27 A completed annual quality assurance assessment document was considered. All key Standards were examined. We received appropriate assistance from the Registered Manager throughout the inspection. What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 Care Homes for Adults (18-65 years) Page 8 of 27 240 7535. Care Homes for Adults (18-65 years) Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The needs and aspirations of prospective residents are assessed comprehensively prior to admission. Evidence: The personal files of four residents were viewed. Each file contained a written assessment that had been carried out by representatives of the service prior to admission. It was indicated that relatives, previous carers, day centres, social workers and healthcare professionals were involved in the process of determining the capacity of the home to meet separate identified needs and aspirations. Care Homes for Adults (18-65 years) Page 11 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans and risk assessments are being carried out appropriately and regularly reviewed. Residents are encouraged and supported in making decisions regarding their daily living routines. Evidence: Care plans relating to four residents were viewed and reflected that their individual personal and social needs were being assessed. Action plans and set goals were in place. Risks associated with specific activities identified within care plans had been assessed. These included: anxiety and agressive outbursts, consuming small objects, anxiety when in the community, road safety and swimming. Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: All care plans and risk assessments were regularly reviewed. We were informed by a Team Leader that residents were non-verbal or had minimal speech and required assistance and/or support with their daily living routines. However, people were encouraged and supported with making decisions where appropriate such as what they wore each day, personal purchases and activities. A resident was observed to have a lie in and received a late breakfast of choice at the time of the inspection. Individual choices and interests were reflected in separate bedrooms. Care Homes for Adults (18-65 years) Page 13 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported in participating in regular activities in the community and are able to pursue separate interests. Contact with relatives are encouraged and facilitated. People who receive a service assist with housekeeping tasks where appropriate. Varied and nutritional cooked meals are being provided. Evidence: The social interests of residents were identified within separate care plans. Individual activities programmes were on display in the office and the home owns a large vehicle. Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: Records were indicative of residents being supported in participating in a variety of shared and/or individual activity within the community on a daily basis. This was observed during the course of the inspection. A Team Leader reported that annual holidays were arranged. People were able to pursue separate interests such as music and art. An individual with a keen interest in sport was seen viewing a sports TV channel in a separate lounge. An open visiting policy was in place. The Registered Manager confirmed that residents received visits and/or telephone calls from relatives and were taken out by the them. We were also informed that the home actively encouraged contact and often transported residents to and from residents homes. A Team Leader reported that residents did not generally assist with housekeeping tasks but a few people routinely brought down their laundry. An abundance of fresh and frozen foods, cereals, juices and snacks were stored appropriately in the kitchen. Varieties of foods for meeting the needs of people on special diets were stored separately. Fresh fruit was on display. Menus were reflective of varied and wholesome cooked meals being provided. A Team Leader confirmed that drinks and snacks were readily available. Residents were observed requesting and being given drinks and snacks and enjoying a nutritional lunch at the time of the inspection. Care Homes for Adults (18-65 years) Page 15 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The personal and healthcare needs of residents are being fully met. Policies and procedures on medication are appropriately detailed. Evidence: The personal needs of residents were reflected in separate care plans and indicated that residents required assistance or prompting with their personal care routines. People were, however, able to choose what they wore each day, haircuts and general presentation. We were informed by the Registered Manager that residents received an O.K. annual health check which incorporated assessments of separate healthcare needs. This was evidenced on records viewed. It was indicated, also, that people received access to healthcare professionals as and when required and were accompanied to medical appointments. Residents are autistic and receive psychiartric intervention in relation to challenging Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: behaviours. Art, music, dance and aroma therapies are provided each week. Weight charts were in place. Medicines were safely and appropriately stored and records were maintained of medication received from the pharmacist and those returned. Medication administration sheets were accurately documented and signed. The Registered Manager confirmed that residents lacked capacity to self adminster their medication. The records indicated that medication audits were carried out by Boots Chemists twice annually. Training records were reflective of staff training on medication being delivered. Policies and procedures on medication were fully detailed. Care Homes for Adults (18-65 years) Page 17 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The complaints procedure is in place and accessible. People who use the service are protected from abuse but regulation 37s are not being faxed to the CSCI where appropriate. Evidence: The complaints procedure is concise, clearly detailed and written and illustrated in a format suitable to meeting the needs of people who use the service. The complaints book was viewed and reflected that complaints had not been received at the home following the last inspection. Incidents and accidents were recorded onto forms within an incidents book but were not in each case fully detailed nor were Regulation 37 forms submitted to the CSCI as required. These issues were discussed with the Registered Manager and we were assured that appropriate action would be taken. We were informed by the Registered Manager that residents received state benefits which were paid directly in their separate bank accounts. The home, relatives or placing authorities held overall responsibility for residents financial affairs but cash allowances were secured at the home by care staff. Care Homes for Adults (18-65 years) Page 18 of 27 Evidence: Separate financial records were viewed at random and no discrepancies were identified in relation to income and outgoing expenditure. Policies and procedures on the protection of vulnerable adults were comprehensive and incorporated whistle blowing. The records indicated that refresher training on Safeguarding Adults was scheduled for 27th January 2009. Care Homes for Adults (18-65 years) Page 19 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well maintained and the environment is safe and lively. Evidence: The home is spacious and suitable for shared and/or individual activity. All furnishings, fittings and equipment are of good quality. The garden was being maintained and accessible to residents. No issues were identifed in relation to the laundry. Overall, the home was clean, hygienic and well maintained. The environment was bright, airy and lively. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Support workers are appropriately trained and qualified for meeting the needs of people who use the service. Copies of all required recruitment documents are not being held at the home in relation to each support worker. Evidence: The Registered Manager confirmed that three team leaders and fifteen permanent care workers were employed at the home. Of these, five had achieved NVQ level 2 or above. It was indicated on staff rotas that five or six support workers - depending on planned activities - were on duty during waking hours. There was one sleeping and one waking staff cover at night. Individual training programmes were in place and reflected that new staff received induction training. Subsequent training and refreshers were being delivered for meeting the needs of residents and included Pro-act-scipr, Epilepsy Awareness and Autism and Aspergers Syndrome. Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: Eight staff recruitment files were inspected at random but all information required under Schedule 2 of the Care Home Regulalations 2001, were not within all files viewed. This issue was discussed with the Registered Manager. We were informed that original documents were secured at Head Office but assured that copies of all missing recruitment documents will be requested and attached to individual files held at the home. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Registered Manager is suitably trained, qualified and experienced. Annual quality assurance have been effectively undertaken. The health, safety and welfare of residents are being protected. Evidence: The Registered Manager has been in post for eighteen months. He has been employed within the care field for a total of thirteen years and his professional qualifications include the Registered Managers Award and NVQ level 4. Team leaders and care staff were unanimous in reporting that the Registered Manager was open and supportive. Team Leaders and care staff felt that they were being listened to and were encouraged to put forward suggestions at staff meetings which were discussed and acted upon where appropriate. We were also informed that the Registered Manager always discussed his ideas for changes within the service with Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: care staff and sought their approval prior to implementation. An annual quality assurance assessment document - AQAA - was completed and returned to the CSCI at the required time. What the service did well and areas requiring improvements were identified. Numerical information was also provided. All health and safety records viewed were up-to-date and included fire safety checks, gas maintenance and portable appliances tests. Fire drills were carried out twice annually. Environmental risk assessments were in place. Records were reflective of staff training and refreshers being delivered on Moving and Handling, First Aid, Food Hygiene and Fire Awareness. Care Homes for Adults (18-65 years) Page 24 of 27 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, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 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 1 34 19 The Registered Person must ensure that copies of all recruitment documents are within all staff files held at the home. To be accessible for inspection. 15/12/2008 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes 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 1 23 37 The Registered must make sure that regulation 37 forms are completed and faxed to the CSCI where appropriate. 30/11/2008 To ensure that that the health and welfare of people who use the service are being protected. 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 26 of 27 Helpline: 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 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. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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