Inspection on 14/03/07 for 1 Cranwell Grove

This inspection was carried out on 14th March 2007.

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.

Other inspections for this house

1 Cranwell Grove 26/01/06

1 Cranwell Grove 24/08/05

1 Cranwell Grove 07/09/04

1 Cranwell Grove 14/04/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 1 Cranwell Grove Whitchurch Bristol BS14 9QR Lead Inspector Vanessa Carter Key Unannounced Inspection 14th March 2007 1:00 1 Cranwell Grove DS0000026575.V332695.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 1 Cranwell Grove DS0000026575.V332695.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. 1 Cranwell Grove DS0000026575.V332695.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 1 Cranwell Grove Address Whitchurch Bristol BS14 9QR 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) 01275 540115 0117 9699000 www.brandontrust.org The Brandon Trust Mr Stuart Michael Robbins Care Home 4 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (4) of places 1 Cranwell Grove DS0000026575.V332695.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Stuart Robbins to achieve NVQ level 4 in Management and Registered Managers award. 26th January 2006 Date of last inspection Brief Description of the Service: 1 Cranwell Grove is a residential care home registered with the Commission for Social Care Inspection to provide accommodation and personal care to four residents with a learning disability. Currently there are four men living at the home – they have all lived together for 16 years and there are no plans for any of them to be moving to alternative accommodation. The home is situated in a residential area of the city, close to local amenities and bus routes. The Brandon Trust operates the home. The home has access to major bus routes into the city centre and the surrounding areas. The cost of placement at the home is £1055 per week, and additional charges are made for a range of different things - holidays, days out, petrol costs, hairdressing, meals out, toiletries and day care/college. Information about the home can be obtained from either the home manager or The Brandon Trust. 1 Cranwell Grove DS0000026575.V332695.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place over 4 hours on one day. Evidence has also been obtained from a number of other resources, namely: • Pre-inspection Information supplied by the Home Manager • Information supplied by the relatives on CSCI survey forms • A look around the home • Talking to the Home Manager • Talking to one member of staff • Observations of residents and their interaction with other residents and the staff on duty • Looking at staff and care records • Looking at other documentation and policies of the home. The overall analysis is that the home is a good place in which to live and work, and the outcomes in all areas are positive for all residents. What the service does well: What has improved since the last inspection? A requirement was made following the last inspection, that the home ensures that all residents have up-to-date contracts. Whilst each Planning for Life folder had a copy of the “Place to Live Agreement” and details regarding their Board and Lodging charges, the residents themselves do not have the capacity to understand the information. 1 Cranwell Grove DS0000026575.V332695.R01.S.doc Version 5.2 Page 6 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. 1 Cranwell Grove DS0000026575.V332695.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 1 Cranwell Grove DS0000026575.V332695.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): 2 and 5. Residents can be assured that their needs will be accurately assessed and then met. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Due to the fact that there have been no new admissions into the home since the last inspection, it is not possible to assess the homes pre-admission assessment processes. However, the home does regularly review the needs of the current residents. This ensures that the care delivered remains appropriate and any new needs are identified and planned for. Two “Planning for Life” folders were examined. Both residents care needs had been reviewed in the last six months and amendments made to their plan of care. Residents have a copy of a “Place to Live Agreement” and details of Board and Lodging charges included with their care planning documentation, despite not having the capacity to understand the information. The charges have been individually prepared for each resident, and the documents meet the standard required. 1 Cranwell Grove DS0000026575.V332695.R01.S.doc Version 5.2 Page 9 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 and 9. The homes care planning and risk assessment processes ensure that residents have the opportunity to participate in new experiences and have a lifestyle they are comfortable with. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two care files were looked at as a means of determining the processes the home goes through to look at a residents assessed needs and then say how they are going to meet them. Each resident has a detailed care plan that had obviously been written by a staff member who had a great awareness of the individual’s specific needs. The plans state how much help they need with specific tasks, like help with personal care tasks or with eating and drinking. For one resident their plans included essential morning routines and evening routines. One resident’s plan had in-depth information recorded about “When I do this, it means I want/I am”, and “Staff need to”. This means that the residents will be cared for in a consistent way, and staff will always be aware of how to help. 1 Cranwell Grove DS0000026575.V332695.R01.S.doc Version 5.2 Page 10 The plans have been reviewed on a regular basis and had been amended where needed. The home uses the reviewing process to record any achievements that have been made and to identify any new things that the resident might want to try. The staff involve the residents in all aspects of the planning and decision making processes concerning their lives, however most times decisions are made based on a knowledge of what the residents likes and dislikes are. The residents are not able to communicate but staff pick up on mood and behavioural changes. Risk assessments are completed about money management, bathing, using electrical equipment, and eating and drinking. This evidences that the home ensure that the residents are safeguarded. The manager explained that they use the risk assessment process to make things safe and not to hinder experience in any new experiences. 1 Cranwell Grove DS0000026575.V332695.R01.S.doc Version 5.2 Page 11 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 and 17. Residents have a good quality of life and are assisted by staff who assure that they have a choice in what they do. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each of the residents has a different weekly plan of activities. They receive an individually tailored package of care that consists of day care, home time and 1:1 time with one or two support workers. On the day of inspection, only two residents were present at lunchtime with the other two returning later that afternoon from day care. One resident goes to college and does various courses; another resident receives 1:1 support from a staff member whilst attending the day care centre. 1 Cranwell Grove DS0000026575.V332695.R01.S.doc Version 5.2 Page 12 The manager said that trips out are arranged at the weekends – examples include meals out, visits to local attractions or the seaside. The residents are supported to visit family and relatives. A discussion around the choice of holiday destinations showed that the manager, in the past, has arranged individual holidays for one or two of the residents, and also arranged one holiday for all four. The latter was successful since the residents are each “dependent” upon one other, and the absence of one or two of the four was a change that they could not cope with. The residents are supported to choose a holiday by looking at brochures, photographs and pictures. The manager explained that when the gentlemen are away from the home on holiday, any repairs or redecorations are undertaken. This year the home is having their holiday at Butlins in Minehead. A copy of two weeks menu showed that the residents have a varied and balanced diet. Some meals are “everybody has the same” whilst others are that each resident will have something different. Staff explained that they know the dislikes and likes of each individual – these are recorded in their Planning for Life folders. 1 Cranwell Grove DS0000026575.V332695.R01.S.doc Version 5.2 Page 13 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 and 20. Residents receive the help they require with their personal and healthcare needs, and the homes medication procedures are safe. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager and staff member demonstrated a good knowledge of the resident’s healthcare and personal care needs. This knowledge is based upon a long-term relationship that has developed between the residents and some of the care team. Specific information regarding each individual is recorded in their plan of care. For one there was detailed information about the dental care required on a daily basis. Each of the residents looked healthy and well cared for. One relative commented on a CSCI comment card “I am delighted with the attention paid to my son needs and how much care is given to him”. Another relative commented that their son’s emotional health had been affected when there were management and staffing changes – improvements in this area had led to a return to settled emotional health. 1 Cranwell Grove DS0000026575.V332695.R01.S.doc Version 5.2 Page 14 The homes medications procedures are safe. The manager explained that the member of staff doing the late shift followed by a sleep-in and morning shift is ‘responsible’ for the medication administration during that whole period. The manager explained that this reduces the possibility of any errors being made and means that any mistakes can be identified easily. Medications are all supplied in sealed dosage systems. 1 Cranwell Grove DS0000026575.V332695.R01.S.doc Version 5.2 Page 15 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 and 23. Residents can be assured that any concerns they have will be listened to and acted upon, and that they will be safeguarded from harm. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s complaint procedure is included in the Statement of Purpose. Two relatives CSCI survey forms stated they had been provided with a copy of the homes complaints procedure. One had had reason to raise concerns with the Brandon Trust and stated that the concerns had been handled appropriately. The manager made reference to this complaint and the outcome. The four gentleman are unable to understand the complaints procedure, nor would be able to in any other format. Staff and the manager are very aware of how to pick-up when the residents are unhappy or not comfortable with something. No concerns or complaints have been raised with CSCI. The manager and staff member referred to adult protection training they had received and demonstrated good awareness of issues, and their responsibilities in protecting the residents from harm. The residents looked at ease with the staff. 1 Cranwell Grove DS0000026575.V332695.R01.S.doc Version 5.2 Page 16 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, 27, 28, 29 and 30. Residents live in a comfortable and safe home, and it meets the needs of the current residents. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Cranwell Grove has existed as a care home since 1990. It is a large detached property situated on a residential housing estate, surrounded by family homes, and areas of communal open spaces. From the outside, there is no indication that the property is a care home and it is in keeping with the local community. The home is well maintained and all furnishings and fittings are good quality and of a domestic nature. The home is safe, comfortable, well decorated, clean tidy and fresh. There are three communal areas in the house. A large lounge, separate dining room and a quiet room. 1 Cranwell Grove DS0000026575.V332695.R01.S.doc Version 5.2 Page 17 A tour of the home was made and each of the resident’s bedrooms were seen. The bedrooms are large and each have a wash hand basin installed. The rooms are furnished to meet that persons needs. There is one main bathroom upstairs and a cloakroom on the ground floor. The grab rail by the side of the bath is corroded and needs to be replaced – one resident uses this to help him get in the bath properly. The home was clean and tidy throughout. 1 Cranwell Grove DS0000026575.V332695.R01.S.doc Version 5.2 Page 18 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 and 35. A stable staff team, who are familiar with each resident’s needs, now cares for the residents. This is essential in ensuring that the current residents are well looked after, both physically and emotionally. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Five support workers, the home manager and a number of regular “Brandon Trust” bank staff, support the residents. This ensures that residents are looked after by staff that know how they like to do things, and are aware of their individual needs. In the eight-week period prior to the pre-inspection report being completed by the home manager, a significant number of shifts had been filled by bank workers. One relative commented on a CSCI survey form that they were concerned about staff changes and the impact upon their son’s emotional health. The relative had also said that the return to the home of the current home manager had brought about the required stability. 1 Cranwell Grove DS0000026575.V332695.R01.S.doc Version 5.2 Page 19 One support worker, who had joined the staff team, said that they had completed their NVQ Level 2 in care and other training courses such as first aid, manual handling and food hygiene, plus some learning disability training. This means that support staff will be competent to look after the residents. Observations of staff practice and interactions with the residents demonstrated that they were approachable, and respectful of those who they were looking after. The residents were at ease with the staff and moved around the home as they wished. All new staff will complete an induction- training programme upon starting their employment at the home – this was confirmed in discussion with staff. This ensures that the home employs staff that are competent and are aware of the policies and procedures of the home. Most of the staff team have NVQ Level 2 in care, and there is an expectation that any new worker who is employed without the qualification, will then undertake the course. The home has a number of staff vacancies at the moment and the home manager is in the process of recruiting. Staff recruitment files are not kept in the home – there is an agreement with CSCI that inspectors can visit the Brandon Trust Head Quarters to look at files. Discussion with the home manager evidenced that a robust recruitment and vetting procedure is followed. POVAfirst and CRB disclosures are obtained on all staff along with two written references. All staff have a formal supervision with the home manager at regular intervals, and this was confirmed in discussion with staff and the home manager. 1 Cranwell Grove DS0000026575.V332695.R01.S.doc Version 5.2 Page 20 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, 38, 39 and 42 Residents live in a home that is well run and run in their best interests. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home manager Stuart Robbins has been employed by the Brandon Trust since 1995, and has returned to the registered home managers position following a period of working elsewhere within the organisation. One relative commented on a CSCI survey form that “the home is again being run well, and once fully staffed, will function well”. The manager has completed the NVQ Level 4 in management and the Registered Managers Award since the last inspection. 1 Cranwell Grove DS0000026575.V332695.R01.S.doc Version 5.2 Page 21 Members of the senior management team from The Brandon Trust visit the home on a monthly basis and audit arrangements at the home. A report is provided for CSCI. The fire log was up to date with all environmental checks having been completed on a regular basis. The manager and staff are fully aware of the need to maintain the safety of the residents. The residents are involved as much as possible in the daily running of the home and will influence any decisions made. The manager explained that due to communication difficulties, this is sometimes on a “trial and error” basis. If something doesn’t work, it isn’t done again and an alternative is tried. The home is well maintained and safe. A door alarm is fitted to the front door, and staff are alerted if one of the residents opens the door. Staff are well informed of the need to follow safe working practices in respects of moving and handling tasks and fire safety, and the homes policies around infection control, food hygiene and first aid were all reviewed last year. Brandon Trust organises maintenance of all the homes utility services and any repairs or replacements are organised at home level. 1 Cranwell Grove DS0000026575.V332695.R01.S.doc Version 5.2 Page 22 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 X 2 3 3 X 4 X 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 3 25 3 26 3 27 3 28 3 29 3 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 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X X 3 X 1 Cranwell Grove DS0000026575.V332695.R01.S.doc Version 5.2 Page 23 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 YA29 Good Practice Recommendations Replace the grab rail on the side of the bath 1 Cranwell Grove DS0000026575.V332695.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 1 Cranwell Grove DS0000026575.V332695.R01.S.doc Version 5.2 Page 25 - 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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