Inspection on 26/01/06 for 1 Cranwell Grove

This inspection was carried out on 26th January 2006.

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 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

1 Cranwell Grove 14/03/07

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 Karen Walker Unannounced Inspection 26th January 2006 09:30 1 Cranwell Grove DS0000026575.V277837.R01.S.doc Version 5.1 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.V277837.R01.S.doc Version 5.1 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.V277837.R01.S.doc Version 5.1 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 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.V277837.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Stuart Robbins to achieve NVQ level 4 in Management and Registered Managers award. 24th August 2005 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. 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. 1 Cranwell Grove DS0000026575.V277837.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection report was completed after consultation with the senior support worker who is currently supporting the manager with all aspects of management at Cranwell Grove. Information was also gained from one home support worker (bank) and one resident at home at the time of this inspection. Two residents were case tracked and documentation was examined in respect of them including care plans and associated risk assessments. Other documentation relating to the running of the home and service provision was examined along with staffing records. What the service does well: What has improved since the last inspection? There has been a great improvement in the service received by residents’. All of the requirements and recommendations made at the last inspection have been met. Much work has been done to ensure records are accurate and up to date. All of the residents’ benefit from care plan and risk assessment reviews with information received from family members and Day Care placement staff. Goals set are achievable and residents’ aspirations are being met through goal steps. 1 Cranwell Grove DS0000026575.V277837.R01.S.doc Version 5.1 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. 1 Cranwell Grove DS0000026575.V277837.R01.S.doc Version 5.1 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.V277837.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,4,5 Prospective residents’ have the information they need to make a choice of service provider and are able to ‘test drive’ the service. Residents can feel satisfied that their needs will be assessed and met. Care plans will continue to be reviewed to ensure goals and aspirations are met. Residents’ may benefit from user-friendly contracts in place. EVIDENCE: There are currently no vacancies at this home. It was noted that the Service User Guide is in photograph format and is used to explain what the residents can expect from the service they receive. The Statement Of Purpose has been updated and includes information relating to resident involvement in decision-making within the home and support with making informed choices. The admission policy was viewed and it was noted that it included gradual structured visits. It also included a 3-month trial period so that residents’ and the staff team can ‘test drive’ the placement ensuring assessed needs are being met. Staff confirmed an admission would only be made after initial assessment and it would be a gradual process. 1 Cranwell Grove DS0000026575.V277837.R01.S.doc Version 5.1 Page 9 After discussion with staff members and viewing care documentation it was evidenced that the assessed needs of residents’ are being met. Residents’ can feel satisfied that the appropriate specialist support is sought where necessary and there is support from the Community Learning Disability Team. It was noted that there were no contracts in the two folders examined and the ‘board and lodging charges’ was out of date. It is required that these documents be put in place and recommended they be put in place in a ‘user friendly’ format. 1 Cranwell Grove DS0000026575.V277837.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,9,10 Residents’ can feel confident that their personal goals and aspirations are reflected in a care plan and associated risk assessments. Information held about residents’ is stored appropriately and staff are aware of the need for confidentiality. EVIDENCE: There is a confidentiality policy in place and it was noted that care records were stored appropriately. Staff members confirmed they were aware of the policies relating to the running of the home including confidentiality, Protection of Adults and how this links to the ‘No Secrets DOH document. Residents’ are unable to understand the confidentiality policy but staff are aware of the importance of not discussing individuals in front of others. Records were respectfully written. Care plans have much improved and have recently been subject to review. It was noted that the resident and their representative were in attendance at the review as well as other professions providing support. 1 Cranwell Grove DS0000026575.V277837.R01.S.doc Version 5.1 Page 11 The evidence record sheets show that all goals set at review meetings are being met. It was noted that the care plans are empowering and enabling supporting residents to make their own choices through everyday living tasks. One staff member said ‘we have done a lot of work and are pleased with the progress made’. It was noted that staff have found different strategies for offering residents choice, these include using pictures and item reference to offer food and drink choice. One communication folder has pictures of all sorts of activities and the resident is encouraged to use this as a communication tool. When decisions have been made on behalf of the resident by another person this has been recorded in the form of a risk assessment. One example of this is the inability of residents to manage their own finances. There are many risk assessments in place to support service provision and these have all been subject to review. 1 Cranwell Grove DS0000026575.V277837.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,16,17 Residents are able to take part in many appropriate community activities and their choices are respected and recorded. Residents’ are offered a healthy diet and supported to make choices regarding menu planning. EVIDENCE: Care records show that residents’ are able to take part in the appropriate activitities suited to their needs. Goals support the ‘community presence’ of residets and encourage different recreational experiences. Staff members said “the residents were supported to choose a holiday by looking at holiday brochures and pictures and we have decided on Cornwall this year”. 1 Cranwell Grove DS0000026575.V277837.R01.S.doc Version 5.1 Page 13 It was noted that residents are also supported to attend Day Centres and Colleges to take part in age, peer and culturally appropriate activities. The Key-Worker at the day centre also provides information towards care plan reviews and is able to make valid contributions. Goal reviews and daily records evidence that leisure activities have improved and residents are able to get ‘out and about’ more. One resident now attends his local church on a regular basis and records state ‘went to church really enjoyed it’. The 4 weekly menus were examined and meals were varied and appeared well balanced. Fridge and freezer temperatures were recorded and although meat temperatures are taken it was advised that they are also recorded. Staff said ‘we use books and reference items to support the gents make meal choices although sometimes it is quite difficult’. The kitchen was clean and tidy and has recently been refurbished. 1 Cranwell Grove DS0000026575.V277837.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21 Residents are protected by the homes medication policies and procedures. They can feel confident that their physical and emotional healthcare needs can be met and where necessary the appropriate professional support is gained. Residents’ can feel assured that their wishes in the event of their death will be carried out. EVIDENCE: The Medication Administration Record Sheets (MARS) were examined and there are improvements in the recording of medication noted. The appropriate information is in place relating to the usage and side effects of the medication and all medication is signed onto the premises as received. There are staff signatures in place and all staff have attended a training session provided by the distributing pharmacist. Separate books record as and when (PRN) medication and balance checks for each resident. These were correct at the time of inspection. 1 Cranwell Grove DS0000026575.V277837.R01.S.doc Version 5.1 Page 15 It was noted that there is now up to date information in place relating to the wishes of residents’ in the event of their death. In one care-planning folder there is also reference to a relatives wishes. This is good practice and ensures last wishes are carried out wherever possible. Records show that the healthcare needs of residents are assessed and met. The appropriate healthcare professional also receives a referral where the home cannot meet specific needs. It was noted that there is regular input by the consultant psychiatrist along with regular dental and optician checks. There are guidelines in place to support staff in the management of behaviours that may be seen as challenging. These are clear and positively written. A staff member said ‘since we have utilized the ‘quiet room’ things have improved as residents can now go in there and watch the TV if they wish’. 1 Cranwell Grove DS0000026575.V277837.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Residents are assured that they are protected from abuse and their changing moods are translated and dealt with. EVIDENCE: The staff communication book was examined and it was seen that messages were left for staff informing them of the new policy in place ‘Safeguarding Adults’. The policy including the whistle blowing policy and No Secrets were held separately and signed as read by staff members. A bank staff confirmed he had read and understood them. Records show and staff confirmed that abuse awareness training had taken place and all staff had received updated information regarding protection issues and the POVA list. There were no complaints recorded and a staff member said that although it was not possible to inform residents of the complaints procedure staff were very aware of the different moods and communication skills of residents. Staff advocate on behalf of residents and are said to ‘know them all very well’. There is reference to the complaints procedure in the service user guide in photograph form. 1 Cranwell Grove DS0000026575.V277837.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24-30 The premises are suited to its stated purpose, comfortable, safe and homely meeting the needs of the current resident group. EVIDENCE: A tour of the building was undertaken and it was noted that a number of improvements have been made. The kitchen doors and surfaces have been replaced and the kitchen was brighter and cleaner looking. It was noted that the ‘splash backs’ had been put onto the existing tiles and stood out slightly from the wall. Staff will need to be mindful of this when cleaning them. Also it was reported that staff catch their fingers under the tap when using the sink. The sink is slightly raised at one end. The staff member said the manager was aware of these issues and action would be taken. Shared spaces were clean and tidy and there is a new carpet on the stairs and landing. The home is suited for its intended purpose, is accessible and well maintained. 1 Cranwell Grove DS0000026575.V277837.R01.S.doc Version 5.1 Page 18 Specialist equipment is not required for the current resident group although there is a handrail available over the bath to support one resident who would otherwise ‘grab’ staff. Residents’ bedrooms were clean and individualised reflecting needs and personalities. There are sufficient bathroom facilities available to the resident group. 1 Cranwell Grove DS0000026575.V277837.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33 Residents’ benefit from a motivated staff team. Staff are competent and supportive. EVIDENCE: One staff member confirmed that she was in receipt of a job description and person specification and said ‘I know my role this is reiterated through one to one supervision and staff meetings’. The training folder evidenced that training sessions are accessed depending on residents’ needs and staff interests. Two staff have a National Vocational Qualification (NVQ) and another said she is just about to complete it. The Brandon trust have an excellent training package and a staff member said ‘the manager is very supportive and we can go on any training courses that are relevant. Its better now we have more staff and a settled staff team’. The staff spoken with were motivated and committed to providing a quality service. The senior staff member has gained much experience in management issues and now has greater everyday responsibility. 1 Cranwell Grove DS0000026575.V277837.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38,39,42, Residents’ benefit from sound leadership and management approach of the home. As far as possible the decisions made at the home are made with consideration for residents views. The health and safety of residents is promoted and protected. EVIDENCE: The manager of Cranwell Grove Mr Stuart Robbins is overseeing another home two days per week until March 2006. In his absence an experienced senior support worker offers advice and support to the staff team and resident group. Records show and she confirmed that she is undertaking a NVQ and is carrying out all statutory training as required by legislation. 1 Cranwell Grove DS0000026575.V277837.R01.S.doc Version 5.1 Page 21 It was noted that the fire logbook was up to date and all the required fire alarm checks have been carried out in the prescribed timescales. The COSHH folder contained the appropriate product data and associated risk assessments. Staff confirm that the residents’ are as involved as possible in the daily running of the home and are able to influence decisions made. It was clear when talking to residents that they cannot make their views known verbally and require support with communication. Communication strategy plans are in place to support those needs. 1 Cranwell Grove DS0000026575.V277837.R01.S.doc Version 5.1 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 3 2 X 3 3 4 3 5 2 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 3 32 3 33 3 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 3 X 3 3 X X 3 X 1 Cranwell Grove DS0000026575.V277837.R01.S.doc Version 5.1 Page 23 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. 1 Standard YA5 Regulation 5(1)c Requirement Ensure all residents’ have an up to date contract in place. Timescale for action 28/02/06 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 YA5 Good Practice Recommendations Ensure contracts are as user friendly as possible. 1 Cranwell Grove DS0000026575.V277837.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG National Enquiry Line: 0845 015 0120 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.V277837.R01.S.doc Version 5.1 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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