Inspection on 11/04/07 for Merrington Grange

This inspection was carried out on 11th April 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

Merrington Grange 24/03/09

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Merrington Grange Merrington Bomere Heath Shrewsbury SY4 3QJ Lead Inspector Mike Moloney Key Unannounced Inspection 11th April 2007 08:00 Merrington Grange DS0000068960.V335013.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 Merrington Grange DS0000068960.V335013.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. Merrington Grange DS0000068960.V335013.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Merrington Grange Address Merrington Bomere Heath Shrewsbury SY4 3QJ 01939 235 163 01939 235 418 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) Adelphi Care Services Limited Kim Maria Walshaw Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Merrington Grange DS0000068960.V335013.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection New service Brief Description of the Service: Merrington Grange is a home for up to 9 people with learning disabilities in the small village of Merrington in Shropshire. Owned by Adelphi Care Services Ltd it is managed by Kim Walshaw who leads what is currently a small staff team as at the time of the inspection there was only one person living there. The building is in two separate parts with the larger of the two areas having a downstairs area to one side of the home which has all of the amenities of a self contained flat whilst still allowing easy access to the main living areas. The second main area is a ground floor annex which can accommodate two people. This contains its own lounge, kitchen/ diner, bathroom as well as a laundry area and there is no indoor access to the rest of the house. The home has parking for a number of cars as well as a secure garden area. There are also extensive views of the surrounding countryside, particularly to the north. Further information is available in the home’s service user guide. Fees are currently £2509 per week Merrington Grange DS0000068960.V335013.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: information from the provider, records kept in the home, medication records, discussions with the staff team, tour of the premises and talking with as well as observing the care experienced by the person using the service. The service user spoken to did, however, make it clear that he was more interested in the activity that he was undertaking than in engaging with the inspector. As there is only one service user currently living at the home it is not possible to give detailed examples of the care given as this would obviously be identified as that of the individual concerned and would therefore be a breach of confidentiality. What the service does well: 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. Merrington Grange DS0000068960.V335013.R01.S.doc Version 5.2 Page 6 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 Merrington Grange DS0000068960.V335013.R01.S.doc Version 5.2 Page 7 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 and 4 Quality in this outcome area is good. Prospective people to use a service and their representatives have the information needed to choose their home. They have their needs assessed and information which clearly tells them about the service the will receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records of one person who has come to live at the home since it was registered were looked at. The file contained an assessment carried out by the home as well as one carried out by the local authority. The assessment carried out by the home looked at such areas as morning routines, eating, personal hygiene skills, other daily routines and interests, likes, dislikes and allergies. The manager and the other staff on duty talked about the visits of another prospective service user who they had hoped would visit that day. However, a telephone call was received that said that he did no want to visit that day but would wish to at the weekend. Merrington Grange DS0000068960.V335013.R01.S.doc Version 5.2 Page 8 The home was seen to have a service user guide that was also available in alternative formats. Merrington Grange DS0000068960.V335013.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 Quality in this outcome area is good. Individuals are involved in decisions about their lives and play an active role in planning the care and support they receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records for the service user who was living at the home at the time of the inspection were looked at. These were seen to contain a comprehensive list of his likes and dislikes. These likes and dislikes covered a range of areas such as people, both as individuals and as groups, foods and activities. The manager explained that these lists had been originally created by his family but they had been added to by the staff team as their experience of him developed. An instance of this happened during the inspection when the manager and a member of staff were observed discussing an experience and whether or not to add the observation to the list. The service user’s routines were seen to have been written as a care plan and this showed how each task should be carried out so that his preferences would Merrington Grange DS0000068960.V335013.R01.S.doc Version 5.2 Page 10 be respected. This had been reviewed by the home after six weeks with the help of his parents. Risk assessments had also been developed for the activities in which he is involved. Merrington Grange DS0000068960.V335013.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 Quality in this outcome area is good. People who use services are able to make choices about their life style and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individual expectations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service user living at the home is currently in fulltime education although it is planned that this will change in the near future with the manager talking of arrangements that are currently being considered for day activities. During the inspection the service user was seen happily occupying himself in an activity that his records showed that he enjoys. He would break off from this activity to occasionally strike up an interaction with the member of staff who was with him. Looking at the records kept by the home it could be seen that he regularly receives visits from his family. Merrington Grange DS0000068960.V335013.R01.S.doc Version 5.2 Page 12 When looking around the area of the home in which the service user lived much evidence of some of his favourite past-times and interests could be seen, not only in his bedroom but also in the storage areas. It was seen that not only his bedroom, but all of the others had appropriate locks fitted to the doors for those who would wish to use them. Although the service user had already eaten breakfast by the time the inspection started and he had gone out with a member of staff by the time lunch time came it could be seen from the homes records that he is offered and eats food that is consistent with his likes and any medical needs. Merrington Grange DS0000068960.V335013.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 Quality in this outcome area is good. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service user’s file was seen to contain a comprehensive profile of his medical and health needs with instructions on how these should be met whilst taking into account his preferences. By looking at the files it could be seen that input from a range of specialist healthcare professionals had been obtained while developing this document. Records were seen to be in place that would record and therefore enable the monitoring of any medical appointments or treatments that any service users may undergo or undertake. The arrangements for the storage and administration of medication were looked at and these were seen to be appropriate both in the annex as well as Merrington Grange DS0000068960.V335013.R01.S.doc Version 5.2 Page 14 the main house. Records seen also showed that staff receive the appropriate training in such matters. Merrington Grange DS0000068960.V335013.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 Quality in this outcome area is good. People who use the service are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse and have their rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: No complaints have been received at the home since it has opened. The home has a complaints procedure that contains all of the information required by the Care Homes Regulations 2001. It was clear from talking to the manager and the rest of the staff team that issues are identified and remedied as part of the ongoing reviews of behaviour management plans. A copy of the local policies for the protection of vulnerable adults was available in the office and staff confirmed that they had received training in adult protection. By talking with staff and looking at records it was seen that adult protection training is given to staff during induction. The manager confirmed that there had been no allegations against staff or home. Merrington Grange DS0000068960.V335013.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 and 30 Quality in this outcome area is good. The physical design and layout of the home enables people who use the service to live in a safe, well-maintained and comfortable environment, which encourages independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is in two separate, but adjoining parts with the larger of the two areas having a downstairs area to one side which has all of the amenities of a self contained flat whilst still allowing access to the main living areas. The second main area is a ground floor annex which can accommodate two people. This contains its own lounge, kitchen/ diner, bathroom as well as a laundry area and there is no indoor access to the rest of the house. The home has parking for a number of cars as well as a secure garden area. There are also extensive views of the surrounding countryside, particularly to the north. Merrington Grange DS0000068960.V335013.R01.S.doc Version 5.2 Page 17 There are two laundry areas both of which are appropriately equipped. Within the grounds of the home there are two other small buildings one of which contains the Company head-quarters and the other a training/meeting area. Merrington Grange DS0000068960.V335013.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, 35 and 36 Quality in this outcome area is good. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The rotas showed and the staff confirmed that appropriate levels of staff are on duty in the home at all times. The manager confirmed that the numbers would be reviewed as more people come to live in the house. The records of the staff were looked at and these showed that the staff receive regular, recorded professional supervision. The records also showed that staff receive training appropriate to the identified needs of the service user group and that over 50 of the team have achieved NVQ2 or above in care. Talking to the staff who were present during the inspection confirmed that the records were accurate. Looking at the documentation relating to staff recruitment showed that all of the checks that are required to ensure that staff are fit to work with vulnerable people had been carried out before individuals were allowed to start working at the home. Merrington Grange DS0000068960.V335013.R01.S.doc Version 5.2 Page 19 The service user was seen to react positively and in a relaxed manner when interacting with the staff and they showed a good understanding of his needs and preferences. Merrington Grange DS0000068960.V335013.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, 39 and 42 Quality in this outcome area is good. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Talking with the manager established that she holds qualifications that are appropriate for someone who manages a service such as this. The Commission for Social Care Inspection have been regularly receiving copies of the reports on visits made by the responsible individual required by Regulation 26 of the Care Homes Regulations 2001 and these show that important areas of the home’s performance are reviewed on a regular basis. A number of records were looked at that monitor safety issues within the home such as the fire prevention records, water temperature records and the Merrington Grange DS0000068960.V335013.R01.S.doc Version 5.2 Page 21 accident records. All of these records were found to be appropriately maintained and action taken where necessary. The storage and risk assessment of the use of hazardous substances was seen to be appropriate. The staff records showed and talking with the staff confirmed that they undertake health and safety training in such things as food hygiene and infection control. Merrington Grange DS0000068960.V335013.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 3 2 3 3 x 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 3 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 x 3 x x 3 x Merrington Grange DS0000068960.V335013.R01.S.doc Version 5.2 Page 23 no 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. Refer to Standard Good Practice Recommendations Merrington Grange DS0000068960.V335013.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Merrington Grange DS0000068960.V335013.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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