Inspection on 12/12/05 for 17a Linda Grove

This inspection was carried out on 12th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

17a Linda Grove 30/10/07

17a Linda Grove 24/05/05

17a Linda Grove 18/01/05

17a Linda Grove 06/07/04

17a Linda Grove 02/03/04

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

CARE HOME ADULTS 18-65 17a Linda Grove Cowplain Hampshire PO8 8UX Lead Inspector Kathryn Kirk Unannounced Inspection 12th December 2005 10:00 17a Linda Grove DS0000011715.V267187.R01.S.doc Version 5.0 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 17a Linda Grove DS0000011715.V267187.R01.S.doc Version 5.0 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. 17a Linda Grove DS0000011715.V267187.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 17a Linda Grove Address Cowplain Hampshire PO8 8UX 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) 023 9226 2356 Community Integrated Care Mrs Pamela Joyce Wakelin Care Home 4 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (4) of places 17a Linda Grove DS0000011715.V267187.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. All service users admitted from 11th June 2003 must be between 35 and 65 years of age. Service users over 65 accomodated at the home on 11/06/03 may continue to be accomodated provided that the home can continue to meet their needs. 24th May 2005 Date of last inspection Brief Description of the Service: 17a Linda Grove is a purpose built bungalow. Knightstone Housing provide the accommodation. Community Integrated Care manages the service. It is registered to provide residential care for up to four adults with a learning disability. Service users have their own bedroom and share the use of bathroom, toilet, dining and lounge areas. There is an enclosed rear garden which is accessible to service users in wheelchairs. 17a Linda Grove DS0000011715.V267187.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced inspection to take place during the year April 2005-March 2006. Only key standards that were not considered during the previous inspection will be discussed. As such to gain a more detailed overview of the service, this report should be read in conjunction with the report dated 25 May 2005. Sadly, since the last inspection two older service users have died. The conditions of registration are such that the service will now only accept younger adults with a learning disability. There are currently two service users in residence. This inspection lasted for one and a half hours. What the service does well: What has improved since the last inspection? What they could do better: 17a Linda Grove DS0000011715.V267187.R01.S.doc Version 5.0 Page 6 Statement of terms and conditions need minor amendments to ensure accuracy. Minor amendments are needed in the complaints procedure to ensure that it is clear. It may benefit current service users for staff to develop other methods of communication within the home so that they have more opportunity to participate and to exercise choices. 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. 17a Linda Grove DS0000011715.V267187.R01.S.doc Version 5.0 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 17a Linda Grove DS0000011715.V267187.R01.S.doc Version 5.0 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): 5. Contractual agreements are in place but still need some clarification. EVIDENCE: It was noted during the previous inspection that statements of terms and conditions issued by Community Integrated Care do not contain accurate information about benefit entitlement, in particular the Disability Living Allowance mobility component. The amounts payable by each service user towards costs therefore remain unclear. 17a Linda Grove DS0000011715.V267187.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 Service users are able to make some decisions and staff offer appropriate support in the decision making process. EVIDENCE: Service users preferences are recorded as part of the person centred planning process. The manager said that service users are able to make decisions about their daily routines, for example they are offered a choice about what to wear each day, what to eat and will let staff know their wishes by pointing. It was observed that at present information in the home is in written format, for example, menus. The manager said that she intended to look into other ways in which to convey information, for example in pictorial form to see if this will assist that service users in becoming more involved in decision making processes. The manager said that efforts are being made to find an advocate for one service user. Service users are able to access all communal areas of the building, with staff support as required. Up to date risk assessments were seen, for example for service users in the kitchen. 17a Linda Grove DS0000011715.V267187.R01.S.doc Version 5.0 Page 10 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): 13 and 17 Staff support service users appropriately to enable them to access local facilities. Nutritional needs are met. EVIDENCE: The manager said that service users make use of community facilities, for example, local shops. She said that staff intend to escort one service user, so that they can use the local swimming pool. One service user uses local public transport with staff support. The service has its own transport, which is used to enable service users to pursue their chosen activities. A completed risk assessment for one service user was seen which identified that one service user needs two staff to escort them in the homes vehicle. The manager said that staffing levels are such that this can be achieved without difficulty. Meals are prepared by staff and are eaten in the dining room. Staff offer assistance as necessary. Menus were seen which indicated that service users are offered varied and balanced meals. A snack is generally available at lunchtimes and the main meal is eaten in the evening. The manager said that staff are aware of dietary likes and dislikes of service users, and continue to build their knowledge by ensuring that they gauge reactions of service users to new foods. 17a Linda Grove DS0000011715.V267187.R01.S.doc Version 5.0 Page 11 The manager said that current service users do not have any specific dietary needs. 17a Linda Grove DS0000011715.V267187.R01.S.doc Version 5.0 Page 12 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): 20 Appropriate policies and procedures are in place to ensure that medicines are handled safely. EVIDENCE: The manager said that no service users self-administer medication. All medicines are stored safely in a locked cupboard. Records were seen for medicines administered and returned. Records showed that all staff are trained in the safe administration of medicines. The manager said that this training is updated every six months. 17a Linda Grove DS0000011715.V267187.R01.S.doc Version 5.0 Page 13 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 Minor amendments are needed in the written complaints procedure to ensure that it is clear. EVIDENCE: There have been no complaints made about this service since the last inspection. There is a written complaints procedure, which needs minor amendments for example it needs updated to include details about the Commission for Social Care Inspection and to include the information that any complaint would be responded to within twenty-eight days. The manager agreed that this would be done and also said that she would look at ways in which the complaints procedure could be put in a more accessible format for service users to understand. 17a Linda Grove DS0000011715.V267187.R01.S.doc Version 5.0 Page 14 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): No standards were assessed on this occasion. EVIDENCE: 17a Linda Grove DS0000011715.V267187.R01.S.doc Version 5.0 Page 15 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): No standards were assessed on this occasion. EVIDENCE: 17a Linda Grove DS0000011715.V267187.R01.S.doc Version 5.0 Page 16 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): 42 The manager ensures safe working practices to protect as far as possible the welfare of service users. EVIDENCE: Records showed that all staff have been trained in moving and handling. The manager said that a senior support worker is trained as a moving and handling facilitator. Records showed that staff have had up to date training in fire safety, health and safety, food hygiene and first aid. A sample of records were checked relating to safety issues, this showed that fire extinguishers were serviced in November 2005, portable electrical equipment was tested in November 2005, and the gas boiler checked in February 2005. The accident book was seen and this had been completed appropriately. 17a Linda Grove DS0000011715.V267187.R01.S.doc Version 5.0 Page 17 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X 2 Standard No 22 23 Score 2 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 17a Linda Grove Score X X 3 X Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X DS0000011715.V267187.R01.S.doc Version 5.0 Page 18 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 17a Linda Grove DS0000011715.V267187.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. 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