Inspection on 09/01/06 for 2 The Grove

This inspection was carried out on 9th 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 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

2 The Grove 09/05/06

2 The Grove 24/05/05

2 The Grove 04/11/04

2 The Grove 25/05/04

2 The Grove 01/12/03

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 2 The Grove Westoning Bedfordshire MK45 5JW Lead Inspector Ansuya Chudasama Unannounced Inspection 9th January 2006 16:00 2 The Grove DS0000014906.V278076.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 2 The Grove DS0000014906.V278076.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. 2 The Grove DS0000014906.V278076.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 2 The Grove Address Westoning Bedfordshire MK45 5JW 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) 01525 717098 www.macintyrecharity.org MacIntyre Care Mr Geoffrey Evans Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 2 The Grove DS0000014906.V278076.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th May 2005 Brief Description of the Service: 2 The Grove provides a home for up to six service users with learning disabilities. It is a purpose-built house on a small, enclosed estate of three registered homes, all belonging to Macintyre. The home is situated in the village of Westoning and is walking distance of local shops, a church, and public houses. The house is divided into two sections accommodating two and four service users. Each section has a separate kitchen and lounge as well as a utility room. The larger section has two bathing facilities with toilets and also a separate toilet. The smaller unit is able to provide accommodation for two people with physical disabilities. One of the bedrooms downstairs was turned into an office and this provided more space for staff. The office room upstairs was turned into an activity/quiet room for service users and has an en-suite shower and toilet. There is a large rear garden with three swings, a slide, football net, a hammock, and a patio area, and a garden shed. The garden was well used by service users, and meet their needs. 2 The Grove DS0000014906.V278076.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place just over two hours. The inspection comprised of a tour of the lounge, kitchen combined with dinning area and a service users bedroom. The majority of the time was spent observing and talking to the service users, and staff. This report should be read in conjunction with the last inspection report undertaken on the 24/4/2005 What the service does well: What has improved since the last inspection? 2 The Grove DS0000014906.V278076.R01.S.doc Version 5.1 Page 6 The home had a new mini-bus that met the service users needs. The lounge had a new television, and a sofa. The room was also decorated, and looked very pleasant, and homely. Two service users had their bedrooms decorated, and one service user had a new sofa and a TV. A new hoist for the bathroom was installed to meet the needs of the service user with a physical disability. 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. 2 The Grove DS0000014906.V278076.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 2 The Grove DS0000014906.V278076.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): 0 None of the standards were assessed on this occasion but these were all assessed and met at the last inspection. EVIDENCE: 2 The Grove DS0000014906.V278076.R01.S.doc Version 5.1 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): 0 None of the standards were assessed on this occasion but these were all assessed and met at the last inspection. EVIDENCE: 2 The Grove DS0000014906.V278076.R01.S.doc Version 5.1 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): 11,12,13,14,15,16,17. Service users are provided with a variety of activities to ensure their personal developmental needs are being met. EVIDENCE: All the service users attended the organisations adult life long learning centre and one service user attended college. Each person also had a day back at the home to work on their independence skills with staff on a one to one ratio. One of the service users had improved so much since attending “life skills course” at the college. It was stated that the staff were working towards moving the service user to a more independent living unit. The service users family were also very happy with the progress that had been achieved. The staff stated that they had good working relationships with service users families. They communicated with them by phone, attending reviews and by sending newsletters about the home on a three monthly basis. Families also visited the home and staff supported service users to visit their families by accompanying them. The service users used makaton sign language and words and body language to communicate with staff. The staff understood the service users methods of 2 The Grove DS0000014906.V278076.R01.S.doc Version 5.1 Page 11 communication. The staff stated that the service users are given lots of choices to make decisions. This included the activities and holidays that they enjoyed. This was confirmed by seeing photographs of activities that the service users enjoyed displayed in the home. The home had a new mini bus that met the service users needs. The evening meal was freshly cooked and smelled very appetising. The service users spoken to stated that they enjoyed the meal. The service users chose the meals, and the staff also knew their likes and dislike of food. 2 The Grove DS0000014906.V278076.R01.S.doc Version 5.1 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): 0 None of the standards were assessed on this occasion but these were all assessed and met at the last inspection. EVIDENCE: 2 The Grove DS0000014906.V278076.R01.S.doc Version 5.1 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): 0 None of the standards were assessed on this occasion but these were all assessed and met at the last inspection. EVIDENCE: 2 The Grove DS0000014906.V278076.R01.S.doc Version 5.1 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): 24, 25,26,30 Service users live in a safe and homely environment to ensure their individual needs are being met. EVIDENCE: The home was very clean and homely. It was decorated to a high standard. The service users were observed wandering around the communal areas in a safe manner. The lounge and some of the service users bedrooms had been decorated. The rooms were individualised to meet the needs of the service users. A new sofa and a TV were purchased for the lounge, and for one of the service users. 2 The Grove DS0000014906.V278076.R01.S.doc Version 5.1 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): 31,32,33,35,36. The staff felt well supported, which is reflected in the good standard of care provided to the service users. EVIDENCE: The manager had worked hard to retain the staff employed at the home since the last inspection. This ensured that the service users were provided with continuity of care. The staff also got to know the service users needs better by developing a good working relationship with them. The home had three staff on duty during the daytime and in the evenings this was increased to four. At weekends there were four staff on duty per shift. The manager regularly reviewed staffing levels to ensure service users changing needs were being met by the home. All staff undertook the statutory and the organisation induction training. Five staff in the home were undertaking their NVQ level 3 training and it was stated that the staff were enjoying the course. It was stated that the training provided by the organisation was excellent. A new training programme for this year had been started and this was displayed on the notice board. Staff spoken to stated that they received supervision on a monthly basis. Staff meetings were held on a regular basis and these were said to be very good. It was also stated that the staff worked well as a team. 2 The Grove DS0000014906.V278076.R01.S.doc Version 5.1 Page 16 The staff spoken to were able to give detailed information on how they met the service users individual needs. Very positive comments such as “it’s a great home and I love working here, “ and the manager is “very good and supportive” were received from staff. It was also said that service users were given lots of choices to make decisions by staff. This was observed on the day of the inspection. 2 The Grove DS0000014906.V278076.R01.S.doc Version 5.1 Page 17 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): 0 None of the standards were assessed on this occasion but these were all assessed and met at the last inspection. EVIDENCE: 2 The Grove DS0000014906.V278076.R01.S.doc Version 5.1 Page 18 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 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 x ENVIRONMENT Standard No Score 24 3 25 3 26 4 27 x 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 4 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X X X X X x 2 The Grove DS0000014906.V278076.R01.S.doc Version 5.1 Page 19 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 2 The Grove DS0000014906.V278076.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF 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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