Inspection on 25/04/05 for 3a Grosvenor Road

This inspection was carried out on 25th April 2005.

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

3a Grosvenor Road 06/03/07

3a Grosvenor Road 13/09/05

3a Grosvenor Road 23/11/04

3a Grosvenor Road 15/06/04

3a Grosvenor Road 08/10/02

Similar services:

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Southfields

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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 3a Grosvenor Road 3a Grosvenor Road Seaford East Sussex BN25 2BL Lead Inspector Jon Wheeler Unannounced 25 April 2005 15:00 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 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 Stationary 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. 3a Grosvenor Road Version 1.10 Page 3 SERVICE INFORMATION Name of service 3a Grosvenor Road Address 3a Grosvenor Road Seaford East Sussex BN25 2BL 01323 890435 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Southdown Housing Association Limited Vacant Care Home 4 Category(ies) of Learning disability (LD) registration, with number 4 of places 3a Grosvenor Road Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of service users to be accommodated is four (4). 2. Service users must be aged between eighteen (18) and sixty five (65) years on admission. 3. Only adults with a learning disability are to be accommodated. Date of last inspection 23 November 2004 Brief Description of the Service: 3a Grosvenor Road is a Southdown Housing Association service registered to provide care to four younger adults who have a learning disability. The home is an attractive, detached property located in a residential area close to the Seaford town centre amenities, including main line railway station and bus routes. The home has two vehicles. On the ground floor, there are three single bedrooms, a large bathroom, kitchen, lounge and dining room. On the first floor is a self-contained flat with a bedroom, lounge and bathroom. There is a large, well-maintained garden to the rear of the property. 3a Grosvenor Road Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection started at 8.10 am and involved talking to three service users and three staff. Evidence from the inspection was also based on observation of staff working with service users, reading care plans, policies and records and looking at the storage, administration and recording of medication. There had recently been a new manager appointed, who was in the process of applying for registration with the Commission. What the service does well: What has improved since the last inspection? The home has appointed a permanent manager. All care plans had been reviewed and updated as required and a new secure medicine cabinet had been fitted. 3a Grosvenor Road Version 1.10 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 3a Grosvenor Road Version 1.10 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 Standards Statutory Requirements Identified During the Inspection 3a Grosvenor Road Version 1.10 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 standard(s) 1, 2, 3, 4. Service users have appropriate information about where to live and are able to visit the home before moving in. The needs of the service users are well met by a knowledgeable and skilled staff team. EVIDENCE: There is a statement of purpose and a pictorial service users guide which clearly show the services, facilities and care provided by the home. The manager was able to describe the pre-admission assessment undertaken for a prospective new service user. A range of visits and over-night stays have been offered to help the service user decide if they want to move in and to ensure the home can meet the assessed needs. In talking to service users, staff and reading care plans and documentation, it is clear that the home is aware of the needs of each service user and is able to meet those needs. The service users spoken with communicated that they were happy in the home and they liked living there. 3a Grosvenor Road Version 1.10 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 standard(s) 6, 7, 8, 9, 10. Care plans reflect individual needs. Service users make choices about their lives and play an active part in the home. Service users are supported to take acceptable risks and have their information handled appropriately and in confidence. EVIDENCE: The individual care plans contain comprehensive information about the needs, preferences, daily routines and goals for service users. There was documentary evidence of a range of risk assessments and staff support guidelines to meet the complex needs of the service users. There was documentary evidence that the care plans and risk assessments had been reviewed and updated on a regular basis. Service users were observed making choices in their lives, including what to eat for breakfast, what to wear and what activities they would like to do. Service users help to plan their menus and also assist in the preparation of food. They are also encouraged to play a role in domestic tasks such as cleaning and shopping. 3a Grosvenor Road Version 1.10 Page 10 Up to date risk assessments indicated that service users are supported and enabled to take acceptable risks in their daily lives. Staff were aware of the importance of confidentiality and were able to describe the policy and procedures in relation to the service users in the home. Each care plan had a confidentiality statement at the front. 3a Grosvenor Road Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 17. Service users take part in a wide range of activities to ensure their personal development. They are supported to have appropriate relationships and have a healthy and varied diet. EVIDENCE: Service users are supported to access a wide range of activities and facilities to meet their individual needs, preferences and goals. Care plans and confirmation from staff and service users confirmed that activities and facilities used include going to college, exercise sessions, shopping, going to clubs, pubs and cafes and various trips out. Activities are tailored to the individual and take account of personal choice, age, health and need. Activities are provided in the home and in the community. The staff help service users to maintain relationships with their families and friends. Contact is maintained by telephone as well as visits. There was evidence of a planned menu to offer a variety of healthy and appealing meals. Service users were observed choosing what to eat for 3a Grosvenor Road Version 1.10 Page 12 breakfast. The staff were aware of any particular dietary requirements of the service users. 3a Grosvenor Road Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 20 Personal support is offered in a dignified and sensitive way to meet the needs and preferences of the service users. Medication is stored, dispensed and recorded appropriately. EVIDENCE: Individual care plans contained comprehensive information to inform staff about the personal needs and preferences of each service user. The personal plans included information such as the times each service user preferred to get up, the support required in relation daily tasks such as bathing, activities and going out from the home. Staff were able to describe the support guidelines and were observed providing sensitive and dignified care. Medication is kept securely in a locked cabinet which has recently been installed. Staff had received training in dispensing and recording medication and the recording sheets were up to date and accurate. 3a Grosvenor Road Version 1.10 Page 14 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 standard(s) 22, 23. Service users are able to raise concerns. There are policies procedures to ensure the protection of service users from abuse or harm. EVIDENCE: There is a complaints procedure in the home, although no complaints had been received recently. Service users are supported to express their concerns in a variety of ways, to take account of any communication difficulties they may have. Staff are vigilant to a variety of communication methods used by service users and also recognise and record any discernable changes in the service users. All staff receive training about adult protection as part of their induction. There is an adult protection policy in the home, which staff were able to describe. The manager was aware of the requirements and responsibility under the Protection Of Vulnerable Adults (POVA) guidelines. 3a Grosvenor Road Version 1.10 Page 15 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 standard(s) 24, 27, 28, 29, 30. The home offers a friendly and relaxed environment which is kept in good decorative order and offers sufficient communal space. There are sufficient bathroom and toilet facilities that meet the needs of the service users. The home is kept clean and tidy. EVIDENCE: There was evidence of an on-going maintenance programme to decorate parts of the home. The service was in the process of buying a new summerhouse for the garden, to replace the one which is used by one particular service user. The building is decorated in a homely style, which offers a relaxed and welcoming environment. There is a large bathroom on the ground floor, which had a bath and a shower. There is a bathroom upstairs that is used by the service user who has his bedroom on that floor. There is a comfortable lounge and a dining area, which offer sufficient communal space. There is little need for adaptations within the home, although there is a seat in the shower area to aid service users. 3a Grosvenor Road Version 1.10 Page 16 The home was clean and tidy at the time of the unannounced inspection. There were policies in place to address hygiene and infection control in the home. 3a Grosvenor Road Version 1.10 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 35, 36. There is a skilled, experienced and dedicated staff team who are clear of their roles and responsibilities and are well trained and supported to carry out their jobs effectively. EVIDENCE: Staff spoken with described in detail their roles and responsibilities and those of their colleagues. Two staff had completed NVQ 2, whilst the staff described a wide range of training courses they had attended as part of their induction and on-going training. Staff had been able to access courses specifically to enable them to meet the individual needs of the service users within the home. Staff reported that they receive regular, monthly supervision and had been well-supported by the deputy manager and the organisation’s area manager whilst there was a manager vacancy at the home. Staff said they felt able to raise any issues or concerns they have and felt well supported by their colleagues in the team. 3a Grosvenor Road Version 1.10 Page 18 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38, 39, 40, 42. The home has a clear sense of values and ethos to promote the rights and quality of life of the service users, which are supported by clear policies and procedures. There is a range of monitoring tools and systems used. The home has systems and policies in place to address the health and safety of service users and staff. EVIDENCE: Staff spoken with were able to describe in detail the values and ethos of the organisation and the home. There was evidence of a range of monitoring tools used by the organisation. These include regular monitoring visits by the area manager and an annual staff day to identify strengths and weaknesses in the home and set goals for the year ahead. Regular reviews of the care given were also recorded in the individual service user’s care plans. Service users play an active role in the reviews, including planning their goals and care for the year ahead. 3a Grosvenor Road Version 1.10 Page 19 A selection of policies was viewed and all had evidence that they were regularly reviewed and updated. Staff were able to clearly describe the policies and their implementation. There was evidence of a range of health and safety checks including an ongoing maintenance plan, regular checks of the fire systems, temperatures of the water and fridges. 3a Grosvenor Road Version 1.10 Page 20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 x 3 Standard No 31 32 33 34 35 36 Score 3 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score x 3 3 3 x 3 x 3a Grosvenor Road Version 1.10 Page 21 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 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 Good Practice Recommendations 3a Grosvenor Road Version 1.10 Page 22 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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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