Inspection on 25/10/05 for 4 The Grove

This inspection was carried out on 25th October 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

4 The Grove 30/01/09

4 The Grove 07/03/07

4 The Grove 10/05/05

4 The Grove 23/11/04

4 The Grove 29/04/04

4 The Grove 02/12/03

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 4 The Grove Westoning Bedfordshire MK45 5JW Lead Inspector Ansuya Chudasama Unannounced Inspection 25th October 2005 16:00 4 The Grove DS0000014907.V258819.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 4 The Grove DS0000014907.V258819.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. 4 The Grove DS0000014907.V258819.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 4 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 718025 MacIntyre Care Margaret Banks Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places 4 The Grove DS0000014907.V258819.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th May 2005 Brief Description of the Service: 4 The Grove is a purpose-built two storey home accommodating six service users with learning disabilities. The property is owned by MacIntyre Property and operated by MacIntyre Care. The first floor of the home consisted of service users bedrooms and two bathing facilities with toilets. The ground floor had a staff room with en suite facilities, snoezelem, kitchen, dining room, lounge, and laundry. The home was situated with two other purpose-built homes belonging to MacIntyre Care in an enclosed courtyard, which provided parking. At the rear of the house is an enclosed garden with a patio area and a sensory garden. The home was in walking distance of the village with its shops and pubs. The home had its own mini-bus. The home provided comfortable accommodation on a domestic scale and met the needs of the service users. 4 The Grove DS0000014907.V258819.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over an hour and 15 minutes. The manager Ms Maggie Banks was present at the inspection. The inspection comprised of a tour of some of the communal areas of the home, and the majority of the time was spent talking to the service users, staff and the manager. There were six service users in the home. This report should be read in conjunction with the last inspection report undertaken on the 10th May 2005. What the service does well: What has improved since the last inspection? The hall had been decorated and the furniture in the snoezelem had been replaced. The home was fully staffed. The complaints policy in the home had been reviewed. The policies and procedures had been updated. The staff files were up to date and kept secured. 4 The Grove DS0000014907.V258819.R01.S.doc Version 5.0 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. 4 The Grove DS0000014907.V258819.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 4 The Grove DS0000014907.V258819.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): None EVIDENCE: None of the standards were not assessed on this occasion but they were met at the last inspection. 4 The Grove DS0000014907.V258819.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): None EVIDENCE: None of the standards were assessed on this occasion but they were met at the last inspection. 4 The Grove DS0000014907.V258819.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): 11,12,13,14,15,16, 17 The meals in this home are very good and offer both choice and variety to meet the dietary needs of the service users. The activities provided were very good and met the needs of the service users. EVIDENCE: The home had an activities board and staff recorded the activities undertaken by the service users. Evidence showed that all service users enjoyed a variety of activities. The manager also monitored to ensure that all service users had been involved in activities. Service users had a day back where they worked with staff on a one to one basis to work on their personal development. All the service users also attended the organisations day care services. Observation showed that the staff involved service users as much as they could in doing things with them. One service user was observed making a cup of tea on a one to one basis with a member of staff. Another service user was helped to make his sandwiches for work. Service users with limited speech were observed using basic sign language communication with staff. The staff had very good understanding of the needs and the ways the service users communicated with every one. 4 The Grove DS0000014907.V258819.R01.S.doc Version 5.0 Page 11 The service users chose the menus by using pictures. The staff also knew service users likes and dislikes for food and activities. The menus seen were very varied and displayed in colourful pictures. One service user stated that the meals were very nice. It was stated that all the service users had good appetite 4 The Grove DS0000014907.V258819.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): None EVIDENCE: None of the standards were assessed on this occasion but all the standards were assessed at the last inspection. 4 The Grove DS0000014907.V258819.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): None EVIDENCE: None of the standards were assessed on this occasion but all the standards were assessed at the last inspection. 4 The Grove DS0000014907.V258819.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): None EVIDENCE: None of the standards were assessed on this occasion but they were all met at the last inspection. However the home was very clean and very homely. 4 The Grove DS0000014907.V258819.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): 31,32,33,34,35,36. Staff morale is high, resulting in an enthusiastic workforce that works positively with service users to improve their whole quality of life. EVIDENCE: The home was fully staffed and did not use agency staff. The staffing levels had been maintained and the staff spoken to had been working at the home for several years. One member of staff stated that she “loved” working at the home and loved the atmosphere of the working environment. It was stated that the service users benefited and progressed well from having a happy and stable staff team. It was also stated that the service users were very happy at the home. All the staff enjoyed working with the service users. It was stated that the service users had continuity because the staff were all very settled. It was also stated that they got on well with each other, and worked well as a team. Support from management was described as being “fantastic” and being able to speak to the manager about any thing. One staff on duty had completed NVQ Level 2 and was doing NVQ level 3. Another member of staff was doing NVQ level 3. The manager stated that seven staff were completing NVQ training in care. The staff stated that the training provided was good and they received supervision once a month. 4 The Grove DS0000014907.V258819.R01.S.doc Version 5.0 Page 16 The staff stated that all the service users personal centred planning (PCP) had been done with the service users. In their team meetings the aims and objectives of the service users had also been reviewed. 4 The Grove DS0000014907.V258819.R01.S.doc Version 5.0 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): The home had good health and safety monitoring systems in place to protect staff and service users from risk. EVIDENCE: All the staff had received the mandatory statutory training in safe working practices. The manager stated that service users got involved in fire drills and they all knew what to do. Health and safety policies were in place and regularly monitored. The accident and incidents forms for recording service users behaviours were nil. This showed that the home was meeting the needs of the service users very well. The home had a nominated health and safety person who completed an audit on a monthly basis. The manager stated that the accident and incident form for recording service users behaviour was nil. 4 The Grove DS0000014907.V258819.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X x Standard No 22 23 Score X x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X 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 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 4 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 4 The Grove Score x x x x Standard No 37 38 39 40 41 42 43 Score X X X X x 3 x DS0000014907.V258819.R01.S.doc Version 5.0 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 4 The Grove DS0000014907.V258819.R01.S.doc Version 5.0 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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