Inspection on 13/02/07 for 46 Grenville Road

This inspection was carried out on 13th February 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

46 Grenville Road 14/11/05

46 Grenville Road 26/04/05

46 Grenville Road 28/11/04

46 Grenville Road 27/07/04

46 Grenville Road 28/01/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 46 Grenville Road 46 Grenville Road St Judes Plymouth Devon PL4 9PY Lead Inspector Jane Gurnell Unannounced Inspection 13th February 2007 09:30 46 Grenville Road DS0000049889.V303141.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 46 Grenville Road DS0000049889.V303141.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. 46 Grenville Road DS0000049889.V303141.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 46 Grenville Road Address 46 Grenville Road St Judes Plymouth Devon PL4 9PY 01752 310531 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) Michael Batt Foundation (Valued Life Projects) Mrs Paula Bryant Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 46 Grenville Road DS0000049889.V303141.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Learning disabled adults some of whom may have a mental disorder Age 18-65 years One named service user under the category of physical disability. Date of last inspection 14th November 2005 Brief Description of the Service: 46 Grenville Road is a care home providing personal care and accommodation for three people, aged 18 - 65, with learning disabilities, who may also have associated challenging behaviour and mental health issues. It is owned by the Michael Batt Foundation (Valued Life Projects) which is a not for profit organisation providing services for people with a range of needs who require support and care to live in the community. The home was purchased by the present owners in October 2003 and is a midterraced property located in the residential area of St Judes in Plymouth. It is close to Plymouth City Centre and all local amenities. All the homes bedrooms are single and are on the 1st floor. None of these have en suite facilities. There is a bathroom and a shower room on the 1st floor, both of which contain toilets. There is a lounge room, an activities room and a kitchen/diner on the ground floor and a small back yard. A stair lift provides access to the upper floor therefore all areas are accessible to the service users. Parking is available in the street. The weekly fees for this service are calculated on an individual basis depending upon the service user’s support needs. Information relating to the services provided by the Michael Batt Foundation can be obtained from their Head Office at Third Floor, Poseidon House, Neptune Business Park, Cattedown, Plymouth, PL4 OSJ, telephone number 01752 310531. 46 Grenville Road DS0000049889.V303141.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and undertaken during the morning on 13th February 2007. The Acting Manager was present. The inspector spoke to the two service users who were present in the home at the time as well as the staff on duty. A tour of the building was made and documents relating to the support needs of the service users were examined. A visit had been made to Michael Batt Foundation’s head office on 12th February 2007 to examine the confidential documents relating to the admission of newly referred service users and also staff recruitment. What the service does well: The house is comfortable, warm and very clean. There is plenty of good food. Residents have enough things to do to be happy. There are always enough staff to help. The resident’s get all the help they need. Each resident can have their room just as they want it. The staff know how to help people and the staff do their best. If a resident has a problem it is easy to get help. The staff are safe to be with. If you want to live there the staff will tell you about what it is like. 46 Grenville Road DS0000049889.V303141.R01.S.doc Version 5.2 Page 6 The staff are good at helping people to move in and be happy. 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. 46 Grenville Road DS0000049889.V303141.R01.S.doc Version 5.2 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 46 Grenville Road DS0000049889.V303141.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, and 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s pre-admission processes ensure that prospective service users are provided with information about the home as well as having the opportunity to experience life in the home prior to admission, so enabling them to make a properly informed decision. EVIDENCE: There have been no admissions to the home since the last inspection. However, from examination of records relating to newly admitted service users in two other Michael Batt Foundation homes, it was evident that the preadmission process thoroughly explores the prospective service user’s support needs and that each person is enabled to visit the home on several occasions to meet with the other service users and staff. The Foundation provides a Service User Guide in different formats, such as pictorial and on audiotape, depending upon each prospective service user’s needs and abilities, thereby enabling them, with the support of visits and explanations to make an informed choice about the suitability of the home. 46 Grenville Road DS0000049889.V303141.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, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users are enabled to participate in, and make decisions about, all aspects of their lives. Confidentiality is respected. EVIDENCE: Service users were involved in the day to day running of the home, independence was promoted and service users were encouraged and enabled to do as much as possible for themselves. All the routines and activities were centred on service users’ needs and choices. Staff supported service users to make decisions about their lifestyle, activities and movements both inside and outside the home. The staff were fully aware of the needs of each service user and these are clearly documented in each service user’s support plan ensuring that the support provided by staff is done so in a consistent manner. Any restrictions on choice or freedom had been agreed with the service user and other people 46 Grenville Road DS0000049889.V303141.R01.S.doc Version 5.2 Page 10 involved in the person’s care: any restrictions in place were made to protect the service user’s health and safety and recognises the service user’s responsibility towards others. The attitude and approach of the staff team promoted independence by encouraging and enabling service users to do as much as possible for themselves. Service users were expected to pay for personal items and public transport. The organisation provided additional money for leisure activities. 46 Grenville Road DS0000049889.V303141.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): 11, 12, 13, 14, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can learn life skills, attend educational/day placements, participate in any community and leisure activities, choose their own daily routines and enjoy a healthy diet of their choice. EVIDENCE: Discussions with service users and staff showed that service users were enabled to live as full a life as they wished to and had opportunities for personal development. Service users were encouraged to participate in all the domestic activities in the home and to take part in leisure activities of their choice. One service user described how he was involved in planning a party at the weekend. None of the service users had paid or voluntary employment, but educational and day service opportunities were available outside the home. The home did 46 Grenville Road DS0000049889.V303141.R01.S.doc Version 5.2 Page 12 not provide transport as service users are encouraged to use public transport wherever possible. It was evident, through observation during the inspection, that service users felt very ‘at home’ and were empowered to make decisions. Service users confirmed that they could make their own meals, drinks and snacks and chose the menu. Service users were being actively consulted about trying different meals and menus by the use of photographs in magazines and cookery books. Contact with relatives and friends was encouraged and there were no limitations in place regarding visitors to the home. 46 Grenville Road DS0000049889.V303141.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. This judgement has been made using available evidence including a visit to this service. Service users receive support in the way, and at the time, that they want and need. Health care needs are addressed as soon as they are identified. EVIDENCE: Two of the three service users support plans were examined and these provided very clear descriptions of personal, emotional and health care needs. This clarity is important to ensure that the support team are fully aware of each service user’s specific needs and can respond in a consistent manner. Discussion with service users and staff, as well as observation, confirmed that external professional advice and guidance was sought when necessary from local health care professionals or social services. Through observation it was clear that timings were flexible and the choice of the service user. A monitored dosage system was being used for medication, it was locked away safely and records pertaining to its administration were up to date and accurate. One service user is able to self-administer his 46 Grenville Road DS0000049889.V303141.R01.S.doc Version 5.2 Page 14 medication with supervision from staff and he showed the inspector how he does this. He is assisted to sign his administration sheet to indicate that he has had he’s day’s medication. 46 Grenville Road DS0000049889.V303141.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. This judgement has been made using available evidence including a visit to this service. Service users are protected from abuse, neglect and self-harm. Service users can be confident that the Registered Provider always deals with complaints seriously and any concerns from service users are listened to and acted upon immediately. EVIDENCE: Neither the home nor the Commission for Social Care Inspection have received any complaints regarding the service since the last inspection. Regular house meetings were held where any issues could be raised and dealt with immediately, although it was also clear from discussion that service users could raise any issue at any time. Staff confirmed that they were aware of adult protection issues and training was available to ensure they are aware of their responsibilities should they suspect a service user is at risk from abuse. 46 Grenville Road DS0000049889.V303141.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, 25, 26, 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment is satisfactory, providing service users with a comfortable and homely place to live. EVIDENCE: The home was comfortable, safe and clean. Each service user had a single bedroom on the 1st floor, none of which had en suite facilities, and only one contained a wash hand basin. Bedrooms were individually furnished and contained many personal possessions. One of the bedrooms had a sensor device fitted to the door, which was only activated at night, to alert staff that a service user may need their assistance as she had left her room. Two of the bedroom doors were fitted with appropriate locks and the service users held their own keys so could lock their rooms when they went out. At the previous inspection, service users confirmed that they had chosen the décor and furnishings for their bedrooms. 46 Grenville Road DS0000049889.V303141.R01.S.doc Version 5.2 Page 17 The home had a bathroom on the 1st floor consisting of a bath with a hoist, and a toilet. There was also a separate shower room with a toilet. The bathroom/toilet doors have been fitted with star type locks that were easily accessible from the outside by staff in an emergency. The shared rooms on the ground floor consisted of a kitchen/diner, a lounge room and an activities room, that was also used as a sleeping in room for staff. The home had a ‘no smoking’ policy. Infection control practices were satisfactory and items of personal protective equipment, such as disposable gloves, were available. Laundry facilities were located in a shed in the back yard and guidelines were available on the disposal of clinical waste. The home had various aids and adaptations including a ramp to the front door a stair lift, bath hoist, and toilet frame, to assist with the support of a service user with restricted mobility. 46 Grenville Road DS0000049889.V303141.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): 31, 32, 33, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment processes are robust and service users benefit from well supported and supervised staff who have a good understanding of service users’ needs. EVIDENCE: The Foundation has a department that ensures recruitment practices are safe. A sample of staff files were examined and showed a robust recruitment procedure. All the required information was available, including Criminal Record Bureau checks and 2 written references, ensuring as far as possible only suitable staff are employed. Regular staff meetings and individual supervision sessions took place and addressed the principles and values of the Foundation, staff performance and training and development needs, as well as day-to-day support issues. The Foundation has a designated staff member to coordinate and arrange training to maintain an overview of what the organisation requires, as well as ensuring that individual staff members receive the training they need. The 46 Grenville Road DS0000049889.V303141.R01.S.doc Version 5.2 Page 19 Acting Manager and staff members confirmed that staff were expected to attend relevant training on topics such as social role valorisation, person centred planning, human development, adult protection, conflict management and emergency first aid, ensuring they have the skills and confidence to support the service users on a day-to-day basis and also at times of crisis. The majority of staff are either enrolled in or have completed the Learning Disability Award Framework (LDAF), a nationally recognised qualification. Staff confirmed that there were usually three care staff on duty from 8am until 3pm, two from 3pm until 11pm and two staff sleeping in at night. In addition the Acting Manager was on duty during the day from Monday to Friday. Sleeping accommodation for staff was a bedroom on the ground and first floors. The organisation operated an ‘on call’ system whereby members of the management team were available both in and out of office hours and the staff on duty confirmed that this system worked well. 46 Grenville Road DS0000049889.V303141.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, 38, 39, 40, 41, 42 and 43. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management approach is open, inclusive and positive, providing clear leadership and guidance. Empowerment and enablement of service users is the focus of the organisation. Service users’ rights, health, safety and welfare are protected and promoted. EVIDENCE: The Registered Manager, Mrs Paula Bryant, although still registered with the Commission as the home’s manager, has taken some study leave and at present the home was being managed by an experienced Acting Manager, who has completed the “Humanistic Approach to Support” Course, a LDAF course that follows a person-centred philosophy of care and support. The Acting 46 Grenville Road DS0000049889.V303141.R01.S.doc Version 5.2 Page 21 Manager said she was well supported by one of the Foundation’s Team Leaders, a senior manager, as well as the Quality Assurance Auditor. Lines of accountability were clear and the organisation has a management structure that enables it to cover absences when required, and provide an effective ‘on call’ system to support staff. Tests and checks of fire safety equipment had been carried out as required and staff on duty were aware of fire safety procedures. The organisation had devised a booklet using photographs and pictures explaining what to do in the event of a fire, demonstrating excellent practice, and the Registered Manager had previously gone through this with service users and staff members. Staff have completed training in fire safety, first aid, food hygiene and health and safety ensuring they have the skills to deal with emergencies. The Foundation has a Quality Assurance Auditor who is responsible for assessing whether the services provided meets the service users’ needs to their satisfaction as well as ensuring their safety and that of the support staff. These assessments are detailed and include all aspects of a service user’s personal, health, emotional and social support needs. The results of these assessments are shared with the service user and their family or representative to plan future service support and personal goals. 46 Grenville Road DS0000049889.V303141.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 3 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 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 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 3 3 3 X 3 3 3 3 3 3 3 46 Grenville Road DS0000049889.V303141.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 46 Grenville Road DS0000049889.V303141.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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. 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