Inspection on 14/11/05 for 46 Grenville Road

This inspection was carried out on 14th November 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

46 Grenville Road 13/02/07

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 Antonia Reynolds Unannounced Inspection 14th November 2005 14:15 46 Grenville Road DS0000049889.V249593.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 46 Grenville Road DS0000049889.V249593.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. 46 Grenville Road DS0000049889.V249593.R01.S.doc Version 5.0 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.V249593.R01.S.doc Version 5.0 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 26th April 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. 46 Grenville Road DS0000049889.V249593.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 between 14.15pm and 15.30pm. The senior person on duty, Carol Ranford, was present throughout. A tour of the premises took place and records relating to care and the home were inspected. The three service users, as well as two of the three staff members on duty, were spoken with and observed during the visit. What the service does well: 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. 46 Grenville Road DS0000049889.V249593.R01.S.doc Version 5.0 Page 6 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.V249593.R01.S.doc Version 5.0 Page 7 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): 1, 2 and 5 The home’s Statement of Purpose and Service User Guide provide service users and prospective service users with details of the services the home provides, enabling an informed decision about admission to the home. EVIDENCE: The home has a statement of purpose and Service User guide available in the home. The guide has been produced in the form of individual leaflets with photographs and symbols, reflecting what is important to each service user. No new service users have been admitted to the home for a few years. The organisation has an admissions procedure where all prospective service users are assessed prior to admission. The organisation is in the process of devising statements of terms and conditions for the service users. 46 Grenville Road DS0000049889.V249593.R01.S.doc Version 5.0 Page 8 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, 8 and 9 Service users are enabled to participate in, and make decisions about, all aspects of their lives. EVIDENCE: Discussions with service users and staff showed that service users were encouraged and enabled to make decisions, take assessed risks and participate in all aspects of life in the home. The staff were fully aware of the needs of each service user and good interaction and communication was observed. 46 Grenville Road DS0000049889.V249593.R01.S.doc Version 5.0 Page 9 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, 14, 15, 16 and 17 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. Service users had been on holiday, both in England and abroad, with either staff from the home or relatives. None of the service users had paid or voluntary employment, but educational and day service opportunities were available outside the home. The home did 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 46 Grenville Road DS0000049889.V249593.R01.S.doc Version 5.0 Page 10 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.V249593.R01.S.doc Version 5.0 Page 11 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): 18, 19 and 20 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: 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, it was locked away safely and records pertaining to its administration were up to date and accurate. None of the service users self administered medication. 46 Grenville Road DS0000049889.V249593.R01.S.doc Version 5.0 Page 12 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 and 23 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. 46 Grenville Road DS0000049889.V249593.R01.S.doc Version 5.0 Page 13 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, 27, 28, 29 and 30 The standard of the environment is satisfactory, providing service users with a comfortable and homely place to live. EVIDENCE: Redecoration and refurbishment is ongoing and the general environment has improved significantly over the last year. 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. 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. Service users confirmed that they had chosen the décor and furnishings for their bedrooms. 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. 46 Grenville Road DS0000049889.V249593.R01.S.doc Version 5.0 Page 14 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. 46 Grenville Road DS0000049889.V249593.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): 33, 35 and 36 Service users benefit from high staffing levels and a well supported and supervised staff team. EVIDENCE: Discussion with staff, as well as observation, confirmed that they were clear about their roles and responsibilities. The 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. Regular house meetings took place, which service users could also attend, and regular individual supervision sessions took place. The organisation had a designated staff member to coordinate an d arrange training to maintain an overview of what the organisation required, as well as ensuring that individual staff members received the training they needed. Staff members confirmed that they had attended various training sessions including social role valorisation, person centred planning, health and safety, emergency first aid, human development and food hygiene. The organisation does not tend to enrol staff on National Vocational Qualifications but have devised their own training, in consultation with the local College of Further Education, as this reflects the needs of the service users they support, and staff confirmed that they have opportunities to do this training. Sleeping accommodation for staff was in the activities room and the lounge room. The organisation operates an ‘on call’ system whereby members of the management team are available both in and out of office hours. 46 Grenville Road DS0000049889.V249593.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): 38 and 42 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 was not available for this inspection. Staff members with confirmed that they were consulted and included in any decisions regarding the running of the home and that the management approach was very positive and inclusive. Monthly provider visits were being carried out and copies of the reports sent to the Commission for Social Care Inspection. Staff confirmed that they had received training in health and safety, emergency first aid and fire safety. The home had a health and safety poster but it did not contain the address and telephone number of the health and safety enforcing authority, therefore advice was given to obtain it so that staff at the home know who to contact should they need to. 46 Grenville Road DS0000049889.V249593.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 3 3 X X 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 X 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X 3 X 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 46 Grenville Road Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score X 3 X X X 3 X DS0000049889.V249593.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 46 Grenville Road DS0000049889.V249593.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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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