Inspection on 19/10/05 for 48 The Grove

This inspection was carried out on 19th 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

48 The Grove 06/07/06

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 48 The Grove The Grove Isleworth Middlesex TW7 4JF Lead Inspector Ms Jean Bovell Unannounced Inspection 19th October 2005 12.00 48 The Grove DS0000060678.V254826.R02.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 48 The Grove DS0000060678.V254826.R02.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. 48 The Grove DS0000060678.V254826.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 48 The Grove Address The Grove Isleworth Middlesex TW7 4JF 0208 758 9158 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) info@gcpcare.com www.gcpcare.com Grove Care Partnership Ltd Mr Henry Salvatierra Care Home 9 Category(ies) of Learning disability (0), Physical disability (0), registration, with number Sensory impairment (0) of places 48 The Grove DS0000060678.V254826.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. There must be one staff member on duty at all times who has training and experience in mental health. 3rd May 2005 Date of last inspection Brief Description of the Service: 48 The Grove is a Care Home registered in September 2004 for nine adults with learning disabilities and associated physical disabilities and sensory impairment. It is located within walking distance of Hounslow town centre. There are buses to Brentford, Richmond and Kingston, and the tube and mainline stations at Hounslow East and Isleworth are within easy access. The home consists of a large, detached three-storey house in a residential area. There are stairs to the entrance of the home and to each floor. A lift accesses all three floors. Some service users have to be able to manage at least a few stairs to access their bedrooms. The home is not suitable for wheelchair users or people with pronounced mobility difficulties. There are nine bedrooms with en suite/shower facilities and two additional toilets are also available. The home has one lounge, a dining room, an activities room and other spaces including a smoking room. There is an enclosed garden and patio. The home is owned by Grove Partnership. 48 The Grove DS0000060678.V254826.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced Inspection. It was carried out between 12 noon and 5pm on Wednesday 19th October 2005. The Registered Manager, two members of the care support staff and two service users were present. The Inspector was informed that four service users accompanied by three care support staff members, were participating in various activities within the community. During the course of the inspection, discussions were held with five members of staff and three service users subsequent to their return to the home. Records, policies and procedures were viewed. A tour of the building was undertaken and observations were made. The Registered Manager was co-operative and provided appropriate assistance throughout the inspection. The home was essentially well run, and the safety and welfare of the service users were being protected within a caring and attentive environment. What the service does well: It was indicated on records viewed that improvements had been made in relation to individual assessments. Behavioural patterns that were likely to be triggers for challenging episodes were identified and preventive measures were put into place and acted upon. The Registered Manager confirmed that none of the service users had presented major difficulties since the last inspection. The service users were observed to be calm and comfortable within their environment. They related in a pleasant manner with the Inspector and indicated that they were happy with the care they received at the home. The support systems within the home included regular staff supervision and team meetings, and a training programme had been put into place. This ensured that appropriate training for meeting the complex needs of the service users, was delivered to the care support staff. Members of the care support staff team expressed satisfaction with the support they received within the team, and also from the Registered Manager who was described as being open and approachable. The records were essentially satisfactory and indicated that the health and safety of the service users were being safeguarded. 48 The Grove DS0000060678.V254826.R02.S.doc Version 5.0 Page 6 Overall, the home was organised, hygienically clean and well maintained. The environment was safe, calm and caring. 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. 48 The Grove DS0000060678.V254826.R02.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 48 The Grove DS0000060678.V254826.R02.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): 1,2 and 5. A comprehensive needs led assessment is carried out in relation to prospective service users and service users or their representatives are required to sign the home’s contract prior to admission. EVIDENCE: The records confirmed that a needs led assessment in relation to prospective service users was carried out during a transition period of approximately six months. Social workers, family members, the home and medical professionals were involved in the assessment process and in establishing the home’s capacity meet specific needs and aspirations. Prospective service users were expected to spend a significant period of time at the home including overnight stays, as part of the assessment process, prior to admission. The Registered Manager confirmed that prospective service users or their representatives were required to sign the home’s contract/statement of terms and conditions at the point of admission. 48 The Grove DS0000060678.V254826.R02.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): 7,8 and 10. Service users are given choice and are encouraged to make decisions in relation to their daily living routines. The home’s policy in relation to confidentiality is satisfactory. EVIDENCE: It was indicated on records viewed that monthly service users’ meetings were held at the home and that that service users were encouraged to express their views on various matters including the menu, annual holidays and day trips. The Inspector was informed that service users also received choice regarding separate activities, meals, what they wore and when they got up in the morning or retired at night. Risk assessments relating to specific activities had been carried out and these were included within care plans that were examined at the time of the inspection. 48 The Grove DS0000060678.V254826.R02.S.doc Version 5.0 Page 10 The policy regarding confidentiality was in place and the Registered Manager confirmed that confidential matters in relation to the service users were respected at the home. 48 The Grove DS0000060678.V254826.R02.S.doc Version 5.0 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 the following standard(s): 11,15,16 and 17. Service users rights are respected at the home and they receive opportunities for developing personal skills and aspirations. Family contact and personal friendships are encouraged and wholesome meals are provided. EVIDENCE: It was confirmed on records viewed and in discussion with the Activities Coordinator, that service users receive opportunities for pursuing individual interests such as cycling, horse riding, computing, swimming and various college courses. The records also suggested that service users assisted with routine tasks within the home including shopping, cooking, laying tables and tidying their bedrooms. The home has an open visiting policy and contact with family and friends are encouraged and facilitated. 48 The Grove DS0000060678.V254826.R02.S.doc Version 5.0 Page 12 The home does not employ a professional cook. However, meals listed on menus seen were varied and wholesome and a nutritious cooked supper was observed being prepared by a care support staff member during the inspection. 48 The Grove DS0000060678.V254826.R02.S.doc Version 5.0 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 the following standard(s): 18, 20 and 21. Service users rights in relation to their personal care are respected at the home and their health care needs were satisfactorily met. A policy on ageing, illness and death is not currently in place. EVIDENCE: It was reflected on care plans that as far as possible, service users were encouraged to manage their own personal care. However, supervision, monitoring or assistance was provided, as required. Service users appeared well cared for and appropriately dressed at the time of the inspection. The home’s policy and procedures regarding medication were in place and the Inspector was advised that medication training had been delivered to all members of the care support staff group. The storage and administration of medicines kept at the home were viewed and found to be satisfactory None of the service users were self administering their medication at the time of the inspection. 48 The Grove DS0000060678.V254826.R02.S.doc Version 5.0 Page 14 The Registered Manager reported that a policy on ageing, illness and death had not yet been completed. 48 The Grove DS0000060678.V254826.R02.S.doc Version 5.0 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 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 and neglect and views expressed to key workers or during service users meetings are listened to and acted upon. EVIDENCE: Monthly service users’ meetings were held at the home and it was stated on the minutes that service users were encouraged to express their views on various matters such as day trips, holidays, transport and the weekly menu. It was also indicated on individual activities records that service users were able to express views in relation to personal interests and aspirations, and that these were acted upon. The home’s complaints policy was clearly stated and accessible to service users and their relatives. No complaints had been made to the home since the last inspection. A policy relating to the handling service of users’ monies/bank accounts, and guidelines on the protection of vulnerable adults were in place. The records confirmed that care support staff members received training on the protection of vulnerable adults. 48 The Grove DS0000060678.V254826.R02.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 26,27,28 and 29. Service users bedrooms are personalised and the communal areas within the home are suitable for shared or individual activities. The service users do not currently require specialist equipment. EVIDENCE: The service users’ bedrooms were viewed. All contained en suite toilet/shower facilities. They were suitably furnished and fitted and reflected individual choices and interests. The en suite shower/toilet and separate toilet facilities at the home were appropriate for meeting the private and personal needs of the service users. The communal areas were spacious and appropriate for shared and individual activities. Individual service users were observed resting in their bedrooms, having tea in the dining area or sitting quietly in the activities room, during the inspection. There is a passenger lift at the home but the service users are a fully mobile and aids or adaptations are not currently needed. 48 The Grove DS0000060678.V254826.R02.S.doc Version 5.0 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 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 and 35. The Care support staff members have clearly defined roles and are appropriately trained and competent in meeting the needs of the service users. EVIDENCE: The Registered Manager confirmed that five care support workers and an activities co-ordinator covered duty during waking hours and that there was one sleep-in and one waking staff member at night. Members of the care support staff who were on duty during the inspection were observed to respond competently to the needs of the service users. The Inspector was advised that a key worker system was operated at the home. A training programme was in place at the home. The records indicated that induction training had been delivered to all members of the care support staff group and that subsequent staff training included Autism and Aspeger Syndrome, Mental Health Awareness and Challenging Behaviour. The Inspector was informed that the staff group included a psychologist and a registered general nurse and that three staff members had obtained level 3 NVQ qualifications. 48 The Grove DS0000060678.V254826.R02.S.doc Version 5.0 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 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): 37, 39, 40, 41 and 43. The home is organised and well run by a competent and experienced Registered Manager. The safety and welfare of the service users are being essentially safeguarded but up to date recordings in relation to fire safety and a review of the environmental risk assessments, are required. EVIDENCE: The Registered Manager is appropriately qualified and has had twenty-one years experience in health and social care. Members of the care support staff who spoke to the Inspector reported that positive changes had occurred subsequent to the arrival of the Registered Manager. Training and supervision had increased resulting in staff being more competent in meeting the needs of the service users and that the environment had become calmer. The records, policies and procedures at the home were satisfactory and suggested that the rights and best interests of the service users were being safeguarded. 48 The Grove DS0000060678.V254826.R02.S.doc Version 5.0 Page 19 Service users’ participation in the drawing up of care plans was noted particularly in relation to individual interests and aspirations. Service users views were also being heard and acted upon during monthly meetings. The health and safety records were viewed and found to be essentially satisfactory. However, regular recordings of fire safety checks were not available to be viewed and the environmental risk assessments were not up to date. Overall, the home is well run and maintained and the needs of the service users are being met within a caring and comfortable environment. 48 The Grove DS0000060678.V254826.R02.S.doc Version 5.0 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. 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 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score X X 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 X 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 X 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 48 The Grove Score 3 X 3 2 Standard No 37 38 39 40 41 42 43 Score 3 X 3 3 3 2 3 DS0000060678.V254826.R02.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? NO 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 YA42 Regulation 17(3)(a) Requirement The Registered person must ensure that recordings of fire safety checks are kept up to date. The Registered Person must ensure that unnecessary risks to the health and safety of service users are identified and so far as possible eliminated. Timescale for action 30/11/05 2 YA42 13(4)(c) 15/11/05 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 48 The Grove DS0000060678.V254826.R02.S.doc Version 5.0 Page 22 Commission for Social Care Inspection West London Area Office 58 Uxbridge Road Ealing London W5 2ST 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. Extracts may not be used or reproduced without the express permission of CSCI 48 The Grove DS0000060678.V254826.R02.S.doc Version 5.0 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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