Inspection on 06/07/06 for 48 The Grove

This inspection was carried out on 6th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

48 The Grove 19/10/05

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 Key Unannounced Inspection 6th July 2006 11:30 48 The Grove DS0000060678.V300984.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 48 The Grove DS0000060678.V300984.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. 48 The Grove DS0000060678.V300984.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 48 The Grove Address The Grove Isleworth Middlesex TW7 4JF 020 8758 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.V300984.R01.S.doc Version 5.2 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. 19th October 2005 Date of last inspection Brief Description of the Service: 48 The Grove is a large detached three-storey house which is located in a residential area of Isleworth. There are nine bedrooms with en-suite shower/toilet facilities on the upper floors and there is a passenger lift. Two separate toilets, a lounge, an activities room, a dining room and other spaces including a smoking room are situated on the lower floors. The garden/patio and parking areas are enclosed. The home is within walking distance to Isleworth main line station and there are nearby bus links to Hounslow town centre, Brentford, Richmond, Kingston and Hounslow East underground station. The Care Home is owned by Grove Partnership and was registered in September 2004 for nine adults with learning disabilities and associated physical disabilities and sensory impairment. 48 The Grove DS0000060678.V300984.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out between 11:30 am and 5:05 pm on 6th July 2006. The Registered Manager, two care support workers and three service users were present during the initial stages of the inspection. The Inspector was informed that three service users, supported by two care support workers, had been participating in various activities within the community. During the course of the inspection: A tour of the building was undertaken, the home’s records, policies, procedures and documents were viewed and observations were made. The Inspector spoke to four service users and three members of the care support staff team. The requirements of the last inspection and all key Standards were examined. The Registered Manager was co-operative and provided appropriate assistance throughout the inspection. What the service does well: The service users appeared well cared for, appropriately dressed and very much at home within their environment. They related well with the Registered Manager and care support workers who were present during the Inspection. Service users who spoke to the Inspector confirmed that they were happy at the home. Care support workers expressed satisfaction with the training, supervision and support they received at the home and were observed being competent in meeting the needs of the service users. All records and policies viewed were satisfactory and indicated that the safety and welfare of the service users were being protected. 48 The Grove DS0000060678.V300984.R01.S.doc Version 5.2 Page 6 Overall, the home was well maintained and the atmosphere was homely and lively. 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.V300984.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 48 The Grove DS0000060678.V300984.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement had been made using available evidence including a visit to this service. The home’s statement of purpose and service users’ guide are satisfactorily detailed. Appropriate needs led assessments which involves arranged visits to the home by prospective service users are undertaken prior to admission. Information relating to specific assessed needs being met at the home is included within appropriately signed contracts/statements of terms and conditions. EVIDENCE: The home’s statement of purpose and service users’ guide were in place. It was evidenced on records examined that the home received referrals from care managers based in community teams for people with learning difficulties and that relevant background information was submitted. Prospective service users were visited by a representative from the home and care managers, previous carers, relatives and medical professionals were involved in assessing separate personal, social, cultural/religious and dietary 48 The Grove DS0000060678.V300984.R01.S.doc Version 5.2 Page 9 needs and identifying specific aspirations. There were a series of planned visits to the home by prospective service users and included overnight stays. Prospective service users were initially placed on a six-week trial after which a review was held to determine the suitability of the home to meet their specific assessed needs and aspirations. New service users and/or their relatives were required to sign a contract/statement of terms and conditions which detailed the service that would be provided at the home. Appropriately signed contract/statement of terms and conditions were within service users’ files viewed. 48 The Grove DS0000060678.V300984.R01.S.doc Version 5.2 Page 10 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): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans and risk assessments are satisfactorily undertaken and are being regularly reviewed. Service users are able to make decisions and are supported in taking risks. EVIDENCE: It was indicated on service users files that were examined at random that service users were involved in identifying separate personal, social and health care needs within care plans. Action plans, objectives and goals were decided upon and had been put into place. Care plans were written and illustrated in a format suitable for meeting the needs of the service users and appropriate risk assessments had been undertaken. All care plans and risk assessments viewed were regularly reviewed. 48 The Grove DS0000060678.V300984.R01.S.doc Version 5.2 Page 11 The Registered Manager confirmed that service users’ meetings were held on a monthly basis and that various issues such as meals and joint activities were discussed and decided upon. Service users chose their own colour schemes when bedrooms were being decorated and individual purchases of cold drinks were stored in small refrigerators within their individual bedrooms. The service users were also able to choose what they wore, when they got up in the mornings/retired at night, activities and meals. Personal purchases were evidenced on service users financial records and corresponding receipts. Service users were observed making decisions in relation to when they got dressed, meals and separate indoor/outdoor activities. They were also seen moving freely and comfortably around the house and garden. 48 The Grove DS0000060678.V300984.R01.S.doc Version 5.2 Page 12 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 and 17. Quality in this outcome area is good. This judgement had been made using available evidence including a visit to this service. Service users receive opportunities for personal development and are able to participate in activities of their choice within the community. Contact with relatives and/or friends are encouraged. Service users are able to develop and maintain personal relationships and their rights are being respected. Varied and nutritional meals are provided at the home. EVIDENCE: The service users are supported in developing independent living skills such as personal care, tidying their bedrooms, laundry, clearing tables, emptying bins and shopping. One service user was observed receiving assistance while doing his/her own laundry during the inspection. 48 The Grove DS0000060678.V300984.R01.S.doc Version 5.2 Page 13 It was reflected on care plans viewed that service users attended various college courses such as catering, arts and crafts and computing. One service user told the Inspector that he/she was anxious to find regular employment. Activities’ programmes relating to individual service users were on display and it was indicated that they were supported during separate out-door activities which included horse riding, bowling, swimming, visits to pubs and shopping. Day trips and annual holidays were also organised and service users were able to pursue separate hobbies such as art, music and gardening. At the time of the inspection, service users were supported while participating in swimming and horse riding and there was an organised visit to a local pub. An open visiting policy is operation at the home and contact with relatives and/or friends are encouraged and facilitated. The Registered Manager reported that service users were free to develop and maintain personal friendships and/or relationships. Members of the care support staff team were observed interacting with service users in a respectful manner and were seen knocking on bedroom doors, which had been fitted with separate locks, prior to entering. Service users moved freely around the home and were seen being involved in separate activities in various areas within the home and garden. Service users who spoke to the Inspector, expressed satisfaction with the meals they received, and wholesome and nutritional options were reflected on the menus. 48 The Grove DS0000060678.V300984.R01.S.doc Version 5.2 Page 14 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users receive appropriate assistance with personal care and their health care needs are being met. The home’s policies and procedures relating to medication are satisfactory. EVIDENCE: The service users require monitoring, supervision or assistance with personal care and the Registered Manager confirmed that personal care tasks were carried out in privacy within separate en-suite facilities. Service users were however able to choose what they wore, hair styles and make up. It was evidenced on care plans viewed that the health care needs of the service users were being met. They received aromatherapy. The community psychiatric nurse visited the home. There were regular dental, optical and health checks. GP appointments were arranged when required and service users were accompanied during medical appointments. 48 The Grove DS0000060678.V300984.R01.S.doc Version 5.2 Page 15 The home’s medication policy was in place. The records indicated that medication training had been delivered to the members of the care support staff team and the storage, administration and disposal of medicines were satisfactory. The Registered Manager confirmed, that at the time of the inspection, none of the service users were self-administering their medication. 48 The Grove DS0000060678.V300984.R01.S.doc Version 5.2 Page 16 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure is satisfactory and the service users are being protected from abuse. EVIDENCE: The home’s complaints procedure is clear and concise and is written and illustrated in a format which is suitable for meeting the needs of the service users. The complaints procedure is easily accessible to the service users and/or their relatives but no complaints had been made to the home following the last inspection. The policy and procedures on health and safety had been updated and a health and safety poster was on display. The Inspector was informed by the Registered Manager that appointees or relatives were responsible for the financial affairs of the service users. However, personal allowances were managed by the home. A policy on the administration and operation of service users’ personal bank account was in place. The Registered Manager reported that appointees and relatives are responsible for the financial affairs of the service users. Several service users are able to 48 The Grove DS0000060678.V300984.R01.S.doc Version 5.2 Page 17 deposit cheques in their bank accounts, with support. However, the home is responsible for their managing their allowances. The financial records of the service users were examined and were found to be satisfactory. 48 The Grove DS0000060678.V300984.R01.S.doc Version 5.2 Page 18 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 and 30. Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. The home is safe, comfortable and well maintained but there were no soap or towels in one of the toilet facilities. EVIDENCE: The home is spacious, airy, comfortably furnished and appropriate for individual and/or shared activities. Although the house was clean, hygienic and well maintained, there were no hand/paper towels or soap in the containers that were in a toilet facility which was in close proximity to the kitchen and dining room on the lower floor. No issues were identified regarding the laundry and the garden was in good order. The overall environment was safe, pleasant and homely. 48 The Grove DS0000060678.V300984.R01.S.doc Version 5.2 Page 19 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): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The members of the care support staff team are appropriately trained and competent in meeting the needs of the service users. The home’s recruitment policy and practices are satisfactory. EVIDENCE: Service users were friendly and spontaneous in their interactions with care support workers who were observed being supportive and competent in meeting their needs. In particular individual service users were encouraged to make decisions relating to their daily routines such as activities and meals. The Inspector was informed by the Registered Manager that one care support worker held the NVQ 3 in care and three care support workers had commenced NVQ 3 training. It was confirmed that all permanent members of the care support staff team would eventually receive NVQ training. A number of personnel files were inspected at random. Each file was found to contain the required documents including CRB clearance certificate, photidentification, application form, references and signed contract/statement of terms and conditions. 48 The Grove DS0000060678.V300984.R01.S.doc Version 5.2 Page 20 Individual training programmes were in place. It was indicated that induction and Learning Disability Award Framework-accredited training had been delivered and that subsequent staff training included health and safety, mental health, sex and sexuality in autism, austic spectrum disorder and asperger syndrome, makaton and prevention of challenging behaviour. 48 The Grove DS0000060678.V300984.R01.S.doc Version 5.2 Page 21 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 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is organised and well run and the views of the service users and/or their relatives are being ascertained. The health, safety and welfare of the service are being satisfactorily protected. EVIDENCE: The Registered Manager is an experienced registered mental health nurse of 23 years and has been in his present position for 14 months. The routines observed and the records examined indicated that the home was organised and well run. There were positive reports from service users and care support workers regarding the Registered Manager and he was observed being friendly, open and approachable with everyone present during the course of the inspection. 48 The Grove DS0000060678.V300984.R01.S.doc Version 5.2 Page 22 The Inspector was informed by the Registered Manager that relatives attended reviews and were involved in drawing up care plans. This was evidenced on service users’ files. Systems had been put into place for measuring the home’s success in achieving general aims and objectives and included an annual family forum, scheduled to commence in September 2006. The home’s policy and procedures on health and safety were in place and safety procedures were displayed. Health and safety checks such as gas maintenance, water temperature, portable appliances and fire safety/drills were up-to-date. Environmental risk assessments had been appropriately undertaken and incidents/accidents were satisfactorily recorded. 48 The Grove DS0000060678.V300984.R01.S.doc Version 5.2 Page 23 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 3 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 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X 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 X 3 X X 3 X 48 The Grove DS0000060678.V300984.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA30 Regulation 13(4)(c) Requirement The Registered Person must ensure that soap and hand/paper towels are maintained within all toilet facilities. Timescale for action 18/07/06 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.V300984.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection West London Area Office 11th Floor West Wing 26-28 Hammersmith Grove Hammersmith London W6 7SE 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.V300984.R01.S.doc Version 5.2 Page 26 - 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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