Inspection on 12/05/05 for 6 The Grove

This inspection was carried out on 12th May 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

6 The Grove 14/01/09

6 The Grove 28/02/07

6 The Grove 02/11/05

6 The Grove 21/10/04

6 The Grove 26/04/04

6 The Grove 02/12/03

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 6, The Grove Westoning Beds MK45 5JW Lead Inspector Ansuya Chudasama Announced 12 May 2005 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 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 Stationary 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. 6, The Grove I51 S14908 6 The Grove V214000 120505 - Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 6, The Grove Address Westoning Beds MK45 5JW Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01525 718063 MacIntyre Care Deborah Ibbetson Care Home 6 (6) (6) Category(ies) of LD - Learning Disability registration, with number PD - Physical Disability of places 6, The Grove I51 S14908 6 The Grove V214000 120505 - Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21.10.04 Brief Description of the Service: 6 The Grove provides accommodation for six adults with learning disabilities. It is a purpose built house in a small enclosed estate of three registered homes, which all belong to Macintyre Care. It is in the village of Westoning and in walking distance of the local shops, garden centre and pubs. On the ground floor there are three bedrooms, a lounge with a small kitchenette, a bathroom with toilet, a separate toilet and a laundry room. On the first floor there are three bedrooms, a bathroom with a shower and toilet, a separate toilet, a kitchen, a dining room and an office with toilet combined with en suite shower. There is a shaft lift and both baths are of the Hi-Lo variety. The rear garden is attractive and had a swing and table and chairs. The home holds barbeques in the summer months and service users enjoy this. The garden is secure and private. The home has their own mini bus for service users to access facilities in the community. 6, The Grove I51 S14908 6 The Grove V214000 120505 - Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was undertaken at 9.45am, and it took place over 7 hours. The registered manager, Debbie Ibbetson, was present at the inspection. The inspection was comprised of a tour of the communal areas, two service users’ bedrooms, talking to staff, and talking to service users. Two service users’ case records and other documents were inspected in detail. The home had 4 service users at the time of the inspection. One service user came to the home on a respite care basis to a view to moving in permanently in the near future. The home had one vacancy at the time of the inspection. What the service does well: The manager of the home was very experienced and managed the home well. It was stated by staff “that the manager was excellent and provided good support”. The manager provided supervision on a monthly basis for staff to discuss how they were working and discussed their development needs. The staff were provided with excellent training that was linked to meeting the needs of service users. They worked well as a team and understood the service users needs well. The staff spoken to stated that service users got excellent care and this was observed on the day of the inspection. The staff helped service users to make decisions by using verbal communication, pictures, ornaments, and makatan sign language. Service users were observed being treated with dignity and spoken to in a very caring and encouraging manner. They were offered a variety of activities within the home and in the wider community to develop their skills. Service users were encouraged to maintain their hobbies and interests. The service users Personal Centred Planning was very creative and colourful and discussed their hopes, dreams and what people supported them. One service user stated, “he liked his room and James Bond”. The service users’ guide was very colourful and was updated. The menus seen were chosen on a weekly basis at service users house meetings. 6, The Grove I51 S14908 6 The Grove V214000 120505 - Stage 4.doc Version 1.30 Page 6 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. 6, The Grove I51 S14908 6 The Grove V214000 120505 - Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 6, The Grove I51 S14908 6 The Grove V214000 120505 - Stage 4.doc Version 1.30 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 standard(s) 1,2,3,4,5, The homes statement of purpose and service user’ guide are excellent providing prospective service users and their families information of the services the home provides enabling an informed decision about admission to the home. EVIDENCE: The service users’ guide was produced using symbols and pictures that the service users were able to identify with on a day to day basis. The brochure was very colourful and displayed where all the people in the home were able to view it. The information in the guide was also updated when changes were made. The home had an admissions policy and only those service users whose needs could be met by the home were admitted. The home did not accept emergency admissions. The last service user admitted on a respite care basis had a full assessment undertaken by experienced staff. The staff records showed that the organisation provided training linked to meeting the care needs of the service user group. A copy of the statement of terms and conditions was seen in service users’ files. These included all the information required by the standard and were signed by the service user and their representative. 6, The Grove I51 S14908 6 The Grove V214000 120505 - Stage 4.doc Version 1.30 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 standard(s) 6,7,8,9,10. There was clear and consistent care planning systems in place to provide the staff with the information they needed to meet the needs of the service users to a high standard. EVIDENCE: Two service users’ files inspected were well documented and the information was easy to follow and read. The care plans seen were detailed and contained all the information about the service user’ personal, social and health care needs. The people involved in discussing them had signed the plans. It was good to see service users who were not able to sign the plans were encouraged to make their own mark to make then feel part of the process. The plans were being reviewed by the home and updated to reflect changing needs. New staff and those who had worked at the home for many years stated that they found the care plans easy to understand. They also gave detailed examples of how the service users care needs were being met. The service users also had Person Centred Planning (PCP). This was discussed annually with link workers, families, and friends. One of the service users showed the inspector his PCP, which was in pictorial format and displayed in his room. He stated he was very happy with his achievement. The service 6, The Grove I51 S14908 6 The Grove V214000 120505 - Stage 4.doc Version 1.30 Page 10 users’ PCP was also featured in the newsletter of Macintyre. A folder on PCP was also completed for service users in pictorial format. Detailed risk assessments on service users were seen and these were reviewed and monitored by management. 6, The Grove I51 S14908 6 The Grove V214000 120505 - Stage 4.doc Version 1.30 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 standard(s) 11,12,13,14,15,16,17. Service users have opportunities for personal development to enrich their social and educational opportunities. Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets service users tastes and choices. EVIDENCE: The service users’ care plans inspected showed in detail how their goals were being met. Most of the service user attended the adult training service run by the organisation. One service user spoken to stated that he enjoyed going to the centre and liked James Bond. He also stated that he had recently been on holiday to Italy and he enjoyed this. This was confirmed by looking at his activities chart and pictures and ornaments in his bedroom. It was good to see service users being supported by staff to pursue their own hobbies and interests. Some service users had a day back at the home to work on their personal development skills on a one to one basis with their link worker. The service users decided the activities for the day with support from staff. One service user did not attend any day care services, as this was their choice. 6, The Grove I51 S14908 6 The Grove V214000 120505 - Stage 4.doc Version 1.30 Page 12 However the person’s activity plan showed that they were involved in a variety of activities that they enjoyed undertaking with staff. This was observed on the day of the inspection. Records showed that service users were encouraged to maintain contact with families by visits, by telephone and by writing. One service users’ records showed that the staff supported the service user to visit their families by taking them in the mini bus. The staff also stayed with the service user to support them and the family. Questionnaires completed by families on behalf of service users stated that they were all very happy with the care that was provided by the home. They also found the staff very caring. The menus seen showed that service users were offered healthy meals and these were displayed in picture format. Likes and dislikes of service users food, activities and routines were recorded. The staff used verbal communication, pictures and makaton sign language to support service users to meet their needs and achieve their goals. 6, The Grove I51 S14908 6 The Grove V214000 120505 - Stage 4.doc Version 1.30 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 standard(s) 18,19,20,21 The knowledge of staff, the provision of equipment, safe systems for administering medication and detailed care planning meant that the health needs of service users are met. EVIDENCE: The information recorded on personal care for service users was very detailed and clear. There were also guidelines written for different routines. There were appropriate bathing facilities and a lift for service user with mobility problems. The service users spoken to were well dressed and staff supported them to choose their own cloths. Service users’ health care needs were monitored and relevant professionals involved when required. Detailed appointments were kept of the out come of the visits. There were regular contacts with health professionals and the home had very good working relationships with them. The service users’ PCP folder read showed that it contained detailed information about them and about their health and this was produced in pictorial format and was very good. All staff who gave out medication had received the accredited medication training. The staff spoken to had very good knowledge of service users medical needs and they discussed their needs in their link worker and staff meetings. 6, The Grove I51 S14908 6 The Grove V214000 120505 - Stage 4.doc Version 1.30 Page 14 The home had a sudden death and the information provided by the manager showed that they had followed the procedures. It was explained that this was a very sad time for all in the home. The manager supported all the staff and the service users. The service users were given the choice to attend the funeral and it was stated that they all attended the service. The manager stated that the burial wishes of the service user were followed. The home had also received a lot of support from families, the church, and the clubs that the service user attended. A tree was planted in the homes garden for the memory of the service user. 6, The Grove I51 S14908 6 The Grove V214000 120505 - Stage 4.doc Version 1.30 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 standard(s) 22,23 The staff have good knowledge and understanding of adult protection issues, which protect service users from abuse. EVIDENCE: The staff spoken to had good understanding of adult protection issues. This was also discussed in their induction training. Some of the staff had attended Protection Of Vulnerable Adults training. The care plans read had reduction methods put in place to safe guard service users from potential abuse. The care records also had information recorded on how service users communicated, and what some of the words and behaviours meant when used by them. This was to ensure that staff had an understanding of what was being said to them. It was also good to see that the organisation had devised a form to record any concerns raised by the service users either verbally or behaviours used by them. These concerns were resolved and audited by management. The service users’ guide had a basic complaints procedure, which had been devised by the manager and staff. However the organisation been recently reviewed their complaints policy but it still needed developing further to include all information stated in the standard and the format needed to be clear and easy to understand. Detailed records were kept of how service users money was being managed by the home. The money and receipts randomly checked was correct. The finances were also audited on a regular basis by management. 6, The Grove I51 S14908 6 The Grove V214000 120505 - Stage 4.doc Version 1.30 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 standard(s) 24,25,26,27,28,29,30 The premises were well maintained so as to allow all those living at the home, including those with physical disabilities, to enjoy a homely and comfortable environment that was safe, clean, and hygienic. EVIDENCE: The home was clean, fresh, and hygienic at the time of the inspection. The premises were decorated to a high standard. All service users had single rooms and those seen were decorated very pleasantly. The rooms were individualised to meet service users needs and this included using pictures and ornaments to display their hobbies and activities that they enjoyed. The service users spoken to stated that they liked their rooms, and especially one of the service users was very happy with his Person Centred Planning picture of James Bond displayed in his room. Service users were observed accessing all parts of the communal areas safely. The home had an attractive garden and both staff and service users used this in the summer months. The home had two special baths and toilets with handles at the side. There was also a lift for service users with mobility problems. 6, The Grove I51 S14908 6 The Grove V214000 120505 - Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36, The home provided very good training so that the people living at the home had their needs met by competent and suitable staff. EVIDENCE: The manager ensured that there were sufficient number of suitably trained and experience staff on duty at all times. It was stated that there were more staff on at the weekend when all the service users were at home. Relief and agency staff worked the homes vacancy hours. The home had a core group of staff who had worked with the organisation for many years. The staff spoken to stated that they had undertaken the organisations induction and the Certificate in Working with People with Learning Disabilities training. The mandatory training in the required areas was also completed and updated within the specified time scales. It was stated that the training provided by the organisation was excellent and the staff member was undertaking the NVQ level 3. This was confirmed by inspecting staff training records. The staff also held link worker meetings to discuss progress on how service users aims and objectives were being met. The staff recruitment records seen were satisfactory. All the staff spoken to stated that they got regular supervision and enjoyed working with the service 6, The Grove I51 S14908 6 The Grove V214000 120505 - Stage 4.doc Version 1.30 Page 18 users. It was also stated that they worked well as a team. The staff were observed working and communicating with service users in a sensitive and encouraging manner. 6, The Grove I51 S14908 6 The Grove V214000 120505 - Stage 4.doc Version 1.30 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40,41,42, The home has an experienced and committed manager who ensures strong leadership, and safe working practices so that service users health, welfare and safety are safeguarded. EVIDENCE: The manager was very experienced and was undertaking the management training. She ensured that her own training was up dated and was committed to achieving and maintaining high standards within the home. The manager stated that she provided a clear sense of direction and this was confirmed by talking staff. The staff also stated that the manager was excellent and managed the home well. Regular staff meeting were held and staff were encouraged to give their views and ideas in how the services were being managed. Records kept by the home were kept up to date and accurate and kept securely. A service users questionnaire had been undertaken and the outcome 6, The Grove I51 S14908 6 The Grove V214000 120505 - Stage 4.doc Version 1.30 Page 20 of the survey needed to be included in service users’ guide. The operations manager undertook the investors in care audit on a yearly basis. Health and safety audits were also carried out on a monthly basis. Fire drills, fire testing, emergency testing and other health and safety checks were carried out regularly. All necessary risk assessments had been undertaken and staff were able to describe the action they would take in the event of a fire, 6, The Grove I51 S14908 6 The Grove V214000 120505 - Stage 4.doc Version 1.30 Page 21 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 4 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 4 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 4 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 4 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 6, The Grove Score 3 3 3 4 Standard No 37 38 39 40 41 42 43 Score 3 4 3 3 3 3 3 I51 S14908 6 The Grove V214000 120505 - Stage 4.doc Version 1.30 Page 22 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. 1. 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. 1. Refer to Standard Good Practice Recommendations 6, The Grove I51 S14908 6 The Grove V214000 120505 - Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Clifton House 4a Goldington Road Bedford MK40 3NF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 6, The Grove I51 S14908 6 The Grove V214000 120505 - Stage 4.doc Version 1.30 Page 24 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!