Inspection on 02/11/05 for 6 The Grove

This inspection was carried out on 2nd 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

6 The Grove 14/01/09

6 The Grove 28/02/07

6 The Grove 12/05/05

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 Grove, 6 The Westoning Bedfordshire MK45 5JW Lead Inspector Ansuya Chudasama Unannounced Inspection 2nd November 2005 15:30 Grove, 6 The DS0000014908.V262646.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 Grove, 6 The DS0000014908.V262646.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. Grove, 6 The DS0000014908.V262646.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Grove, 6 The Address Westoning Bedfordshire MK45 5JW 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) 01525 718063 MacIntyre Care Mrs Deborah Ibbetson Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places Grove, 6 The DS0000014908.V262646.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th May 2005 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. Grove, 6 The DS0000014908.V262646.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 just under two hours. The inspector was assisted by Kathy Morgan and Peter Rose (support workers). The inspection comprised of a tour of some of the communal areas of the home, and the majority of the time was spent talking to the service users, and staff. The home had six service users in the home. This report should be read in conjunction with the last inspection report undertaken on the 12th May 2005. What the service does well: What has improved since the last inspection? The lounge had been decorated and looked very attractive and homely. Grove, 6 The DS0000014908.V262646.R01.S.doc Version 5.0 Page 6 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. Grove, 6 The DS0000014908.V262646.R01.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 Grove, 6 The DS0000014908.V262646.R01.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): None EVIDENCE: None of the standards were assessed on this occasion but these were assessed at the last inspection and all were met. Grove, 6 The DS0000014908.V262646.R01.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): None EVIDENCE: None of the standards were assessed on this occasion but these were assessed at the last inspection and all were met. Grove, 6 The DS0000014908.V262646.R01.S.doc Version 5.0 Page 10 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): The systems for service user consultation are good with a variety of evidence that indicates that service users’ views are both sought and acted upon. The meals provided in this home are excellent and there for offers choice, variety and caters for dietary needs. The home provides good activities to meet service users social and independent needs. EVIDENCE: One service users life style activities were discussed in detail. The staff involved the service user in the discussion when discussing what she did at the home. The service user had limited verbal communication but she was able to use words, body language, and simple signs to make her self understood. The service user was very proud when the items she had made were shown to the inspector. The staff had excellent understanding of the service users needs. The service user did not go to day care services, as this was their choice. A staff member from the day services centre worked with the service user on a one to one ratio twice a week. This was now being increased to three days a week. The service user stated that she enjoyed these sessions. The service Grove, 6 The DS0000014908.V262646.R01.S.doc Version 5.0 Page 11 users’ activities undertaken were painting, making photo frames, and sewing. She also enjoyed cooking, playing the drums and going shopping to buy clothes. The service user chose the outings and she had recently been to the theatre. The pictures and ornaments made by the service user were displayed in the lounge and in her room and looked very nice. The staff on duty was responsible for monitoring the activities of all the service users, which were recorded on the board. The service user had a personal development day on a one to one basis with her link worker at the home. It was stated that all the service users had this training day to work on their skills. The staff supported the service user to visit her family and helped her to keep in contact with them by sending cards made by her. Her family also visited the home. The service user attended church with support from staff. The service users were looking forward to going to the Christmas pantomime with staff. One service user spoke to stated that he “liked living at the home” and another person stated that he “likes the staff” and “they help”. The staff understood the dietary needs of the service user well. The inspector observed a staff member discuss the meal for the evening with all the service users. They were given the option of choosing what they wanted to eat and the choice to help with the cooking. One service user was observed cooking the meal with staff and this was done very well. The menus were chosen on Saturdays in the house meetings by using pictures. Grove, 6 The DS0000014908.V262646.R01.S.doc Version 5.0 Page 12 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): None EVIDENCE: None of the standards were assessed on this occasion but these were assessed at the last inspection and all were met. Grove, 6 The DS0000014908.V262646.R01.S.doc Version 5.0 Page 13 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): None EVIDENCE: None of the standards were assessed on this occasion but these were assessed at the last inspection and all were met. Grove, 6 The DS0000014908.V262646.R01.S.doc Version 5.0 Page 14 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): None EVIDENCE: None of the standards were assessed on this occasion but these were assessed at the last inspection and all were met. However the home was very clean and very homely. Grove, 6 The DS0000014908.V262646.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): The staff have very good understanding of the service users needs to improve their quality of life. EVIDENCE: The deputy manager of the home was acting up as the manager of the home. The homes manager was helping another home of the organisation with management issues. The manager was due to come back in December 05. It was stated that the home was short staffed. The home were using relief staff, permanent staff and agency staff who had worked for the home to provide continuity to service users. It was also stated that the home had a core team of staff who had been working at the home for many years. This also provided service users with continuity of working with them. The staff were observed working well together. It was stated that they worked well as a team. Management support was described as being “fantastic” and very helpful. The staff had also undertaken regular training, which was described as being very good. Supervision, link worker and staff meetings were held regularly and it was stated that these were good. The staff spoken to stated that the care plans were good and all of them had been reviewed. The staff gave a detailed picture of how one of the service users that was being discussed had her health care needs met. It was stated that the service user was in very good health. Grove, 6 The DS0000014908.V262646.R01.S.doc Version 5.0 Page 16 Grove, 6 The DS0000014908.V262646.R01.S.doc Version 5.0 Page 17 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): The home had good health and safety monitoring systems to protect staff and service users from risks. EVIDENCE: The home undertook health and safety checks regularly and management monitored this activity. All staff had received health and safety training. Fire drills were also undertaken at different areas in the home and service users were involved with this. Weekly fire testing and monthly emergency testing were carried out. Grove, 6 The DS0000014908.V262646.R01.S.doc Version 5.0 Page 18 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 X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Grove, 6 The Score X X X X Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X DS0000014908.V262646.R01.S.doc Version 5.0 Page 19 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 Grove, 6 The DS0000014908.V262646.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Bedfordshire & Luton Area Office 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. 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