CARE HOME ADULTS 18-65
6 The Grove Westoning Bedfordshire MK45 5JW Lead Inspector
Don Traylen Unannounced Inspection 28th February & 2 March 2007 13:30
nd 6 The Grove DS0000014908.V331145.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 6 The Grove DS0000014908.V331145.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. 6 The Grove DS0000014908.V331145.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service 6 The Grove 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 www.macintyrecharity.org MacIntyre Care Mrs Deborah Ibbetson Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places 6 The Grove DS0000014908.V331145.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 2nd November 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 care homes, which all belong to Macintyre Care. The home is located in the village of Westoning and is 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. A lift provides and a staircase, provide access between the two floors. The rear garden is secure and private and has a leisure room that has been created from a potting shed. The home has a mini-bus for service users to access facilities in the community. The fees charged by the services ranged between £51,744 to £66,400 per year. At the time of this inspection five service users were living at the home and were each funded by a Local Authority. 6 The Grove DS0000014908.V331145.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This key unannounced inspection comprised of two visits to the home to ensure that all service users were seen and spoken to and at a time when the acting manager was present. Staff files and a service users contracts that were not available were requested from the administrative office. A tour of the premises and assessment of the services documentation included service users care plans, their contracts, staff recruitment details and the home’s policies and procedures. Observations were made of the interaction between staff and service users. Five service users were living at the home at the time of inspection. What the service does well:
The service has provided care to 5 service users who have lived at the home for many years. Some of the service users have lived at other care homes owned by MacIntyre Care prior to moving to this address. As a consequence they are well known by, and familiar to, some longer serving care staff. Service users are expected to be cared for over the age of 65 years and remain living at the home. As service users have matured, the care staff have responded to their changing needs and demonstrated they understood the developing physical and mental frailties experienced by service users. One service user who has dementia related has had his needs met by the response provided by the home to these changing needs. Care staff have been attentive and understanding of his altered needs and were observed to provide appropriate care. Staff demonstrated a good and practical knowledge of providing individual care to meet the different needs of each service user. Service users are happy with their accommodation and are provided with a comfortable and spacious environment that includes an enclosed and wellmaintained rear garden. Overall, this is a service where service users are the focus of attention and are consulted, noticed and listened to and provided with care that places them at the centre. 6 The Grove DS0000014908.V331145.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better:
There are a number of outcome areas where the home should be able to improve upon quite easily. These areas have not been judged as failing despite the comments made because the outcomes for service users are good. The Statement of Purpose must be updated to include the fact that the service is providing care to a service user over the age of 65 years and should accurately indicate the range of care provided. The service is therefore acting outside of their registration and must apply to the commission to alter their certificate of registration if they intend to continue to provide this same service. Information should be made available in service users contracts (agreements) about the amount and breakdown of their fees and who pays or contributes towards these fees. The organisation is recommended to contact the Office of Fair Trading for their views on the fairness of these contracts. Care Plans should record the overall and specific financial arrangements or plan that has been made for each service user in relation to all of their financial planning. The plans should indicate service user’s level of mental capacity, who is acting or advocating on behalf of a service user, what are their responsibilities and by what authority or agreement this has been decided. Clearer care records of the arrangements that have been made to manage or handle service users personal expenditure and clearer records of some aspects of service users daily finances should be made very clear, such as the balance of money held by the local office on behalf of service users. Staff induction training should include the protecting vulnerable adults awareness training at a very early stage after a new member of staff commences employment and it is recommended that this be arranged for the first day of a person’s employment. Staff should undergo further and continuous training in the prevention of abuse so they are fully aware of and 6 The Grove DS0000014908.V331145.R01.S.doc Version 5.2 Page 7 have a better understanding of how any allegation may be dealt with and who are the responsible lead agencies in this process. The contacts for reporting any allegation or suspicion of abuse must be easily and accessible and available for all staff. Two written references must be obtained and should be from appropriate referees when recruiting care staff. Better communications (between administration and the home) should ensure the service is informed when a satisfactory CRB clearance has been obtained and that the service is in receipt of this information. The information provided to the manager from the human resources/ recruitment section/administrative section of the organisation should clearly inform the service whether a satisfactory CRB disclosure has been obtained. Two workers’ files that were requested from the administrative office did not provide adequate or clear details of their CRB applications and whether a disclosure or application status had been secured. The information provide to the home was not conclusive and the inspector had to rely on the support worker producing her copy of her CRB for clarification. The policy for Protecting Vulnerable Adults from Abuse should be reviewed in regard to the organisations position to Bedfordshire County Council published guidance, the reporting procedures including specific contact points. Staff and manager should be better informed and more knowledgeable of these arrangements and of the organisation’s policy. Staff should be enabled to access current legislation, relevant guidance and information from a range of different sources; it is recommended that Internet access is available in the service. It is further recommended that email contact be provided in this service. The policy for Managing service users’ money did not make any reference to the position of the home as a receiver, or “appointee” for service users and should be reviewed in light of this. 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. The summary of this inspection report can be made available in other formats on request. 6 The Grove DS0000014908.V331145.R01.S.doc Version 5.2 Page 8 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 6 The Grove DS0000014908.V331145.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5, Quality in this outcome area is good. Despite the comments made below, the outcomes are good. Service users are comprehensively assessed and encouraged to get to know the home before a decision is made about living there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s Statement of Purpose did not include accurately describe the age range and types of needs of the service users they provide care for. Service users ages ranged between 38 and 85 years and one service user has been diagnosed with dementia needs. The service is therefore acting outside of their registration and the registered person is invited to apply to the commission to alter their certificate of registration if they intend to continue to provide this same service. During the inspection one prospective service was visiting the home and arrangements had been made for him to make a series of regular visits to assess his needs and determine if the home could meet these needs. He communicated to the inspector that he might come and live at the home and was aware of the planning being undertaken to asses his needs. Staff were aware of the trial visit and the ongoing assessment process to determine if he was happy to live at the home. Learning Disability Partnerships, of different counties, have carried out comprehensive assessments for each of the service
6 The Grove DS0000014908.V331145.R01.S.doc Version 5.2 Page 10 users they have commissioned care for who live at the home. The range of fees they are paying for service users care is between £51,744 and £66,400 per year. The organisation was asked to produce copies of service user’s contracts. The contracts that were produced were of two types; those agreed between Local Authorities and MacIntyre Care and a ‘Service User Agreement’, made between MacIntyre Care and each individual service user. The Service User Agreements showed details for the year 2004-2005. The agreements were signed by MacIntyre Care, but no representative had signed on behalf of service users and no reference was made to their capacity to sign and understand these agreements. The service users’ agreements indicate money is paid from DWP to MacIntyre to support service users and that this will pay for, amongst other things, the costs of the ‘house vehicle’. The costs of the vehicle are shown on a separate form for each service user as an additional payment and were quoted as £86. 60 per month, (although the actual recorded amount paid is £80.00). One elderly service users service user pays a reduced contribution for use of the vehicle. An example of one agreement stated “ the total fees and DSS paid for … (Name of Service User)… for the financial year 2004/2005 is £ ……”. Aspects of the contracts were not clearly included in the agreement, such as the agreed arrangement for MacIntyre to act as an “appointee” and to receive service users’ DWP Benefits and any reference to their mental capacity or involvement of any advocate or representative. The agreements did not show a breakdown of the total actual fees paid, how frequently and by whom. Telephine calls werThe organisation could contact the Office of Fair Trading for their views on the fairness of these contracts. 6 The Grove DS0000014908.V331145.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9, Quality in this outcome area is good. Service users benefit from attentive care planning designed to meet their changing needs. Service users are consulted and listened to. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The different ages and the changing needs of service users is a feature of the care planning in this service. Care Plans were extensive and very comprehensive. There were real aspects of person centred care intentions and adequate and lengthy information about each service user’s emotional, social and health needs and their likes and dislikes. Records of changing needs were recorded and when read they matched and were evidence the observed needs of service users. Staff were knowledgeable and clear about service users different care needs. Risk assessment are comprehensive and an essential aspect of the homes care planning and allow service users to takes measured risks. Overall, service users are the focus of attention and are consulted, noticed and listened to.
6 The Grove DS0000014908.V331145.R01.S.doc Version 5.2 Page 12 The financial aspects of care plans did not state what benefit is actually paid by the DWP and by what authority MacIntyre were receiving service users’ DWP benefit payments. It was discussed with the manager this may be an “appointeeship” arrangement, as referred to in the Service User Agreements, but could not be clarified. It was recorded in service users’ Care Plans that money representing Disability Living Allowance and Personal Allowances are regularly paid into their individual bank accounts by MacIntyre Care. It is not clear what is the amount received by MacIntyre from the DWP and if all of this is being paid into service users accounts. The Care Plans need further explanation about the arrangements made for service users’ cash transactions, although there are instructions and guidance about the secure management and handling of these monies. One aspect of these transactions is the fact that some “extra” cash is held by a local office (in nearby Ampthill) and there was no record, in the home, of the balance or amounts of these monies kept at this other office. However, a record of these deposits and withdrawals had been recorded by the home. This information about financial planning arrangements should be more transparent and available for inspection. 6 The Grove DS0000014908.V331145.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16,17, Quality in this outcome area is good. Long standing social and developmental planning continues to provide positive activities for the service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users enjoy attending day centres and two have peripatetic workers providing activities at the home. Service users keep a fairly full diary of events and are engaged in a range of activities and excursion arranged by support staff. The use of the homes vehicle ensures that service user can go to visit places of interest. Most service user have a pre-arranged personal development day at home that is managed by their named link worker. A long-standing care planning for activities recreation and development has been in place for each service user and has previously been assessed by the CSCI as having good outcomes for the service users. The Learning Disability Partnership has been instrumental in making many aspects of the community based social and developmental activities available to service users through
6 The Grove DS0000014908.V331145.R01.S.doc Version 5.2 Page 14 their care planning. Most service users have holidays that included visits to Rome and Euro Disney. Regular holidays are enjoyed and family relationships are maintained and facilitated by the home. One service user described his parents, a subject that was discussed by the service users and the acting manager during the inspection. Another service user has regular visits from her nieces, as well as going to see them. 6 The Grove DS0000014908.V331145.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. Service users individual preferences and individual healthcare needs are closely monitored. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care Plan records show that regular healthcare issues such as dental treatments and hospital appointments were maintained. Personal preferences and choice are recorded about communication, likes and dislikes, emotional behaviours and wishes about their treatment in case of death were known. Attention to aspects of healthcare specific consultants and dental needs and GPs are well recorded and reported in care plan records. Ongoing changes in the health needs of two service users who circumstances have altered over the past two years were document3ed and relevant health treatment had been accessed for them. Staff were seen to be effective communicators as an aspect of determining a persons need. This was evident over the two days of inspection when one service user had a period of being unwell. Link workers had a special responsibility to co-ordinate hospital or health appointments and healthcare checks. No service user administers his/her own medication.
6 The Grove DS0000014908.V331145.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23, Quality in this outcome area is good. Service users are protected by the positive attitude of care staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users are listened to. The home demonstrated during the inspection that service user are listened to. This is evidence of the provision of an atmosphere where service users can confidently raise an issue of concern they may have. One service user’s care notes addressed how he should be facilitated to make a complaint and have the right to make his complaint known. A recent complaint in the home complaints logbook had been recorded and appropriately dealt with by the home. Not all staff had received training in the protection of vulnerable adults. Recently recruited staff have a long induction period and wait for appropriate training in protecting vulnerable adults. Staff were sure about the urgency of reporting an allegation or concern of abuse, but were unable to inform the inspector of the protocol or possible ensuing procedures. Neither were they able to able to locate any contact name or number of the responsible lead authorities should they need to report an allegation of abuse. There were no available contacts of Bedfordshire’s “key practitioner” Social Workers, or of Bedfordshire County Council’s Adult Abuse Co-ordinator or their guidance for managing the protection of vulnerable adults. This was discussed with the manager and was agreed that these details would be made available immediately.
6 The Grove DS0000014908.V331145.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,29,30, Quality in this outcome area is good. The environment is suitable to meet the combined needs of service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home was warm comfortably furnished and kept safe. An upstairs dining room is used when all service users are at home. All doors that should have been locked were kept locked and no hazardous substances or physical obstructions were noticed. Adequate communal space was available and kept clean and well maintained. The home is purpose built and has wide corridors and doorways suitable for any wheelchair user. The home has specialist “Aquinova” assisted baths installed in the two spacious bathrooms. The facilities are suited to and meet the different needs of service users. 6 The Grove DS0000014908.V331145.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36, Quality in this outcome area is good. Staff training and high staff moral make a positive approach to providing good quality care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is usually a ratio of three care staff to five service users. This included between 3-4 days of the managers time. One of the five service users has not been living at the home on a 24-hour basis. If another service user moves into the home it is expected the service should review their staffing levels. Staff reported they had good training and felt they could ask for further training should they desire to. NVQ training is being undertaken by a number of staff. Supportive and regular supervision sessions with the acting manager take place. This was born out by the training programme and supervision records. Care staff are trained in administering Medication, Adult Protection, Dementia care, Epilepsy, Challenging Behaviour Moving and Handling. MacIntyre Care provides most of the training and have qualified NVQ assessors. Of the 11 staff employed, two have an NVQ level 3 and one has an NVQ level 2, whilst two more are undertaking NVQ level 2 awards. MacIntyre Care support people to take NVQ level 2 awards.
6 The Grove DS0000014908.V331145.R01.S.doc Version 5.2 Page 19 Staff recruitment details were not kept at the service and had to be requested from the administrative office and were made available at the second visit to the home on the 2nd March 2007. Staff recruitment records showed that the CRB details managed by the organisation and given to the service in the case of one recently recruited worker showed only a CRB reference number but did not state if it was a disclosure number or an application number or if it was satisfactory. This member of staff showed her copy of her disclosure to the manager for the purpose of the inspection. One reference for the same member of staff was provided by a former colleague whilst there was another form a previous employer. Another staff file was assessed that showed two satisfactory references and a CRB reference number but it was not recorded if it was a disclosure number or if the disclosure was clear. It appeared that communication and information exchange between the administration office and the service can be improved to ensure that adequate recruitment procedures have been recorded and can be inspected. The service’s policy for Protecting Vulnerable Adults from Abuse should be reviewed in regard to the organisation’s position to Bedfordshire County Council guidance, the reporting procedures, including the specific contact points to make referrals of concern to. Staff and the manager should be better informed and more knowledgeable of these reporting arrangements and of the organisation’s policy. 6 The Grove DS0000014908.V331145.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42, Quality in this outcome area is good. Service users live in a home that is well run and where their health and welfare is promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The acting manager has submitted an application to become the registered manager. She has been in post since December 2006 and has commenced an NVQ level 4 award in management. The registration certificate displayed in the home showed the previous registered manager who left in September 2006. Staff considered the manager has an open door policy and sets a good example of the philosophy of care. The General Social Care Council’s Code of Conduct is given to all staff. The manager stated she expects staff to be able
6 The Grove DS0000014908.V331145.R01.S.doc Version 5.2 Page 21 to equally make comments on the aspects of running the home and that she regularly seeks feedback from staff. Staff meetings are held monthly and staff stated these were informative and valuable meetings. The policy for Protecting Vulnerable Adults from Abuse should be reviewed in regard to the organisations position to Bedfordshire County Council published guidance. There are policy instructions and guidance about the secure management and handling of service users’ money. The policy for Managing service users’ money did not make any reference to the position of the home as a “receiver”, or “appointee” for service users and should be reviewed to clarify their position. One aspect of the records of service users money is the fact that the local office holds some “extra” cash, yet there was no record, in the home, of the amounts of the money maintained at this other office. However, a record of these deposits and withdrawals for each service users had been recorded and are maintained by the home. The information and records used to manage service users’ money should be more transparent and easily available for inspection. Moving and handling training is an annual arrangement for all staff. Fire drills are carried out with all service users being involved. Regular fire alarm checks are sounded and six-monthly fire equipment checks are contracted. 6 The Grove DS0000014908.V331145.R01.S.doc Version 5.2 Page 22 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 2 2 3 3 3 4 3 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 X LIFESTYLES Standard No Score 11 X 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 2 3 2 3 3 X 6 The Grove DS0000014908.V331145.R01.S.doc Version 5.2 Page 23 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 YA1 Regulation 4& Schedule 1 Requirement Timescale for action 20/05/07 2 YA23 3 YA34 4 YA34 The registered person must ensure that Statement of Purpose is updated to include the fact that the service is providing care to a service user over the age of 65 years and should accurately indicate the range of care provided. 13(6) The registered person must ensure the home has contacts for reporting any allegation or suspicion of abuse and these contact name and telephone numbers are easily accessible and available for all staff. 19(1)(b)(c) The registered person must & Schedule ensure that two written 2(3) references are obtained when recruiting all care staff and these must be from appropriate referees. 19(4) The registered person must (a)(b)(c) ensure that a satisfactory CRB & disclosure has been obtained for Schedule 2 all new care workers and that this has been recorded in their records and is available for inspection by the CSCI. 01/05/07 01/05/07 01/05/07 6 The Grove DS0000014908.V331145.R01.S.doc Version 5.2 Page 24 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 YA5 Good Practice Recommendations Information should be made available in service users contracts (agreements) about the amount and breakdown of their fees and who pays or contributes towards these fees. The organisation is recommended to contact the Office of Fair Trading for their views on the fairness of these contracts. Care Plans should record the overall and specific financial arrangements or plan, that has been made for each service user in relation to their financial needs. The plans should indicate service user’s level of mental capacity, who is acting or advocating and responding to their known needs, what are their responsibilities and by what authority or agreement this has been decided. Staff induction training should include protecting vulnerable adults awareness training and is arranged for the first day of a person’s employment, to ensure staff are aware of the overarching care need to ensure the safety of vulnerable adults. It is recommended that internet access is available in the service to enable staff to access current legislation, relevant guidance and vital information from a range of different sources. The policy for Protecting Vulnerable Adults from Abuse should be reviewed in regard to the organisations position to Bedfordshire County Council guidance, the reporting procedures including specific contact points where referrals can be made. Staff and the acting manager should be better informed and more knowledgeable of these arrangements and of the organisation’s policy. The policy for Managing service users’ money did not make any reference to the position of the home as a receiver, or “appointee” for service users and should be reviewed. 2 YA6 3 YA23 4 YA38 5 YA40 6 YA40 6 The Grove DS0000014908.V331145.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000014908.V331145.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. 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!
