Inspection on 02/11/05 for Benyon Grove (55-56)

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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Benyon Grove (55-56) 03/10/08

Benyon Grove (55-56) 31/10/06

Benyon Grove (55-56) 28/02/06

Benyon Grove (55-56) 25/02/05

Benyon Grove (55-56) 06/07/04

Benyon Grove (55-56) 29/03/04

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Claremont House

Coopers Mill Ltd

Sun Court Nursing Home

Pocklington House

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Paradise Lodge

Grangewood

Upaya Ananda

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

CARE HOME ADULTS 18-65 Benyon Grove (55-56) Herlington, Orton Malbourne Peterborough PE2 5GH Lead Inspector Matthew Bentley Unannounced Inspection 2nd November 2005 14:00 Benyon Grove (55-56) DS0000015144.V263881.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 Benyon Grove (55-56) DS0000015144.V263881.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. Benyon Grove (55-56) DS0000015144.V263881.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Benyon Grove (55-56) Address Herlington, Orton Malbourne Peterborough PE2 5GH 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) 01733 361333 01733 231060 Royal Mencap (Housing & Support Services) Judith Ann Phillips Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (5), Physical disability over 65 of places years of age (1), Sensory Impairment over 65 years of age (1) Benyon Grove (55-56) DS0000015144.V263881.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 5 service users only in category LD9E) (over 65 with learning disabilities) to be accommodated, those service users` names to be confirmed in separate correspondence. 1 named service user only in the category PD(E) (over 65 years with physical disabilities), this person`s name to be confirmed in separate correspondence. 1 named service user only in the category SI(E) (over 65 years with sensory impairment), this person`s name to be confirmed in separate correspondence The above conditions of registration wil automatically cease once the named individuals are no longer living at 55-56 Benyon Grove. 25th February 2005 2. 3. 4. Date of last inspection Brief Description of the Service: 55 & 56 Benyon Grove provides accommodation, care, and support for up to 8 people with a learning disability, some of who have associated physical disabilities, and some of whom are aged over 65 years of age. The home is situated in a cul-de-sac on the outskirts of Peterborough and is close to local shops, a health centre, and a pub. Accommodation is provided in two detached bungalows, each having four bedrooms, a lounge/dining room, office, kitchen, bathroom and laundry; the houses are joined via a communal back garden. Practical and emotional support is provided by staff 24 hours a day including three waking night staff. Benyon Grove (55-56) DS0000015144.V263881.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 1.5 hours and took place on 2nd November 2005 between 14.00 and 15.30. The inspection was carried out by one inspector who spoke to service users and interviewed one member of staff. The inspection also included reading documents, speaking to the manager, and a tour of the communal parts of the building. What the service does well: What has improved since the last inspection? What they could do better: Care plans would benefit from having greater detail and it should be made clearer when they are reviewed and updated. One staff file had a minor omission, the home’s contract needs updating, and the statement of purpose needs some corrections and additions. Benyon Grove (55-56) DS0000015144.V263881.R01.S.doc Version 5.0 Page 6 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. Benyon Grove (55-56) DS0000015144.V263881.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 Benyon Grove (55-56) DS0000015144.V263881.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): 1, 2, 3, 4, 5 Information is available to help prospective service users make an informed decision about whether the home is suitable for them, though some information in the statement of purpose is incorrect or is missing. Appropriate measures are in place to allow visits prior to moving in so that people can make an informed decision about the suitability of the home. Staff know each service user as an individual, and have helped each person work towards identifying and achieving appropriate goals. EVIDENCE: The home has a statement of purpose and service user guide to inform people living in the home, or people who may be interested in doing so, about the services offered. Since the last inspection the statement of purpose has been updated, however, there remain some omissions and incorrect information. The manager said that she will ensure that the document is amended to fully and accurately contain the information required. If a person is interested in moving into the home, the manager visits the person concerned and meets with family members and any professionals who may be involved, so that as much information about the person’s needs as possible is obtained. Files relating to a person who was considering moving into the home were seen and include comprehensive information that has been gathered on the person’s needs, including pre-admission assessments by care managers and details of the person’s social histories, hobbies and interests. The manager has taken care to ensure that the person will get along with the other residents, which is important, given the size and nature of the home, and Benyon Grove (55-56) DS0000015144.V263881.R01.S.doc Version 5.0 Page 9 the person concerned has visited the home on a number of occasions, so that they can make up their mind about whether they thinks the home will be suitable Staff are experienced and competent and have a good level of knowledge about the general needs of people with a learning disability and of the people living at the home specifically. Aids and adaptations are available to help staff to meet residents’ needs, and discussions with staff and residents indicate that the home is capable of meeting the needs of the people living there. The manager said that the home’s contract stating the terms and conditions of residence is being updated, however, it is yet to be provided to the residents. A requirement has been made about this. Benyon Grove (55-56) DS0000015144.V263881.R01.S.doc Version 5.0 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, 8, 10 Systems of care planning are effective, though more detail is needed about how support and care should be given, and what people can do for themselves, so that their independence is promoted. Systems for assessing risk are effective, though it needs to be made clearer when the assessment of risk has been reviewed. Appropriate measures are in place to ensure that confidential information about service users is kept securely. EVIDENCE: The care plan relating to one of the residents was seen and contained information about what help that was needed though the need to expand on the detail about how the help should be given, and what the person can do for herself was discussed with the manager, as was the need to more clearly indicate when the monthly review of the care plans and risk assessments have taken place. A member of care staff said that the care plans had provided her with sufficient information about each resident’s needs when she had started working at the home. Care plans are kept securely in the office, though staff still have easy access to them. Residents’ meetings take place every 2 weeks, to give each person the opportunity to say what they think about the service and make suggestions about the service generally, and subjects such as food and outings. Benyon Grove (55-56) DS0000015144.V263881.R01.S.doc Version 5.0 Page 11 Benyon Grove (55-56) DS0000015144.V263881.R01.S.doc Version 5.0 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, 17 Staff provide appropriate support to facilitate contact with family and friends, and service users have access to leisure activities in the community that are appropriate to their needs and abilities. Residents’ dietary needs are properly met. EVIDENCE: Most of the residents are past the age when they would ordinarily be retired and the home is funded to provide daytime activities rather than their using group provision such as day centres. Each resident has been helped to develop a range of meaningful things to do during the day, including trips out, for instance to the coast, shopping, and using a range of leisure activities. One the day of the inspection a number of people had been out bowling, which is a regular activity enjoyed by all of the people who take part. One person uses specialist learning disability services including an adult education college. The manager has carefully considered the leisure interests and needs of the person considering moving into the home and, if the person concerned decides to move in, he will be provided with a program of activities based on his interests and skills. The home has it’s own vehicle so that residents can go out singly with a member of staff, or as a group. Benyon Grove (55-56) DS0000015144.V263881.R01.S.doc Version 5.0 Page 13 Each resident has a specific member of staff to act as ‘key-worker’. Part of this role is to help maintain links with families at an appropriate level; on the day of the inspection one person’s family was visiting to attend a birthday party put on for their relative. Meals are planned at varying times depending on what is going on; the food provided for the birthday party was as one would expect and looked tasty. Since the last inspection the manager has ensured that food in fridges is dated so that it can be thrown awayif not used within an appropriate timescale after opening. Benyon Grove (55-56) DS0000015144.V263881.R01.S.doc Version 5.0 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, 20 Arrangements are in place to ensure each service user receives input from relevant professionals to ensure their health needs are met. Personal care is given sensitively so that individuals’ dignity and privacy are maintained, and each person is encouraged to maintain their personal care and daily living skills. Procedures for managing service users’ medication are satisfactory and were being properly followed, so that medication is safely administered. EVIDENCE: Staff were seen helping people with a range of tasks; the assistance given was appropriate for the needs of the people concerned and was given in a considerate respectful manner. The home is supported by specialist learning disability professionals including psychiatrists, occupational therapists, nurses, and speech and language therapists. Appointments for hearing and eyesight tests are made when necessary and support is given to ensure information is exchanged properly. Medication records were inspected and were complete, and accurate, and the systems for administering and storing medication are well organised. Staff have received training in giving out medication and the newer member of staff confirmed that she has received sufficient training to allow her to give out Benyon Grove (55-56) DS0000015144.V263881.R01.S.doc Version 5.0 Page 15 medication safely. Since the last inspection the arrangements for the storage of medication have been improved, and medication is now stored in suitable conditions. Benyon Grove (55-56) DS0000015144.V263881.R01.S.doc Version 5.0 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, 23 The home’s systems for dealing with complaints are satisfactory, as are the arrangements for ensuring the protection of service users from neglect or harm. EVIDENCE: The home has a policy and procedure to follow if a person wishes to make a complaint about the service; no complaints have been made since the last inspection. The home has a procedure to ensure the protection of vulnerable adults, and a ‘whistle-blowing’ policy is also in place encouraging staff to report any concerns about poor practice or the mistreatment of residents. Since the last inspection the manager has arranged for all staff to attend the City Council’s training to ensure the protection of vulnerable adults, and one member of staff confirmed that she had been on the training the previous day and knew what procedures should be followed. She also said that she would have no hesitation in taking to the manager if she was worried that someone might have been mistreated or had any other concerns about the welfare of residents. Benyon Grove (55-56) DS0000015144.V263881.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27, 28. 29, 30 The home is suitable for the needs of those living there, and sufficient equipment is provided so that service users’ independence is maximised. The home is clean and hygienic and there are no unpleasant odours. EVIDENCE: The home is provided in 2 adjacent bungalows situated in a cul-de-sac close to shops and other facilities. Since the last inspection the carpets in the lounges have been replaced, the bathroom and toilet facilities have been improved, and level walkways have been provided in the outside areas. A new dining suite has also been bought, all of which has greatly improved the environment and facilities in the home. Hoists and other equipment have been provided so that staff can safely help people with moving from one place to another, and it is planned to equip one of the bathrooms with a ceiling hoist to help one resident to get in and out of the bath. The premises are well maintained and clean, and on the day of inspection there were no unpleasant smells. Benyon Grove (55-56) DS0000015144.V263881.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35, 36 The home has an adequate staff team, and staff are appropriately supervised so that service users’ needs are properly met. Staff are clear about their roles and have been given an appropriate induction and training in health and safety matters so that residents are supported by competent staff. EVIDENCE: On the day of inspection there were 5 staff on duty, in addition to the manager, and staffing levels are maintained at an appropriate level. It is clear from watching how staff support the residents, that they have built professional, warm and friendly relationships with each person. Staff are clear about what they are there to do and how they should provide help and support, and staff are aware of need to work with people rather than taking over and doing everything for residents, which can lead to a loss of skills. The manager said that since the last inspection, progress has been made to get staff on the National Vocational Qualification (NVQ) course and a number of staff are enrolled, including one doing the level 3. The manager said that agency staff are rarely needed, and staff spoken to said that they all work well as a team. Staff files were inspected and contain Criminal Records Bureau (CRB) checks, 2 references and most of the other information to ensure that unsuitable people are not employed at the home. There was one minor omission in one file in Benyon Grove (55-56) DS0000015144.V263881.R01.S.doc Version 5.0 Page 19 that there was not photograph of the staff member concerned. A requirement has been made about this. New staff are required to do induction training so that they know what the needs of people with learning disabilities are likely to be, how they should be supporting the residents, what the home is trying to achieve, and what policies and procedures they needed to know about. One newer member of staff said that she had found the induction training useful and said that they had been given health and safety training, so that they could help residents without putting herself, or the person concerned, at risk. Staff said they feel well supported in their work and receive adequate and effective supervision from the manager or one of the deputy managers. Staff meetings are held once a month and formal supervision takes place at least 6 times a year. Benyon Grove (55-56) DS0000015144.V263881.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 41, 42, The home is properly run, and the manager provides good leadership and guidance to staff to ensure that residents receive consistent, high quality care. The quality of the service is monitored through quality assurance processes; however, the results of the survey are not being fed back to the home, the people living there, or the Commission. Sufficient measures are in place to ensure resident’s safety. EVIDENCE: The manager of the home is Judith Phillips; since the last inspection Mrs Phillips has been successful in her application to be registered with the Commission as manager of the home. Mrs Philips has progressed well towards achieving the Registered Managers’ Award and is confident that it will be completed in the next few months. Mrs Phillips is appropriately skilled and experienced, and has done a variety of courses and training to help her in her work. Benyon Grove (55-56) DS0000015144.V263881.R01.S.doc Version 5.0 Page 21 A new member of staff said that the manager is very supportive and effective, and she would be able to speak to her is she had any concerns, suggestions or requests. As part of its quality assurance processes, questionnaires are sent out to people connected to the home, such as care managers, and community nurses. A survey is also given to residents and their relatives so that they can say what they think about the home, the results of the survey were fed back to the Commission and to the home soon after the inspection, and indicate overall satisfaction with the service. Residents’ meetings are held every 2 weeks, at which residents are able to ask questions and make suggestions or requests about such things as staff, outings, activities, and food. Records relating to the residents are kept securely in the office. A member of the Mencap management team visits the home regularly and sends a monthly written report of visits to the Commission. The home’s policies and procedures are kept in the office and are readily available to staff should they be needed, and staff are required to familiarise themselves with the procideres as part of their induction. The manager has made sure that staff have had training to make sure that they are able to work safely. Fire alarm systems have been tested every week, as have water temperatures, and moving and handling equipment has been serviced at appropriate intervals. Benyon Grove (55-56) DS0000015144.V263881.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 3 3 2 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X 3 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X 3 3 3 3 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 X 3 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Benyon Grove (55-56) Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 2 3 3 3 X DS0000015144.V263881.R01.S.doc Version 5.0 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 YA5 Regulation 5(1)(b)(c) Requirement Each service user must be provided with a contract specifying the information required to meet this standard and associated regulations. Records relating to staff must include all of the information required as detailed in this standard and associated regulations. Timescale for action 31/12/05 2 YA34 19(1)(b) 02/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Benyon Grove (55-56) DS0000015144.V263881.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB1 5XE 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 Benyon Grove (55-56) DS0000015144.V263881.R01.S.doc Version 5.0 Page 25 - 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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