Inspection on 28/02/06 for Benyon Grove (55-56)

This inspection was carried out on 28th February 2006.

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

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

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

Benyon Grove (55-56) 02/11/05

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

Bramley Avenue (73)

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 28th February 2006 11:30 Benyon Grove (55-56) DS0000015144.V282520.R01.S.doc Version 5.1 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.V282520.R01.S.doc Version 5.1 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.V282520.R01.S.doc Version 5.1 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 www.mencap.org.uk Royal Mencap Society 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.V282520.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5 service users only in category LDE) (over 65 years 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 will automatically cease once the named individuals are no longer living at 55-56 Benyon Grove. 2nd November 2005 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.V282520.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took 2 hours and took place on 28th February 2006 between 11.30 and 13.30. 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 building. The reader should note that not all of the standards were inspected during this inspection; to gain a full picture of how the home is performing, this report should be read alongside the previous report. What the service does well: 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. Benyon Grove (55-56) DS0000015144.V282520.R01.S.doc Version 5.1 Page 6 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.V282520.R01.S.doc Version 5.1 Page 7 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 and other interested parties make an informed decision about whether the home is suitable for them. 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. A contract is in place so that both residents and the home have information about their rights and responsibilities. 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 to contain the information required including details of the manager and the Commission. Each of the residents has a copy of the service user guide in their room. 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 has recently moved 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 detailing his needs and outlining his social history, hobbies, interests Benyon Grove (55-56) DS0000015144.V282520.R01.S.doc Version 5.1 Page 8 and other relevant information. 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 the person concerned has visited the home on a number of occasions, as have his family, so that everyone can be sure that 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, including a recently installed overhead hoist in one of the bathrooms, and observation and discussions with the manager, staff and residents indicate that the home is performing well in meeting the needs of the people living there. Since the last inspection the home’s contract has been updated, though small amendments are still needed including the updated details of the Commission. The manager gave a verbal assurance that the necessary corrections to the document would be made. Benyon Grove (55-56) DS0000015144.V282520.R01.S.doc Version 5.1 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): 6, 7, 8, 9, & 10 Systems of care planning are clear and well laid out and would be a useful tool in guiding staff about how to support those living in the home. Residents are involved in making decisions about their lives to the best of their abilities with help and guidance from staff when necessary. Systems for assessing risk are effective so that unnecessary risks can be avoided without at the same time limiting individual freedom and choice. Appropriate measures are in place to ensure that confidential information about service users is kept securely. EVIDENCE: The information gathered during the assessment process has been used to form the basis of a care plan. The care plan relating to the newer resident contains an outline of the help that is needed and what the person’s likes, dislikes are; the care plan is being developed as the person concerned settles in and the staff get to know him. The care plan is in a new format, and appears to be a potentially useful tool to guide staff; the need to ensure that reviews of the plan and the associated risk assessments take place was discussed with the manager, and the effectiveness of the new format will be looked at during the next inspection. A member of care staff said that the care plans had provided her with outline information about each resident’s needs when she had started working at the home. Care plans are kept securely in the office, Benyon Grove (55-56) DS0000015144.V282520.R01.S.doc Version 5.1 Page 10 though staff still have easy access to them, and the recording of each resident’s activities, health and general situation takes place after each shift and is handed over to staff when they start their shift. Residents’ meetings take place every 2 weeks, to give each person the opportunity to indicate what they think about the home and make suggestions about the service generally, and subjects such as food and outings. Benyon Grove (55-56) DS0000015144.V282520.R01.S.doc Version 5.1 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 the following standard(s): 11, 12, 13, 14, 15 & 17 Staff provide appropriate support to facilitate contact with family and friends, and service users have access to a range of leisure activities in the community and at home, that are appropriate to their needs and abilities. Residents’ dietary needs are properly met and appropriate help is given to ensure that each resident gets a healthy meal. 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. Staff are employed specifically to work between 10 am and 4 pm to support residents either in the home or using community facilities. Each resident has been helped to develop a range of meaningful things to do during the day; on the day of the inspection two residents went out (with staff supporting them) to a lunch club run by the Salvation Army, another had been out for a brief walk, again, with staff support. 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.V282520.R01.S.doc Version 5.1 Page 12 Each resident has a specific member of staff to act as ‘key-worker’. Part of this role is to help maintain links with family members at an appropriate level, and the relatives of the new resident visit regularly. Meals are planned at varying times depending on what is going on; as it was Shrove Tuesday the residents in one of the bungalows were enjoying pancakes. Staff were seen assisting residents to eat their meals, the help given was appropriate to the needs of the individuals with staff sitting at the same level and allowing the person to eat at their own rate. Benyon Grove (55-56) DS0000015144.V282520.R01.S.doc Version 5.1 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 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 including, as noted above, at lunchtime; the assistance given was appropriate for the needs of the people concerned and was given in a considerate respectful manner. The home has good support from district nurses and the GPs, and specialist learning disability professionals including psychiatrists, occupational therapists, nurses, and speech and language therapists also provide support and advice when it is needed. Due to their level of needs, none of the residents are able to look after their own medication; staff therefore manage it for them. The manager and her deputy are undertaking training to allow them to competently train the staff in Benyon Grove (55-56) DS0000015144.V282520.R01.S.doc Version 5.1 Page 14 giving out medication; the pharmacist has also given initial training in the predispensed system that is used in the home. Medication records were seen and were complete, and accurate, and the systems for administering and storing medication are well organised. Benyon Grove (55-56) DS0000015144.V282520.R01.S.doc Version 5.1 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 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; this is available to residents in the service user guide which is kept in their rooms. No complaints have been in the last 12 months. 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. The majority of the staff members have attended the City Council’s training in its procedures to ensure the protection of vulnerable adults and the manager is making arrangements for the newer staff to have the training when it is next available. Benyon Grove (55-56) DS0000015144.V282520.R01.S.doc Version 5.1 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 the following standard(s): 24, 25, 26, 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 situated in Orton Malbourne and is within easy reach of the city of Peterborough. The home is provided in 2 adjacent bungalows situated in a culde-sac close to shops and other facilities. All of the rooms are for single occupancy and are well decorated and reflect the character and interests of the people using them. A recommendation has been made that signs or pictures relevant to the occupant are put on bedroom doors, and the bathrooms and toilets are identified, as at the moment all of the doors look very similar; this should help prepare residents prepare themselves for what is going to happen. Each of the bungalows has its own kitchen and bathroom, hoists and other equipment have been provided so that staff can safely help people with moving from one place to another. Baths and washbasins have been fitted with valves to ensure that hot water is delivered at a safe temperature, and since the last inspection one of the bathrooms has been fitted with a ceiling hoist to help one resident to get in and out of the bath. Benyon Grove (55-56) DS0000015144.V282520.R01.S.doc Version 5.1 Page 17 The premises are well maintained and clean, laundry facilities are situated away from areas where food is prepared and eaten, and on the day of inspection there were no unpleasant smells. Benyon Grove (55-56) DS0000015144.V282520.R01.S.doc Version 5.1 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): 31, 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. There are sufficient staff employed to mean that staff from agencies are rarely used, and a number of staff have worked in the home for a considerable length of time. If agency staff are needed for instance due to staff sickness, they tend to be people who know the home so that residents are supported by people who know them. 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. Two residents in particular are keen to maintain their independence, despite the effects of aging, and the manager and staff have considered how best to support them in this whilst ensuring that their needs can safely be met. Benyon Grove (55-56) DS0000015144.V282520.R01.S.doc Version 5.1 Page 19 Progress has been made to get staff on the National Vocational Qualification (NVQ) course and six staff are enrolled, including one doing the qualification at level 3. Staff files were inspected and contain Criminal Records Bureau (CRB) checks, 2 references and the other information to ensure that unsuitable people are not employed at the home. Since the last inspection the manager has ensured that staff files have been updated to include all of the information required to meet the relevant standard and related Regulations. 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. The newer member of staff confirmed that she was doing induction training and felt well-supported in her work. The manager aims to provide formal supervision every 6 to 8 weeks; she shares the task with her deputy. Supervision involves discussing training needs, the needs of the residents and general matters regarding the work. Benyon Grove (55-56) DS0000015144.V282520.R01.S.doc Version 5.1 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 & 43 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, the results of which are fed back to the home. Sufficient measures are in place to ensure residents’ safety. EVIDENCE: The registered manager of the home is Judith Phillips. Since the last inspection Mrs Philips has completed the Registered Managers’ Award and has done a wide range of courses and training to help her in her work. 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 Benyon Grove (55-56) DS0000015144.V282520.R01.S.doc Version 5.1 Page 21 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 last survey have been given to the Commission and to other interested people. 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 procedures 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 and moving and handling equipment has been serviced at appropriate intervals. Benyon Grove (55-56) DS0000015144.V282520.R01.S.doc Version 5.1 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 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 4 12 3 13 3 14 3 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 3 3 3 3 3 Benyon Grove (55-56) DS0000015144.V282520.R01.S.doc Version 5.1 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. 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 YA24 Good Practice Recommendations Consideration should be given to personalising residents’ bedroom doors and the rooms with shared facilities such as the bathrooms. Benyon Grove (55-56) DS0000015144.V282520.R01.S.doc Version 5.1 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.V282520.R01.S.doc Version 5.1 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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