Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 03/10/08 for Benyon Grove (55-56)

Also see our care home review for Benyon Grove (55-56) for more information

This inspection was carried out on 3rd October 2008.

CSCI found this care home to be providing an Good service.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The AQAA explained how the residents and their relatives received information that helped them decide on the choice of home, but also to be involved in running the home: "Mencap`s Family Charter has been distributed to all the people who use our service and their families. The charter is an agreement that says what families and Mencap staff can expect from each other. It is intended to help families and Mencap staff to work better together in the best interest of the residents." One of the comments received from a relative described the home and the care: "The staff at Benyon Grove are excellent, at last my brother has a very loving and caring home for the first time in his life. I am most impressed by his care." A resident also commented: "I do a lot for myself and play my game." The good level of staffing with experienced and knowledgeable carers and appropriate management style helped the home achieve its objectives and making the residents the centre of care and life in this service. Detailed care plans allowed staff to implement a Person Centred Planning approach and ensure that residents needs were met in the way they wanted.

What has improved since the last inspection?

The AQAA reported: "Detailed support plans continue to be developed and added to. We have become more committed to maintaining skills of the residents and to maintaining their independence and enabling them to make their own choices. We have enabled residents to access holidays which they have been unable to do so before", showing that the residents were at the centre of the care and support programe in the home. The site visit showed other improvements: double glazing was installed, new furniture was bought for the lounge and the manager obtained 3 quotes for new carpets. The new manager was also an asset to the home, as she continued with the previous good work of the whole staff team and ensured good protection and support to the residents.

What the care home could do better:

The manager and the staff were consulting residents and their relatives to establish areas for further improvements. Minor improvements could include recording admission dates on the front page of residents` files, that would ensure that all information for each individual was available at a glance. The AQAA presented plans for improvements: "To create/develop accessible resources to enable individuals to better understand information presented to them, and therefore make more informed choices."

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Benyon Grove (55-56) Benyon Grove (55-56) Herlington, Orton Malbourne Peterborough PE2 5GH     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Dragan Cvejic     Date: 0 3 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Benyon Grove (55-56) Benyon Grove (55-56) Herlington, Orton Malbourne Peterborough PE2 5GH 01733361333 01733231060 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Alison Parish Type of registration: Number of places registered: Royal Mencap Society care home 8 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability sensory impairment Additional conditions: The maximum number of service users who can be accommodated is 8 The registered person may provide the following categories of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning Disability - Code LD Physical Disability - Code PD Sensory Impairment - Code SI Date of last inspection Brief description of the care home 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 Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 0 0 8 8 8 Brief description of the care home 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. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The home was last inspected on 31/10/06, but we continued to monitor the service and carried out an Annual Service Review on 05/10/07. We sent surveys to residents, their relatives and staff, and 3 residents, 1 staff member and 4 relatives returned their comments. We also asked the home to carry out a self assessment and report their findings in the AQAA, Annual Quality Assurance Review. We visited the home on 03/10/08 and spoke to a resident that was case tracked. We observed staff working with 3 other residents present in the communal area during the site visit. We checked 3 residents files, including one which was case tracked. We were shown the home by the manager. We checked 2 staff files, talked to two staff, checked medication storage and procedure and 3 residents money and records. We concluded that the home, with the new manager in post, continued to offer good Care Homes for Adults (18-65 years) Page 6 of 28 care to the residents and was working towards an excellent rating, already exceeding some key standards. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 Care Homes for Adults (18-65 years) Page 9 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provided effective information about the service that enabled residents to make an informed choice and ensured that accepted residents needs would be met upon admission. Evidence: The AQAA stated: Mencaps Family Charter has been distributed to all the people who use our service, and their parent/carers, demonstrating Mencaps commitment to working together in the best interest of the people that we support. There has been a raised awareness of how we evidence individuals choices, based on the implementation of the Mental Capacity Act. A resident spoken to during the site visit stated that she chose the home and had sufficient information to make an informed decision. Initial assessments in files showed that the home collected detailed information from social services prior to admission. The homes AQAA stated: From this Mencap complete their own assessment to ensure appropriate staffing in each individual case. This helped decide if the needs could be met, if the place was offered to a new Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: resident. The latest resident that moved in had slightly different needs to those already in, but her higher level of independence already motivated other residents to work towards higher independence. A high level of dependency of one resident showed the homes capacity to plan and meet varied needs, with appropriate external support from the medical professionals. Care Homes for Adults (18-65 years) Page 12 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The respect of residents wishes and preferences was well recorded in excellent care plans and risk assessments and offered them the opportunity to develop their independence. Evidence: Care plans were checked from 3 files. All staff interventions were recorded in great detail, one example showing this was described on half a page and included a comment: Warn well before wet shave, another example included a full description of the process of sitting on the toilet. Care plans were written in the first person and included residents preferences, such as I would like staff to make my tea with one sugar and to check the temperature before giving it to me. Reviews of care plans were done regularly with residents and in some cases with their relatives present and were signed. Communication abilities were also recorded in detail. Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: A resident wanted to keep some money with him, in addition to two bank accounts that his brother managed for him. This was recorded and respected. A resident spoken to confirmed that she was buying her cigarettes from the money she held. When residents were not able to make these decisions, the new Mental Capacity Act guide was considered and the best decision made, still taking into account residents and their relatives wishes. Residents meetings were regular and their views on the day to day running of the home were appreciated. The home extended the activities that residents wanted to do, allowing higher risk, but at the same time ensuring that risk assessments explained how to manage a particular activity in detail. Care Homes for Adults (18-65 years) Page 14 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents lifestyle resulted from their wishes and preferences and staff enabled them to enjoy community facilities. Evidence: The home stated in their AQAA: As a service provider, Mencap aims to enable and support people who use the service to actively engage with and participate in their local community and to develop and lead lifestyles that enable them to achieve the things that matter to them. As part of a person centred approach to support planning (PCP), we actively encourage the people we support to be health aware and provide support in encouraging healthy eating and lifestyles, particularly where someone has identified a need or wish to improve their health. A resident commented: I go to the shop when I want and do not go if I dont want. The home reported: Residents have the opportunity to take part in leisure activities Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: within the local and wider communities.Staff support residents to take care of the environment by recycling. All residents had unrestricted access to all parts of the home and grounds. A resident was observed in the garden, with a staff member chatting to her and providing comfortable social contact. The post arrived and was taken unopened to residents. A relative commented: They treat everyone as friend and family. Care Homes for Adults (18-65 years) Page 16 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefited from a very individualised approach to health care needs, allowing each individual to express how and when they wanted to be treated, while the risk assessments alerted staff when to intervene and call in external health professionals. Evidence: All three checked files showed that the home ensured proper health care for all residents. They worked cooperatively with medical professionals and also recorded when they engaged a podiatrist and other professionals. Each file had a section on health, also written in the first person, or in picture format when this was a better option for a particular individual. A holistic approach to each individual was described in the homes AQAA: As part of Person Centred Planning we aim to support people in being more aware of their health needs and use health action plans to support people in doing this. This is not just about physical needs, it also means helping people to feel good about themselves. Personal care was described in detail in care plans and residents wishes were respected. The home ensured continuity of care even when residents needed to go to hospital. The relatives commented: Our daughter is in hospital at this time. Staff visit Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: her as they would with their family. Medication storage was appropriate and the procedure when medication was administered to two residents was observed. A kind, patient approach offered comfort to residents. The home also arranged regular medication reviews with GPs and consultants. Care Homes for Adults (18-65 years) Page 18 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home had a robust and clear complaints procedure and the measures in place to protect residents. Evidence: A complaint procedure was displayed in the home. All responses in questionnaires demonstrated that residents or their relatives would complain with confidence if they wanted or needed to. The AQAA stated: Our policies and processes require staff to actively engage with local vulnerable adult processes and ensure that any threat to people with a learning disability is identified and reported promptly and appropriately within our organisation, so that appropriate action can be taken. It is our belief that those who use our services, or are residents of ours, should be able to comment or complain if any aspect of services or activities do not meet the high standards that they have a right to expect. After an incident when money belonging to a resident was reported to be missing, a full POVA (Protection of Vulnerable Adults) investigation took place and the outcomes included points stated here, as a part of the plan to protect residents: There will be a lead person on shift during each shift (Night, Early, Late) The lead person will hold the keys for both cabinets where money is stored. At handover the lead person going off duty and the lead person coming on duty will both check all finances and sign them off. These checks will happen 3 times a day at approximately 7.30am, 2.30pm and 9.30 pm. Care Homes for Adults (18-65 years) Page 19 of 28 Evidence: All transactions made will be double signed by staff (this currently happens). Records and amounts of money belonging to 3 residents were checked and all was correct. Care Homes for Adults (18-65 years) Page 20 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home offered a comforable and pleasant home to residents. Evidence: The premises were suitable for residents needs.New double glazing installed in certain areas improved the look and the insulation of the home. New furniture in the lounge made it more homely and more comfortable for residents. The home was maintained by the Housing Association and any request from the staff was responded to in a timely manner. The manager shared the plans for improvements in the next 12 months, which included new carpets and redecoration of communal areas. All communal areas were clean and bright. Infection control measures were in place and were respected. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Experienced and well trained staff, properly checked, were able to meet the needs of residents and ensure their protection. Evidence: Two staff files were checked. All necessary documentation on checks was available and demonstrated that both Mencap, the organisation and the home implemented good checks, thus ensuring good protection of residents. Staff were observed working in a structured and organised way, showing that they were aware of their roles. They also spent time with residents chatting and showed a good level of patience. Staff talked to new residents and developed a friendly, but still professional approach to their interactions. A staff member showed how she viewed her position within the team and judged their work under the question what is good: The home supports individuals and lets them express their opinions and values. Staff receive up to date training. Training records confirmed that training provided was up to date, with all refesher courses being regularly offered to staff. The AQAA reported: Over 50 of our staff is NVQ 2 trained, we have four staff with NVQ3 and one working towards it. Not only the stable staff team, with few new staff, but also the stable team of bank Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: staff workers, ensured consistency of care for residents. Supervision records showed the regularity of these sessions. A staff member stated that she was supervised at least six times a year, but also could ask to speak to the manager at any time. In addition, the AQAA reported on training: Mencap have developed some excellent new in house training courses such as The Professional Worker and Conflict Management, these are added to our rolling training programme. All staff have also completed Medication training and are in theprocess of completing an assessment of competence for medication procedures. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager of the service ensured that the activities within the service achieved a balance of creating an environment where the people supported felt both safe and secure and empowered to achieve the things that matter to them. Evidence: The new manager was appointed in Novemeber last year. She was registered with the regulators, the CSCI, in April this year. However, she was a deputy manager prior to this progress and had a good knowledge of the service and the residents. She said she was planning to start her RMA (Registered Manager Award) in the coming 12 months. Quality assurance was carried out as a Mencap corporate process, at the organisational level, but the results were used to create an action plan locally, related to this home. The AQAA explained the local procedure for quality assurance: Quality assurance reviews and monitoring are more robust, to ensure views are sought from people we support, and actioned appropriately. Part of this has been the introduction of a Continuous Improvement Plan, which ensures issues, including those raised by residents, are actioned within reasonable timescales. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: The home and the organisation addresses equality and diversity in wide areas of their work and explained in the AQAA: Mencap ensures there is regular review of policy documents to ensure they remain current against changing legislation. Issues of equality and diversity underpin the induction, foundation and ongoing staff development within Mencap, and are a core value of service delivery. Safe working practices were in place, not only in written policies and procedures, but also in working practices, observed during the site visit. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - 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!