Inspection on 07/12/05 for Care ( Stanley Grange)

This inspection was carried out on 7th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Care ( Stanley Grange) 19/08/07

Care ( Stanley Grange) 04/09/06

Care ( Stanley Grange) 21/06/05

Care ( Stanley Grange) 10/12/04

Care ( Stanley Grange) 22/06/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Care Stanley Grange Samlesbury Preston Lancashire PR5 0RB Lead Inspector Phil McConnell Unannounced Inspection 7th December 2005 10:00 Care DS0000005873.V263898.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 Care DS0000005873.V263898.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. Care DS0000005873.V263898.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Care Address Stanley Grange Samlesbury Preston Lancashire PR5 0RB 01254 852878 01254 851154 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) CARE (Cottage and Rural Enterprises Ltd) Care Home 42 Category(ies) of Learning disability (42) registration, with number of places Care DS0000005873.V263898.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for up to a maximum of 42 service users in the category of LD (learning disability). The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidelines which may be issued through the Commission for Social Care Inspection regarding staffing levels in care homes. 21st June 2005 3. Date of last inspection Brief Description of the Service: Stanley Grange is located in a rural setting half a mile from the A 675, which is one of the main roads linking the towns of Preston and Blackburn. Because of its rural setting, access to local facilities such as post office, shops, public house is via the half-mile walk for the service users or an escort is provided from the home. The service does have a number of vehicles, which are available to be used for transport for the service users. Stanley Grange is one of eight communities run by the CARE organisation and provides a range of accommodation and day care facilities for people with a learning disability. The residential accommodation is provided in four units: 1) Stables accommodates fourteen service users; 2) Fountains for thirteen service users; 3) Pendle for six service users and 4) Weavers for seven service users. Each of the residential units has communal lounges and dining areas, kitchens, laundry, bath/shower facilities and WCs. There are also five flats that are used for the service users. Service users live in the flats with agreed support networks, to develop their independence living skills. The Residential units are all separate buildings and are situated around a central garden area along with the community hall, day-care facilities and administrative blocks. Care DS0000005873.V263898.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced, which meant that the provider was unaware that the inspection was to take place on that particular day, however, a providers pre-questionnaire, comment cards for service users, relatives and carers, other professionals and general practitioners, were sent out prior to the inspection. The feedback from the comment cards that were returned was generally positive, indicating that the staff at Stanley Grange provide a good level of care to the people who use their services. The inspector spoke to the locality manager, service users and members of staff. There is no registered manager at the present time, although the inspector met and spoke with the prospective manager. Service users records and staff records were examined, and a full tour of the premises was undertaken. As part of the inspection process the inspector used “case tracking” as a means of assessing some of the National Minimum Standards. This process allowed the inspector to focus on individual people living at the home. What the service does well: Stanley Grange provides a good service to the service users who live there. Appropriate individual care assessments and risk assessments are in place for all the service users. The training for staff was seen to be of a high standard, which benefits the service users who live at Stanley Grange. There is a strong emphasis on community participation, awareness and inclusion for service users, which helps people to develop and grow in independence and confidence. Care DS0000005873.V263898.R01.S.doc Version 5.0 Page 6 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. Care DS0000005873.V263898.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 Care DS0000005873.V263898.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): 2 The care plans; core assessments of service users, pre-assessments and individual contracts all indicate thorough detail, which ensures that the assessed needs of service users are identified and met. EVIDENCE: There is evidence that service users were involved in the process of assessment and the service user’s guide states that people are only admitted to CARE Stanley Grange following a full Social Service’s assessment. Before a person moves to the home they have the opportunity to visit Stanley Grange and complete a ‘getting to know you’ document which is also in picture format. This is used alongside assessments from social services, and where appropriate, there was also some input from families, in order that as much information as possible is gathered to assess peoples needs. The inspector saw a number of letters from service users families, with comments like “XX is very fortunate to be surrounded by such loving care” and we cannot thank you enough for the loving care you give so generously” Staff said that the assessments provided clear information to demonstrate the support individuals needed. They were aware of the importance of helping people to settle in. There was a terms and conditions contract in place for service users or the person’s representative to complete with relevant information regarding Care DS0000005873.V263898.R01.S.doc Version 5.0 Page 9 financial circumstances and appointee’s so helping to ensure that service users rights are considered and respected. Care DS0000005873.V263898.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, 7, 8, and 9. The service users care plans were very clear, detailed and gave relevant and appropriate information to ensure service users needs are met in a safe and secure environment. There was also evidence of service users working towards identifying and participating in new activities and experiences with appropriate support from staff. EVIDENCE: One of the service users who was case tracked had lived at Stanley Grange for only a short time. Their file was comprehensive, containing detailed admission information together with a person centred plan (P.C.P.) There were risk assessments and contracts in place between the service user and Care Stanley Grange. Concise information and guidelines were available from the service users family and from a previous provider to help promote the service users independence. One of the service user’s files contained information, relating to language therapy support and the inspector was able to speak to a visiting speech and Care DS0000005873.V263898.R01.S.doc Version 5.0 Page 11 language therapist who said “staff here are great and very proactive” and went on to say that “Stanley Grange provide excellent care” Various notice boards were in place around the different cottages with relevant information for service users and staff advertising, advocacy groups and information from the local partnership board meetings. Most of the information on the notice boards was also in picture format, giving people as much opportunity as possible to understand what is available and taking place, in order to promote independence and choice. Some of the service users are representatives on the partnership board for Chorley and South Ribble and one of the service users chairs the meeting; ensuring participation in decision making. There are regular joint meetings with service users and staff, promoting equality and quality assurance. There were guidelines in place for staff on risk taking, with a statement saying, “Residents have every right to opportunities that will assist them to develop to the full extent of their potential” An index of all risk assessments used at Stanley Grange, with up to date reviews and individual risk assessments were in service users files demonstrating that opportunity is given to people to maximise their potential. Care DS0000005873.V263898.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): 12, 13, 15, 16, and 17. Service users are supported to establish new relationships and maintain existing ones. Community presence and participation are encouraged and supported in order to proactively promote inclusion for the service users. EVIDENCE: There was documented evidence that service users are encouraged to continue with established activities after they come to live at Stanley Grange. This helps to maintain the interests and skills that service users have already developed. A number of service users are supported in paid and unpaid employment in the local community and at Stanley Grange with risk assessments in place; ensuring that service users are safeguarded and protected. Stanley Grange also uses the services of the disability employment advisor from the local job centre, demonstrating that outside expertise is also accessed for the benefit of the service users. A number of courses and activities are provided at Stanley Grange. Care DS0000005873.V263898.R01.S.doc Version 5.0 Page 13 College courses and leisure activities are also promoted and encouraged away from the home. This helps service users develop meaningful friendships and relationships, whilst also, providing appropriate activities and educational opportunities in order for service users to lead fulfilling and valued lives. Service users files contained evidence that people are encouraged and supported to develop community links. The inspector heard service users talking about going to the pub on Saturday night and in discussion with service users and staff, it was evident that people go shopping regularly, visit local pubs, attend church, the library and leisure centres. Community presence and participation is actively promoted by the staff team All service users are on the electoral roll and the majority of service users do vote so promoting people’s independence and rights. Policies and procedures are in place regarding sexuality and personal relationships. Certain staff are appropriately trained to offer advice or mentor service users regarding these issues and to access an outside advocate/health professionals when needed. Service users are encouraged and supported to develop and maintain friendships with people from outside the home. Service users have keys to their own rooms and for the service users who are more able they have keys to the cottage they live in. Service users are promoted to make individual choices and are supported to be as independent as possible. The lunch menu was varied offering several options including a vegetarian choice. Staff were sensitive whilst supporting service users who required additional assistance thereby, promoting dignity and inclusion. Care DS0000005873.V263898.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): 20 Medication is stored, administered and recorded correctly, ensuring that service users health is monitored and maintained. EVIDENCE: Policies and procedures were in place regarding the control and administration of medication, promoting the safety and independence of service users. Some service users are able to administer their own medication with relevant risk assessments in place to promote independence and confidence. Staff are trained to administer medicines with a six monthly review, ensuring that training is adequately up to date, in order to safeguard service users health and wellbeing. There were consent to medication forms in individual service users files and were service users were unable to give consent, there were statements in their files confirming this, demonstrating that service users are involved, were possible to make decisions. Medication sheets were recorded correctly with times and dosages of medicines and were seen to be up to date, ensuring that medicines are administered correctly. Care DS0000005873.V263898.R01.S.doc Version 5.0 Page 15 There are regular medication reviews with the service users GP’s ensuring that correct medication and dosages are given to service users. Care DS0000005873.V263898.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 and 23. Adequate and appropriate training for staff is provided to help protect and safeguard service users from abuse. Appropriate adult protection and complaints procedures are in place. EVIDENCE: There was a comprehensive complaints document and leaflet in place, giving specific details of the kind of things that service users may want to complain about and changes or choices that they may like to make. The leaflet was also in picture format and entitled ‘How to make a complaint’ demonstrating that people are given information in different formats which could help people who have communication problems. Staff members said they were aware of the process to follow should a service user bring a complaint to their attention. Some comment cards that were returned to the Commission indicated that a couple of complaints had been made in the past, but had been satisfactorily resolved at the home with no outstanding issues. Complaints are taken seriously and acted upon in appropriate timescales. There was a thorough policy in place with good guidelines of what to do in the event of an alleged or suspicion of abuse of a vulnerable adult. All staff have received awareness training in the protection of vulnerable adults. Highlighting that Care Stanley Grange is committed to providing adequate training in order to protect service users from different kinds of abuse. No one is recruited to work un-supervised without having a criminal records check (CRB) or a protection of vulnerable adults check (POVA) being made. Care DS0000005873.V263898.R01.S.doc Version 5.0 Page 17 The CRB checks for all staff were seen to be in place and up to date. Staff are only employed following relevant checks being made, in order to protect and safeguard service users. Care DS0000005873.V263898.R01.S.doc Version 5.0 Page 18 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): EVIDENCE: These standards were not inspected on this occasion. Care DS0000005873.V263898.R01.S.doc Version 5.0 Page 19 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): EVIDENCE: These standards were not inspected on this occasion. Care DS0000005873.V263898.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): Although adequate management arrangements are in place at the home an application for registration needs to be submitted. EVIDENCE: A manager is in post at the home however an application to register the manager of the service with the Commission for Social Care Inspection has not been submitted to the Commission. Care DS0000005873.V263898.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Care Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 2 X X X X X X DS0000005873.V263898.R01.S.doc Version 5.0 Page 22 NONE 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 YA37 Regulation CSA Section 11(1) Requirement An application to register the manager of the service with the Commission for Social care Inspection is required to be submitted. Timescale for action 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. 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