Inspection on 26/02/06 for Dyscarr Grange Care Home

This inspection was carried out on 26th 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

Dyscarr Grange Care Home 20/07/06

Dyscarr Grange Care Home 05/01/06

Dyscarr Grange Care Home 07/03/05

Dyscarr Grange Care Home 28/11/04

Dyscarr Grange Care Home 11/02/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Dyscarr Grange Care Home Doncaster Road Langold Nottingham S81 9RJ Lead Inspector Jayne Hilton Unannounced Inspection 26th February 2006 04:00 Dyscarr Grange Care Home DS0000008663.V284930.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 Dyscarr Grange Care Home DS0000008663.V284930.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. Dyscarr Grange Care Home DS0000008663.V284930.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Dyscarr Grange Care Home Address Doncaster Road Langold Nottingham S81 9RJ 01909 540 607 01909 540 607 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) www.mencap.org.uk Royal Mencap Society Debra Morley Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Dyscarr Grange Care Home DS0000008663.V284930.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th January 2006 Brief Description of the Service: Dyscarr Grange is a residential home registered for seven places, for people who have a learning disability. It has a village location, being situated on the main road through Langold, and very close to local shops, chemists, and the Doctors surgery. Langold lies approximately five miles north of Worksop town centre, and is situated on a main bus route. The home is managed by Mencap Homes Foundation, and the property is owned by New Era Housing Association. Dyscarr Grange is well equipped to meet the needs of residents who have an additional physical disability, and there is a passenger lift as well as stairs to access the upper floor. Dyscarr Grange Care Home DS0000008663.V284930.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector, at 4pm on Sunday 26th February 2006, conducted the inspection. Being a weekend, the homes manager was not present. The inspector wishes to thank the three support workers who were on duty and assisted with the inspection process including through Sunday teatime. All service users were in the home on the day and one of them particularly participated in the inspection process. The evidence obtained, indicates a very active and empowered service user group. Other information was obtained from records and talking to staff. The overall evidence demonstrated that Dyscarr Grange is an extremely well managed home, providing a very high standard of accommodation and support to the service users living there. What the service does well: Service users rights are respected and responsibilities recognised in their daily lives. They are offered a healthy diet and enjoy their meals and mealtimes. Privacy is well promoted in the home and supported in the policies and procedures, which inform care practice. Where people need mobility support, within safety limits staff, always take their lead from the service user and their preferred style of handling. Risk assessments were observed to be well balanced in promoting individuals choice with minimising risks. The home is well equipped to respond to a range of mobility needs and will be able to support people, as they get older. Tissue viability needs are supported by the district nurse and pressure relieving equipment was in place where needed. People are enabled to choose what they wear each day, and are have their hygiene needs supported. There is a key worker system established, this is reviewed twice yearly to ensure relationships are working well, and changes can be made at any time in response to requests or adverse reactions. The building is well maintained and equipped, and despite its ‘open plan’ lay out downstairs – which will benefit those residents in wheelchairs it has a very ‘homely’ feel. Residents bedrooms were well personalised, and there is a wide range of specialist equipment to assist wheelchair users. Record keeping is to a high standard. There is very good use of pictures to communicate with those residents for whom verbal communication is difficult. Service users are supported by competent; well-trained and supported qualified staff. Dyscarr Grange Care Home DS0000008663.V284930.R01.S.doc Version 5.1 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. Dyscarr Grange Care Home DS0000008663.V284930.R01.S.doc Version 5.1 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 Dyscarr Grange Care Home DS0000008663.V284930.R01.S.doc Version 5.1 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): N/A EVIDENCE: These standards were not assessed at this inspection. Key standards were assessed as met at the previous inspection. Dyscarr Grange Care Home DS0000008663.V284930.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): N/A EVIDENCE: These standards were not assessed at this inspection. Key standards were assessed as met or exceeding the standard at the previous inspection. Dyscarr Grange Care Home DS0000008663.V284930.R01.S.doc Version 5.1 Page 10 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): 16.17 Service users rights are respected and responsibilities recognised in their daily lives. They are offered a healthy diet and enjoy their meals and mealtimes. EVIDENCE: The homes routines are transparent and flexible. Service users were observed on the day making decisions. Staff was observed interacting flexibly with the service users. Service users enjoy privacy in their own rooms, being able to lock their own doors where possible and having lockable facilities within. The homes philosophy and induction process promotes service users right to choice dignity and privacy. Service users and staff spoken with confirmed this. Service users open their mail, sometimes with support from staff to assist in explaining the contents. Service users support is tailored to the individual and participation in maintenance of common areas is built into the care plan and varies to suit the individual’s wishes and capabilities. The home is accessible to service users throughout. There are definitive house rules and some routine, which do not impact on individual’s rights, but offers some continuity and stability. Service users choose freely what to eat and meals are recorded retrospectively. All indicated preferences are recorded in the care plans. On weekdays, as most service users are away from the home, they tend to eat a main meal out. Within the limits of their abilities service users take part in the Dyscarr Grange Care Home DS0000008663.V284930.R01.S.doc Version 5.1 Page 11 preparation of meals, table laying etc. or they accompany staff carrying tasks out on their behalf. One service user has been diagnosed as having dysphagia and therefore has to have thickened fluids. Dyscarr Grange Care Home DS0000008663.V284930.R01.S.doc Version 5.1 Page 12 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 Service users receive personal support in the way they prefer and require. EVIDENCE: Privacy is well promoted in the home and supported in the policies and procedures, which inform care practice. Where people need mobility support, within safety limits staff, always take their lead from the service user and their preferred style of handling. Risk assessments were observed to be well balanced in promoting individuals choice with minimising risks. The home is well equipped to respond to a range of mobility needs and will be able to support people, as they get older. Tissue viability needs are supported by the district nurse and pressure relieving equipment was in place where needed. People are enabled to choose what they wear each day, and are have their hygiene needs supported. There is a key worker system established, this is reviewed twice yearly to ensure relationships are working well, and changes can be made at any time in response to requests or adverse reactions. Dyscarr Grange Care Home DS0000008663.V284930.R01.S.doc Version 5.1 Page 13 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): N/A EVIDENCE: These standards were not assessed at this inspection. Key standards were assessed as met or exceeding the standard at the previous inspection. Dyscarr Grange Care Home DS0000008663.V284930.R01.S.doc Version 5.1 Page 14 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): 24,29,30 Service users live in a homely, comfortable, clean and safe environment, with specialist equipment to maximise their independence. EVIDENCE: On entering the home, a distinctly domestic and appealing atmosphere is noticeable. The home is very well decorated and service users choices are reflected in choices of colour and furniture, in private and communal areas. All aspects of accommodation meet minimum standards. A high standard of maintenance and cleanliness is maintained throughout. The home also provides appropriate equipment and facilities. A vertical lift, parker bath, a bath with a chair hoist, walk in shower, hoists and stand aids are all available and all radiators are of the low surface temperature type. A second communal area is designated as a relaxation area, with sight and sound stimulants. The home manager identified one service user who benefits from this facility, but still wished to socialise. The large gardens and patios are landscaped in consultation with service users and families. These provide large areas of lawn and raised beds to work with and barbecue and relaxation areas for service users and their guests. There is a range of specialist equipment provided including a passenger lift, mobile hoist over bath, and a parker bath a walk in shower and ramps to access the garden. Handrails are sited throughout. There is a low fitted sink in the kitchen and doorways are wide enough to accommodate wheelchairs. Dyscarr Grange Care Home DS0000008663.V284930.R01.S.doc Version 5.1 Page 15 Sensory lighting was seen and an epilepsy monitor. Occupational Therapy assessments are obtained as necessary. The home was clean and fresh throughout. The staff with stated they receive training in hygiene measures and the control of infection, and this is supported by written policies and procedures and from staff training records observed. There is a joint approach to cleaning and service users are encouraged where appropriate to participate and create ownership and control within the home. Hand washing facilities are readily available and adequate laundry facilities are present with sluicing facilities, should they be required. Staff were observed wearing aprons for food preparation and washing their hands Dyscarr Grange Care Home DS0000008663.V284930.R01.S.doc Version 5.1 Page 16 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): 32,35,36 Service users are supported by competent; well-trained and supported qualified staff. EVIDENCE: The personal files of staff were not examined on this visit and however staff were able to confirm training provision including manual handling, customer care, confidentiality, pharmacy, epilepsy including the use of rectal diazepam, No bullying, fire training, first aid, health ad safety, food hygiene, Protection of Vulnerable adults. LDAF components such as Protect Me, Communicate with Me, Value Me and Respect Me. 4 staff have achieved NVQ 2 and 3. 10 staff are working towards NVQs. Staff spoken with reported that all staff receives the associations six-week LDAF induction program. This is followed by a six-month foundation course. The staff also have a wide range of basic training courses available to them from MENCAP on a regular basis and can request training for any aspect of care that will assist them in supporting service users. Funding can be requested for service-specific courses from external organisations. All training incorporates equal opportunities aspects. All staff receives an annual appraisal, and the team as a whole are also assessed for service-specific training There was evidence that staff have supervision and appraisals on a regular basis. Staff meetings are held regularly and minutes were seen. All staff have copies of the grievance and disciplinary procedures. As already stated staff have access to an operational policy manual. Dyscarr Grange Care Home DS0000008663.V284930.R01.S.doc Version 5.1 Page 17 Dyscarr Grange Care Home DS0000008663.V284930.R01.S.doc Version 5.1 Page 18 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): N/A EVIDENCE: These standards were not assessed at this inspection. Key standards were assessed as met or exceeding the standard at the previous inspection. Dyscarr Grange Care Home DS0000008663.V284930.R01.S.doc Version 5.1 Page 19 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 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 4 25 3 26 X 27 X 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X X X X X X X X Dyscarr Grange Care Home DS0000008663.V284930.R01.S.doc Version 5.1 Page 20 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. Refer to Standard Good Practice Recommendations Dyscarr Grange Care Home DS0000008663.V284930.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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. 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