Inspection on 05/01/06 for Dyscarr Grange Care Home

This inspection was carried out on 5th January 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 26/02/06

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 Rob Cooper Unannounced Inspection 5 January 2005 10:15 th Dyscarr Grange Care Home DS0000008663.V274264.R02.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.V274264.R02.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.V274264.R02.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) H4037@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.V274264.R02.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th March 2005 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.V274264.R02.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection lasted approximately three hours through the middle of the day, with one Inspector present. Unfortunately there were no residents at home during the Inspection, as all attend a local Day Centre in Worksop. The methodology used was to visually inspect the premises, speak with the staff that were present (The Manager and the Deputy Manager) and check a range of records. In addition three residents were ‘case tracked’ this involved looking at a range of care records, and making a judgement about the quality of care those people receive, taking into account, the environment, the staffing, and the records of care actually delivered and received. 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. Dyscarr Grange Care Home DS0000008663.V274264.R02.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 Dyscarr Grange Care Home DS0000008663.V274264.R02.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): 124&5 Prospective residents would have the information they require to make an informed choice about coming to live at Dyscarr Grange. Prospective residents are well assessed prior to admission to Dyscarr Grange. Prospective residents do have an opportunity to test drive the service. Each resident has an assured tenancy agreement. EVIDENCE: The Statement of Purpose and the Service User Guide were both seen. Both of these documents were well presented and contained all of the information required by Care Homes Regulations. Three resident’s files were seen, and all contained an Extended Community Care Assessment, a Health Assessment, a day Care assessment, together with a range of ‘in-house’ assessment material. Dyscarr Grange operates a lengthy ‘getting to know you’ period, where visits to the home are made, for meals, and over night stays. Each resident was seen to have an Assured tenancy agreement within his or her file. Dyscarr Grange Care Home DS0000008663.V274264.R02.S.doc Version 5.1 Page 8 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): 67&9 Residents do know that their assessed and changing needs will be part of their individual plan. Residents are assisted to make decisions about their lives by the staff at Dyscarr Grange. Residents at Dyscarr Grange do take risks as part of their daily lives. EVIDENCE: Dyscarr Grange are introducing a Person Centred Plan approach to their ‘plans’ and currently one resident has had this format introduced to their care records, which was seen during the Inspection. This is a comprehensive planning system, which uses pictures and symbols to make it more accessible to individual resident. There was a great deal of evidence of the use of pictures within the building to assist residents in decision making. There is also a suggestion book where residents can make comments on a whole range of matters, affecting their lives. Teatime is a free choice meal, with residents making the decision about what to eat when they return home from the Day Centre. These choices are then recorded, and the meal is prepared. Each of the three files contained detailed risk assessments covering a wide range of the activities of daily living. In Addition there was a file containing a number of environmental risk assessments, which covered other areas of living within the house. Dyscarr Grange Care Home DS0000008663.V274264.R02.S.doc Version 5.1 Page 9 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 Residents at Dyscarr Grange do take part in age, peer and culturally appropriate activities. Residents are part of the local community. Residents at Dyscarr Grange do have appropriate relationships with their family and friends. EVIDENCE: Within the kitchen there is an activities board, this contained a number of flash cards portraying different activities, and a record of activities undertaken. Touring the building revealed evidence of a number of different activities available to residents, from relaxation areas to art and craft activities. Dyscarr Grange is situated right in the middle of the village, residents are actively involved in the village life, and a local pub will even prepare food in a certain way, so that a particular resident is able to eat it. Family contact is encouraged, and with most of the families living fairly locally this is not a problem. Inside the front door, there is a ‘visitors statement’, which sets out a range of information for visitors including whom to talk to if there is a problem. Dyscarr Grange Care Home DS0000008663.V274264.R02.S.doc Version 5.1 Page 10 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): 19 & 20 Resident’s physical and emotional needs are well met. Residents do not selfmedicate, but are protected by the Dyscarr Grange policies and procedures related to medication. EVIDENCE: The three resident’s files all contained detailed and well-documented information relating to the healthcare needs of the residents. Dyscarr Grange uses a Monitored Dosage System (MDS), which is operated and maintained by the local chemist (which is situated next door). There was a pharmacy Inspection in February 2005 by the Commission for Social Care Inspection’s own Pharmacist and all of the recommendations from that Inspection have been met. Storage of medication was seen during the Inspection, and all records relating to medication were found to be complete and in order. Dyscarr Grange Care Home DS0000008663.V274264.R02.S.doc Version 5.1 Page 11 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 Residents and their families will be able to feel that their views are listened to and acted upon. Residents are protected from abuse, neglect and self-harm. EVIDENCE: The complaints procedure is prominently displayed within Dyscarr Grange, and records within the complaints book showed that the last complaint was received in September 2004. This complaint was investigated and dealt with in line with the complaints procedure, and an independent report was produced, as the nature of the complaint was quite complex. Staff training records showed that every member of staff had received abuse training (Mencap’s own ‘Protect and Respect’ training) during the period November 2002 to June 2006. Dyscarr Grange Care Home DS0000008663.V274264.R02.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 27 29 & 30 Dyscarr Grange is homely, comfortable and safe. There are sufficient bathrooms, although there is an issue regarding privacy. Dyscarr Grange is very well served with specialist equipment aimed at maximising independence. Dyscarr Grange is both clean and hygienic. EVIDENCE: The building is very well presented with high quality fixtures and fittings throughout. The communal areas are comfortable, and well equipped, and the building appears well suited to meeting the resident’s needs. Outside there is a large enclosed garden, which is laid mainly to lawn. Access to the garden from the house is via a set of ramped walkways. There are plans to develop the garden, and funding for this has now been identified and secured. The bathrooms offer a range of assisted bathing with an Arjo bath complete with Ambulift, a Parker bath and a walk in shower all among the bathing options. However in two bathrooms the window blinds had not been refitted following recent redecoration, this potentially compromises the resident’s privacy. There is also a portable hoist, as well as the passenger lift for accessing the upper floor. During the Inspection, the building was found to be clean and fresh throughout, and there was a pleasant odour at the top of the stairs – similar to new curtains. Dyscarr Grange Care Home DS0000008663.V274264.R02.S.doc Version 5.1 Page 13 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): 34 & 36 Residents are protected by the Dyscarr Grange recruitment policy and practices. The staff team are well supported and supervised. EVIDENCE: Two different individual staff files were seen, and each contained a full range of documentation, including 2 references, Criminal Records Bureau check, and the original application form, from which it was possible to check the identity of the staff member, and ascertain that they were ‘fit’ to work with vulnerable people. The staff files also contained supervision records, which showed that staff were being supervised, and supported. Dyscarr Grange Care Home DS0000008663.V274264.R02.S.doc Version 5.1 Page 14 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): 39 & 42 Residents can be confident that their views underpin the self-monitoring review and development of Dyscarr Grange. Residents and staff at Dyscarr Grange benefit from sound Health & Safety policies and procedures. EVIDENCE: Dyscarr Grange uses the ‘Quality Tree’ model of Quality Assurance, and this is held in a quality assurance file, containing a range of self-assessment tools and information. A variety of Health & Safety documentation, including Control of Substances Hazardous to Health (COSHH), fire records, Portable Appliance Testing (PAT tests) and Health & Safety checks were seen, and all found to be complete, up to date and correct. Dyscarr Grange Care Home DS0000008663.V274264.R02.S.doc Version 5.1 Page 15 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 4 2 4 3 X 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 X 26 X 27 2 28 X 29 4 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 4 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 4 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 X X X 3 X X 3 X Dyscarr Grange Care Home DS0000008663.V274264.R02.S.doc Version 5.1 Page 16 Are there any outstanding requirements from the last inspection? NO 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 YA27 Good Practice Recommendations The Registered person must ensure that the window blinds are refitted to the windows in the bathrooms as soon as possible to preserve resident’s privacy. Dyscarr Grange Care Home DS0000008663.V274264.R02.S.doc Version 5.1 Page 17 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. Extracts may not be used or reproduced without the express permission of CSCI Dyscarr Grange Care Home DS0000008663.V274264.R02.S.doc Version 5.1 Page 18 - 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!