Inspection on 10/03/06 for Forest Grange

This inspection was carried out on 10th March 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 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

Forest Grange 07/02/07

Forest Grange 19/08/05

Forest Grange 08/03/05

Forest Grange 27/09/04

Forest Grange 16/02/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Forest Grange 15 Forest Road Moseley Birmingham West Midlands B13 9DL Lead Inspector Julie Preston Unannounced Inspection 10th March 2006 13:00 Forest Grange DS0000039321.V286475.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 Forest Grange DS0000039321.V286475.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. Forest Grange DS0000039321.V286475.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Forest Grange Address 15 Forest Road Moseley Birmingham West Midlands B13 9DL 0121 449 2040 0121 449 4704 lado@strenshamhill.com 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) Ms Itrat Batool Mrs Mandy Josephine Callaghan Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Forest Grange DS0000039321.V286475.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. That the 2nd floor bedroom may only be occupied by a designated service user, agreed with the NCSC, currently Mr PG At such time he vacates this room, the agreement of the NCSC must be obtained prior to it being occupied by another person. That all residents must be aged under 65 years Date of last inspection 19th August 2005 Brief Description of the Service: Forest Grange is a three storey property situated in the Moseley area of Birmingham. The home provides care and accommodation to up to seven adults with a learning disability some of who have complex needs. There is one ground and one second floor bedroom; all other bedrooms are on the first floor. Some bedrooms have en suite facilities and there are bathroom and toilets on each floor. Communal space consists of a large lounge, which leads onto a dining room, and a separate smaller lounge. There is a spacious rear garden, which has ramped access. The home is within close proximity to local amenities. The current service user group are all male. Forest Grange DS0000039321.V286475.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over three hours and consisted of discussion with the registered manager and registered provider about the way in which care is delivered within the home. Observation of the way staff work with service users also took place. A brief tour of the premises was undertaken and service user’s financial records were sampled as well as the home’s complaints procedure and health and safety records. This report should be read in conjunction with the report made following the visit of 19th August 2005. 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. Forest Grange DS0000039321.V286475.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Forest Grange DS0000039321.V286475.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed at this inspection. EVIDENCE: Forest Grange DS0000039321.V286475.R01.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): 7 Service users are supported to make decisions about their lives. EVIDENCE: Care plans were not examined at this inspection. At the last inspection it was noted that language used within service users daily records was not factual and accurate and recommendations were made that this be addressed. At this inspection it was noted that the registered manager had conducted a workshop for staff to understand the importance of writing accurate and factual records. Service users at the home have varying needs with regard to their communication. The home makes use of Makaton symbols for those people that communicate through this medium and symbols were seen in bedrooms to assist individuals to have some control over their environment. For example, one service user had Makaton symbols pasted to his bedroom drawers to enable him to sort and place his clothing. Staff were observed to use objects of reference to assist a service user to make choices about his activities. The inspector examined the home’s system for managing service users finances. Where sampled, receipts were noted to be kept for each item of expenditure and the registered manager confirmed that she conducted a full audit of every person’s accounts once a week. Forest Grange DS0000039321.V286475.R01.S.doc Version 5.1 Page 9 Records were seen to support this. In addition, the home employs an accountant who completes a 4-6 weekly audit of each service users accounts. Records were observed to evidence this. Forest Grange DS0000039321.V286475.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): 15, 16, 17 Service users are supported to maintain contact with their friends and relatives. The daily routines in the home promote independence within a risk assessment framework. Service users are offered choices of food and a varied diet. EVIDENCE: The home has a visitors policy which is made available to service users families and friends. The policy was observed to state that service users have the right to determine whether they see their visitors or not. Observation of service users daily activity planners, daily records and discussion with the registered manager showed that service users have opportunities to meet people outside of the home. Service users have formed links with local pubs and shops and leisure centres. There are some areas within the home (ie) the kitchen and laundry room, which remain locked unless service users are participating in activities with the Forest Grange DS0000039321.V286475.R01.S.doc Version 5.1 Page 11 support of staff. This limitation was noted to be as a result of a risk assessment which identified that leaving the rooms unlocked would create a high level of risk to service users. Some service users have a key to lock their bedroom doors. Food supplies were observed to be plentiful and varied, with a range of fresh fruit and vegetables available. It was reported by staff that service users are supported to cook for themselves and assist with laying the tables and washing up. Service users shop for food and make choices about menus. This was observed to be recorded in the daily records sampled. One service user has specific cultural dietary needs and it was pleasing to note that his food was stored and prepared separately to that of other service users. The home has a spacious dining area with sufficient seating for staff to eat with service users. Forest Grange DS0000039321.V286475.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 personal care needs are met effectively and there are flexible routines within the home. EVIDENCE: Service users who were at home at this inspection had clearly been supported with their personal care. Evidence was seen in financial records that service users shop for their clothing and toiletries. Daily records were sampled which showed that service users have flexible routines for going to bed and getting up. The home has a diverse mix of staff, which is commensurate with service users needs, and a large proportion of the team are male, which again is in accordance with the needs of the people who live there. It was pleasing to note that the registered manager had actively sought to employ staff that have similar cultural backgrounds to some service users. Forest Grange DS0000039321.V286475.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): 22 There are systems in place to enable service users to make complaints if they wish to do so. EVIDENCE: The home has a complaints procedure which is made available to service users and their representatives. There have been no complaints received about the home since the last inspection. Records of previous complaints have been maintained. The home has made effort to produce the complaints procedure for service users by use of Makaton symbols in addition to written language, which was reported to be accessible to service users. Forest Grange DS0000039321.V286475.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): 30 The home is clean, warm and free from odour, which creates a pleasant environment for the people who live there. EVIDENCE: The home was clean, warm and free from unpleasant odour on the date of inspection. Paper towels and liquid soap were observed in communal bathrooms and the laundry room. COSHH (Control of Substances Hazardous to Health) products were noted to be securely stored and not accessible to service users. The inspector observed colour coded chopping boards, mops and dishcloths to be available in the kitchen. The laundry room is situated away from areas where food is stored, prepared and eaten and contains an industrial style washing machine with sluice cycle and a tumble drier. Staff training records sampled showed that training in infection control had been provided. Forest Grange DS0000039321.V286475.R01.S.doc Version 5.1 Page 15 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 Service users are supported by a competent and qualified staff team. EVIDENCE: Staff were observed working with service users in a manner considered to be both friendly and respectful. One member of staff showed particular sensitivity whilst working with a service user who was clearly distressed and spent a considerable amount of time directing him to other activities as a distraction. Staff training records sampled showed that staff had received training in Studio III, Autism Awareness, Safe Handling of Medicines, Moving and Handling and Insulin Awareness in accordance with service users assessed needs. Eighteen staff at the home are enrolled or due to complete NVQ Level II in care, with a further four staff due to begin NVQ Level III in April 2006. Forest Grange DS0000039321.V286475.R01.S.doc Version 5.1 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 The home is effectively managed for the benefit of the people who live there. Service users health and safety is promoted and protected and there are systems in place to enable them to contribute to the ongoing development of the home. EVIDENCE: The registered manager has completed NVQ Level IV in both care and management and is due to complete NVQ Level V in the near future. The registered manager is a TDLB assessor and has undertaken training to train the staff team at the home in First Aid. The registered manager, with the ongoing support of the registered provider has demonstrated ongoing compliance with requirements made at previous inspections. There are no outstanding requirements from the last inspection. The registered provider conducts regular visits to the home in order to comment on the quality of care provided and has submitted reports of those visits to the CSCI. Forest Grange DS0000039321.V286475.R01.S.doc Version 5.1 Page 17 The registered provider has completed training to NVQ Level V and makes regular visits to the home to report on the quality of care provided. The CSCI has received copies of these reports. It was noted that the home has not sent notification to the CSCI of events that adversely affect the well being of service users without undue delay and it is a requirement of this inspection that this take place. Fire safety records were sampled which showed that the fire alarm system is tested and serviced on a regular basis. A fire drill was conducted in February 2006 to correspond with the appointment of new staff members. The registered manager advised that training in fire safety had been scheduled for June 2006. Staff training records sampled showed that staff have received training in First Aid, Health and Safety and Basic Food Hygiene. Evidence was seen that hot water temperatures are monitored on a regular basis, which was a recommendation of the last inspection. Forest Grange DS0000039321.V286475.R01.S.doc Version 5.1 Page 18 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 3 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X 4 X 3 X X 2 X Forest Grange DS0000039321.V286475.R01.S.doc Version 5.1 Page 19 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. 1 Standard YA42 Regulation 37(1-2) Requirement The registered manager must ensure that events which affect the well being of service users are notified to the CSCI without undue delay. Timescale for action 01/04/06 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 Forest Grange DS0000039321.V286475.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Forest Grange DS0000039321.V286475.R01.S.doc Version 5.1 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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