Inspection on 25/07/05 for Garendon Residential Home

This inspection was carried out on 25th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Garendon Residential Home 04/04/07

Garendon Residential Home 05/12/05

Garendon Residential Home 18/10/04

Garendon Residential Home 29/06/04

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

CARE HOME ADULTS 18-65 Garendon Residential Home 50-52 Garendon Road Loughborough Leicestershire LE11 4QD Lead Inspector Fiona Stephenson Unannounced 25 July 2005 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 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 Stationary 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. Garendon Residential Home C51 C01 S1767 Garendon V230095 260705 STAGE 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Garendon Residential Home Address 50 - 52 Garendon Road Loughborough Leicestershire LE11 4QD 01509 550468 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Biswanand Oozageer Mrs Helen Catherine Thorpe Care Home 14 Category(ies) of LD Learning disability registration, with number of places Garendon Residential Home C51 C01 S1767 Garendon V230095 260705 STAGE 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18/10/2004 Brief Description of the Service: Garendon residential care home is registered to provide care for a maximum of 14 people with learning disabilities. The home is situated in Loughborough and is in walking distance of the town centre and university. It is also close to major bus routes to Leicester, Nottingham, Derby and Melton Mowbray. The building is a converted house comprising of two lounge areas, a kitchen/dining room, 10 single bedrooms and two double rooms with en-suite facilities. There are communal bathing and toilet facilities. There is a large paved back garden for residents use. Garendon Residential Home C51 C01 S1767 Garendon V230095 260705 STAGE 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on Monday 25th July from 11.45am to 3.35pm. When undertaking inspections, The Commission for Social Care Inspection (CSCI), focuses on the outcomes for residents living in a home. In order to do this, the inspector ‘case tracked’ three residents living at Garendon. This means the care records of these residents were checked, the residents themselves were spoken with as well as staff supporting their care. The recommendation and ‘scoring of outcomes’ arising from this inspection are a direct result of case tracking and other observations made by the inspector during this inspection. The inspector also took into consideration information gained from service user comment cards and relatives/visitor comment cards. What the service does well: Residents live full, independent lives at Garendon, and all four spoken with during the inspection clearly stated their contentment in living at the home and the support they receive from staff working there. Staff demonstrate a good understanding of the needs of residents and have warm working relationships with them. There are good management systems in place to ensure staff have appropriate training and supervision. The manager, alongside her staff team, demonstrates good commitment to residents living in the home. Both communal areas, and bedroom areas are clean and tidy, with residents being given good support to help them where appropriate to undertake daily living tasks. Residents enjoy the numerous trips arranged by the home, which have recently included holidays to Disneyland Paris and the Isle of White. Residents enjoy the food provided by the home. At lunchtime, residents prepare their own snacks, with staff preparing a choice of hot nutritious meals for their teas. Garendon Residential Home C51 C01 S1767 Garendon V230095 260705 STAGE 4.doc Version 1.40 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. Garendon Residential Home C51 C01 S1767 Garendon V230095 260705 STAGE 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Garendon Residential Home C51 C01 S1767 Garendon V230095 260705 STAGE 4.doc Version 1.40 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 standard(s) 1,2,3,4,5 Prospective residents have good information and opportunities to visit Garendon to support them in making an informed decision of their choice of home. EVIDENCE: The records of one of the resident’s case tracked as well as discussions with the manager demonstrated that the resident had visited the home a number of times, and had stayed overnight before making a final decision to live at the home. The manager informed the inspector that the number of visits vary according to the needs of the person, and there may be more visits with some prospective residents than others. The inspector saw the individual written contract for those residents case tracked. Garendon Residential Home C51 C01 S1767 Garendon V230095 260705 STAGE 4.doc Version 1.40 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 standard(s) 6,7,8,9,10 The individual needs and choices of residents are well met. EVIDENCE: Care plans looked at were up-to-date and reflected the needs of residents who were case tracked. One of the resident’s spoken with who was case tracked said ‘I’ve always loved it since I came here…there’s always things to do and places to go…you get to learn how to do things on your own’. She informed me that ‘there are residents meetings every month to six weeks’. During the time of the inspection, the inspector saw residents coming back from shopping, and was informed by residents of the college courses and jobs they have. They informed the inspector of the support they get from staff ‘staff are very good..if you have a problem, staff will talk to you about it’. Garendon Residential Home C51 C01 S1767 Garendon V230095 260705 STAGE 4.doc Version 1.40 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 standard(s) 11,12,13,15,16,17 Residents have a good life style at the home. EVIDENCE: Residents informed the inspector of opportunities for personal development. One said that she was currently doing a maths and English course at a local college, and another said she was going to start numeracy and literacy in September because although she had a voluntary job at the moment, she would like to get a paid job in the future. One resident who has a love of gardening showed the inspector work he had done in the back garden, and the vegetables he was growing. Two residents took pleasure in showing the inspector photos of their recent holiday to the Isle of White, and others talked about family and personal relationships that were developing. One of the younger residents informed the inspector of parties and leisure activities she enjoys. The inspector observed a good choice of food on the menu, and was informed by residents that ‘the food is good’. Residents make their own snacks at lunch time, with staff cooking a hot, nutritious meal for the evening meal. There is Garendon Residential Home C51 C01 S1767 Garendon V230095 260705 STAGE 4.doc Version 1.40 Page 11 also a baking evening each Monday where staff support residents in baking recipes of their choice. Garendon Residential Home C51 C01 S1767 Garendon V230095 260705 STAGE 4.doc Version 1.40 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 standard(s) 18,19,20,21 Residents receive good personal and healthcare support in the way they prefer and require. EVIDENCE: Records demonstrated that physical needs are being met with visits to the dentists, doctors, and opticians been recorded, as well as other visitors to the home such as chiropodists. Medication management is in good order, with good checks and balances in place for the resident who retains control of her own medication. Records indicate that discussions have occurred regarding funeral arrangements. Garendon Residential Home C51 C01 S1767 Garendon V230095 260705 STAGE 4.doc Version 1.40 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 standard(s) 22,23 Residents feel their views are listened to well and acted upon, and staff have sufficient understanding of protection of vulnerable adults procedures to protect residents from abuse, neglect and self-harm. EVIDENCE: Residents informed the inspector that they felt their views were listened to and acted upon ‘If you have a problem, you can go when you want to talk about it’, ‘Helen is a good manager, if we have problems, she’ll sit down and sort it out with you’. Staff are provided with basic training in the Protection of Vulnerable Adults (POVA) on induction and this is followed up with more in-depth training at a later date – this was evidenced on the training board in the office and through discussion with the manager. The inspector also checked with two staff regarding their understanding of POVA and was satisfied with their knowledge. Garendon Residential Home C51 C01 S1767 Garendon V230095 260705 STAGE 4.doc Version 1.40 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 standard(s) 24,25,26,27,28,30 Residents live in a homely, comfortable and safe environment. EVIDENCE: The inspector observed all communal areas, bathrooms and many bedrooms. All were found to be in a very clean and hygienic condition. Bedrooms reflected the lifestyles and preferences of those using them. The inspector was informed that since the last inspection there had been a lot of re-decoration in accordance with the operational plan of the home, and although areas of the home to be decorated were in an acceptable condition of décor and furnishing, these too were going to be re-decorated in the near future. Garendon Residential Home C51 C01 S1767 Garendon V230095 260705 STAGE 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,36. Residents benefit from a dedicated staff group who have a good understanding of their needs. EVIDENCE: The inspector spoke with the key workers of residents who were case tracked. They demonstrated a good understanding of the individual needs of the residents they key work, as well as a good understanding of other residents in the home. The staff spoken with, are experienced workers in residential care, and demonstrated a high commitment to the home and the people living there. The manager and staff informed the inspector of training they have had, and future training planned for them e.g. ‘conflict management’ training in August. Staff said they have regular supervision. One member of staff informed the inspector that she wasn’t allowed to start work until her Criminal Records Bureau (CRB) clearance had been obtained. Of the total staff group, the inspector was informed that one had completed a National Vocational Qualification (NVQ) level 3 in care, one had completed a NVQ level 2 in care, and one is due to complete a level 2 by December. A further three staff are starting and NVQ level 2 in October 2005. Garendon Residential Home C51 C01 S1767 Garendon V230095 260705 STAGE 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,41, The home is well managed, with residents benefiting well from the manager’s leadership and ethos of the home. EVIDENCE: The manager is currently undertaking her National Vocational Qualification (NVQ) level 4 in Management. The home has an operational plan, and has an annual survey to monitor the views of residents living in the home. The nine service user comment cards and four relatives comment cards were all generally positive about the care being received in the home and the way it is managed. The care records of residents case tracked were found to be up-to-date and in good order. The manager informed the inspector that the home received the Investors in People, quality assurance award in February 2005. The inspector observed the manager with residents, and found her to have a warm and understanding approach to the residents she was speaking with. Garendon Residential Home C51 C01 S1767 Garendon V230095 260705 STAGE 4.doc Version 1.40 Page 17 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 3 3 3 4 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 4 Standard No 11 12 13 14 15 16 17 3 3 3 4 3 3 4 Standard No 31 32 33 34 35 36 Score 3 3 4 x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Garendon Residential Home Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 4 4 3 x 3 x x C51 C01 S1767 Garendon V230095 260705 STAGE 4.doc Version 1.40 Page 18 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. 1. 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 Good Practice Recommendations Garendon Residential Home C51 C01 S1767 Garendon V230095 260705 STAGE 4.doc Version 1.40 Page 19 Commission for Social Care Inspection The Pavilions 5 Smith Way, Grove Park Enderby, Leicestershire LE19 1SX 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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