CARE HOME ADULTS 18-65
Garendon Residential Home 50-52 Garendon Road Loughborough Leicestershire LE11 4QD Lead Inspector
Chris Wroe Key Unannounced Inspection 4th April 2007 10:00 Garendon Residential Home DS0000001767.V325342.R01.S.doc Version 5.2 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 Garendon Residential Home DS0000001767.V325342.R01.S.doc Version 5.2 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. Garendon Residential Home DS0000001767.V325342.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Garendon Residential Home Address 50-52 Garendon Road Loughborough Leicestershire LE11 4QD 01509 550468 01509 550468 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) Mr Biswanand Oozageer Mrs Rajkumari Sabita Oozageer Mrs Helen Catherine Thorpe Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Garendon Residential Home DS0000001767.V325342.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. No other additional conditions of registration apply Date of last inspection 5th December 2005 Brief Description of the Service: Garendon residential care home is registered to provide care for a maximum of14 people with learning difficulties. The home is in Loughborough and you can walk from the home to the town centre and nearby parks. It is also close to local bus routes, and bus routes to Leicester, Derby, Nottingham and Melton Mowbray. The house has two lounge areas, a kitchen/dining room, 10 single bedrooms, and two double-rooms with en-suite facilities. There are also communal bathroom and toilet facilities. There is a large paved garden for people who live in the home to use. The fees for living in the home are £340 per week. Garendon Residential Home DS0000001767.V325342.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was a ‘key inspection’, which included a visit to the home. We visited the home on 4th April 2007. Staff and people who live in the home helped us with the inspection. The manager, Helen Thorpe, came in towards the end of the inspection and gave further assistance. The visit started at 10am and lasted for about six hours. Some of the individuals who live in the house were at home during the inspection. Three people talked to us about living in the home. The main way of doing the inspection was using ‘case tracking’. This means looking at the care given to service users in different ways. The ways this was done are: • talking to the individuals who live in the home • talking to staff and the manager • watching how individuals are given support • looking at written records. All the key standards were checked during this inspection. The information below is based only on those aspects checked in this inspection. Details about individual people has been kept out of the report, to make sure it is kept confidential. What the service does well:
Each person has an assessment completed for them before they come and live in the home, which shows what support each individual needs, and how staff can best meet their needs. Each person has a contract, which gives details about the fees that have to be paid for them to live in the home, and what services they can expect to get. There are care plans in the home for each individual, which tell about what is important for each person living in the home, and about how they want to live their daily lives. Staff showed that they know what each person who lives in the home needs, and about the things they like and don’t like. There are risk assessments in the home for each person. Risk assessments tell about how people who live in the home can be helped to do the things they want to do and be kept safe. People who live in the home have their own bank accounts and are supported to manager their money. People are able to spend their money independently. Records are kept to show that monies are kept safe.
Garendon Residential Home DS0000001767.V325342.R01.S.doc Version 5.2 Page 6 People who live in the home can choose to do different things they want to do. Individuals told us about the different things they enjoy. Some people go to college and learn new skills. Some people work. Staff showed that they understand that individuals can have different choices and needs in their daily lives. Some people who live in the home have friends and family that they keep in touch with. Staff help each person who lives in the home to see people they want to see. Individuals enjoy a variety of different meals and can choose what they want to eat. Staff support people who live in the home to be healthy and to have a good diet. Staff support individuals to look after their health and personal care. Individuals are encouraged to be as independent as they can, but staff help if they need to. Staff support people who live in the home to stay healthy and to get medical help if they need it. Staff who give out medication have had training about how to give it safely. Individuals’ GPs are involved in making sure that people are taking the right medicines. Individuals are supported to look after their own medication if they are able to. There is a complaints procedure in the home. There have been no complaints made since last time we inspected this home. Staff understand how important it is to make sure that individuals can live safely in their own home. Staff have had training to help them to keep individuals safe from abuse or harm. People who live in the home said they felt safe and well looked after. People living in the house keep their home very clean, tidy and well looked after. Individuals have their own things in their bedrooms. The home is bright and comfortable. Staff make sure that the home is safe for everyone to live in. Staff are chosen to work in the home who are safe and able to support people well. People who live in the home told us that staff are really good and give them help and support. Staff are given a lot of different kinds of training to show them how to understand different needs of individuals and how to give the best kind of support. People who live in the home, and staff, said that the manager is very open and approachable. Garendon Residential Home DS0000001767.V325342.R01.S.doc Version 5.2 Page 7 There are different ways that the owners and manager try to find out about how to improve the quality of the home. There are policies in the home, which tell staff about how to work safely. Staff have had training to make sure they work safely. Staff also support people who live in the home to learn about how to keep healthy and safe. What has improved since the last inspection? What they could do better:
We gave good practice advice in the following areas: While the manager said that staff would be supportive of people in same-sex relationships, there is nothing in the information about the home that would tell people this – but the manager said that there is information about equality and diversity (treating people fairly). It might be good if information about how the home is welcoming to people from specific communities is put into written information. We noted that for two individuals who are enabled to partly deal with their own medication there were not risk assessments in place, to make sure they were safe. The manager made sure that these were completed without delay. Staff record any serious incidents that happen in the home. They report most serious concerns to us as they are required to. We noticed that there were some issues that had not been reported to us and reminded the manager about what kinds of things should be reported. Garendon Residential Home DS0000001767.V325342.R01.S.doc Version 5.2 Page 8 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. The summary of this inspection report can be made available in other formats on request. Garendon Residential Home DS0000001767.V325342.R01.S.doc Version 5.2 Page 9 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 Garendon Residential Home DS0000001767.V325342.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals benefit from good ongoing assessment of their needs, so that staff can continue to ensure they can live comfortably in their home. EVIDENCE: There is an assessment, which has been written for each person who has come to live in the home. The assessment shows what support each person needs, and how staff can best meet their needs. The manager has done new assessments for people who have lived in the home for a long time to make sure that they are up to date. Each person has a contract, which gives details about the fees that have to be paid for them to live in the home, and what services they can expect to get. Staff have had training to help them to meet the care needs of people who live in the home. Garendon Residential Home DS0000001767.V325342.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Individuals benefit from excellent attention to individual needs and choices. EVIDENCE: There are care plans in the home for each individual, which tell about what is important for each person living in the home, and about how they want to live their daily lives. Staff are starting to support people to do person centred plans, which really focus on who they are as individuals. Staff showed that they know what each person who lives in the home needs, and about the things they like and don’t like. Staff communicate with individuals about what choices they want to make in their lives. People who live in the home can choose things that they want to do. There are risk assessments in the home for each person. Risk assessments tell about how people who live in the home can be helped to do the things they want to do and be kept safe. Staff support each person to do the things they want to
Garendon Residential Home DS0000001767.V325342.R01.S.doc Version 5.2 Page 12 do. Staff make sure that any limits are only put in to protect people from harm. There is information about advocacy in the home so that people can get independent support if they want to. People who live in the home have their own bank accounts and are supported to manager their money. People are able to spend their money independently. Records are kept to show that monies are kept safe. Garendon Residential Home DS0000001767.V325342.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Individuals benefit from an excellent lifestyle in their home. EVIDENCE: People who live in the home can choose to do different things they want to do. Individuals told us about the different things they enjoy, like going shopping, going out with friends, going on holiday. Two people told us they were going to a tea dance in the afternoon. Some people go to college and learn new skills. There are certificates on the walls showing the achievements of people who live in the home. Some people work, for example in charity shops. Staff showed that they understand that individuals can have different choices and needs in their daily lives. Some people who live in the home have friends and family that they keep in touch with. Staff help each person who lives in the home to see people they
Garendon Residential Home DS0000001767.V325342.R01.S.doc Version 5.2 Page 14 want to see. Some people in the home are in relationships. The manager said that staff would be supportive of people in same-sex relationships. There is nothing in the information about the home that would tell people this – but the manager said that there is information about equality and diversity (treating people fairly). People who live in the home are supported to be as independent as they are able to be. Individuals help to keep the house running smoothly, doing tidying and cleaning. During the inspection, one person went out to do some shopping for the evening meal. One person showed us their photos from their holiday last year. This year, people who live in the home have the choice of holidays in Ibiza and Great Yarmouth – so staff meet different kinds of holiday wishes, which is really good. Individuals eat their meals in the kitchen/dining room. They can choose to eat together or on their own if they want to. Staff generally cook the main meals, with help from people living in the home. People can make their own snacks and meals, with staff supporting them if they want it. Individuals enjoy a variety of different meals and can choose what they want to eat. Staff support people who live in the home to be healthy and to have a good diet. Garendon Residential Home DS0000001767.V325342.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Individuals benefit from good personal and healthcare support in their home. EVIDENCE: Staff support individuals to look after their health and personal care. Individuals are encouraged to be as independent as they can, but staff help if they need to. Individuals are able to choose different things, like which clothes they want to wear, and everyone has their own different style. Staff support people who live in the home to stay healthy and to get medical help if they need it. Individuals have regular check-ups and are supported to get extra medical care if they need it. People told us about where they go to see their GP if they need to. Staff help individuals to make sure they take any medicines they need. Staff keep records of medicines which have been given. Staff who give out medication have had training about how to give it out safely. Individuals’ GPs are involved in making sure that people are taking the right medicines.
Garendon Residential Home DS0000001767.V325342.R01.S.doc Version 5.2 Page 16 Individuals are supported to look after their own medication if they are able to. We noted that for two individuals who are supported to partly deal with their own medication there were not risk assessments in place, to make sure they were safe. The manager made sure that these were completed without delay. Garendon Residential Home DS0000001767.V325342.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who live in the home are able to express if they are not happy about things and be listened to. Individuals benefit from mostly good protection from abuse and harm. EVIDENCE: Two people who spoke to us said that they felt able to talk to staff if they were not happy about something. There is a complaints procedure in the home. There have been no complaints made since last time we inspected this home. Staff understand how important it is to make sure that individuals can live safely in their own home. Staff have had training to help them to keep individuals safe from abuse or harm. People who live in the home said they felt safe and well looked after. Staff record any serious incidents that happen in the home. They report most serious concerns to us, as they are required to. We noticed that there were some issues that had not been reported to us and reminded the manager about what kinds of things should be reported. Garendon Residential Home DS0000001767.V325342.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Individuals benefit from living in a very well looked after home. EVIDENCE: People living in the house keep their home very clean, tidy and well looked after. Individuals have their own things in their bedrooms. The home has been decorated since we last did an inspection. Individuals are able to go where they want to in the home independently. The home is bright and comfortable. Staff make sure that the home is safe for everyone to live in, like having contact with the fire service and making sure all fire safety equipment works properly. There is now a company who come in to the home to carry out safety checks. Garendon Residential Home DS0000001767.V325342.R01.S.doc Version 5.2 Page 19 The laundry has all the equipment needed to make sure that clothes can be properly washed and dried. One person told us that her washing is collected for her by staff and she helps to do ironing. Garendon Residential Home DS0000001767.V325342.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Individuals benefit from supportive, safe and well-trained staff. EVIDENCE: Staff are chosen to work in the home who are safe and able to support people well. People who live in the home told us that staff are really good and give them help and support. There are two members of staff working in the home during the day. People who live in this home are mostly fairly independent. One member of staff sleeps in the home at night. Staff are given a lot of different kinds of training to show them how to understand different needs of individuals and how to give the best kind of support. Some of the training staff have had includes giving medication safely, how to manage situations where someone’s behaviour is challenging and person centred planning. Almost all the staff have done National Vocational Qualifications (level 2) in care.
Garendon Residential Home DS0000001767.V325342.R01.S.doc Version 5.2 Page 21 Garendon Residential Home DS0000001767.V325342.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Individuals benefit from very good management in this home. EVIDENCE: People who live in the home, and staff, said that the manager is very open and approachable. The manager makes sure that she continues to learn about the best ways to support individuals. She has finished some training since the last inspection and has achieved her National Vocational Qualification (Level 4) and her Registered Managers Award. There are different ways that the owners and manager try to find out about how to improve the quality of the home. The owner makes monthly visits to make sure everything is running smoothly. There are residents meetings to
Garendon Residential Home DS0000001767.V325342.R01.S.doc Version 5.2 Page 23 involve people who live in the home in how it is run. Staff can give their ideas in staff meetings. There are policies in the home, which tell staff about how to work safely. Staff have had training to make sure they work safely, like first aid training, and food hygiene. Staff do checks to make sure that equipment in the home is safe. Staff also support people who live in the home to learn about how to keep healthy and safe. Garendon Residential Home DS0000001767.V325342.R01.S.doc Version 5.2 Page 24 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 4 3 X 4 X 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 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 x 4 X 3 X X 4 x Garendon Residential Home DS0000001767.V325342.R01.S.doc Version 5.2 Page 25 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. Refer to Standard Good Practice Recommendations Garendon Residential Home DS0000001767.V325342.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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