Inspection on 05/12/05 for Garendon Residential Home

This inspection was carried out on 5th December 2005.

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

Garendon Residential Home 04/04/07

Garendon Residential Home 25/07/05

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 Inspection 5th December 2005 10:30 Garendon Residential Home DS0000001767.V257294.R01.S.doc Version 5.0 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.V257294.R01.S.doc Version 5.0 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.V257294.R01.S.doc Version 5.0 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.V257294.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. No other additional conditions of registration apply Date of last inspection 25th July 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 situated in Loughborough and is within walking distance of the town centre and university. It is also close to major bus routes to Leicester, Derby, Nottingham 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 bathroom and toilet facilities. There is a large paved garden for resident’s use. Garendon Residential Home DS0000001767.V257294.R01.S.doc Version 5.0 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 5th December 2005, commencing at 10.30am and finishing at 1.30pm, and was undertaken by one inspector. This was the second statutory inspection for the home in 2005, and as such the inspector focused primarily on the care standards not covered in the first inspection. As well as this, the inspector ‘case tracked,’ two residents living at Garendon. This means that their care records were checked, they were spoken with, and their accommodation was looked at. What the service does well: What has improved since the last inspection? There were no improvements required or recommended in the last inspection. Garendon Residential Home DS0000001767.V257294.R01.S.doc Version 5.0 Page 6 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 DS0000001767.V257294.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Garendon Residential Home DS0000001767.V257294.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not checked on this occasion. EVIDENCE: Garendon Residential Home DS0000001767.V257294.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9. Resident’s individual needs and choices are well supported in the home. EVIDENCE: The inspector checked the care records of two residents in the home, and talked to the same residents during the course of the inspection. The records clearly demonstrated the needs of the residents, and any changes required in relation to their care and support needs. The views of residents and any impact changes to for example, décor, have on residents are well considered and action is planned to minimise potential distress. Individuality is encouraged and good consideration is made to ensure there is a good balance between safety considerations and ensuring individual choice is maintained. Garendon Residential Home DS0000001767.V257294.R01.S.doc Version 5.0 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): 12,13,16,17 Residents have good opportunities for personal development. EVIDENCE: The records of residents case tracked showed that they were active within the local community and engage in leisure activities that suit their interests, for example one resident has a keen interest in railways and steam engines and has a voluntary job that suits his interest in this. Their rights and responsibilities are also respected and this was evidenced through discussions with staff. The menu demonstrated a healthy diet is being provided to residents, and where possible, residents help staff to prepare the meal for the house. Garendon Residential Home DS0000001767.V257294.R01.S.doc Version 5.0 Page 11 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): 18,19 Residents receive good personal support from the staff and manager. EVIDENCE: The records and discussions with staff demonstrated they have a very good understanding of the needs of each resident and how to provide appropriate support for each individual. Residents informed the inspector they were happy at the home, and the inspector observed a friendly and caring atmosphere between staff and residents who were in the home at the time of inspection. Garendon Residential Home DS0000001767.V257294.R01.S.doc Version 5.0 Page 12 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): Not checked on this occasion. EVIDENCE: Garendon Residential Home DS0000001767.V257294.R01.S.doc Version 5.0 Page 13 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): 24,25,26,29,30. Residents live in a homely, comfortable and safe environment. EVIDENCE: The communal areas were very clean and tidy, as were the bedrooms of the residents who were ‘case tracked’. The bedrooms reflected the personalities of those residents living in them, and residents said they were happy with their rooms. The home provides specialist equipment for one resident who was case tracked and his room was also changed to accommodate his changing needs, as he was finding it less easy to walk up the stairs. The home had been nicely decorated for Christmas, and had been done gradually to ease any distress that might occur for residents who find change difficult. Garendon Residential Home DS0000001767.V257294.R01.S.doc Version 5.0 Page 14 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): 34,35, Resident safety and care is supported through good recruitment practice, and good opportunities for staff training. EVIDENCE: Each member of staff has an individual training plan to ensure they have training to support them in their roles as care staff. This includes first aid, health and safety, food hygiene, fire training. It also includes training in ‘dealing with challenging behaviour’, ‘managing aggression’ and ‘no secrets’. Staff working at Garendon are committed to undertake National Vocational Qualification training in care to level 2 or above. The manager is currently working to complete her NVQ level 4 in care and Registered Managers Award; two staff have completed their NVQ2, two are starting NVQ level 2 in January 2006 and a further two are commencing NVQ level 2 later on in 2006. One member of bank staff also has an NVQ2 in care. The inspector checked the records for one member of staff and found all required information on file, and that the home had conducted good recruitment procedures. Garendon Residential Home DS0000001767.V257294.R01.S.doc Version 5.0 Page 15 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): 40,42,43 Residents benefit from a very well run home. EVIDENCE: The home has comprehensive policies and procedures that are clearly set out for staff to follow. There are excellent health and safety systems in place, with the manager undertaking monthly checks on areas such as water temperature, electrical appliances, fire prevention appliances, and checks around the home to ensure there are no hazards. Staff and residents also know to inform the manager of any concerns they may have regarding hazards in or around the home. The manager keeps detailed records of each monthly check and action taken if any issue is identified as needing remedied. Garendon Residential Home DS0000001767.V257294.R01.S.doc Version 5.0 Page 16 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 X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 X X 3 4 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X X X 3 4 x CONDUCT AND MANAGEMENT OF THE HOME 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Garendon Residential Home Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score X X X 3 X 4 3 DS0000001767.V257294.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Garendon Residential Home DS0000001767.V257294.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester 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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