Inspection on 05/01/06 for Garfield Grange

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 Adequate. 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Garfield Grange 27/01/09

Garfield Grange 17/01/08

Garfield Grange 12/07/06

Garfield Grange 27/01/05

Garfield Grange 14/07/04

Garfield Grange 10/02/04

Garfield Grange 20/11/03

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

CARE HOME ADULTS 18-65 Garfield Grange Lelley Road Preston Hull East Yorkshire HU12 8TX Lead Inspector Brian Hallgate Unannounced Inspection 5th January 2006 09:30 Garfield Grange DS0000019672.V276122.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 Garfield Grange DS0000019672.V276122.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. Garfield Grange DS0000019672.V276122.R02.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Garfield Grange Address Lelley Road Preston Hull East Yorkshire HU12 8TX 01482 896230 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) Milbury Care Services Limited Mrs Sandra Walker-Boyall Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Garfield Grange DS0000019672.V276122.R02.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th June 2005 Brief Description of the Service: Garfield Grange is a care home providing personal care and accommodation for up to 12 younger adults with learning disabilities on a respite care basis only. It is owned by Milbury Care. The home is a large modern detached house with 8 single bedrooms and a detached bungalow with a further four bedrooms at the rear of the main house. Garfield Grange DS0000019672.V276122.R02.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that commenced at 9.30am and took four hours including preparation time. A tour of the building was made with a support worker and a number of records were inspected. Two service users and both members of staff on duty were spoken to. Staff were also observed interacting with the service users. The key standards not inspected on this occasion were inspected at the last inspection held on the 30th June 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. Garfield Grange DS0000019672.V276122.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 Garfield Grange DS0000019672.V276122.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): NONE EVIDENCE: Garfield Grange DS0000019672.V276122.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): 6 and 9 There is a planning system in place to provide staff with the information needed to care for the service users. EVIDENCE: Files examined contained clear plans of how guests wished to be cared for by the members of staff. These plans were in detail and risk assessments had been completed on the relevant issues for each of the guests. A number of guests accommodated throughout the year have complex needs and some have limited or no verbal communication skills. Staff were observed interacting with guests with and without verbal communication skills. They enabled the person with no verbal communication skills to clearly communicate his wishes and choices by use of his non-verbal communication skills. These were clearly understood and acted upon by the staff. Garfield Grange DS0000019672.V276122.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, 16 and 17 Activities are organised and provide stimulation and interest for the people who receive respite care in the home. Meals are varied and offer a choice to guests. EVIDENCE: Guests visit the home from one night to a number of weeks. Most of the guests continue to attend their usual day care centres that they attend whilst living in their own homes. Activities are available for those guests who do not attend day care during the daytime and in the evenings and weekends. Activities include indoor games, pub outings, visits to the cinema and garden centres. Guests are involved in the community when they go shopping to the local supermarket and when they visit the local public house. The majority of guests spend only a short time in respite care and the family do not usually visit but they are welcome at anytime if they wish to visit. If they are not due to attend day care guests are able to get up and go to bed when they wish. They choose what they wish to wear and have alternatives available at meal times if they do not wish to eat one of the dishes on the menu for the day. There is a six-week menu that gives guests choice at each mealtime. Garfield Grange DS0000019672.V276122.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): NONE EVIDENCE: Garfield Grange DS0000019672.V276122.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 and 23 There are satisfactory complaints and abuse policies. EVIDENCE: There is a policy and procedure on dealing with complaints. A complaints book is available to record complaints made in respect of any aspect of concern. One complaint had been recorded since the previous inspection regarding the maintenance of the property. The home has a copy of the Protection of Vulnerable Adults in Hull and the East Riding and policy documents issued by Milbury. One case of alleged abuse and one case of alleged neglect had been reported by the home to the Commission for Social Care Inspection during the past two months. These cases were still being investigated on the date of this inspection and will be followed up by the Commission for Social Care Inspection. Garfield Grange DS0000019672.V276122.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 Some improvements in the furniture and décor have been made since the last inspection but further work is required to ensure comfortable and pleasant facilities are available for all guests. EVIDENCE: There is a large lounge/dining area, kitchen and three single guest bedrooms on the ground floor. Five single guest bedrooms are provided on the first floor accessed by stairs. A detached bungalow at the rear of the building has a further four single bedrooms. There are extensive grounds that are used by guests in appropriate weather. There is an ongoing programme of refurbishment of the bedrooms. Garfield Grange DS0000019672.V276122.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): 32 and 33 The guests receive a good standard of care during their respite stays at the home. EVIDENCE: A number of staff have left and there has been difficulty at times to ensure that there is sufficient staff to meet the needs of the service users and provide a continuum of care to the guests. Regular relief staff employed by Milbury have been used on a regular basis and agency staff on a few occasions. Interviews have been held to appoint further staff and the necessary checks are at present being made. A number of the remaining staff have recently completed the work required for their NVQ awards and the work is at present awaiting verification. In addition to NVQ work staff have undertaken training in first aid, fire prevention, induction, Learning Disabilities Award Framework and report writing. Both members of staff spoken to were enthusiastic about their work and showed insight into caring for people with learning disabilities, some of whom have complex needs. Garfield Grange DS0000019672.V276122.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): 37 and 42 The home is managed in an open and inclusive manner by the registered manager who enjoys the support of staff. EVIDENCE: The home appears to be well run and considerable improvements have been made to this home since the appointment of the present registered manager. There have been some recent concerns however in respect of one alleged abuse of a guest and an alleged incident of neglect of another guest. These investigations have not yet been completed. The requirement of the Chief Fire and Rescue Officer that the home had to have further fire doors to protect guests has been complied with. Garfield Grange DS0000019672.V276122.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 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 3 ENVIRONMENT Standard No Score 24 1 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 3 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 x x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X X X X 3 X Garfield Grange DS0000019672.V276122.R02.S.doc Version 5.1 Page 16 YES 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 YA24 Regulation 16 Requirement The registered person must provide appropriate furniture and equipment in guest bedrooms and ensure that they are appropriately decorated (Previous timescale of 31/08/05 has not been met for all the bedrooms) Timescale for action 28/02/06 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 Garfield Grange DS0000019672.V276122.R02.S.doc Version 5.1 Page 17 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Garfield Grange DS0000019672.V276122.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. 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