Inspection on 12/05/08 for Gatwick Grove

This inspection was carried out on 12th May 2008.

CSCI found this care home to be providing an Good service.

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

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

CARE HOME ADULTS 18-65 Gatwick Grove Poles Lane Lowfield Heath Crawley West Sussex RH11 0PY Lead Inspector David Bannier Key Unannounced Inspection 12th May 2008 11:00 Gatwick Grove DS0000071111.V363142.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 Gatwick Grove DS0000071111.V363142.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. Gatwick Grove DS0000071111.V363142.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gatwick Grove Address Poles Lane Lowfield Heath Crawley West Sussex RH11 0PY 01293 551506 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) ditchlingcare@btconnect.com Ditchling Rural Care Ltd Mrs Anne Carol Reakes Care Home 6 Category(ies) of Learning disability (0) registration, with number of places Gatwick Grove DS0000071111.V363142.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning disability (LD). The maximum number of service users to be accommodated is 6. Date of last inspection N/A Brief Description of the Service: Gatwick Grove is a care home, which is registered to provide personal care for up to six service users in the category learning disability (LD) who are between the ages of 18 to 65 years of age. It is a substantial detached character property, which has been adapted for its current use. It is situated at the end of a private road in Lowfield Heath, which is conveniently located and served by public transport to access Gatwick, Crawley and surrounding areas. The property is a two -storey building providing private accommodation to service users in single bedrooms located on the ground and first floors. Communal accommodation is made up of a lounge and a dining room located on the ground floor. The house stands in grounds of 5.5 acres of land, including stables and the registered provider is renting a further 22 acres surrounding the boundary to facilitate the agricultural day service that is planned. A fenced ‘private’ garden area to the side of the house has been established and a workshop has been built to the rear of the house. Fee levels currently range from £1,400.00 to £1,950.00 per week. Personal items such toiletries and hairdressing are not included. The registered provider of this service is Ditchling Rural Care Ltd. The Responsible Individual acting on behalf of the organisation is Mrs Anne Reakes and is responsible for supervising the management of the care home. Ms Anne Gatwick Grove DS0000071111.V363142.R01.S.doc Version 5.2 Page 5 Reakes is also the registered manager and is responsible for the day to day running of the care home. Gatwick Grove DS0000071111.V363142.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This is the first inspection of this care home since it was registered in November 2007. The inspection has followed the Inspecting for Better Lives methodology and is called a key inspection as it assesses those standards determined by the Commission as key standards. This inspection will also determine the frequency of inspections hereafter. The registered provider returned an Annual Quality Assurance Assessment document (AQAA) prior to the inspection. Residents who were considered capable of completing it and staff were sent surveys by the Commission entitled “Have Your Say.” These are designed to enable residents and staff to give their opinions about how the care home is being run. Information received from the AQAA and returned surveys will be referred to in this report. A visit to the care home was made on Monday 12th May 2008. This was an unannounced inspection; this means that the provider had no notification of our intended visit. Due to their learning difficulties we were unable to have meaningful conversations with all the residents. However we did speak to two residents and observed how care was provided to them. This gave us a picture of what it was like to live at Gatwick Grove. We spoke to four staff on duty in order to gain a sense of how it was to work at the care home. We also viewed the accommodation. Some records were also examined. The visit lasted approximately five hours. Mrs Reakes was present and kindly assisted us with our enquiries. What the service does well: Gatwick Grove provides individualised care to meet each resident’s needs in a unique setting. This is achieved through thorough assessments prior to admission, detailed care plans and regular reviews of the needs of the residents. Gatwick Grove DS0000071111.V363142.R01.S.doc Version 5.2 Page 7 The manager is working towards providing all staff with the knowledge, skills and experience needed to provide a good level of care. The manager has ensured staff are well supported in their work with residents. Residents are able to participate in community and in house activities and are given choices about the way they live their lives. Residents also take part in looking after a range of animals including pigs, chickens, geese, rabbits and guinea pigs as part of a unique day care experience. The home has a clear complaints procedure so that people know how they can make a complaint. 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. The summary of this inspection report can be made available in other formats on request. Gatwick Grove DS0000071111.V363142.R01.S.doc Version 5.2 Page 8 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 Gatwick Grove DS0000071111.V363142.R01.S.doc Version 5.2 Page 9 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents’ individual needs and aspirations have been assessed. EVIDENCE: Six residents have been admitted since Gatwick Grove has been registered. We identified three residents for case tracking purposes. Documents and records seen confirmed that the needs of the identified residents had been appropriately assessed before they have been admitted. We could not have meaningful discussions with residents. However, we observed residents were calm and relaxed when interacting with staff. Discussions with staff on duty confirmed they had been made fully aware of the needs of each resident and how they should be met. Information returned by the registered provider confirmed that, “Prior to a placement being offered a thorough assessment of each individual’s needs completed. Information is collated from Care Managers, current placements, psychologists, psychiatrists, friends and family. Both the manager and deputy manager complete the assessment process prior to any offer of a placement being made. Consideration is given to any staffing problems which may Gatwick Grove DS0000071111.V363142.R01.S.doc Version 5.2 Page 10 become apparent such as staffing levels, training required, and compatibility of existing service users within the home.” Gatwick Grove DS0000071111.V363142.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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ assessed needs are reflected in their individual care plan. Residents can make decisions about their lives with assistance as needed. Residents are enabled to take risks as part of an independent lifestyle. EVIDENCE: We found that information about each resident’s needs together with comprehensive and detailed guidance for staff had been drawn up. Staff are expected to follow guidelines, which gives them specific instructions to ensure they work in a consistent and continuous manner with residents. We also saw that risk assessments have been carried out when necessary to determine the level of risk an identified activity would present to a resident Gatwick Grove DS0000071111.V363142.R01.S.doc Version 5.2 Page 12 and the action staff should take to reduce it. All the information has been reviewed to ensure it is up to date and reflects the current needs of each resident. This has taken place once a month since they have been admitted and included the resident, where possible and their allocated senior support worker. We noted that there were occasions when care plans had not been amended following review. We spoke to the manager who agreed to speak to staff to ensure changes are made to care plans where necessary. We observed staff working with residents. They demonstrated that care practices and support provided to residents were in line with guidance. Discussions with staff on duty confirmed they had been made fully aware of the needs of each resident and how they should be met. Information supplied by the registered provider confirmed that, “Individual service user’s plans of care are implemented to support our service users to lead fulfilling lives. Working plans of care are updated on a monthly basis with input from service users where possible. Both key workers and services users sign to say they agree to what has been planned or continue to require ongoing work to support with their individual goals.” Residents are encouraged to make choices on a daily basis with regard to what to eat, how to spend leisure time, when to go to bed, what to wear etc. However, in order to take account of residents’ safety and wellbeing there are occasions when choice has been limited. For example, some residents are unable to make use of in house facilities unless accompanied by a member of staff. They are able to have some quiet, personal time in their own rooms. However, there are very clear specific guidelines, which staff must follow to ensure residents are not placed at risk. Information supplied by the registered provider confirmed, “Service users are supported with managing everyday risks inline with care plans and individual goals. They are also supported to make informed choices with support of their care managers, families and staff” Gatwick Grove DS0000071111.V363142.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 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to take part in appropriate activities. Residents have been encouraged to become part of the community. Residents have been supported in maintaining family relationships. Residents’ rights have been respected whilst ensuring their safety is maintained. Residents have been provided with a healthy, varied and appropriate diet. EVIDENCE: Gatwick Grove DS0000071111.V363142.R01.S.doc Version 5.2 Page 14 Activities provided take into account the wishes of each resident and information gathered during the assessment process. Gatwick Grove provides residents with a lifestyle that is similar to living on a farm. The care home is located in a large area of land that is ideally suited to this. There are a number of animals, ranging from pigs, chickens, geese, rabbits and guinea pigs. Residents spend time each day looking after the animals or gardening. We saw residents taking part in these activities. They were clearly enjoying the experiences this lifestyle brought them. Information supplied by the registered provider confirmed that, “We support our service users to access the local college to further their education. At Gatwick Grove we also have an on-site day service where our service users are able to have supported access to the animals on site with 27 acres of land. This allows them to have positive access to activities for periods when they are not attending college or other day time activities.” Community based activities include trips to shops, the local pub, swimming, bowling and going to football. Some residents also like to go for walks or car trips to local places of interest. On the day of our visit two residents had gone to college whilst another had been taken out to the local shop in the car. Information supplied by the registered provider confirmed that, “Service users are supported by the staff team to access local shops, pubs, library, sports centre, and leisure centres. They are also supported with access to their preferred place of worship if requested. Service users are encouraged to access the local social and sports clubs in the area for adults with learning disabilities which are run on a regular basis.” We observed interactions between staff and residents were warm, friendly and appropriate. When residents’ personal care needs were attended to we saw that staff treated residents with respect and ensured their dignity was maintained. We saw that the lounge has been equipped with a television, DVD player and music centre. We also noted that there was a selection of board games and puzzles available for residents to use. We viewed some residents’ bedrooms and noted that some residents have brought their own televisions, DVD players, music centres and computer game consoles. There was also evidence of other personal possessions that residents have brought with them to ensure they feel at home and settled. We were informed that residents are supported in keeping in contact with their families and friends. Information about this is included in care plans together guidelines for staff to follow to ensure this is a positive experience and is in line with the wishes of all concerned. Gatwick Grove DS0000071111.V363142.R01.S.doc Version 5.2 Page 15 Information supplied by the registered provider confirmed that, “Service users are encouraged and supported with contact with family and friends. Family and friends are encouraged to visit service users; the only requirement is that if they are intending an unplanned visit that they contact the home to ensure that the service user will be home for their visit.” We were informed that residents are encouraged to choose the food they like to eat and, where possible, take part in preparing and cooking meals. We were provided with copies of the menus to examine. The information provided demonstrated residents have been provided with a varied, wholesome and nutritious diet appropriate to their needs. Information supplied by the registered provider confirmed that, “Service users are supported with planning and cooking the main meal on individual daily living skills days. Meal times are dependent on what activities service users are doing such as breakfast and lunch which will depend greatly on what time the individual gets up, or where and what they are doing at the time. The evening meal time may not always be as flexible as we would like due to Social Clubs and other planned activities. All service users have the right if they so choose to do so, to have their meals away from other service users. There is no limited access to the kitchen area and service users are able to access it to prepare light snacks and drinks at any time of day. A selection of fruit is always available for service users to have as and when they require.” Gatwick Grove DS0000071111.V363142.R01.S.doc Version 5.2 Page 16 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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Support and personal care provided takes into account the wishes and personal preferences of each resident. The physical and emotional health care needs of residents have been met. Staff deal with medicines in a way that protects and supports residents. EVIDENCE: Guidance has been developed for each resident to ensure care plans have been implemented. This includes clear information about the manner in which each resident gets up and has care provided. It also includes detailed guidance for staff to follow to ensure challenging behaviours are dealt with appropriately. There are also clear guidelines with regard to each resident’s preferred routines when staff provide them with personal care. Staff are expected to follow guidelines which give specific instructions to staff to ensure they work in a consistent and continuous manner with residents. Gatwick Grove DS0000071111.V363142.R01.S.doc Version 5.2 Page 17 Following observations of staff interacting with residents we concluded that staff do follow them. Care plans have been reviewed to ensure they are up to date and reflect the current needs of each resident. Residents and their families are encouraged to take an active part in reviews of care plans to ensure they include each resident’s own wishes regarding how they want care and support to be provided. Staff on duty were able to inform us of the needs of individual residents and how they like to be supported. Information supplied by the registered provider confirmed that, “All service users have a designated key-workers who work closely with the individual to ensure that they are supported in they way they want. Key-workers support service users to plan weekly activities and routines that each individual is comfortable with, such as to the level of support they require with personal hygiene, dressing and personal care. During their induction period, staff are supported with understanding the need to treat service users with dignity and respect while supporting service users with all aspects of personal hygiene and preferences of dress as recorded in individual plans of care.” Records seen included a clear record of medical appointments made to health care services such as residents’ GP. This also includes a record of the outcome of the consultation and, where necessary, the treatment to be provided. Information supplied by the registered provider confirmed that, “Service users are supported with access to all health care professionals. Service users who require additional support to maintain their well being are referred via their GP.” We noted that medication has been appropriately and securely stored. Records seen had been well maintained and up to date. Training records seen confirmed that the manager has arranged for staff to receive training in the safe administration and dispensing of medication. We were informed that, currently, no resident is considered to be capable of administering his or her own medication safely. Information supplied by the registered provider confirmed that, “Individual service users are supported with the administration of their own medication within their own capabilities. Staff supporting service users are currently undergoing in house training. All records and procedures are in line with BOOTS MDS Systems and are reviewed on a regular basis.” Gatwick Grove DS0000071111.V363142.R01.S.doc Version 5.2 Page 18 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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has set up a system for ensuring residents’ views are listened to. Residents are protected from abuse, neglect and self-harm. EVIDENCE: We were informed that residents’ meetings are held regularly. We were shown minutes of these meetings that showed the last one took place on 15th April 2008. They also provided evidence that residents are encouraged to talk about what it is like to live at Gatwick Grove. If they have any difficulties they are encouraged by staff to talk about this as well. This means staff can help them to sort them out before it becomes a larger problem. Residents are also encouraged to give their ideas about the running of the home. This includes activities they want to do and the food they want to eat. A complaint procedure has been drawn up so that residents’ families know how to make a complaint if they wish to do so. This is on display in the front hallway. We noted that our address needed to be changed to the current one we are using. We spoke to the manager about this who agreed to make the necessary amendments to this document. Gatwick Grove DS0000071111.V363142.R01.S.doc Version 5.2 Page 19 The registered manager informed us that she has received no complaints since Gatwick Grove has opened. Information supplied by the registered provider confirmed that, “All service users, visitors, families and other care professionals are made aware of the home’s complaint policies and procedures through our service user guide and statement of purpose.” Training records confirmed that, apart from the manager and the deputy manager, staff have not yet been provided with training about safeguarding adults procedures and reporting abuse. However, the manager has also supplied us with a programme of planned training for staff. This includes such training, which is due to take place in June 2008. The registered provider has also provided information that confirms appropriate policies and procedures are in place that are designed to protect vulnerable adults from harm. The registered provider has also confirmed, “All staff have either received or are about to receive POVA training to support them with recognising abuse and what action they are required to take in the event of abuse. The management of the home monitors staff conduct when dealing with service users daily and on a more formal basis during supervision to support them with ensuring that they conduct themselves in a professional manner at all times.” Gatwick Grove DS0000071111.V363142.R01.S.doc Version 5.2 Page 20 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have been provided with a homely, comfortable and safe environment in which to live. The premises has been decorated, maintained and furnished to a good standard. The home has been kept to a good standard of cleanliness and hygiene. Current practices for dealing with soiled laundry do not ensure the risk of cross infection is reduced. EVIDENCE: We visited the private accommodation of each resident, the lounge and the dining room. Those areas of the home seen were presented in a homely and comfortable manner. The decoration and furnishings have been provided to a Gatwick Grove DS0000071111.V363142.R01.S.doc Version 5.2 Page 21 good standard and ensured residents live in a comfortable and safe environment. We also noted that the rooms are spacious, light and airy. The staff have worked with residents to ensure their rooms reflect the personality of residents. We saw items bought on behalf of residents include posters and pictures, televisions, CD players, computer game and sensory equipment. Information supplied by the registered provider confirmed that, “Service users are able to decorate and add furnishings to their own taste and are encouraged to personalise their rooms accordingly.” We also visited bathrooms, toilets, the kitchen and the utility room. These areas of the premises were fresh, clean and hygienic. We were informed cleaning schedules are in place to ensure all areas are cleaned on a regular basis to ensure hygiene is maintained to a good standard. Information from the registered provider confirmed, “The home has laundry facilities separate from the main house where clients are supported to do their individual laundry – washing and drying of clothes and bedding.” We discussed how staff are expected to handle soiled linen with the manager. We noted that the utility room has been equipped with a facility for staff and residents to wash their hands after handling soiled linen. However, the manager informed us the washing machines do not have a sluice wash cycle to destroy any infection that is present. According to information supplied by the registered provider this care home does not have a written infection control procedure. It was therefore not clear to us if soiled linen and clothing is handled and laundered in a manner that reduces the risk of cross infection. As this has a direct impact on the health and safety on residents and staff this has been made a requirement. We also recommended that the manager seeks further advice from the local environmental health department. Information supplied by the registered provider confirmed that appropriate steps have been taken to ensure the premises and equipment within the care home is safe for use. Gas and electrical appliances have been checked and maintained regularly. Gatwick Grove DS0000071111.V363142.R01.S.doc Version 5.2 Page 22 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 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Competent and qualified staff support residents. The home’s recruitment practices and procedures protect vulnerable residents. The staff team have met residents’ needs. EVIDENCE: We examined the recruitment records of two staff who had been appointed since the care home has been open. We found that all appropriate information and checks were in place to ensure vulnerable residents have been protected. This included two written references, proof of identity and criminal record checks (CRB). Information supplied by the registered provider confirmed, “ There is a thorough and recruitment process in place. At least two references are Gatwick Grove DS0000071111.V363142.R01.S.doc Version 5.2 Page 23 obtained, one of which is from the last employer. Full enhanced CRB checks are made with the employee unable to commence employment until this has been obtained.” We looked at staff training records. They demonstrated that newly appointed staff undertake structured induction training. This includes providing an understanding of the principles of good care practices and covers the promoting of residents’ rights, independence, choice and dignity. As this is a new service and the staff have only recently been appointed the provision of mandatory training and training in specialist areas has just begun. The manager provided us with a training programme that demonstrated the type of training all staff will receive over the coming months. Training that staff will receive includes specialist knowledge in areas such as understanding autism and epilepsy, and managing challenging behaviours. Mandatory training is also included and will cover manual handling, first aid, abuse awareness, fire safety and health and safety. Information supplied by the registered provider confirmed that, “Currently all staff within the home have been or are in the process of being registering for NVQ 3. Further training to support in their role is planned for in the near future.” There was also evidence that demonstrated they receive regular support and supervision from a senior member of staff. Staff also told us they found the management does provide staff with the support they need. They were also able to clearly explain their role within the care home and what was expected of them when working with residents. Comments made in surveys returned by staff are generally positive and included, “Information is always there as and when I need it,” and “I always get feedback from my supervisors.” However, less positive comments included, “Training is always ongoing but I don’t’ seem to get enough time to do my NVQ work,” and “I sometimes feel stretched to cope with service users when they want some attention.” Information supplied by the registered provider confirmed that, “”New staff are given the opportunity to spend time with service users and to meet with individual staff to discuss the home and working conditions prior to them accepting an offer of employment.” Gatwick Grove DS0000071111.V363142.R01.S.doc Version 5.2 Page 24 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 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care home is well run and in a way which benefits residents. The views of residents and their families are sought as part of any self – monitoring, review and development of the care home. In most instances the health, safety and welfare of residents and staff have been promoted. Current practices for dealing with soiled laundry do not ensure the risk of cross infection is reduced. EVIDENCE: Gatwick Grove DS0000071111.V363142.R01.S.doc Version 5.2 Page 25 Mrs Anne Reakes has been registered as the manager of this care home. As a result of the registration process she has demonstrated she has the necessary skills, knowledge and experience to manage the service. The registered provider has set up a system to ensure their representatives visit Gatwick Grove each month to ensure this care home is being run in the best interests of residents. We looked at reports of such visits that have taken place. Reports include details of discussions with staff on duty and, where possible, discussions with residents or observations of care and support provided. The registered manager meets regularly with her staff team to discuss issues related to the service provided and the individual care needs of residents. This ensures the staff team are clear about what is expected of them and are aware of how the aims and objectives of the service should be implemented. We were given copies of minutes of meetings to read. They confirmed they have been held regularly and provide an opportunity for the manager to communicate with her staff team. Staff who we spoke to confirmed they meet regularly to discuss the needs of residents and the work they are expected to perform. Mrs Reakes informed us that the registered provider is in the process of setting up a system for monitoring, reviewing and improving the care and services provided by the care home. As Gatwick Grove has been open for six months this system has yet to be employed. However, we found evidence in minutes of staff and resident meetings that the manager does seek their views with regard to the day to day running of the care home to ensure it is being run in the best interests of residents. Information supplied by the registered manager prior to this visit confirmed the registered provider has also taken appropriate steps to ensure the premises and equipment within the care home is safe for use. Gas and electrical appliances have been checked and maintained regularly. We found evidence that a programme of training planned for all staff includes health and safety issues, fire prevention, manual handling and first aid. This will ensure the safety and wellbeing of residents and staff. We expressed concerns about the current practice of handling and laundering soiled bed linen and clothing. It was not clear to us if they were handled in a manner that reduces the risk of cross infection. As this has a direct impact on the health and safety of residents and staff this has been made a requirement. For further evidence please refer to the section entitled “Environment” earlier. Information supplied by the registered provider confirmed,” all health and safety issues and requirements are monitored on a daily, weekly and monthly basis as required and are in line with requirements from health and safety regulations, environmental health regulations and fire regulations.” Gatwick Grove DS0000071111.V363142.R01.S.doc Version 5.2 Page 26 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 3 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 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 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 3 3 3 X 3 X 3 X X X 2 Gatwick Grove DS0000071111.V363142.R01.S.doc Version 5.2 Page 27 N/A 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 YA30 Regulation 13 (3) Timescale for action Soiled linen and clothing must be 12/06/08 handled and laundered in a manner that reduces the risk of possible cross infection. Requirement 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 Gatwick Grove DS0000071111.V363142.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 © 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 Gatwick Grove DS0000071111.V363142.R01.S.doc Version 5.2 Page 29 - 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. 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