Inspection on 19/09/05 for Grafton House

This inspection was carried out on 19th September 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

Grafton House 01/04/09

Grafton House 03/04/07

Grafton House 01/12/04

Grafton House 07/07/04

Grafton House 22/03/04

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

CARE HOME ADULTS 18-65 Brain Injury Services, 49 The Drive 49 The Drive Northampton Northants NN1 4SH Lead Inspector Joanne Vyas Unannounced 19 September 2005 10.15 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Brain Injury Services, 49 The Drive C51 C08 S12717 49 The Drive V246847 190905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Brain Injury Services, 49 The Drive Address 49 The Drive Northampton Northants NN1 4SH 01604 719211 01604 638176 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Partnerships In Care Limited Mrs Helen Elizabeth Storr Care Home 3 Category(ies) of MD Mental Disorder (3) registration, with number of places Brain Injury Services, 49 The Drive C51 C08 S12717 49 The Drive V246847 190905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. All service users accommodated will have an acquired Brain Injury. 2. The age range of the Service Users accommodated are between 30 - 60 years 3. No one falling within the category MD may be admitted into the home where there are 3 Service Users of this category already accommodated within the home 4. To be able to admit the named person of category MD named in variation application dated 19/02/2005 Number: V000017870 Date of last inspection 1st December 2004 Brief Description of the Service: 49 The Drive is a care home providing personal care and accommodation for 3 service users from the age of 30 to 65 years with an acquired brain injury. The home is owned by Partnerships in Care Limited. The Registered Manager is Mrs. H. Storr. The Home is situated in a suburb of Northampton close to a local shopping centre and park, easily accessible by public transport and within a mile and a half of the town centre and its amenities. The property consists of a large semi-detached house with front and rear gardens. Single bedrooms are provided for all service users on the first floor. The communal rooms include a lounge; separate dining room, conservatory, and service users have the use of the kitchen. Brain Injury Services, 49 The Drive C51 C08 S12717 49 The Drive V246847 190905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the CSCI is upon outcomes for service users and their views of the service provided. The primary method of Inspection used was ‘case tracking’ which involved selecting two service users and tracking the care they received through looking at their records, discussion with them and care staff and observation of care practices. This unannounced inspection took place between 10:15am and 2pm on a weekday and was carried out by one inspector as part of the annual plan of inspection. The inspector received a pre-inspection questionnaire. 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. Brain Injury Services, 49 The Drive C51 C08 S12717 49 The Drive V246847 190905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Brain Injury Services, 49 The Drive C51 C08 S12717 49 The Drive V246847 190905 Stage 4.doc Version 1.40 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 standard(s) none These standards were not inspected on this occasion. EVIDENCE: Brain Injury Services, 49 The Drive C51 C08 S12717 49 The Drive V246847 190905 Stage 4.doc Version 1.40 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 standard(s) 6, 7, 8, 9 Excellent systems are in place to ensure service users are consulted in all aspects of their lives, enabled and supported by staff, to meet their individual needs and choices in order for them to achieve independent lifestyles. EVIDENCE: • • • • • Service users have comprehensive, up to date, care plans looking at most aspects of life. The care plans should also cover contact with families and friends and medication. Service users who spoke to the inspector were fully aware of the care plans in place and had been consulted about their content. Staff the inspector spoke to were knowledgeable about the care and support each service user required. Staff were observed offering choices to service users, discussing events of the day and planning activities. Service users had comprehensive risk assessments that are regularly reviewed. Brain Injury Services, 49 The Drive C51 C08 S12717 49 The Drive V246847 190905 Stage 4.doc Version 1.40 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 standard(s) 11, 12, 13, 14, 15, 16, 17 Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: • • • • Service users are provided with a programme of activities organised by staff and the service users to enable them to regain their independent living skills. Staff were observed interacting with service users positively, with respect and upholding their dignity. Service users had free access to the kitchen and helped themselves to drinks. Meals were varied and often prepared and cooked by service users. Service users said that the food was very good. Evidence was seen of service users accessing the local community i.e. shops and the park, also visiting the theatre and the cinema. At home service users watch TV, listen to music and relax and carry out exercises as part of their independence programme. Staff encourage and facilitate family/friends contact. Service users have recently returned from a holiday. C51 C08 S12717 49 The Drive V246847 190905 Stage 4.doc Version 1.40 Page 10 • • Brain Injury Services, 49 The Drive Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20 There are very good levels of personal and healthcare support for service users. EVIDENCE: • • • Personal support is detailed in care plans. Service users are registered with a GP and have access to the appropriate healthcare professionals as required. Healthcare monitoring sheets are used to record all healthcare visits. Medication was received, stored, handled and disposed of appropriately in most instances. The inspector observed that the home had an overstock of some prescribed creams. Staff had also not stated when creams had been opened to ensure effectiveness. Staff have received inhouse medication training and first aid training. Brain Injury Services, 49 The Drive C51 C08 S12717 49 The Drive V246847 190905 Stage 4.doc Version 1.40 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 standard(s) none These standards were not inspected on this occasion. EVIDENCE: Brain Injury Services, 49 The Drive C51 C08 S12717 49 The Drive V246847 190905 Stage 4.doc Version 1.40 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 standard(s) 24, 25, 26, 27, 28, 29, 30 49 The Drive provides service users with a safe and comfortable place to live. EVIDENCE: • • • • • The home was clean and well maintained. All bedrooms are single and are highly personalised. There are sufficient toilets and bathrooms with appropriate specialist equipment, such as bathing aids, to meet the needs of the service users. Communal areas are bright and homely. The home is well maintained and decorated. Brain Injury Services, 49 The Drive C51 C08 S12717 49 The Drive V246847 190905 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35 The deployment, number and training of staff is sufficient to meet the needs of the service users. EVIDENCE: • • There are normally two staff on each shift during the day and one member of staff over night. A member of staff stated that they receive all the mandatory training and are expected to complete a National Vocational Qualification level two or three. Brain Injury Services, 49 The Drive C51 C08 S12717 49 The Drive V246847 190905 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 41, 42 The staff team benefits from good management, leadership and direction from the Registered Manager, which ensures service users receive consistent, quality care. Service users are protected by good health and safety procedures. EVIDENCE: • The Registered Manager has seven years management experience, five of which are as a Registered Manager and has almost completed her Registered Managers Award. She plans to start the National Vocational Qualification level 4 straight after completing the RMA. The management approach of the home is open and positive. The inspector noted that there were good relationships between service users, staff and the Registered Manager. Health and safety records were accurate and up to date. Service user records are organised, well presented and up to date. • • • Brain Injury Services, 49 The Drive C51 C08 S12717 49 The Drive V246847 190905 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Brain Injury Services, 49 The Drive Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x 3 3 x C51 C08 S12717 49 The Drive V246847 190905 Stage 4.doc Version 1.40 Page 16 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard 6 20 20 20 Good Practice Recommendations It is recommended that care plans include medication and contact with family and friends. It is recommended that all prescribed creams are marked with the date of opening. It is recommended that the home does not overstock medication. It is recommended that all staff receive external training in the safe handling of medication. Brain Injury Services, 49 The Drive C51 C08 S12717 49 The Drive V246847 190905 Stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection 1st Floor, Newland House Campbell Square Northampton NN1 3EB 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 Brain Injury Services, 49 The Drive C51 C08 S12717 49 The Drive V246847 190905 Stage 4.doc Version 1.40 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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