CARE HOME ADULTS 18-65
Granary The Church Lane Brandesburton Driffield East Yorkshire YO25 8QZ Lead Inspector
Brian Hallgate Unannounced Inspection 24th November 2005 09:30 Granary The DS0000019742.V266972.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 Granary The DS0000019742.V266972.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. Granary The DS0000019742.V266972.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Granary The Address Church Lane Brandesburton Driffield East Yorkshire YO25 8QZ 01962 543332 01964 543332 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 Mr Kenneth Charles Bates Care Home 15 Category(ies) of Learning disability (15) registration, with number of places Granary The DS0000019742.V266972.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 13th June 2005 Brief Description of the Service: The Granary is a care home providing accommodation and care for up to 15 adults with learning disabilities. It is located in the village of Brandesburton. It is a short walk into the village and allows access to hairdressers, shops, post office, pubs and a fish and chip shop. The main road through the village allows access to public transport. The home was opened in 1990. There are 12 single bedrooms, three of which have en-suite facilities and a double room. The home has a well-maintained front garden and is surrounded on two sides by fields. Garden furniture is available for service users to sit outside. Granary The DS0000019742.V266972.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 24th November 2005 commencing at 9.30am and took three hours, including preparation time. A tour of the building was made with the registered manager and a number of records were inspected. Eight service users, the registered manager and four members of staff were spoken to. The staff were observed interacting with the service users. The key standards not inspected on this occasion were inspected at the previous inspection held on the 13th June 2005. What the service does well: What has improved since the last inspection?
The care plans have been updated and reviews are arranged as necessary or at least once every six months. The complaints policy has been updated although no complaints have been received since the last inspection. A meeting was arranged to discuss the care provided in the home but only one relative attended. A questionnaire on the care provided has been devised for those service users who are able to complete it. Granary The DS0000019742.V266972.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. Granary The DS0000019742.V266972.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 Granary The DS0000019742.V266972.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): NONE EVIDENCE: Granary The DS0000019742.V266972.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 The home now has a satisfactory review of service users care plans as necessary and at least every six months. EVIDENCE: The care plans are now reviewed as required and at least every six months. The files examined had been reviewed and the reviews recorded. Granary The DS0000019742.V266972.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): 12,13,15,16 and 17 Social activities are well organised and provide stimulation and interest for those people in the home who wish to take part. Meals offer service users a balanced and nutritious meal. EVIDENCE: A wide ranging programme of activities within the home and in the community is provided by the staff team. Visiting tutors provide some classes within the home. The activities include going to the theatre, the cinema, social clubs, pub outings, holidays, outings to places of interest, college, art class and cookery classes. Those service users who wish go to church and visit the local shops. One service user plays darts in the community hall. The service users attend any shows or fetes organised in the village or surrounding areas. Some service users have attended recitals held in Cathedrals. The majority of service users were admitted to the home many years ago from a large hospital. The majority of service users do not have family or friends to visit them. Staff take service users out who wish to go into the community and do not have family to take them. Observations of the staff interacting with service users and discussions with staff showed that the service users had choice and their rights were respected. There was a very relaxed atmosphere
Granary The DS0000019742.V266972.R01.S.doc Version 5.0 Page 11 between staff and service users and service users clearly stated that they were very happy with the care that the staff provided and the quality of the food available. The menu provides nutritious and balanced meals with choices available for service users who do not wish to eat the specific meals planned for the day. Granary The DS0000019742.V266972.R01.S.doc Version 5.0 Page 12 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: Granary The DS0000019742.V266972.R01.S.doc Version 5.0 Page 13 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 The home now has a satisfactory complaints system in operation. EVIDENCE: The complaints policy had been amended as a result of the previous inspection and now meets the requirements of the policy and procedure. No complaints have been made. Granary The DS0000019742.V266972.R01.S.doc Version 5.0 Page 14 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 and 30 The internal decoration of the home is good but the outside paintwork in part of the building is extremely poor with some rotten windows. The carpet in the main building is unsatisfactory. EVIDENCE: A tour of the home was made with the registered manager. The home provides comfortable individual accommodation for the service users. Those service users who are able live in their own rooms and join in activities that they wish. They are encouraged to lead an independent life as far as they are able. Some service users require more care and this is also provided. The external paintwork in the barn building is in urgent need of repainting. Some of the areas are rotten and need urgent replacement. The carpets in the main communal areas of the home need replacing as a matter of urgency. The registered manager has no longer a budget for this work to be undertaken but the estate manager had been fully informed of the work that was required. The home was clean throughout and hygienic. Bedrooms were furnished and decorated to individuals taste and were very pleasant. Granary The DS0000019742.V266972.R01.S.doc Version 5.0 Page 15 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, 34 and 35 The service users receive a good standard of care from the well-prepared and motivated staff. EVIDENCE: There are 3 senior members of staff in addition to the registered manager and 13 support workers. Seven staff have NVQ Level 2 or above in care and four members of staff are waiting to commence their award. Staff stated that they had undertaken training in first aid, moving and handling, health and safety, food hygiene and fire prevention. A newly appointed member of staff was undertaking the induction training programme. There are four staff on duty during the day and two waking night staff during the night. The staffing meets the needs of the present service users. All newly appointed staff take up appointments after two written references and a CRB check have been completed. Granary The DS0000019742.V266972.R01.S.doc Version 5.0 Page 16 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 39 The manager is supported by the senior staff in providing clear leadership throughout the home with staff demonstrating an awareness of their roles and responsibilities. EVIDENCE: The registered manager is a qualified social worker with 35 years experience of working with service users. He is at present working towards his registered managers award. All service users spoke highly of the staff and the staff spoken to consider that the home was well run and staff had a good working relationship with the service users. The manager had arranged a meeting to discuss quality issues within the home but only one relative attended the meeting and none of the care managers invited attended. A questionnaire had been devised for completion by those service users who are able and by those service users who are able with the assistance of another person. Granary The DS0000019742.V266972.R01.S.doc Version 5.0 Page 17 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 3 x x x Standard No 22 23 Score 3 x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x x x Standard No 24 25 26 27 28 29 30
STAFFING Score 1 x x x x x 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 3 x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Granary The Score x x x x Standard No 37 38 39 40 41 42 43 Score 2 x 3 x x x x DS0000019742.V266972.R01.S.doc Version 5.0 Page 18 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 24 Regulation 23 Requirement The premises must be kept in a good standard of repair. The paintwork on the barn section of the home must be repainted, the rotten wood must be replaced or repaired and the carpet in the main communal areas of the home must be replaced. 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. 1. Refer to Standard YA37 Good Practice Recommendations The registered manager should obtain an NVQ Level 4 in management. Granary The DS0000019742.V266972.R01.S.doc Version 5.0 Page 19 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
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