Inspection on 27/07/07 for Grandison Road (77)

This inspection was carried out on 27th July 2007.

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 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

Grandison Road (77) 09/03/06

Grandison Road (77) 29/12/05

Grandison Road (77) 23/02/05

Grandison Road (77) 09/07/04

Grandison Road (77) 30/01/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Grandison Road (77) 77 Grandison Road Walton Liverpool Merseyside L4 9SU Lead Inspector Debbie Corcoran Unannounced Inspection 27th July 2007 11:00 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 Grandison Road (77) DS0000025275.V334472.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. Grandison Road (77) DS0000025275.V334472.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Grandison Road (77) Address 77 Grandison Road Walton Liverpool Merseyside L4 9SU 0151 270 1435 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) www.peterhouseschool.org Autism Initiatives vacant post Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Grandison Road (77) DS0000025275.V334472.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th August 2006 Brief Description of the Service: Grandison Road is registered to provide support to two people. The accommodation and support is provided by Autism Initiatives. Autism Initiatives was formerly called the Liverpool and Lancashire Autistic Society and it was established in 1971. The organisation provides a variety of services to adults and children who have autism. These include residential care, day care, supported tenancies, outreach, domiciliary care, respite and educational services. Autism Initiatives is a voluntary organisation with charitable status. Grandison Road is a domestic sized property which promotes the principles of ordinary community living. The home is run on a semi-independent basis in order to assist the people using the service in moving towards long-term independence in the future. People using the service are encouraged to fully access all local facilities and resources, including college courses and employment. The house provides a communal kitchen, bathroom and living area. Each of the people using the service has their own room decorated according to their own taste. The current fee for residing at Grandison Road is £1,180.94 per week. Grandison Road (77) DS0000025275.V334472.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit to the home was carried out on an unannounced basis. The home had a vacancy so there was only one person living at the home at the time of the visit. During the visit this person was met and spoken with about the home generally and about the support which they are provided with. Two members of the staff team were also met and spoken with. A number of records were checked including the care plan for the person residing at the home, staff training records, health and safety records and other relevant records. A tour of the home was carried out and this included all areas. What the service does well: Grandison Road is a small home which works on the principles of ordinary community living. The person living at the home has a detailed care plan. The care plan includes information on the person’s likes, dislikes, strengths and needs and includes clear goals for supporting the person to develop their skills and aim for a more independent lifestyle. The person living at the home is supported to remain healthy and staff support the person to attend appointments on a regular basis. Staff also support the person well with their emotional needs. Members of the staff team appear to know the person living at the home well and have formed good relationships with the person. The person living at the home is making choices about their lifestyle and making choices about the running of the home. They are well supported to use the local community and to pursue interests outside of the home including sports interests and educational facilities. They are also well supported in using and developing their daily living skills such as cooking, shopping, housework and managing their money. Staff are well trained and well supported through regular supervision meetings and team meetings. Staff have a good understanding of the needs of the person they are supporting and the person has confidence in staff’s abilities to support them. Grandison Road (77) DS0000025275.V334472.R01.S.doc Version 5.2 Page 6 Staff carry out regular safety checks so that people living at the home are provided with a safe, clean place to live. 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. Grandison Road (77) DS0000025275.V334472.R01.S.doc Version 5.2 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 Grandison Road (77) DS0000025275.V334472.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Information on the services provided at the home is available to enable prospective residents to make a choice as to whether the home is appropriate for them. An assessment of needs is carried out with a prospective resident before moving to the home so as to ensure their needs can be met. EVIDENCE: A statement of purpose and service user guide are available to current and prospective residents. These describe the services and facilities provided at the home. Standard 2 is a key standard to be assessed however, there have been no new residents to the home for a number of years and it therefore could not be practically assessed. Autism Initiatives do have assessment policies and procedures and these detail that an assessment of the needs is carried out with a prospective resident before they move into the home. There is a vacancy at the home. When a new person is referred for this place then the referral, assessment and introductory procedures need to be put into action and the manager should be able to evidence a well planned move for the person involved. Grandison Road (77) DS0000025275.V334472.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The person living at the home has a care plan which reflects their needs and choices and the person is making decision about their life and the running of the home. Risk assessments are carried out where a resident is thought to be at risk of harm and plans are put in place in order to best manage the risk. EVIDENCE: The resident’s care plan / support plan is clear, informative and easy to follow. The plan includes information on the person’s skills and needs, daily routines, likes and dislikes, health and weekly activities. The plan includes clear goals for supporting the person to develop their independent living skills. When appropriate the plans include detailed guidelines as to how to support the person with aspects of their physical and emotional health and well being. Care plans are reviewed and updated on a regular basis. Grandison Road (77) DS0000025275.V334472.R01.S.doc Version 5.2 Page 10 Where a person is involved in activities, which pose a risk to their safety, then a risk assessment is carried out. The risk assessments cover many different aspects of the person’s support. The risk assessments include a good level of information on what the potential risk is and what steps need to be taken to prevent the risk from occurring. Risk assessments are reviewed on a regular basis. During discussions with the person living at the home it was clear that they are making choices about their lifestyle, how they spend their time and about the running of the home. The resident has the opportunity to meet with staff on a regular basis to discuss the running of the home. The resident is well involved in day to day household tasks such as shopping, cooking and housework. All personal and confidential information is stored appropriately and staff are aware of their responsibilities in this area. Grandison Road (77) DS0000025275.V334472.R01.S.doc Version 5.2 Page 11 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): 11, 12, 13, 15, 16, 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The person living at the home is well supported to use and develop their independent living skills, to use the local community, and to build relationships. The person is making decisions about their life and is included in decision making on the running of the home. The person has a healthy and balanced diet of their own choosing. EVIDENCE: The person living at the home has a care plan / support plan and this includes a good level of information on how to support the person with using and developing their independent living skills and this is a clear emphasis on the importance of this. From discussions with the person living at the home it is clear that they are well supported to develop their independent living skills and do their own shopping, cooking, cleaning etc. They described a lifestyle of going out independently and having a clear weekly routine of leisure and educational activities and using local community resources on a regular basis. Grandison Road (77) DS0000025275.V334472.R01.S.doc Version 5.2 Page 12 Relationships are encouraged and this was confirmed during discussions with the person living at the home. The person living at the home and staff have regular house meetings to discuss the running of the home. The person living at the home chooses their own food and meals and has a healthy balanced diet. They keep their own record of this and this confirmed that their meals are varied and healthy. Grandison Road (77) DS0000025275.V334472.R01.S.doc Version 5.2 Page 13 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, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The person living at the home is well supported with their emotional and physical health care needs. Medication is managed appropriately. EVIDENCE: The person living at the home is well aware of healthy living and is supported in maintaining a healthy lifestyle and a well balanced diet. Records showed that the person is well supported to remain healthy and to attend all health related appointments on a regular basis. During discussion with the person living at the home they confirmed that staff provide them with guidance and support on health issues. The person’s support plan includes a good level of information on how to support them with both their emotional and physical health and well being. During discussions with the person living at the home they reported that they feel staff have a good understanding of their needs and support them well. Medication records and storage were checked. These were found to be appropriate. Staff have been provided with medication training and medication policies and procedures are in place. Grandison Road (77) DS0000025275.V334472.R01.S.doc Version 5.2 Page 14 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, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies, procedures and practices are in place for dealing with complaints and which aim to protect residents against abuse or neglect and systems are in place for dealing with allegations of abuse. EVIDENCE: The home has a complaints procedure which is time scaled appropriately. Information on how to make a complaint is provided in a leaflet and the person living at the home is aware of what to do if they are not happy with any aspects of their support. There have been no complaints for some time and none since the last inspection. The home has a ‘protection of service users’ policy and an abuse policy and staff have been provided with training on the protection of vulnerable adults. Staff have signed the adult protection policy and procedures as confirmation that they have read and understood them. There is also a copy of Liverpool Social Services adult protection policy at the home. The home has a ‘whistle blowing’ policy which is aimed at safeguarding staff who report any allegations of abuse. A record of key events is maintained for example incident reports and accident reports. These were checked and no areas of concern were noted. Grandison Road (77) DS0000025275.V334472.R01.S.doc Version 5.2 Page 15 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, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is generally well presented although there is some room for improvement. The home is presented as safe and clean. Health and safety precautions are taken to protect people living at the home and staff. EVIDENCE: The house is an ordinary domestic property. The home provides appropriate space and there are gardens areas both at the front and rear. There is one lounge area and a dinning area. The home is generally well presented but there is some room for improvement to the lounge and dinning area as they are in need of redecoration. The manager reported that there are plans for redecoration of both of these rooms in the near future. Health and safety practices and procedures are carried out. These aim to ensure the home is safe, clean and free from hazards. Grandison Road (77) DS0000025275.V334472.R01.S.doc Version 5.2 Page 16 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): 32,33, 34, 35, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The person living at the home is supported by a well established staff team who have been provided with a good level of training, are qualified and have a good understanding of the person’s needs. EVIDENCE: The staff team is well established and they have therefore had the opportunity to build relationships with the person they support and get to know the person well. Discussions with the person living at the home and staff indicated that staff are supporting the aims and objectives of the home in encouraging the person to make choices, develop their independent living skills and use their local community. Staff have been provided with good training opportunities. Training records indicated that staff have been provided with training in topics such as; positive interventions, adult protection, an introduction to autism, fire safety, moving Grandison Road (77) DS0000025275.V334472.R01.S.doc Version 5.2 Page 17 and handling, infection control, food hygiene, administration of medication, mental health issues and supporting people who have epilepsy. All staff on the team have attained an N.V.Q (National Vocational Qualification) level 3 in care. Staff are well supported and are provided with regular and recorded supervision meetings with the manager. Staff also attend regular team meetings. There have been no new staff to the home since the last inspection and therefore recruitment practices were not assessed on this occasion. Grandison Road (77) DS0000025275.V334472.R01.S.doc Version 5.2 Page 18 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, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run in the best interests of the residents. Health and safety practices and checks are carried out to protect the people living at the home and staff. EVIDENCE: The home has a designated manager. The registered person must ensure that the manager person applies for registration as manager with the Commission. The manager is currently undertaking a relevant qualification in management and care. The home is visited on a regular basis by a representative of Autism Initiatives. This forms part of a quality assurance system which includes seeking the views of the people living at the home. Grandison Road (77) DS0000025275.V334472.R01.S.doc Version 5.2 Page 19 Policies and procedures are in place in relation to the health and safety and staff are provided with training in core health and safety related skills. For example fire safety, food hygiene and moving and handling. Fire safety and health and safety practices are carried out. Records of these were checked and found to be up to date. A regular health and safety check is carried out which covers all areas of the home and all aspects of work. Risk assessments are in place for safe working practices and these are regularly reviewed. Grandison Road (77) DS0000025275.V334472.R01.S.doc Version 5.2 Page 20 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 3 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 3 STAFFING Standard No Score 31 x 32 3 33 3 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 4 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 x 3 X 3 X X 3 x Grandison Road (77) DS0000025275.V334472.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 YA37 Regulation 8 Requirement An application for registration of a manager must be made to the Commission. Timescale for action 14/09/07 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 YA24 Good Practice Recommendations The lounge and dinning area are in need of redecoration. Grandison Road (77) DS0000025275.V334472.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 - 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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