Inspection on 17/09/07 for Grandsmere Place

This inspection was carried out on 17th September 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 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

Grandsmere Place 18/12/06

Grandsmere Place 20/03/06

Grandsmere Place 16/02/06

Grandsmere Place 14/03/05

Grandsmere Place 15/07/04

Grandsmere Place 06/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Grandsmere Place 1/1a Grandsmere Place Manor Heath Halifax West Yorkshire HX3 0DP Lead Inspector Cheryl Stovin Key Unannounced Inspection 17th September 2007 15:00 Grandsmere Place DS0000001009.V346331.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 Grandsmere Place DS0000001009.V346331.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. Grandsmere Place DS0000001009.V346331.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Grandsmere Place Address 1/1a Grandsmere Place Manor Heath Halifax West Yorkshire HX3 0DP 01422 381775 None 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) Bridgewood Trust Limited Mrs Elaine Tansey Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Grandsmere Place DS0000001009.V346331.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th December 2006 Brief Description of the Service: Grandsmere Place is owned and managed by the Bridgewood Trust, which is an organisation which specialises in providing care for adults with a learning disability, in both the Calderdale and Kirklees areas. The establishment is registered to provide accommodation and care for up to seven people. At the time of the visit there were five young men in residence. The property, a large Victorian end of terrace, is well maintained both internally and externally and provides accommodation in well furnished single bedrooms with spacious and comfortable communal areas. The accommodation is arranged over three floors, with a self contained flat being situated on the ground floor. The home is situated in a residential area with easy access to the town centre of Halifax. The weekly charge is subject to individual assessment depending on the amount of care and support needed. Grandsmere Place DS0000001009.V346331.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report brings together evidence gathered during a key inspection of Grandsmere Place.. This included an unannounced visit I made to the home on 17th Septemeber 2007. The purpose of the inspection was to make sure that the people living at the home are receiving the care and support they want and that they and their families are satisfied with the service. During this visit a partial tour of the building was undertaken, records were examined and I spoke to staff and the people living at the home. In addition to this visit comment cards were sent out to give people an opportunity to share their views of the service with CSCI. Four relatives, all five people living at the home and one member of staff returned their surveys. The information received from the surveys is included in this report. The last inspection of Grandsmere Place was on 18th December 2006, no additional visits have been made. An Annual Quality Assurance Assessment (AQAA) completed by the home was returned promptly and gave useful information. I would like to thank everybody for their warm welcome and assistance given during this inspection. What the service does well: The people living at Grandsmere Place said that they get the care and support they need and that they like living there. There is a warm, homely and lively atmosphere in the home with staff and people living at the home appearing to work together as a team. The staff team are well trained and were seen to be providing assistance to people in a manner which promotes independence and dignity. People living at the home said that the staff are “great” and relationships between them were seen to be relaxed and friendly. The home is well managed and the manager is committed to ensuring that people living at the home and the staff contribute to the decision making processes. People living at the home are protected by the recruitment procedures in the home which ensure that all the necessary checks are carried out before staff are employed. Grandsmere Place DS0000001009.V346331.R01.S.doc Version 5.2 Page 6 The home is well maintained throughout and furnished and fitted to a good standard. People living at the home are encouraged to personalise their own rooms and they are obviously very proud of their personal possessions People living at the home live active and varied lives and are very much part of the local community and make use of a wide range of social and recreational facilities. All of the people who returned comment cards expressed satisfaction with the lifestyle experienced by the people living at Grandsmere Place. 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. Grandsmere Place DS0000001009.V346331.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 Grandsmere Place DS0000001009.V346331.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): 1,2,5, People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are assessed before moving into the home and they are given written information about the services and facilities provided. EVIDENCE: The home has produced a service user guide which is written in an easy to understand format with pictures as well as words to make sure everybody can understand what it says. People living at the home have their needs assessed continually and their care plan adjusted to reflect their changing needs. There have been no recent admissions to the home, therefore, it was not possible to assess the admissions procedure. The staff team were able to demonstrate that they have the skills and experience to deliver the care to the people living at the home in a caring and professional manner, and to communicate effectively. Each person has a licence agreement which gives details of the terms and conditions at the home. Grandsmere Place DS0000001009.V346331.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s current needs are recorded in their plan of care to ensure that support is given in accordance with their needs and preferences. EVIDENCE: All of the care records of the people living at the home were seen. Each person has an individual personal support plan, which is detailed and holistic and covers activities of daily living as well as social and emotional needs. The care plans clearly show how the care needed is actually to be delivered. Each person signs to say they are in agreement with the content of the care plan, and the aims and objectives set. Staff have a good knowledge of the needs of people living at the home. They are skilled in using the person’s preferred communication method. Grandsmere Place DS0000001009.V346331.R01.S.doc Version 5.2 Page 10 Detailed risk assessments are in place which are reviewed on a regular basis, this makes sure that risks are minimised and people are kept safe. People are encouraged and enabled to be fully involved in the day to day running of the home and participate in all activities of daily living. Staff were seen to be offering people choices and people said that they can choose where to spend their time. People said that they like living at Grandsmere Place and the surveys confirmed that people can do what they want to do during the day and at the weekend and evenings. All of the relatives/friends surveys showed that they feel that the care home always meets the needs of their relative. Additional comments made included: “Provides excellent support and tailors needs for each individual”. “The care home provides a very good service”. “They take time to listen and to understand them and give them the care and support they need”. Grandsmere Place DS0000001009.V346331.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): 11,12,13,14,15,16,17 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People enjoy active and varied lifestyles and participate in a wide range of community activities whilst living at the home. EVIDENCE: There is a very warm, welcoming and informal atmosphere in the home. People living there said this was always the case. People living at the home are very much part of the local community and make use of a wide range of local facilities People are encouraged and enabled to develop and maintain independent living skills and to undertake meaningful activities. During the week people take part in a range of structured activities. Some people attend college and others attend workshops run by the Bridgewood Trust organisation. One person Grandsmere Place DS0000001009.V346331.R01.S.doc Version 5.2 Page 12 works voluntarily in a charity shop, whilst another enjoys bell ringing at weddings. People are encouraged to make use of a wide range of appropriate leisure and social activities, either individually or as part of a group. All people living at the home live active and varied lives and some activity usually takes place each evening and at weekends On the evening of the visit some people were going swimming. Holidays are enjoyed by the people living at the home, this year’s destinations have included: activity holidays in North Yorkshire and Gloucester. People are actively encouraged to maintain relationships with family and friends, with key dates of birthdays and special occasions recorded in their individual support plan Visitors are welcomed into the home and all relatives/friends who returned a survey said that the home helps their friend or relative to keep in touch with them. The staff were seen to be treating people with respect at all times and relationships were observed to be relaxed and friendly with appropriate use of informality and humour. People living at the home receive a healthy and varied diet with likes and dislikes recorded. The main meal of the day is served in the evening and meal times were observed to be relaxed and very much a social occasion. The staff and people living at the home were preparing the meal together. There is an emphasis on healthy eating with fresh fruit and vegetables freely available. People said that they enjoy their meals and on the evening of the inspection they had a choice of sausage and mash or beans on toast, followed by a dessert of their choice. Grandsmere Place DS0000001009.V346331.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s health care needs are met and personal care is given in accordance with their preferences. EVIDENCE: People’s personal support needs are assessed and form part of their plan of care. People’s physical and psychological health care needs are assessed and detailed in their individual support plans. An ‘OK’ health check is completed for everybody, this is a recognised tool to help ensure the health of adults with a learning disability. All personal care is given in private, and people were seen to be treated with dignity at all times. All relatives/friends who completed a survey said that the home always gives the support or care to their relative that they expect. The following additional comments were also made: “My son receives excellent care”. Grandsmere Place DS0000001009.V346331.R01.S.doc Version 5.2 Page 14 “They do a very good job and try to solve any problems”. “The staff do their very best to make sure that (my son) has a full life with varied experiences”. Medication practices are safe, with stocks securely stored. Nobody living at the home handles their own medication. Grandsmere Place DS0000001009.V346331.R01.S.doc Version 5.2 Page 15 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are protected by the procedures and practices in the home, the staff understand and promote Adult Protection Procedures. This makes sure that people living at the home are safe. EVIDENCE: The home has a complaints procedure which is included in the service user guide and provides information of the procedure to follow and the correct contact details. All of the people said in their surveys that they knew how to make a complaint about the home if they needed to. One person said: “We talked about making a complaint at the last residents meeting and I understand what to do”. All of the staff team have received training in Protection of Vulnerable Adults (POVA) and all staff spoken to were aware of the procedures to follow if they suspect that people are not being treated properly. The Adult Protection procedure is also displayed in the home and gives contact details for both the Calderdale and Kirklees adult protection teams. Grandsmere Place DS0000001009.V346331.R01.S.doc Version 5.2 Page 16 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): 24,25,26,28,30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a well maintained, safe and hygienic environment. EVIDENCE: The home is situated in a residential area close to the town centre of Halifax The property is spacious and well maintained throughout. All of the people living at the home have their own bedrooms which are furnished and decorated to a good standard. All of the rooms are highly personalised reflecting people’s individual interests and hobbies. People said that they were happy with their own rooms and were obviously very proud of their own possessions. The communal areas are comfortable and furnished and fitted in a contemporary style. A routine programme of maintenance makes sure that the standards remain high. Grandsmere Place DS0000001009.V346331.R01.S.doc Version 5.2 Page 17 The home was seen to be clean and hygienic throughout. People living at the home said that this was always the case. A domestic assistant is employed but people are expected to help keep the home clean and tidy. Grandsmere Place DS0000001009.V346331.R01.S.doc Version 5.2 Page 18 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): 31,32,33,34,35 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are met by a well trained and competent staff team, and are protected by the rigorous recruitment practices. EVIDENCE: There are always two members of staff on duty to make sure that people’s social and emotional needs are met. The staff spoken to during the visit were able to demonstrate that they have the skills and knowledge to meet the needs of the people living at the home. It is mandatory for staff to undertake induction training to Skills for Care Council and LDAF (Learning Disability Award Framework) specification. Only one member of staff currently holds the National Vocational Qualification (NVQ) level 2 award in care. The other staff are registered to undertake the award and the home is working towards 50 of the staff team being qualified to NVQ level 2 or equivalent. Grandsmere Place DS0000001009.V346331.R01.S.doc Version 5.2 Page 19 The member of staff who completed a survey said that they were given training which is relevant to their role and keeps them up to date with new ways of working. They also made the following additional comments: “Bridgewood run a comprehensive training programme which is reviewed annually. I have attended several courses this year, both mandatory and those thought relevant by my manager for my position”. “I feel that a Grandsmere we have a reasonable continuity of staff which in turn promotes a good team spirit which benefits the overall running of the house”. People are protected by the home’s robust recruitment procedure. All staff are subject to the necessary Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks to make sure only suitable staff are employed in the home. An application form is completed and two written references are taken up prior to an offer of employment being made. All staff are given job descriptions and statements of terms and conditions. People living at the home are involved in the recruitment of new staff and their views are taken into consideration before employing a new member of staff. Relationships between staff and people living in the home were relaxed and friendly with appropriate use of informality and humour. All of the comment cards received stated that the people felt that the staff always treat them well, and listen and act on what they say. People told me that the staff “were o.k.” and “great”. Grandsmere Place DS0000001009.V346331.R01.S.doc Version 5.2 Page 20 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): 37,38,39,42 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a well run and managed service. People’s health and welfare are protected by the home’s health and safety practices. EVIDENCE: The Registered Manager of the home is experienced and competent to run the home. She has undertaken the National Vocational Qualification level 4 Registered Managers Award. Staff said that the manager is approachable and gives a clear sense of leadership. A member of staff made the following comment in their survey card: Grandsmere Place DS0000001009.V346331.R01.S.doc Version 5.2 Page 21 “Apart from regular support and supervision meetings with my manager, I feel that she continually offers support to staff throughout the working day”. There is a commitment to health and safety and safe working practices in the home. All staff receive mandatory health and safety training with regular updates. Fire drills are carried out on a regular basis and all staff receive fire safety training. Detailed risk assessments are in place which are reviewed and updated on a regular basis. Certificates were seen which showed compliance with gas and electrical regulations. Management and staff work in accordance with the General Social Care Council codes of practice and other legal requirements. Financial procedures are in place to make sure that people’s money is handled safely. Grandsmere Place DS0000001009.V346331.R01.S.doc Version 5.2 Page 22 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 3 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 3 26 3 27 x 28 3 29 x 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 3 x x 3 x Grandsmere Place DS0000001009.V346331.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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. 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 Refer to Standard YA32 Good Practice Recommendations To ensure a consistent standard of care is given to people 50 of the staff team must be qualified to NVQ level 2 Grandsmere Place DS0000001009.V346331.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Grandsmere Place DS0000001009.V346331.R01.S.doc Version 5.2 Page 25 - 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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