Inspection on 20/03/06 for Grandsmere Place

This inspection was carried out on 20th March 2006.

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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Grandsmere Place 17/09/07

Grandsmere Place 18/12/06

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 Unannounced Inspection 20th March 2006 15:30 Grandsmere Place DS0000001009.V287330.R01.S.doc Version 5.1 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.V287330.R01.S.doc Version 5.1 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.V287330.R01.S.doc Version 5.1 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.V287330.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration :None Date of last inspection 9th February 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 service users, at the time of the inspection there were six 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 establishment is situated in a residential area with easy access to the town centre of Halifax. Grandsmere Place DS0000001009.V287330.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report refers to an unannounced inspection of Grandsmere Place which was undertaken on 20th March 2006 by an inspector from the Commission for Social Care Inspection.. Over an inspection year from April until March, care homes have a minimum of two inspections a year. The last inspection was also unannounced and took place on 16th Feburary 2006.. During the course of this inspection service users were consulted as to their views of the standard of care and facilities provided within Grandsmere Place, and all spoke very highly of the service provided. What the service does well: What has improved since the last inspection? Grandsmere Place DS0000001009.V287330.R01.S.doc Version 5.1 Page 6 The organisation has implemented new care planning documentation and all service users now have person centred plans in place. The manager confirmed that new line management arrangements have resulted in new ideas and a fresh approach to meeting the needs of the service users. 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. Grandsmere Place DS0000001009.V287330.R01.S.doc Version 5.1 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.V287330.R01.S.doc Version 5.1 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 of these standards were assessed on this occasion. EVIDENCE: Grandsmere Place DS0000001009.V287330.R01.S.doc Version 5.1 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): 6,7 Service users are fully involved in all aspects of daily life within the home and are encouraged and enabled to be as independent as possible. EVIDENCE: New care planning documentation has recently been introduced throughout the Bridgewood Trust. Each service user has an individual plan which records the goals set for the individual and the action to be taken to enable the goals to be met. The plans are regularly reviewed with service users confirming that they fully participate in the process. Service users are encouraged and enabled to make decisions regarding their choice of life style. Grandsmere Place DS0000001009.V287330.R01.S.doc Version 5.1 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): 12,13,14,15,17 EVIDENCE: Service users are encouraged and enabled to develop and maintain independent living skills and to undertake meaningful activities. During the week the service users engage in a range of structured activities, some residents attend college and others attend workshops run by the Bridgewood Trust organisation. Service users are encouraged to participate in valued and fulfilling activities. One service user works voluntarily in a charity shop, whilst another enjoys bell ringing at weddings. Service users are encouraged to make use of a wide range of appropriate leisure and social activities, either individually or collectively. Service users live active and varied lives and some activity usually takes place each evening and at weekends. All service users have access to t.v.’s and videos. Holidays are arranged the duration and destination dependant upon individuals preferences, the service users have recently returned from a weekend away at an activity centre. Service users receive varied and healthy meals, the main meal of the day being taken in the evening. The meal being prepared during the inspection was pasta bake, jacket potatoes and salad. Grandsmere Place DS0000001009.V287330.R01.S.doc Version 5.1 Page 11 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 of these standards were assessed on this occasion. EVIDENCE: Grandsmere Place DS0000001009.V287330.R01.S.doc Version 5.1 Page 12 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): None of these standards were assessed on this inspection. EVIDENCE: Grandsmere Place DS0000001009.V287330.R01.S.doc Version 5.1 Page 13 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): None of these standards were assessed on this occasion. EVIDENCE: Grandsmere Place DS0000001009.V287330.R01.S.doc Version 5.1 Page 14 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): 32,34,35 The home is adequately staffed to meet the needs of the service users. EVIDENCE: The staff team are well trained and knowledgeable regarding the individual and collective needs of the service users. It is mandatory for staff to undertake foundation training to LDAF specification. Only one member of the staff team holds their NVQ II award. One member of staff is shortly to start undertaking a non written work NVQ award, due to English being his second language. The organisation adheres to a robust recruitment procedure with all the required checks being made prior to starting work within the home. The service users are fully involved in the recruitment process. Grandsmere Place DS0000001009.V287330.R01.S.doc Version 5.1 Page 15 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): 37,38 The home is well run and managed effectively. EVIDENCE: The Registered Manager of the establishment is experienced and competent to manage the home. She is currently undertaking the NVQ IV Registered Managers award and hopes to complete shortly. Grandsmere Place DS0000001009.V287330.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 x 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 x 23 x ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 1 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x x x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 3 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x x x 3 3 x x x x x Grandsmere Place DS0000001009.V287330.R01.S.doc Version 5.1 Page 17 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 YA35 Regulation 18 Requirement 50 care staff to be qualified to NVQ II. Timescale for action 31/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Grandsmere Place DS0000001009.V287330.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Grandsmere Place DS0000001009.V287330.R01.S.doc Version 5.1 Page 19 - 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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