Inspection on 12/02/07 for Grange (The) & Walton Cottage

This inspection was carried out on 12th February 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 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

Grange (The) & Walton Cottage 03/11/05

Grange (The) & Walton Cottage 23/05/05

Grange (The) & Walton Cottage 24/11/04

Grange (The) & Walton Cottage 29/06/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Grange (The) & Walton Cottage The Grange And Walton Cottage 26-28 St John`s Road Woking Surrey GU21 1SA Lead Inspector Suzanne Magnier Unannounced Inspection 12th February 2007 07.45 Grange (The) & Walton Cottage DS0000013656.V327704.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 Grange (The) & Walton Cottage DS0000013656.V327704.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. Grange (The) & Walton Cottage DS0000013656.V327704.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Grange (The) & Walton Cottage Address The Grange And Walton Cottage 26-28 St John`s Road Woking Surrey GU21 1SA 01483 730670 01483 730670 grangeandwaltoncottage@hotmail.com www.grangeandwaltoncottage.co.uk Grange & Walton Cottage Limited (The) 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) Miss Parveen Akram Care Home 18 Category(ies) of Learning disability (18), Learning disability over registration, with number 65 years of age (1), Mental disorder, excluding of places learning disability or dementia (2) Grange (The) & Walton Cottage DS0000013656.V327704.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. THE GRANGE: 10 RESIDENTS MAY BE AGED 20-65 THE GRANGE: 1 RESIDENT MAY BE AGED OVER 65 YEARS WALTON COTTAGE: EIGHT RESIDENTS AGED 18-40 YEARS TWO RESIDENTS WITH A LEARNING DISABILITY MAY ALSO HAVE A MENTAL DISORDER 1st August 2006 Date of last inspection Brief Description of the Service: The Grange and Walton Cottage are detached properties standing in adjoining grounds in a residential area close to the local amenities of St Johns and within access of public transport. They provide accommodation to 18 adults with learning disabilities. The Grange has ten single bedrooms, six on the ground floor and four on the first floor. Walton Cottage has eight single bedrooms two downstairs and six upstairs. A large spacious out building has been erected at the rear of the garden at Walton Cottage to provide space for in house activities for residents. Both houses have a lounge, dining room, kitchen and laundry facilities and staff room. There is off street parking and the rear gardens are attractive and easily accessible to service users all of whom are mobile. Each property is furnished to a high standard and offers a comfortable, clean and homely environment. The current range of fees is £750.00 per week. Grange (The) & Walton Cottage DS0000013656.V327704.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit formed part of the key inspection and took place over six and a half hours commencing at 07.45 and finishing at 14.15 at the registered care home. Ms S Magnier Regulation Inspector conducted the inspection with the registered provider and manager present. For the purpose of this report, the home has requested that people using the service are referred to as service users. The home is currently offering a residential service to 17 service users and employs 16 members of staff. The inspection process included the sampling of documents which consisted of service users care plans, risk assessments, daily records, medication records, several policies and procedures; staff training details, staff recruitment files and health and safety records. Comments from service users and staff have been included in the report. These were obtained during the visit. The Commission for Social Care Inspection have also received written comments from relatives, which have also been included in the report. Relatives stated ‘your inspection gives us the opportunity to express our complete satisfaction at the Grange’; and ‘The staff are well motivated and happy and this feeds through to the residents’. The inspector would like to thank the service users, staff and the manager’s for their assistance and hospitality during this visit. What the service does well: Feedback from relatives of service users indicated their satisfaction with care and management of the home. Comments included ‘The management of the home continues to be excellent’. ‘It provides enormous support and reassurance to know that our son is living in such a happy environment and one that he so clearly enjoys.’ ‘Communication with the residents and their relatives is excellent’. The home has a flexible yet structured atmosphere, which promotes the service users rights to freedom of choice in their home. The home has robust care plans, based on a person centred approach and continues to support service users to maintain active, stimulating and meaningful activities in the community and the use of the planned activities and hobbies on site. Encouragement is given to service users to maintain links with family and friends and promote new friendships. Risk assessments are well managed. Staff recruitment, induction and training files are well recorded and staff spoke favourably of the day-to-day management of the home. Grange (The) & Walton Cottage DS0000013656.V327704.R01.S.doc Version 5.2 Page 6 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. Grange (The) & Walton Cottage DS0000013656.V327704.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 Grange (The) & Walton Cottage DS0000013656.V327704.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): 1,2,3,4,5, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have sufficient information to make an informed choice if they would like to live in the home and trial periods of stay in the home are available. The arrangements for a needs assessment for new service users ensure the needs of prospective service users are assessed and identified before admission to the home. Service users have a copy of their terms and conditions of stay in the home. EVIDENCE: The home has recently updated the Statement of Purpose and the Service Users Guide. Both documents are well documented and include plain English and photographs of the home. The manager explained that the service users are going to make a video and DVD of the home in order that prospective service users can also access this type of information to help make a decision if they would like to live at the home. The manager told the inspector that the Service Users Guide is also available on the home’s website. The home has one vacancy in Walton Cottage. The manager assesses prospective service users either at the home or will travel to the prospective Grange (The) & Walton Cottage DS0000013656.V327704.R01.S.doc Version 5.2 Page 9 service user’s current accommodation to assess their needs prior to moving into the home. The inspector sampled assessments of three service users admitted to home since the previous inspection. The assessments, which had been documented by the local authority, were robust to ensure that the home could meet the needs and choices of lifestyle for the service user. The service users are invited to stay for a meal, stay overnight, and during this time meet with other service users living in the home in order to make informed choice as to whether they want to live in the home. The inspector met with all the service users who had moved to the home since the previous inspection and they told the inspector that they liked the home and were happy. Each service user’s file sampled contained a copy of the terms and conditions of residency in the home. The home has maintained close bonds between the service users and staff and it is apparent through observation that the service users diversity of needs and preferences of lifestyles are promoted to ensure that all service users continue to have a sense and awareness of their individuality. Grange (The) & Walton Cottage DS0000013656.V327704.R01.S.doc Version 5.2 Page 10 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has maintained robust care planning and risk assessments. The documents were current and well recorded to ensure the service users wellbeing and health needs were evidenced as being met. Service users make decisions regarding their lives and participate in the running of their home. EVIDENCE: The home have developed, as part of the care plan a document which the service user signs to state that they have received a service users guide, complaints procedure, an awareness of the home final affairs procedures and a medication consent policy. The home has maintained a good standard of person centred care plans. The three care plans sampled by the inspector, contained evidence that each service user had been involved in the development of their plan. For example each plan contained a variety goals relating to daily living skills such as cleaning teeth, household tasks and cooking. Each of the goals included stepGrange (The) & Walton Cottage DS0000013656.V327704.R01.S.doc Version 5.2 Page 11 by-step written guidance and was supported by photographs of the service user engaged in the activity. In addition each goal was supported with a risk assessment to ensure the safety and welfare of the service user. The achievements of the service users goals/aspirations and the support required were clearly documented by the staff member who had supported the service user. It was also noted that each care plan had been kept under review to reflect the changing needs of the service user. Whilst sampling the care plans the inspector noted that there had been several incidents where a service user’s behaviour had tested the service and the other service users living in the home. The manager explained that the service users care manager had been informed and a meeting was due to be held at the service the day after the site visit to discuss the concerns and possible actions to support the service user. During the site visit the inspector noticed that all the service users were up and about getting ready for their day. Several people were making their breakfast with staff support, some were ready to leave the home to go out to various activities and others were staying at home to use the activities facilities provided by the home. One service user told the manager that they were not feeling well enough to attend a day centre and following negotiation the service user stayed at home. The home has maintained robust risk assessments which include a variety of activities undertaken by service users for example bathing, being in the kitchen, cleaning their bedroom, accessing the community, access to a front door key and incidences of behaviour which tests the service. All the risk assessments had been appropriately reviewed to ensure the safety and welfare of the service users and staff. The home is not currently supporting any service users from an ethnic minority. The manager explained that all the service users had been involved in talking about what racism and discrimination and what it felt like to be discriminated against. The manager told the inspector that the discussion had been a result of a recent television programme and another event, which had occurred in the home. The service users were eager to tell the inspector about the home and all spoke or communicated that they liked living in the home and were happy. Some service users did not wish to speak to the inspector. It was evident through sampling records and observation in the home that staff members continued to support service users with diverse needs in a caring and individualised way in order to promote the service users individuality and sense of identity. The home has a flexible yet structured atmosphere, which promotes the service users rights to freedom of choice in their home. Grange (The) & Walton Cottage DS0000013656.V327704.R01.S.doc Version 5.2 Page 12 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home promotes and maintains service users involvement in their community, offers opportunities for personal development, appropriate activities and maintaining friendships. Service users are encouraged to be involved in the running of the home and improving daily living skills. The available choice of food provided was of a good standard. EVIDENCE: The atmosphere in the home during the morning was busy yet calm. The inspector met with three service users at The Grange who were going out for the day and were looking forward to meeting their friends at the day centre. Another service user was staying at home and told the inspector that she would be working with staff to clean her room and help make the dinner. Each month the home develops a colourful newsletter, which includes photographs Grange (The) & Walton Cottage DS0000013656.V327704.R01.S.doc Version 5.2 Page 13 and details some of the activities people have been doing, what’s planned and any changes in the staff team. Since the last site visit the home have erected a purpose built facility in the rear of the garden at Walton Cottage. The facility is fully heated, has a water supply, electricity, a variety of tables and chairs and serves as an activity centre known as the Jono Room. Two staff are available to support service users in the facility and the inspector spent some time with service users and staff during the site visit in the facility. The service users, without exception told the inspector how much they liked the Jono Room and a great source of enjoyment came from looking after the rabbit, 2 guinea pigs and the hamster. The service users told the inspector that they wear gloves to clean out the animals and they help staff take them to the vets and take turns in holding them when they are cleaned out. It was evident that the Jono Room activities were well planned and the inspector saw an activity sheet, which had been agreed by the service users. The activities included the use of the three computers, use of a television, jewellery making, arts and crafts, exercise and dance, music, Karaoke machine, Maths, English and Reading, photography, budgeting and a gardening project. The service users told the inspector that they had grown some of their own vegetables and eaten them last year. Comments received from relatives regarding the home and activities offered by the home included ‘my son has been resident for nearly a year now. He is extremely happy and I have been delighted with the care shown to him and the close liaison between staff and family members’. ‘ The day centre has also meant that my son has been able to continue learning when the climate for day care provision in general is changing and there is little county provision.’ ‘My son has recently moved back into the Cottage and loves the atmosphere and the range of facilities on offer.’ The inspector noted from a care plan that one service user recently admitted to the home had returned to an activity that they had excelled at when younger and was being encouraged by staff to renew their ability and interest. Service users comments cards included ‘It’s all right I like living here’; ‘I get on with people’; ‘I like talking to my family at home’; ‘ I look after my own clothes;’ ‘I like the walk to Cranstock Day Centre’; ‘I’m in the horse riding team on Tuesday;’ ‘The food is good here and I watch my own TV I have lots of videos I haven’t watched for a long time’. ‘I got to phone my brother and I got a card I need to write down’. ‘I feel sad sometimes I miss my brother’. The homes promotes the rights of diversity and choice of the service users and this was demonstrated by sampling the care plans which detailed that some service users were supported to attend their choice of places of worship, and have allocated time to talk on an individual basis with a member of staff. One Grange (The) & Walton Cottage DS0000013656.V327704.R01.S.doc Version 5.2 Page 14 service user told the inspector that they had a boyfriend and that it meant a lot to them. Two other service users had not returned to their home having spent a long weekend with their families. One service user’s comment card stated ‘I like signing that it’s good’. The inspector sampled that the home had clear written guidelines regarding any restrictions in the service users life for example unsupervised visits to the town due to the concerns of the welfare and well being of the service user who was unfamiliar with the town. The inspector observed service users moving freely around the kitchens in both of the homes and making their own breakfasts and helping themselves to what they wanted to eat for breakfast. Staff were also on hand to support service users making choices about what they wanted to eat or drink for breakfast. One service user in The Grange was working alongside a staff member preparing the lunchtime meal and another service user at The Cottage was making beans on toast for lunch. The homes have developed pictorial menus, which, consist of photos, which are on display in each of the dining rooms. The menus indicated a varied diet, which included vegetarian dishes as well as meat dishes. Food serving temperatures were also recorded. The service users told the inspector ‘it’s good food here’, ‘I like the food’ ‘we grew onions to eat’. The homes fridges and freezers contained, appropriately stored foodstuffs and fresh fruit and vegetables were also available. Grange (The) & Walton Cottage DS0000013656.V327704.R01.S.doc Version 5.2 Page 15 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 home has consistent recording and documentation to evidence that service users receive personal care and attend health care appointments to ensure their wellbeing and welfare. The homes medication procedures are robust to ensure the safety and wellbeing of service users. EVIDENCE: The three care plans sampled included clear records to demonstrate that service users receive personal care in the way they prefer and health care appointments were attended for example visits to the dentist, optician, GP and chiropodist. Records to monitor the service users specific health care concerns were also well documented and included weight charts, special diets with fortified drinks, and body weight charts. The health care records also evidenced that the home had close working relationships with health care professionals such as care managers, psychologists, dieticians, occupational therapist and speech and language therapists. Grange (The) & Walton Cottage DS0000013656.V327704.R01.S.doc Version 5.2 Page 16 Records indicated that care plan reviews had taken place and the home were active in seeking advise and support from healthcare professionals should the need arise to ensure the safety and well being of the service users. The home has a comprehensive, medication policy and procedure regarding administration of medication. The home has a Monitored Dosage System (MDS) system, which is overseen by the manager and designated staff. The medication is stored in locked cabinets in both of the homes in order to protect the service users from harm. The inspector sampled all the service users medication administration charts all of which were in good order. An audit by the dispensing chemist had been attended in 2006 and all staff have received training in the administration of medicines. Additionally some staff members had been trained by the district to support one service user with specific medication needs. Grange (The) & Walton Cottage DS0000013656.V327704.R01.S.doc Version 5.2 Page 17 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. The home has a robust complaints procedure to demonstrate that complaints will be acted upon and a Safeguarding Adults (Adult Protection) policy and procedure to ensure that service users are adequately protected by the same policy and procedure. EVIDENCE: The home has a complaints procedure and the manager explained that no complaints have been received by the home. During the site visit the inspector asked several service users what they would do if they had any concerns. The service users said they would go to their relatives, manager or staff and would feel confident that their concerns would be listened to and dealt with. The service users comment cards received by the inspector also indicated that service users knew how to complain or raise concerns. The home has been subject to one safeguarding referral since the previous inspection and this had been appropriately concluded under the local authority safe guarding adult procedures. The manager explained that staff had received training in safeguarding vulnerable adults and awareness of safeguarding issues were also explained in the staff induction training. Grange (The) & Walton Cottage DS0000013656.V327704.R01.S.doc Version 5.2 Page 18 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): 24,25,26,27,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers a clean, comfortable and homely environment. Service users bedrooms reflect individuality. Communal areas, including bathrooms in the home were spacious, well decorated and maintained to meet the current needs of the service users. EVIDENCE: The homes continue to offer a homely, clean and comfortable environment. The staff on duty explained that over the weekend one of the boilers stopped working and as a result there was only heating on one side of the house at The Grange. It was noted that the home had been prompt to ensure that service users had adequate warmth by purchasing some freestanding radiators whilst the repairs were being undertaken. Grange (The) & Walton Cottage DS0000013656.V327704.R01.S.doc Version 5.2 Page 19 Both homes lounges and dining areas were spacious and well decorated. The home had purchased new dining tables and chairs, which offered service users the opportunity to choose to sit in small groups rather than around a large table. One service user showed the inspector their room and said they were happy with the colour and did not want it changed. The room contained personal possessions, which reflected their individuality and furniture of their choice. The Grange’s quiet room was being decorated during the site visit. Staff were observed to wear protective clothing, which included plastic aprons and gloves when supporting service users. Good hygiene was maintained in the kitchen area for example staff and service users washing their hands before preparing meals. Both homes have several bathrooms, showers and toilets all of which were in working order, clean and well decorated. Service users comments regarding their home included ‘ I have my own room, and having friends around’, ‘I like it next door, it’s good’, and ‘I like having my own key.’ The garden areas of both homes were well maintained and fully accessible to the service users. Grange (The) & Walton Cottage DS0000013656.V327704.R01.S.doc Version 5.2 Page 20 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): 32,34,35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offer a good induction and training development programme to ensure that staff are competent to support the needs of the service users. Further improvement is needed regarding staff recruitment practices to ensure the protection of service users. EVIDENCE: Comment cards received from service users relatives and friends included ‘ Our daughter has been at Walton Cottage for 4 years and although the caring staff were good when she started we feel that the current caring staff are a higher quality’, ‘Thank you to all concerned’, ‘Excellent care all round’; ‘The staff are well motivated and happy and this feeds through to the residents’. It was observed that the staff on duty were confident and competent in supporting and encouraging the service users. There was a sense of ease and service users spoke favourably about the staff. Grange (The) & Walton Cottage DS0000013656.V327704.R01.S.doc Version 5.2 Page 21 The home is currently employing sixteen staff four of which are senior care workers. The manager explained that the home has appointed a deputy manager who was also present during some of the site visit. Whilst sampling staffing records the inspector noted that the home has maintained staff recruitment practices to include evidence of a detailed person specification and job descriptions, short-listing criteria and interview records, to promote the homes equal opportunities policies and procedures to ensure the protection of service users. Two of three staff files sampled contained a lack of sufficient evidence to demonstrate that safe staff vetting practices including appropriate references and Criminal Records Bureaux checks (CRB) or POVA first checks had been obtained. The manager acted promptly following identification of this shortfall and advised both staff members on the telephone that they would be unable to work without the necessary checks. Following the inspection the manager contacted CSCI to advise that one staff member’s checks had been fully completed and the other checks were being sought. It has been required that the home must ensure that information including two written references, a full employment history with a satisfactory written explanation of any gaps in employment and Criminal Records Bureaux checks are obtained for all staff prior to the commencement of employment in order to ensure the protection of service users. Training records evidenced that the home have a planned training programme which includes mandatory training for example fire safety, moving and handling, food hygiene, health and safety including risk assessments. In addition specialist training was also available for staff, which included supporting people with behaviours that may test the service and awareness of insulin dependant diabetes. The manager explained that all staff were undertaking the Common Induction Standards and seven staff are commencing their National Vocational Qualification level 2 and 3. Staff spoken with during the inspection stated that they felt well-trained and equipped to do their work and that the home and management were supportive to their training needs. Grange (The) & Walton Cottage DS0000013656.V327704.R01.S.doc Version 5.2 Page 22 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 overall management of the home continues to be robust and service users and their representative’s views are considered. Health and safety arrangements are in place to ensure the service users safety and welfare. EVIDENCE: The management of the two homes has been maintained to provide a consistent, effective and happy atmosphere for the service users and staff. The registered manager is working towards achieving the registered managers award and Level 4 National Vocational Qualification in Care. A comment from a relative regarding the management of the home stated ‘we have nothing but praise for the way in which Miss Parveen Akram manages the establishments and looks after the residents’. Grange (The) & Walton Cottage DS0000013656.V327704.R01.S.doc Version 5.2 Page 23 The inspector observed that the office location had altered and was situated in Walton Cottage. The room is situated in a central position between the two homes and the service users and staff have access to the manager at all times. It was evident during the site visit that the service users were able to voice their opinions about the service and attend home meetings if they chose to. The home has a quality assurance process and the inspector sampled documents, which included areas such as care, facilities, comfort and surroundings, food and services, recreational and social activities. Written responses to the questionnaires included ‘…. has told us that she is very happy living in the home since she moved in’; ‘The care and attention….receives is very good to excellent’. ‘All staff are caring and confident’. One service user’s representative stated that they felt concerned regarding the busy road, advising that the hedge could be reduced or a fence erected. The inspector sampled a variety of health and safety records, which included water, fridge and freezer temperatures, accident and incident records, fire drills, practices and noted that the fire extinguishers had been serviced. In addition the Environmental Health Officer had recently inspected the home. Grange (The) & Walton Cottage DS0000013656.V327704.R01.S.doc Version 5.2 Page 24 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 3 4 3 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 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 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 X 3 X X 3 X Grange (The) & Walton Cottage DS0000013656.V327704.R01.S.doc Version 5.2 Page 25 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. 1 Standard YA34 Regulation 7,9,19 Schedule 2 Requirement The registered person must ensure that information including two written references, a full employment history with a satisfactory written explanation of any gaps in employment and Criminal Records Bureau checks are obtained for all staff prior to the commencement of employment in order to ensure the protection of service users. Timescale for action 26/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Grange (The) & Walton Cottage DS0000013656.V327704.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Grange (The) & Walton Cottage DS0000013656.V327704.R01.S.doc Version 5.2 Page 27 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!