Inspection on 03/11/05 for Grange (The) & Walton Cottage

This inspection was carried out on 3rd November 2005.

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

Grange (The) & Walton Cottage 12/02/07

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 Announced Inspection 3rd November 2005 09:00 Grange (The) & Walton Cottage DS0000013656.V263977.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Grange (The) & Walton Cottage DS0000013656.V263977.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Grange (The) & Walton Cottage DS0000013656.V263977.R01.S.doc Version 5.0 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.V263977.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 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 WALTON COTTAGE: 1 RESIDENT MAY BE OVER THE AGE OF 40 YEARS TWO RESIDENTS WITH A LEARNING DISABILITY MAY ALSO HAVE A MENTAL DISORDER 23rd May 2005 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 undergone refurbishment and an extension to the existing property to provide eight single bedrooms two downstairs and six upstairs. A large spacious room has been built on the ground level at Walton Cottage to provide space for in house activities for residents if they choose and an activities room for snooker. Both houses have a lounge, dining room, kitchen and laundry facilities and staff room. Additionally The Grange has a small quiet room and small office. There is off street parking and the rear gardens are attractive and easily accessible to residents all of whom are mobile. Each property is furnished to a high standard and offers a comfortable, clean and homely environment. Grange (The) & Walton Cottage DS0000013656.V263977.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection was conducted over 4 hours. Several residents were at home during the inspection and talked enthusiastically about their lifestyles, hobbies, aspirations and summer holidays. The inspector also met with one resident’s relative who spoke favourably of the home. Written comments received from the residents, their friends, relatives and health care professionals have been included within the report. The main focus of the inspection was to ascertain that the previous requirements and standards not assessed during the unannounced inspection in May 2005 had been met. The inspection and also sampled a variety of documentation including resident care plans, policies and procedures, risk assessments and financial records. The CSCI would like to thank the residents and staff for their hospitality throughout the inspection. What the service does well: The home continues to offer a relaxed friendly and supportive atmosphere in the home in order to support the residents to feel that the home is their own and they are supported in a safe way to make choices and have freedom. The home promotes and uses a variety of methods of communication. Several residents are skilled in using computers, web cams, the Internet and also email. Theses methods of communication are encouraged and supported to maintain links with friends and family and also for residents to email each other in the home. The use of photographs and pictorial aids was noted as continuing to be a commendable source of communication in the home. The residents comments received by the inspector stated ‘ I like living here’; ‘The staff help me’ ‘I like my bedroom’; ‘I have friends here’. Comments received from friends and relatives included ‘ I am absolutely delighted with all the aspects of care- need I say more’. ‘The home staff make the needs of the residents paramount’. The high standard of thought, cleanliness and consideration to the environment and lives of the residents in both homes continues to be maintained. The home operates a robust recruitment and selection procedure to ensure the safety and protection of residents. Staff receive ongoing training including achievement of NVQ, LDAF and all mandatory training to ensure a sound knowledge and competency of their roles and responsibilities. Grange (The) & Walton Cottage DS0000013656.V263977.R01.S.doc Version 5.0 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. Grange (The) & Walton Cottage DS0000013656.V263977.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Grange (The) & Walton Cottage DS0000013656.V263977.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,5. The home continues to offer very good information including the terms and conditions of residency to enable prospective residents to make an informed choice about whether they wish to live in the home. EVIDENCE: The Service Users Guide and Statement of Purpose includes plain English in large print, attractive photographs and is also available on audiotape in order that residents can have a fuller understanding about the home and what it offers. The inspector sampled a resident’s care plan recently admitted to the home. The records included a clear documented description of the terms and conditions of the home. Grange (The) & Walton Cottage DS0000013656.V263977.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,8,10. The continued philosophy of the home is based on residents having informed choice, maintaining daily living skills and being free to live their lives safely and with support where needed. At the time of the inspection there was evidence that this philosophy was being promoted and achieved. EVIDENCE: The home continues to offer a commendable standard with regard to the thought and effort that has been made to develop and maintain the individual resident care plans and risk assessments. The inspector sampled a care plan of a person recently admitted to the home, which contained step-by-step guidelines, including photographs, to assist the resident in achieving their daily living skills and goals. Each goal was reviewed daily and comments documented by staff how the goal was being achieved. The care plan also included comprehensive guidance in supporting the resident when they were distressed and needing additional staff support. The inspector noted that the residents care plan had been signed by them and their named key worker. Grange (The) & Walton Cottage DS0000013656.V263977.R01.S.doc Version 5.0 Page 10 Each care plan includes a confidentiality statement, which the resident signs to agree who has access to their records and for what reasons. The inspector received comments from the relatives of the person, which included ‘Every effort was made to help…in settling down even a house warming party thrown in their honour’. The inspector was shown photos of the house warming part, which included family and friends and the food, which the resident had cooked. The home has residents meetings, which evidenced from the minutes, are well attended. Topics for discussion have included making decisions about changing the kitchen duties around to give everyone an opportunity to help preparing the Sunday lunch as a lot of residents enjoy cooking, encouragement regarding keeping fit for example swimming and also discussion regarding the housekeeping and duties for days spent at home. The meeting minutes evidenced that the home had provided residents with opportunities to travel abroad or stay in the UK for holidays. Two groups had gone separately to Portugal and another to Tenerife. For those residents who did not wish to fly by aircraft spent a holiday in the UK. Grange (The) & Walton Cottage DS0000013656.V263977.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 14, 17. The home continues to promote and encourage social activities, leisure pursuits and opportunities for new interests and activities. The residents take part in the running of their home and enjoy a varied and well-prepared diet. EVIDENCE: During the inspection the inspector met with a resident and their relative. The resident enthusiastically told the inspector about the home, their friends and what they were doing. . It was evident that they were comfortable and relaxed in the home and enjoyed good relationships with staff. The residents meeting minutes evidenced that residents were involved in the housekeeping duties in the home. There were acknowledgements and support from staff about the duties in the house and encouragement to keep up the good work. Comments received from the residents regarding their home included ‘ I like writing, watching television and making friends’; ‘ I like going to Lockwood and doing groups there’; ‘I like the staff, food, games, my room and the residents’; Grange (The) & Walton Cottage DS0000013656.V263977.R01.S.doc Version 5.0 Page 12 ‘ I like living here;’ ‘I can go out to pubs, clubs and there are good people living here’. The new extension at Walton Cottage has now been opened and includes a large and spacious room. The aim of the facility is to offer residents stimulating and meaningful activities and opportunities to compliment other areas of their lives. The facility offers a dedicated member of staff who supports residents to use the computers, web cam, craft making, painting and offers one to one support on home days. One comment card from a relative described the new facility used for additional educational and leisure as ‘ indeed a bonus and my relative has made great progress with their numeric and literary skills’. The inspector was told that the home was organising a Western theme party for Christmas and as part of the preparation the residents were designing costumes and gaining ideas from borrowing books from the library. The home encourages social activities and celebrates various festivals one of which was evidenced by photos of a recent Halloween party where staff and residents dressed up and took part in grisly games! The inspector shared lunch with one resident and staff and the light meal served in the dining room was appetising, well presented and met the residents needs. It was noted that one resident was attending to the washing up and clearing the tables after their meal. The Registered Manager showed the inspector that the home had recently purchased a picture board menu which includes photos of food and which the residents can complete each day. The picture board also includes nutritional values of meals, which will support residents in their healthy eating plans. The resident meeting minutes included discussion regarding changing menus and finding out if peoples choices and tastes had changed. Opportunities to try different meals were included in the discussions and alternatives offered. Grange (The) & Walton Cottage DS0000013656.V263977.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21. The personal and health care needs of the residents are met and appointments attended clearly documented. The home operates a safe and efficient system for the administration of medication. Support and understanding is acknowledged regarding residents final affairs. EVIDENCE: The preferences and support residents require are clearly documented in the individual care plans and include agreed working practices by staff in order to support residents in a consistent way. The care plans sampled by the inspector indicated that the residents have support from health care professionals, which includes, district nurses, chiropodist, G.P. dietician and specialist consultants and a clear audit of appointments is fully documented. A recent medication audit had been conducted by the dispensing chemist and concluded that the overall standard of he administration/storage and recording of medicines was satisfactory. Recommendations for improvements were made and have been attended by the home. The home has a death and dying policy and procedure and the home as sensitively supported the bereaved family and friends of a resident who was a resident at the home. Grange (The) & Walton Cottage DS0000013656.V263977.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22. The complaints policy has been updated following the previous inspection. EVIDENCE: The residents comment cards indicated that that residents would speak to their relatives or staff if they were unhappy. The inspector was advised that no complaints had been received by the home. Grange (The) & Walton Cottage DS0000013656.V263977.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 25,27,30. The high standard of thought, cleanliness and consideration to the environment and lives of the residents in both homes continues to be maintained. EVIDENCE: One resident offered to show the inspector their bedroom, which was personalised, included photos family and friends and had a variety of comfortable furniture and fittings, personal belongings, ornaments of interest and leisure equipment. The resident told the inspector that they liked their room and enjoyed spending time in there. Comment cards from residents stated ‘I have a big room and I have plans on the wall’; ‘I can watch videos in my room’; ‘I like my room’. Several residents comment cards stated ‘I don’t like not getting on with other residents’ and ‘its not good when residents argue’; ‘ I don’t like people who are bossy’. The standard of cleanliness and maintenance of the home continues to be high offering residents a homely and comfortable environment. Finishing touches had been undertaken regarding the new extension at Walton Cottage and included the levelling of the floor in the hallway and rebuilding the external patio at the Grange. Grange (The) & Walton Cottage DS0000013656.V263977.R01.S.doc Version 5.0 Page 16 Grange (The) & Walton Cottage DS0000013656.V263977.R01.S.doc Version 5.0 Page 17 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): 34, 35. The home operates a robust recruitment and selection procedure to ensure the safety and protection of residents. Staff receive ongoing training including achievement of NVQ, LDAF and all mandatory training to ensure a sound knowledge and competency of their roles and responsibilities. EVIDENCE: Comments received from relatives, friends and health care professionals regarding the home included ‘ The staff have always behaved in a very professional and courteous manner and their liaison with me has been consistent.’ ‘ We have known the Grange and Walton Cottage for 12 years. ….is well looked after and very happy’; our relative ‘has friends and staff are very supportive and caring’; ‘ I have had positive experiences in terms of the service and support provided at the Grange and Walton Cottage’; ‘ the team are very committed’; ‘ the nature and quality of the service that is provided is commendable’. One resident told the inspector ‘ I like the staff working here’. The inspector sampled two files of staff recently recruited and noted that a robust recruitment and selection procedure had been followed in order to ensure the protection and wellbeing of residents. The staff are proactive in achieving their NVQ in Promoting Independence with the NVQ assessor visiting the home on a regular basis to set up workshops and do assessment observations. Staff also undertake the Learning Disability Grange (The) & Walton Cottage DS0000013656.V263977.R01.S.doc Version 5.0 Page 18 Award Framework (LDAF) Induction and Foundation Training and all statutory training. Grange (The) & Walton Cottage DS0000013656.V263977.R01.S.doc Version 5.0 Page 19 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): 40,41,42,43. The Management of the home continues to be efficient and effective. The policies and procedures of the home including finance and health and safety were robust. EVIDENCE: One comment stated ‘The quality of care and management of the home is excellent’. The policies and procedures of the home are robust and have been reviewed. The Registered Manager continues to update her training and has recently attended a Dementia and Downs Syndrome training course. Train the Trainer Course (fully certified) and has undertaken a six month programme in Autism which will be incorporated into the staff training programme in the home. She has also nearly completed the NVQ Level 4 Registered Managers Award. The inspector sampled the homes arrangements for safeguarding the resident’s financial affairs. A robust system was in place that is managed efficiently by the Registered Manager and appointed staff. Grange (The) & Walton Cottage DS0000013656.V263977.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x 3 x 3 Standard No 22 23 Score 3 x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 x 3 x 3 Standard No 24 25 26 27 28 29 30 STAFFING Score x 3 x 3 x x 3 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 3 15 x 16 3 17 Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Grange (The) & Walton Cottage Score x 3 3 3 Standard No 37 38 39 40 41 42 43 Score x x x 3 3 3 3 DS0000013656.V263977.R01.S.doc Version 5.0 Page 21 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. Refer to Standard Good Practice Recommendations Grange (The) & Walton Cottage DS0000013656.V263977.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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. 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