Inspection on 11/03/08 for Grange View

This inspection was carried out on 11th March 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Grange View 04/12/08

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

Pennine Camphill

Muston Road (70)

Grayling

The Cornerstone

John Street Nursing Home

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

CARE HOME ADULTS 18-65 Grange View 69 Grange Lane Maltby Rotherham South Yorkshire S66 7DN Lead Inspector Sarah Powell Key Unannounced Inspection 11th March 2008 15:45p Grange View DS0000069530.V360898.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 View DS0000069530.V360898.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 View DS0000069530.V360898.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Grange View Address 69 Grange Lane Maltby Rotherham South Yorkshire S66 7DN 01709 817 963 NONE 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) Moorcroft Care Homes Ltd Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Grange View DS0000069530.V360898.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following category: Learning disability - Code LD The maximum number of service users who can be accommodated is: 3 22/05/2006 2. Date of last inspection Brief Description of the Service: Grange View is a small home providing personal care and accommodation for two adults who have learning disabilities. The house is situated on one of the main bus routes into Maltby. It is in walking distance of Maltby centre and has the advantages of a good selection of shops and supermarkets. The house is an end terraced property with two main bedrooms and two second bedrooms one of which is used as a staff sleeping in room and the other has been converted in to an activity room. The communal areas are a living room with TV, a separate dining room leading into a kitchen with utility facilities and a shower/WC adjacent. There is a bathroom on the first floor with WC. Residents have access to a rear garden that is fenced off from the neighbours. The fees at Grange View were £525 per week but this will vary depending on the needs of the people so for further information contact the home. The registered person makes information about the service available to residents and their families via the Statement of Purpose, and the Service User Guide. Grange View DS0000069530.V360898.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means that the people who use this service experience adequate quality outcomes. This was an unannounced visit, which took place on 11 March 2008, it commenced at 15:45 hours and finished at 19:15 hours. The visit included talking with people living at the home, the manager and one member of staff. We looked around the home to gain an overview of the facilities and we checked a number of records. We had received information from the provider during the registration process and had met with the provider on a number of occasions. This was to discuss the home and the needs of the people to determine management cover and staffing numbers. We did not therefore request the manager complete an annual quality assurance assessment (AQAA) for this visit as this would have repeated the information we had already received What the service does well: What has improved since the last inspection? This is the first inspection with new providers in place. The new provider/manager was in the process of reviewing all care plans ensuring a person cantered plan and health action plan was in place for people to ensure all needs were identified and met. Grange View DS0000069530.V360898.R01.S.doc Version 5.2 Page 6 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 View DS0000069530.V360898.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 View DS0000069530.V360898.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): 2 People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People in the home had their needs assessed prior to moving into the home to ensure they could be met. EVIDENCE: The two people at Grange View have lived there a number of years, however suitably qualified staff carried out the pre admission assessments. The assessments were very detailed with all the needs identified, ensuring that the home could meet their needs. Grange View DS0000069530.V360898.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 & 9. People who use the service experience adequate outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person in the home had a plan of care with, however not all needs were identified. People were treated with respect, were able to make some decisions about their lives and take risks as part of an independent lifestyle. EVIDENCE: People’s plans of care were looked at in detail, the assessments were good and gave a clear overview of the persons needs, however the care plans did not address all the needs. The new acting manager was aware that the plans required reviewing and all needs identifying and told us she would have this completed by the end of April 2008. The new provider had liaised with social services and had social care assessments completed, which at the time she procured Grange View these Grange View DS0000069530.V360898.R01.S.doc Version 5.2 Page 10 were out of date. This showed people were appropriately placed for their needs to be met. It also showed commitment by the new providers to meet their needs. Risk assessments were in place however these also did not cover all potential risks, or any restrictions on choice and freedom due to the people’s learning disabilities. This put the people at risk of possible harm. During the visit we observed the staff treating the people with respect and respected peoples rights to make decisions. This was not always clearly documented in the plans of care. It was not clear in records seen who makes the decisions and why and thus did not demonstrate individual choices. Grange View DS0000069530.V360898.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): 12, 13, 15, 16 & 17 People who use the service experience adequate outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Leisure activities were accessed but not clear if choice was available. Good family links maintained. People were not always offered a healthy balanced diet. EVIDENCE: The two people attend day centres Monday to Friday from 9am – 4pm, this is an important part of their lives and well liked by both people. One person said, “I like the centre I have lots of friends”. Grange View DS0000069530.V360898.R01.S.doc Version 5.2 Page 12 There was evidence to indicate that community links were maintained and that the people were well integrated into the community. There was a good relationship maintained with the neighbours and the wider community that had a positive effect on people. Staff told us, “One person has a friend who lives further down the street, who she sees regularly”. Staff told us friends and relatives were always made welcome and there were facilities for people to have visitors to the house, they were able to choose who to see and when to see them. One person sees her family every weekend, which maintains good family links for her. Grange View is situated close to the village centre, people were able to walk or get a bus there for shopping trips, or visit for a meal or go to the pub. The people have enjoyed many trips out but staff told us shopping remains the favourite activity for them. It was not clear that people had choices regarding activities, all activities included both people, there was not any choice to do an activity on a one to one basis with the staff thus may not meet peoples needs. The new provider was aware that all activities were carried out as a group and the need to ensure peoples choices were obtained and respected. She told us that she would organise picture boards showing different activities so people were able to choose what they wanted to do. If this were different things, this would be accommodated to ensure people’s needs were met. The people have a meal at the day centre, however the staff we spoke to were not aware of what food they had at the centre. The evening meal was observed during the visit, it was a convenience meal with no vegetables and no choice. A menu was displayed in the kitchen showing the majority of the food was ready meals. The diet offered was not healthy or balanced. The staff cooked the meal and did not ask the people to be involved in this process this did not meet peoples needs. The provider told us that a healthy balanced diet was provided and that they have introduced communication books, with the agreement of the day centre management, so that people’s meals can be more closely monitored, with centre staff documenting their meals as evidence of their nutritious overall diet. The provider also told us the people were given choices and fresh fruit and vegetables were available. Grange View DS0000069530.V360898.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 adequate outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Personal support is sensitive and flexible and most health care needs are met. Medication policies and procedures were good. EVIDENCE: Personal support is provided in a way the people who live at the home prefer and the support observed during the visit was sensitive and appropriate meeting people’s needs. Health care needs of the people were assessed and staff were aware of their needs, however these were not clearly documented in the plans of care. The new provider was aware of this and was liaising with the learning disability unit in Rotherham to implement person centred plans for the people to ensure there needs were met. Grange View DS0000069530.V360898.R01.S.doc Version 5.2 Page 14 Medication procedures were very good safeguarding the people. Medication was documented on receipt, administration and disposal. Staff spoken to were aware of correct procedures to follow to ensure accurate records were maintained to safeguard the people. Grange View DS0000069530.V360898.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 outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a good complaints procedure and a robust adult safeguarding policy. EVIDENCE: There was a clear complaints procedure in operation and no complaints had been received since the last inspection. There was a good policy and procedure on adult safeguarding. The old Rotherham council Adult safeguarding Procedures were available, however the new ones had not yet been obtained. The provider told us she would get a new copy before the end of the week. This would give the up to date information for staff to ensure people were safeguarded. Staff told us they were aware of the correct procedure to follow should an allegation be made to safeguard the people. Grange View DS0000069530.V360898.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 & 30 People who use the service experience adequate outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment was in need of re-decoration. The standard of cleanliness observed was satisfactory. EVIDENCE: We looked around the house to check the standard of the environment. All rooms needed some minor remedial work and re-decoration to meet an acceptable standard for the people. Wallpaper was peeling off walls, paintwork was chipped and damaged, furniture broken and a wall tile in the bathroom was broken this did not provide a comfortable environment for the people. The new provider was aware the state of the decoration was not acceptable and had planned maintenance and re-decoration programme. This was due to be implemented concentrating on one room at a time involving the people in choices to ensure their needs were met. Grange View DS0000069530.V360898.R01.S.doc Version 5.2 Page 17 The standard of cleanliness observed during the visit was satisfactory, providing a clean environment for the people. Grange View DS0000069530.V360898.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): 32, 34 & 35. People who use the service experience adequate outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Not all staff were appropriately trained to meet peoples needs. Recruitment procedures were robust and protected people. EVIDENCE: There was an effective staff team with sufficient numbers and skills to support the people and meet their needs. The new provider is also managing the home and will be there some evenings each week to ensure she sees the staff and people. During this time a support worker will also be on duty ensuring some evenings two staff will be present, so if people wish to do something individually it was possible, ensuring their needs were meet. This is a new arrangement as previously there has only been one staff member on at all times, which didn’t always meet people’s needs. Recruitment procedures were robust, two staff files were looked at and they contained all the required information ensuring people were protected. Grange View DS0000069530.V360898.R01.S.doc Version 5.2 Page 19 The new providers had identified that staff Criminal record bureau checks had been carried out a number of years previous, and were aware as a new provider they were required to submit these checks again. The providers will do this over the next four months, a few staff each month to ensure people are protected. Staff training was not up to date so individual’s joint needs were not met by appropriately trained staff. All staff were doing adult safeguarding training at the time of the visit. The provider had identified some appropriate courses for other mandatory training and was to ensure all staff were updated to meet people’s needs. Grange View DS0000069530.V360898.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, 39 & 42. People who use the service experience adequate outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s views are sought and the home is well run. Health and safety policies are robust to protect people. EVIDENCE: The new provider has applied to be the registered manager this is currently with Commission for Social Care Inspection’s registration team being processed. The provider was asked to clarify a number of points before this was approved which she had done this was to ensure peoples needs were met by the arrangements. Grange View DS0000069530.V360898.R01.S.doc Version 5.2 Page 21 The provider was qualified and experienced to run the home, as she had previously been a registered manager. The provider/manager needs to ensure she increases the user focus and provides person centred care to ensure people benefit from a well run home and their needs are met. The new provider at the time of the visit had not devised quality monitoring systems, however she was aware these needed to be implemented to ensure peoples views underpinned development of the home. The home had a comprehensive health and safety policy. We were able to evidence that regular maintenance of equipment and systems was carried out. Risk assessments were carried out on all safe-working practices, regular audits were carried out on the building and all accidents were properly recorded and reported ensuring people in the home were safeguarded. Grange View DS0000069530.V360898.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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 3 x 2 X 2 X X 3 x Grange View DS0000069530.V360898.R01.S.doc Version 5.2 Page 23 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. 2. 3. 4. 5. Standard YA6 YA7 YA9 YA17 YA24 Regulation 15 12 13 16 23 Requirement All needs must be identified and documented in the plans of care. People’s decisions must be documented in their plans of care. All risks must be identified for people and risk assessments in place in their plans of care. A health, nutritious, balanced diet must be provided for people. A maintenance and renewal programme must be implemented to ensure the environment is well maintained. All staff must receive mandatory training to ensure they are appropriately trained to meet people’s needs. Effective quality monitoring systems must be implemented to ensure people’s views underpin the home’s development. Timescale for action 01/05/08 01/05/08 01/05/08 01/05/08 01/05/08 6. YA35 12 01/08/08 7. YA39 33 01/06/08 Grange View DS0000069530.V360898.R01.S.doc Version 5.2 Page 24 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. 2. Refer to Standard YA32 YA39 Good Practice Recommendations 50 of staff must be trained to NVQ level 2 in care to ensure people are supported by competent staff. It is recommended that regulation 26 visits are sent to the inspector for a period of six months to check progress with the new providers. Grange View DS0000069530.V360898.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection 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 View DS0000069530.V360898.R01.S.doc Version 5.2 Page 26 - 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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