Inspection on 04/12/08 for Grange View

This inspection was carried out on 4th December 2008.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Grange View 11/03/08

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 27/02/2009.

CARE HOME ADULTS 18-65 Grange View 69 Grange Lane Maltby Rotherham South Yorkshire S66 7DN Lead Inspector Sarah Powell Key Unannounced Inspection 4 & 9th December 2008 10:30 th Grange View DS0000069530.V373408.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.V373408.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.V373408.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 Mrs Maureen Elizabeth Spencer Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Grange View DS0000069530.V373408.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 11th March 2008 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 £550 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.V373408.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 4th and 9th December 2008 the first day commenced at 10.30 and finished at 14.30. The second day commenced at 10.25 and finished at 12.00, a social worker was also at the home on the second day reviewing a client. The visit included talking with relatives, the manager, the provider and health care professionals. We looked around the home to gain an overview of the facilities and we checked a number of records. The manager and provider had not implemented the plans of care, however she was consulting with Rotherham councils learning disability team to address these issues. When they are fully addressed it is anticipated that the star rating should improve at the next inspection The registered manager completed an annual quality assurance assessment (AQAA) and returned this prior to the visit this focuses on how well outcomes are being met for the people using the service. It also gives us some numerical information about the service. Following the visits feedback was given to the manager and provider. What the service does well: Full assessments were undertaken on all people to ensure their needs could be met. Risk assessments were in place and people were able to take risks as part of an independent lifestyle. Good community links were maintained and 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. The home had a good complaints procedure and a robust adult safeguarding policy. Staff training was up to date. Recruitment procedures were robust protecting people who lived at the home. Grange View DS0000069530.V373408.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 View DS0000069530.V373408.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.V373408.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: All people had a full assessment of needs in their plans of care, which were comprehensive and clearly detailed the needs of the person to ensure the home could meet these needs. Grange View DS0000069530.V373408.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 full assessment of needs, however plans had not been generated from this. People were treated with respect, were able to make some decisions about their lives and take risks as part of an independent lifestyle. EVIDENCE: Plans of care were not in place, they had not been generated from the care management assessment or the assessments carried out by staff at grange view. The care to be delivered to meet peoples current and changing needs had not been identified. Grange View DS0000069530.V373408.R01.S.doc Version 5.2 Page 10 Person centred plans had not been developed which would ensure peoples aspirations and goals were identified. Health action plans were also not provided. The lack of information did not ensure people’s needs were met. This was discussed in detail at the first visit with the manager and provider. At the second visit the manager had drafted a number of plans, we looked at these they were comprehensive and gave details of how care was to be delivered to meet peoples needs. The manager told us she would complete a full plan of care for both people who lived at grange view. This would ensure all their needs were identified and met. She also told us that she would contact the learning disability team to get assistance with the person-centered plans and health action plans. Rotherham Councils contract and monitoring team had visited the home, they had also identified these issues, we spoke to the contract and monitoring manager who assured us that assistance would be given to the manager to ensure person centred plans and health action plans were developed. Risk assessments were in place and identified risks and identified actions to be taken to reduce the risks. People were able to take risks as part of an independent lifestyle to ensure their needs were met. Grange View DS0000069530.V373408.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 good 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 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. 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. The manager told us one person still regularly saw her friend who lives further down the street. Grange View DS0000069530.V373408.R01.S.doc Version 5.2 Page 12 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 still remains the favourite activity for them. It was not clear that people had choices regarding activities, most activities still included both people, there was limited choice to do an activity on a one to one basis with the staff this may not always meet peoples needs. The manager told us this would be covered and reviewed when the person centred plans were completed to ensure people’s needs are identified and met. The manager has reviewed the meals and menus and had improved the food provided, this had been in consultation with people and relatives to ensure peoples choices were considered. We looked at the menus they were much improved with fresh vegetables and meat used. There was fresh fruit and vegetable available on the day of the visit. Grange View DS0000069530.V373408.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 were met. Medication policies and procedures were good. EVIDENCE: Health care needs of the people were assessed and staff were aware of most peoples needs, however these were not documented in plans of care. The Manager told us that when the plans are generated from the assessments health care needs will be identified and actions documented on how to meet those needs. Person centred plans will also be developed to further ensure peoples needs and choices are identified and addressed. One person told us that their relative was well looked after and following better communication staff had improved many things to ensure her needs were met. Grange View DS0000069530.V373408.R01.S.doc Version 5.2 Page 14 Medication procedures were good safeguarding people. Medication was documented on receipt, administration and disposal. However the amount received required a signature on the medication administration record. Medication totals including what was carried over from the previous month were not recorded on the chart, this would if documented reduce errors and safeguard people. Staff we spoke to were aware of correct procedures to follow to ensure accurate records were maintained to safeguard the people. Grange View DS0000069530.V373408.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 had a good complaints procedure and a robust adult safeguarding policy. EVIDENCE: There was a clear complaints procedure in operation. The manager had received one complaint since the last visit. The complaint had been dealt with appropriately and investigated and the manager was in the process of responding to the complainant to ensure their views had been listened to. There was a good policy and procedure on adult safeguarding. One safeguarding referral had been received and was currently being investigated it was alleging financial abuse. An investigating officer had been appointed and was at the home at the time of our second visit, she told us she was happy with the finances and felt the provider’s had safeguarded the person. Staff told us they were aware of the correct procedure to follow should an allegation be made to safeguard the people. Grange View DS0000069530.V373408.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 good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environmental standards had improved and cleanliness was good. EVIDENCE: The standard of cleanliness throughout the home was good and all routine maintenance was carried out. Since the last inspection most rooms had been redecorated. A new shower had been installed downstairs and the room re-decorated which provided a much-improved environment for the people. Some furniture still required replacing as it was damaged the manager was aware of this and intended to replace the damaged furniture. A new threepiece suite had already been provided in the lounge. Grange View DS0000069530.V373408.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35. 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. Staff training was up to date. Recruitment procedures were robust protecting people who lived at the home. EVIDENCE: We looked at all staff training files, only three care staff are employed at grange view, records were good and most training had been carried out. One member of staff was still to do fire safety training, at the second visit the manager had arranged for this training and a date was organised to ensure people’s needs were met. A selection of staff personnel files were looked at, they contained all the required information and checks to ensure people were protected. Grange View DS0000069530.V373408.R01.S.doc Version 5.2 Page 18 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 good 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 registered manager is competent and qualified to run the home, she had completed her Registered Managers Award. The new providers had introduced a good quality monitoring system based on seeking people’s views. Regulation 26 visits were carried out to ensure people’s views underpin development in the home. Grange View DS0000069530.V373408.R01.S.doc Version 5.2 Page 19 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.V373408.R01.S.doc Version 5.2 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 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 1 2 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 1 3 X 3 X 3 X X 3 X Grange View DS0000069530.V373408.R01.S.doc Version 5.2 Page 21 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA6 Regulation 15 Requirement All people’s needs must be identified and documented in their plans of care to ensure their needs are met. Revised requirement old timescale 01.05/08 People’s decisions about their live must be documented in their plans of care to ensure people are supported to make decisions about their own lives, this could be addressed through the person centred plan. Revised requirement old timescale 01.05/08 People’s health care needs must be identified and assessed and procedures put in place to address them. Timescale for action 01/04/09 2. YA7 12 01/04/09 3. YA19 12 01/04/09 Grange View DS0000069530.V373408.R01.S.doc Version 5.2 Page 22 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA20 Good Practice Recommendations It is recommended that the medication received is signed for on the medication administration record and any medication carried over from the previous months supply is carried over to the new chart with amounts and totals documented to prevent errors and safeguard people. Grange View DS0000069530.V373408.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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.V373408.R01.S.doc Version 5.2 Page 24 - 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!