Inspection on 01/02/06 for Grangewood

This inspection was carried out on 1st February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Grangewood 07/11/06

Grangewood 14/10/05

Grangewood 05/10/04

Grangewood 08/06/04

Similar services:

Coopers Mill Ltd

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Paradise Lodge

Upaya Ananda

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Pemdale

Beau Sejour

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

CARE HOME ADULTS 18-65 Grangewood 10/12 High Street Kelvedon Colchester Essex CO5 9AG Lead Inspector Andrea Carter Final Unannounced Inspection 1st February 2006 09:45a Grangewood DS0000017835.V284769.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Grangewood DS0000017835.V284769.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Grangewood DS0000017835.V284769.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Grangewood Address 10/12 High Street Kelvedon Colchester Essex CO5 9AG 01376 570208 01376 571739 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) SCOPE Mrs Marie Jones Care Home 19 Category(ies) of Learning disability (19), Learning disability over registration, with number 65 years of age (2), Physical disability (19), of places Physical disability over 65 years of age (2) Grangewood DS0000017835.V284769.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability who may also have a physical disability (not to exceed 19 persons) Two persons, aged 65 years and over, who require care by reason of a learning disability who may also have a physical disability, whose names were made known to the Commission in March 2003 14th October 2005 2. Date of last inspection Brief Description of the Service: Grangewood provides a residential service for younger adults and older people with disabilities associated with cerebral palsy. The home was originally registered as two buildings with the original seventeenth century house having two floors accommodating some service users with offices on the first floor. However, since the intended redevelopment of the site the service users are no longer accommodated in the older premises, as all now live within the purpose built one storey building adjacent to the older house. The premises had adequate wheelchair access. The single storey accommodation provides single bedrooms, one with en-suite and is split into two small units providing sitting and dining room spaces. The service users also benefit from a ground floor activity area. Car parking facilities are available and there is a large enclosed, well-maintained garden. The old building The Grange now provides a staff sleep-in room, guest flat, family room, staff and a service users training room. Grangewood DS0000017835.V284769.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one day. Fieldwork included discussion with the registered manager, case tracking individual service users files. Observation of care plans and associated policies and procedures. A tour of the unit and introduction to service users and staff was undertaken. During the inspection eleven national minimum standards were looked at with ten being met and one with a minor shortfall. One service user and one staff member was interviewed. Access to staff files contributed to the compilation of this report. What the service does well: What has improved since the last inspection? The service has updated its missing persons procedure to reflect current information. The service has informed staff of the need to complete incident reports with appropriate information. The service has upgraded one of its bathrooms and new flooring has been fitted to the shower room. This has enhanced the homely feel of these areas. Grangewood DS0000017835.V284769.R01.S.doc Version 5.1 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. Grangewood DS0000017835.V284769.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Grangewood DS0000017835.V284769.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were inspected during this inspection. EVIDENCE: Grangewood DS0000017835.V284769.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 and 7 Service users know their assessed and changing needs and personal goals are reflected in their individual plans. Service users make decisions about their lives with assistance as needed. EVIDENCE: Since the previous inspection the home has ensured the updating of information in relation to individuals care plans and related activities. Individual files sampled evidenced this. Feedback from the manager confirmed staff were aware of the appropriate information to include in incident forms. The records of three service users were inspected. The home has updated its care plan format since the last inspection. The new format contained excellent information around daily living and clearly identifies the preferences of all areas of living and participation. Associated risk assessments were current and reviewed with regularity. Annual review information sampled, evidenced the attendance of advocates to represent and support individual service users. Grangewood DS0000017835.V284769.R01.S.doc Version 5.1 Page 10 One file required a review of its service user information .The contents reflected a full assessment of the individuals and their personal choices. Grangewood DS0000017835.V284769.R01.S.doc Version 5.1 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): 12 13 and 16 Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users rights are respected and responsibilities recognised in their daily lives. EVIDENCE: The records sampled indicated a range of activities that service users participate in, both in house and within the community. Examples of activities include access to adult education courses, sports classes and social groups. On site activities include art, bible classes, cookery, drama and computer and record club. Currently no individuals are in paid employment. Key workers facilitate access to community resources, which include the library where videos and DVD’s are hired; 1-1 shopping trips locally and within the main town of Colchester. Included is access to the hairdresser’s and shopping Grangewood DS0000017835.V284769.R01.S.doc Version 5.1 Page 12 for personal items. One individual has an aromatherapy and massage session. Two service users attend church every Sunday. Weekends are a time of relaxation; individuals lay in, watch TV, and listen to music. The activities room is also open during the weekend. One individual service user was interviewed and appeared happy with their current placement, commented on her home visit and appeared content with the activities they were taking part in. Individuals within the home do vote and use the facility of postal voting. There is discussion within the service users meeting to establish individual views on whom to vote for. A cookery group takes place on a weekly basis to include menu planning, purchase of items and preparation of the meal itself. Observation of staff and service user interaction was positive and indicated a strong working relationship. Care plans sampled clearly evidenced the individuals rights are respected. Excellent information around personal preferences, for individual’s daily routine, is documented in detail within the plans. Grangewood DS0000017835.V284769.R01.S.doc Version 5.1 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): None of these standards were inspected during this inspection. EVIDENCE: Grangewood DS0000017835.V284769.R01.S.doc Version 5.1 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 and 23 Service users feel their views are listened to and acted on. . Service users are protected from abuse, neglect and self harm. EVIDENCE: The service has in place an appropriate complaints policy and associated procedure. This contains appropriate timescales for the process. Observation of the complaints file identified no complaints in this current inspection year and previous complaints had been dealt with effectively and within the appropriate timescales. Service users have individual leaflets presented in an appropriate format outlining the complaints procedure. The service has a robust and comprehensive policy around the protection of vulnerable adults. Staff are trained in this area and training records evidenced this. Supporting information is given to staff in the form of a leaflet to reinforce understanding and awareness. In 2005, 24 staff participated in a refresher to update their current knowledge in this specific area. Grangewood DS0000017835.V284769.R01.S.doc Version 5.1 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): 24 and 27 Service users live in a homely, comfortable and safe environment. Service users toilets and bathrooms provide sufficient privacy and meet their individual needs. EVIDENCE: The previous inspection identified the need for the flooring to be replaced in one of the bathrooms. This has been completed and one bathroom refurbished. This enhances the overall presentation of these areas and gives them a more homely feel. Two individual service users are on the homes health and safety committee, and advocate on behalf of the service user group for areas that require attention within the home. A second bathroom refurbishment is identified for April, and included in the budget. Observation of service users bedrooms indicated the individuality of their decor, furnishings and personal effects. Discussion with service users conformed the support received from key workers in respect of decoration and shopping for personal effects. Grangewood DS0000017835.V284769.R01.S.doc Version 5.1 Page 16 One individual’s room required attention to the external door. The wood presented as extremely rotten and needed attention to prevent drafts to the room. Grangewood DS0000017835.V284769.R01.S.doc Version 5.1 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): 32 and 34 Competent and qualified staff support Service users. Service users are supported and protected by the homes recruitment policy and practices. EVIDENCE: Two sets of staff records were inspected and one staff member interviewed. A full training programmed evidenced the homes commitment to staff training and development. All mandatory training was up to date. Currently eleven staff have completed NVQ Level II and six staff were working towards NVQ Level III. Two of the senior staff have the D32/D33 Assessors award. Recruitment records for a new member of staff evidenced that appropriate checks had been carried out. A basic induction had been completed and their mandatory training was up to date, recent course attendance included first aid, health and safety, manual handling and dealing with complaints. The staff member interviewed had commenced employment with the service six months previously they outlined the guidance and support received in respect of their role which included shadowing existing staff. Grangewood DS0000017835.V284769.R01.S.doc Version 5.1 Page 18 The person had undertaken a full induction and fell supported by the management. Attendance at regular staff meetings enables any issues to be raised, this, along with regular supervision provides a sound network of communication and information sharing across the service. Grangewood DS0000017835.V284769.R01.S.doc Version 5.1 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): EVIDENCE: Grangewood DS0000017835.V284769.R01.S.doc Version 5.1 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 X 3 X 4 X 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 3 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 X 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 2 X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 3 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X x X X X X X X X Grangewood DS0000017835.V284769.R01.S.doc Version 5.1 Page 21 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 YA7 Regulation 15(2)(b) Requirement The registered manager must ensure that the service users care plan is kept up to date and reviewed regularly. The registered manager must ensure that the premises are kept in a good state of repair. This relates specifically to the service users external bedroom door. Timescale for action 30/04/06 2 YA24 23(2)(b) 30/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Grangewood DS0000017835.V284769.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Grangewood DS0000017835.V284769.R01.S.doc Version 5.1 Page 23 - 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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