Inspection on 21/02/06 for Granville

This inspection was carried out on 21st 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 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Granville 07/02/07

Granville 12/10/05

Granville 13/12/04

Granville 16/07/04

Granville 06/02/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Granville 10 Victoria Road Ellesmere Park Eccles Manchester M30 9HB Lead Inspector Richard Dankwa Unannounced Inspection 21 February 2006 11:45 st Granville DS0000038835.V281572.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 Granville DS0000038835.V281572.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. Granville DS0000038835.V281572.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Granville Address 10 Victoria Road Ellesmere Park Eccles Manchester M30 9HB 0161 789 1041 0161 789 7096 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) City of Salford Community & Social Services Ms Francine Laurukenas-Sproston Care Home 12 Category(ies) of Learning disability (0), Learning disability over registration, with number 65 years of age (0) of places Granville DS0000038835.V281572.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The number of service users accommodated for personal care only at any one time shall not exceed 12 service users whose primary reason for needing care is learning disability, but who may also have associated physical disability. Service users are accommodated for a maximum stay of three weeks. The service should, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. That dependency levels of service users are assessed on a continuous basis and staffing levels adjusted where appropriate to ensure continued compliance with the Residential Forum`s guidance on `Care staffing in Care Homes for Younger Adults`. 12th October 2005 2. 3. 4. Date of last inspection Brief Description of the Service: Granville is a residential care home operated by Salford Social Services. The home provides respite care for up to twelve (12) adults with learning disabilities. The home is situated in a residential area of Eccles in a large Victorian house. The house has been adapted for the purpose of providing respite care. The grounds offer secure landscaped gardens to the side and rear of the property. The garden to the rear is fully enclosed. Internally, there are large communal lounges and dining areas offering spacious and suitable furnished facilities. Accommodation is offered in single rooms. Three bedrooms are adapted for wheelchair users. There are adaptations in the bathrooms that allow assisted bathing. Placements are booked three months in advance and the maximum stay for a service user is three weeks at a time. Granville DS0000038835.V281572.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on the 21 February 2006. The deputy manager was present during the inspection. The opportunity was taken to speak to the service users present. The general condition of the home was inspected and a sample of the paperwork kept at the home was examined. The majority of the areas needing improvement during the previous inspection had been carried out. Some areas needing improvements were identified during this inspection. The Commission for Social Care Inspection did not look at all the standards during this inspection so this report should be read together with the previous one to get a better picture of the service being provided by Granville Care Home. What the service does well: 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. Granville DS0000038835.V281572.R01.S.doc Version 5.1 Page 6 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 Granville DS0000038835.V281572.R01.S.doc Version 5.1 Page 7 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): 5. All service users have a contract and also terms and conditions with the home. EVIDENCE: There was evidence of contracts on each individual service user’s files. The contracts were between the service users, Salford Social Services and the home. There was up to date Service User Guide in place that was issued to all service users and this contained the term and conditions of the home. Granville DS0000038835.V281572.R01.S.doc Version 5.1 Page 8 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. Service users’ changing needs and personal goals are reflected in their individual care plans. EVIDENCE: All service users had care plans in place that allowed the staff to support them appropriately. The care plans were being reviewed and are on-going. The care plans included religious and cultural needs of the residents, eating and drinking, communication, socializing, medication, safety, emotion and health. Granville DS0000038835.V281572.R01.S.doc Version 5.1 Page 9 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): These outcomes were not looked at as they were fully met during the previous inspection. EVIDENCE: Granville DS0000038835.V281572.R01.S.doc Version 5.1 Page 10 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): 20. The home had policies and procedures in place for deal with the administration and handling of medication. EVIDENCE: The home had policies and procedures in place for dealing with medication. There is a new procedure in place that informs service users and their representatives to ensure that all medicines are brought to the home in their original container. The deputy manager said that medicines that are not in their original containers would be returned and not administered. Granville DS0000038835.V281572.R01.S.doc Version 5.1 Page 11 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): 23. The home had policies and procedures in place to promote the wellbeing of the residents and protect them from harm and abuse. EVIDENCE: The home had policies and procedures in place for dealing with allegations of abuse. All staff had received formal training as required during the previous inspection. The home continues to seek support from Salford Social Services regarding adult protection training. Granville DS0000038835.V281572.R01.S.doc Version 5.1 Page 12 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, 26. The bedrooms suit the lifestyles of the service users and they promoted their independence. EVIDENCE: The service users’ bedrooms are able to accommodate wheelchair users. There were no shared bedrooms at the home. All bedrooms had hand washbasins. There was adequate furniture in all the bedrooms. However, some of the bedrooms did not have a comfortable chair in place and the home should address this. Some rooms had fitted furniture to maintain safety of the service users. The bedrooms are well decorated and had service users’ personal belongings in them. There are plans to renew the curtains in all the bedrooms. Granville DS0000038835.V281572.R01.S.doc Version 5.1 Page 13 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, 36. The home ensures that the right staff are employed to look after vulnerable people. This means that the service users’ interest and wellbeing are safeguarded by the recruitment practices of the home. The staff are supported and they receive supervision that enable them to do their work appropriately. EVIDENCE: The home had recruitment policies and procedures in place to safeguard the interest and wellbeing of the residents. Staff files examined contained all the required information that the home must keep regarding persons working at a care home. However, there was no evidence of CRB checks on staff files. The home must have evidence available on staff files to indicate that they have received CRB checks. The home ensure that the staff receive supervision to enable them do their work efficiently and appropriately. Although this is the case, there was no evidence that all staff were receiving regular supervision. The home should ensure that the staff receives regular supervision. Granville DS0000038835.V281572.R01.S.doc Version 5.1 Page 14 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. The home had policies and procedures in place that ensured that the interest and rights of the service users were safeguarded. EVIDENCE: The home’s policies and procedures examined complied with current standards. The staff had access to up to date policies and procedures that allowed them to support the service users appropriately. Service users and their representatives also had access to the policies and procedures of the home. The policies and procedures were dated and reviewed on a regular basis. Granville DS0000038835.V281572.R01.S.doc Version 5.1 Page 15 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 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 X 25 3 26 2 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 2 35 X 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X X X X 3 X X X Granville DS0000038835.V281572.R01.S.doc Version 5.1 Page 16 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA34 Regulation 19 (2) Requirement Summary of CRB checks must kept on individual staff files (previous timescale of 02/01/06 not met). Timescale for action 01/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA26 YA36 Good Practice Recommendations The home should provide comfortable chairs in service users’ bedrooms. All staff should receive regular supervision. Granville DS0000038835.V281572.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Granville DS0000038835.V281572.R01.S.doc Version 5.1 Page 18 - 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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