Inspection on 07/02/07 for Granville

This inspection was carried out on 7th February 2007.

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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Granville 21/02/06

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 Joe Kenny Key Unannounced Inspection 7 February 2007 11:30 Granville DS0000038835.V309780.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 Granville DS0000038835.V309780.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. Granville DS0000038835.V309780.R01.S.doc Version 5.2 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.V309780.R01.S.doc Version 5.2 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. 21st February 2006 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. Fees for the service are set at £9:23 per night, £193:83 for a three-week period. Granville DS0000038835.V309780.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out unannounced and took place on the 7 February 2007. The inspection involved discussions with staff on duty and a number of residents in the home at the time of the visit. A selection of documents were examined and included residents care plans, staff files, complaint register, medication records, records relating to health and safety checks and policies and procedures. The home was well maintained and residents appeared relaxed and comfortable with the support offered to them by the staff on duty. The outcome of the inspection included review of information held by the Commission and findings of survey forms sent to service users and relatives. What the service does well: What has improved since the last inspection? The home had taken positive steps to address areas requiring attention from the last inspection. This related to recruitment procedures and staff supervision. In addition there had been positive plans to develop parts of the service, in particular the provision of ids and adaptations which would ensure residents and staff had the appropriate resources and equipment to meet assessed needs. Granville DS0000038835.V309780.R01.S.doc Version 5.2 Page 6 To ensure the home meets its primary objective, management and staff regularly monitor admission procedures and review existing care plans. The home had made significant advances in NVQ training programmes for all staff. 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.V309780.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 Granville DS0000038835.V309780.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care planning and review procedures ensure service users needs are being met. EVIDENCE: The home’s statement of purpose and service user guide had been reviewed and all service users receiving rotational respite care had their care needs reviewed to ensure the service continued to meet their needs. There are plans to review the statement of purpose again to reflect the changes in referral and admission to the home. The admission procedure ensures all potential residents receive an assessment of care needs and are offered the opportunity to visit the home prior to moving there. Assessment procedures include the involvement of the manager who completes a support plan for the individual. The manager indicated that a number of referrals have been made to support service users who are moving from children’s services to adult services. Five such referrals have been received and taken up by the home this year. The terms and condition of placement are held by the relatives of service users. The home is advised to retain a copy of the statement on the service users’ file; the statement should also record fees for each placement. Granville DS0000038835.V309780.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Support plans identify individual’s abilities and levels of assistance required to ensure care needs are met. EVIDENCE: Each resident’s file commences with a checklist of documents required prior to admission. This has been developed to ensure information about each person is in place and has been received by the home. The individual support plan drawn up by the home involves consultation with service users and their representatives to determine the levels of support and intervention required by individuals when living at the home. Service users are supported and encouraged to maintain contact with day resources and centres of interest, they attend when in their own homes. Service users accommodated at the time of the inspection required the assistance and intervention of a support worker for most tasks undertaken. Granville DS0000038835.V309780.R01.S.doc Version 5.2 Page 10 The support offered was provided in a dignifying and respectful manner and ensures service users’ levels of abilities and independence was respected. The support plans for individuals were informative and well maintained by staff to evidence the levels of support offered. From discussions with support staff and the cook it was evident the staff were informed and aware of the needs of individuals in their care. Granville DS0000038835.V309780.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The support and care offered to residents respects their chosen lifestyles. EVIDENCE: Service users continue to retain family and personal relationships as they receive sessional respite care at Granville. Most residents attending the home have established contacts with community resources and are encouraged to sustain that contact when on respite care. Staff stated that residents attending the home have established positive relationships with staff and other service users who attend the home. Social and leisure arrangements are flexible and for some service users are planned to ensure appropriate staff support is available. In house arrangements are relaxed and most service users will go out during the day to Granville DS0000038835.V309780.R01.S.doc Version 5.2 Page 12 local community resources and day centres. Service users are free to choose how they spend their evenings and weekends. Comments by relatives using the comment cards were that the service user “loves spending her weekends” at the home. All relatives responded positively to the questions in the survey sent out by the Commission. The cook in consultation with service users plans the meal and menu arrangements. The cook demonstrated how she is kept informed of the needs of service users at any time and also produced information cards she had developed in respect of service users who attend the home on a rotational respite basis. There were ample provisions in the home on the date of the inspection to offer residents a varied and balanced diet. Meal times are arranged to support service users who attend day centres. Breakfast will be served up to 09:00 hours during the week; the breakfast time at weekends extends to 10:30 hours. Service users attending day centres are provided with a packed lunch. Granville DS0000038835.V309780.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal and health care arrangements in the home ensure service user needs were being met. EVIDENCE: A comprehensive “Support Plan” form is used by the home to record the levels of care and intervention required to meet individual service user’s assessed needs. Staff demonstrated that they were aware of service users personal health care needs and how to support individuals. Service users were observed to interact with staff in a very relaxed and positive manner. On the day of the visit service users were found to be relaxing in the lounge, speaking with staff or watching television. Service users spoke about how staff supported them on personal care issues and there was further evidence of staff supporting service users as they returned from activities in the community. Granville DS0000038835.V309780.R01.S.doc Version 5.2 Page 14 There was further evidence that service users had support from other domiciliary care agencies when on community based activities. The files of service users contained information about personal and health care needs and staff completed detailed and informative daily reports on how they supported individuals. Service users are supported by staff to attend planned health appointments when on respite care. Since the last inspection the home has installed monitors in four bedrooms where people accommodated may be at risk of seizure. The use of the monitors is covered in care planning and risk assessments for these service users. The home’s policy and procedures relating to medication were assessed on the day of the inspection and found to be in order. The management team for the home retain responsibility for the administration of medication. Medication was found to be stored appropriately and securely in the home. Some attention is however, required in relation to the following: All hand written records should be signed by the person completing the record and countersigned by a further member of staff to confirm the written record is accurate. The record for each medication must record the strength of each drug/liquid. The medication record for one service user records “dispensed from dosette”. The blister sheet contained a number of prescribed drugs; the medication administration record must record the name, dose and dispensing procedures for each drug. Granville DS0000038835.V309780.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes policies and procedures ensure any concerns are dealt with appropriately and protect service users from harm or abuse. EVIDENCE: The home’s complaints procedures and recording systems ensure any concerns raised by or on behalf of a service user are investigated appropriately by the home. The manager stated that no complaints had been received by the home from service users or their relatives. Complaints by local residents in relation to parking arrangements at the home are dealt with through the local authority procedures. The home is looking at ways to address parking arrangements at the home to address these issues. Appropriate procedures and training had been provided to staff to ensure that policies and procedures are in place to deal with any allegations of abuse. Information on training indicated that all staff had attended training on this topic, with exception of three staff, who were scheduled to attend. A copy of the local authority guidelines on adult protection is available to staff and supported by training programmes. Records relating to staff confirmed training programmes provided to staff. Granville DS0000038835.V309780.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained, homely and offers a safe environment for service users. EVIDENCE: The home continues to be well maintained in both private and communal areas. The service users’ bedrooms are able to accommodate wheelchair users. 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 replace curtains in all the bedrooms. The dining and lounge areas had been decorated and new curtains had been purchased. Granville DS0000038835.V309780.R01.S.doc Version 5.2 Page 17 The manager and staff spoke about further adaptations and aids, which would be put in place. This included new ceiling tracks and hoisting/lifting equipment for bathroom facilities. On the day of the inspection the home was experiencing difficulties with the heating system. An engineer was in attendance to address the problem. Bedrooms contained the basic belongings of service users appropriate to the length of their stay. Granville DS0000038835.V309780.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staffing arrangements were appropriate to meeting the needs of residents accommodated at that time. EVIDENCE: The staffing structure for the home consists of registered manager, three assistant managers, 9-day care assistants, 5 night care assistants, two general assistant and two cooks. Rotas are planned three weeks in advance to ensure appropriate cover is provided for planned respite admissions. The home’s recruitment and selection procedures continue to well established. Staff are supported by the homes induction, training and supervision arrangements. Staff files continue to contain the required information that the home must keep regarding persons working at a care home. The home had taken appropriate action to ensure files contained information relating to Criminal Record Bureau checks on staff files. Granville DS0000038835.V309780.R01.S.doc Version 5.2 Page 19 Staff training records were seen and well maintained. Staff are issued with a copy of their job description that details their roles and responsibilities. Information on training indicated that 92 of the staff team had achieved NVQ level II award and above. The manager and one assistant manager have completed NVQ level IV and the two remaining managers are to complete at this level. NVQ extends to all staff and the clerical assistant had achieved NVQ in administration. Granville DS0000038835.V309780.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration procedure for the home ensure it is run in the best interests of service users. EVIDENCE: The manager stated that she has responsibility for management of budgets relating to catering provisions, cleaning provisions and petty cash. All management staff monitor and plan staffing arrangements for the home. The policies and procedures were dated and reviewed on a regular basis. Information was available to evidence staff receive supervision on a regular basis. There was also evidence of regular staff meetings take place. Granville DS0000038835.V309780.R01.S.doc Version 5.2 Page 21 The home operates a quality assurance system. Questionnaires are sent out to residents and their relatives; comments are recorded and acted upon accordingly. Granville DS0000038835.V309780.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 X 3 3 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 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 2 X Granville DS0000038835.V309780.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. Standard YA20 Regulation 13 Requirement The record for each medication must record the strength of each drug/liquid. The medication administration record must record the name, dose and dispensing procedures for each drug. Timescale for action 04/04/07 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 Medication procedure must be checked to ensure all hand written records are signed by the person completing the record and countersigned by a further member of staff to confirm written record is accurate. 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