Inspection on 11/10/05 for Gratia Limited

This inspection was carried out on 11th October 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Gratia Limited 20/07/06

Gratia Limited 29/06/05

Gratia Limited 11/11/04

Gratia Limited 14/07/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Gratia Limited 472 Groby Road Leicester Leicestershire LE3 9QD Lead Inspector Mr Everton Osbourne Unannounced Inspection Tuesday, 11th October 2005 11:00 Gratia Limited DS0000058192.V252459.R01.S.doc Version 5.0 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 Gratia Limited DS0000058192.V252459.R01.S.doc Version 5.0 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. Gratia Limited DS0000058192.V252459.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Gratia Limited Address 472 Groby Road Leicester Leicestershire LE3 9QD 0116 2311640 0116 2332724 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) Gratia Limited Mr Mathew Phillip Smith Care Home 21 Category(ies) of Learning disability (21), Learning disability over registration, with number 65 years of age (9) of places Gratia Limited DS0000058192.V252459.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users who can be admitted to the home at any one time shall not exceed 21. That the home is registered to accommodate a maximum of 1 service user with LD/PD; 9 service users with LD(E); and 4 service users with LD/DE. 29th June 2005 Date of last inspection Brief Description of the Service: Gratia Care Home cares for 21 younger adults who have learning disabilities which may include up to 9 older persons with learning disabilities. The premise is located on the main Groby Road leading to the city of Leicester where residents have access to a variety of shops and other amenities. The home is easily accessible by public and private transport. The premise consists of two floors for residents use which is accessible by use of the passenger lift or stairs. There are a variety of aids and adaptations throughout the home based on residents assessed care needs to support them to be more independent. The home have nineteen single bedrooms eight with ensuite facilities. There is one double bedroom without en-suite facility. An adequate number of toilet and bathroom facilities are situated on both floors for residents use. A garden area is situated to the rear of the building. Gratia Limited DS0000058192.V252459.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took three hours and forty minutes to complete. Requirements made during the last inspection pertaining to medication procedures and a Recommendation regarding care planning procedures were addressed in a satisfactory manner immediately after the last inspection. The outcome of this inspection was very good based on observations, document reading and conversation held with two residents. A tour of the premises took place, which indicated that the premises are maintained to high standards creating a homely environment. The deputy manager and one staff member were also spoken to as part of the inspection process. 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. Gratia Limited DS0000058192.V252459.R01.S.doc Version 5.0 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 Gratia Limited DS0000058192.V252459.R01.S.doc Version 5.0 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): 2, 3 and 5 Satisfactory assessment processes are in place for the protection and care of residents. Contracts are given to residents informing them about their Terms and Condition of residence. EVIDENCE: One resident’s assessment was examined. The document contained good information which identified the resident’s health, social and recreational care needs. Conversation held with two residents indicated that they are satisfied that the home is meeting their care needs for example their dietary requirements. Observations made also confirmed that residents’ care needs are adequately being met by the home. For example the observation of a doctor attending to one resident’s medical care needs. One resident’s admission records inspected contained a contract which gave good information about the Terms and Condition of his residency. Gratia Limited DS0000058192.V252459.R01.S.doc Version 5.0 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 and 9 Residents care plans are written in detail in order to ensure that they receive the care they need. EVIDENCE: One care plan was inspected. The document contained good information which identified the resident’s care needs and what actions staff members are to take in order to meet those care needs. The care plan seen also contained suitable risk assessments. Gratia Limited DS0000058192.V252459.R01.S.doc Version 5.0 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): 12, 15 and 16 Residents are able to maintain good contacts with family and friends in order to maintain contact with the community. EVIDENCE: One resident’s care plan and activities record seen indicated that the resident attends age related recreational and educational activities away from the home. Conversation held with two residents and the visitors record seen indicated that residents’ rights are respected in that residents are able to have visitors in the home and are also able to visit family or friends away from the home. Gratia Limited DS0000058192.V252459.R01.S.doc Version 5.0 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 medication procedure works well so that residents can receive their medication as prescribed by a doctor. EVIDENCE: An examination of two residents’ Medication Administration Records indicated that the medication records are being kept up to date and the medication in order. Observation made indicated that staff members are adhering to safe medication procedures. Gratia Limited DS0000058192.V252459.R01.S.doc Version 5.0 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 There is an adult protection procedure in place to respond to suspicion or allegation of abuse for residents’ protection. EVIDENCE: Conversation held with one staff member indicated that the home is adhering to good procedures for the protection of vulnerable adults. For example the staff member gave good verbal responses pertaining to procedures to follow should there be any suspicion or allegations of abuse. Gratia Limited DS0000058192.V252459.R01.S.doc Version 5.0 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 and 29 The home is maintained to excellent standards with a strong emphasis on creating a homely atmosphere. EVIDENCE: Observations made and conversation held with two residents indicated that bedrooms are suited for residents’ accommodation needs. Good verbal response was received from the residents concerning their bedrooms. Observations made indicated that appropriate equipment is installed throughout the home based on residents’ assessed care needs. Gratia Limited DS0000058192.V252459.R01.S.doc Version 5.0 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): 31, 32, 33, 34, 35 and 36 The staff team are suitably experienced and qualified to deliver good quality care to the residents residing in the home. EVIDENCE: One staff member’s records seen indicated that regular supervision is given to this staff member. The recruitment records seen contained all relevant documentation for example suitable Criminal Record Bureau (CRB) disclosure. The staff member’s training record seen indicated that she has attended regular core training based on training certificates seen and conversation held with the staff member. Two residents spoken with indicated that they are satisfied with staff members’ approach to providing care and support on a daily basis. Observations made during the inspection indicated that staff members appear to be adhering to safe care practices in the home. Gratia Limited DS0000058192.V252459.R01.S.doc Version 5.0 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): 37, 38 and 39 The management approach to managing the home creates an open and inclusive atmosphere for residents’ care and safety. EVIDENCE: Registration documents seen prior to the inspection pertaining to the registered manager indicated that he is suitably qualified and experienced to manager this service. Observations made indicated that the registered manager appear to be knowledgeable and competent in his role. For example consulting with medical professionals when the need arises. Two residents and one staff member spoken with indicated that they are satisfied with the manager’s approach to operating the home. Gratia Limited DS0000058192.V252459.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 x 3 Standard No 22 23 Score x 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score x 3 x x x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 x 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Gratia Limited Score x x 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x x x DS0000058192.V252459.R01.S.doc Version 5.0 Page 16 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. Standard Regulation Requirement Timescale for action 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 Gratia Limited DS0000058192.V252459.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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. 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