Inspection on 12/09/06 for Gretton House

This inspection was carried out on 12th September 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 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

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 Gretton House 3 High Street Gretton Northants NN17 3DE Lead Inspector Mr Steve Hunnybun Unannounced Inspection 12th September 2006 10:30 Gretton House DS0000067626.V311273.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 Gretton House DS0000067626.V311273.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. Gretton House DS0000067626.V311273.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gretton House Address 3 High Street Gretton Northants NN17 3DE 01536 770325 01536 770205 kathrynclarke@btconnect.com www.consensussuport.com Consensus Support Services Limited 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) Miss Sharon Main Care Home 23 Category(ies) of Learning disability (23), Learning disability over registration, with number 65 years of age (1), Mental disorder, excluding of places learning disability or dementia (20) Gretton House DS0000067626.V311273.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Gretton Care Home is registered to provide personal care to male and female service users who fall within the following categories:Mental Disorder excluding dementia (MD) 20 No person falling within the category of Mental Disorder should be admitted to Gretton House unless that person also falls within the category Learning Disability, LD ie. Dual Disability 2. Learning Disability (LD) 23 Learning Disability over 65 years of age LD(E) 1 No person falling within the category of LD(E) should be admitted to Gretton House when there is already one person accommodated in the home falling within the category LD(E) The maximum number of persons to be accommodated within Gretton House is 23 NA 3. Date of last inspection Brief Description of the Service: Gretton House is registered to accommodate 23 people with learning disability to include mental health problems. Most of the current client group have Prader-Willi syndrome, which among other symptoms causes a compulsion to eat. Care is provided to minimise the effect of this condition. The home is located in the village of Gretton in Northamptonshire and has vehicles to enable access to the nearby towns of Corby and Uppingham. Prospective residents are given a copy of the home’s statement of purpose and inspection reports are readily available. Fees are in the range £742.86 to £2190.50, charges for extras are variable. Gretton House DS0000067626.V311273.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The primary method of inspection used was ‘case tracking’ which involved the inspector selecting three residents and tracking the care they receive through review of their records, discussions with them and with the care staff and observations of care practices. Residents made the following comments: • • • • • • ‘I had a look round before I came and they sent me a book about the home’. ‘My care plan was discussed with me’. ‘I like the activities and keyworker days’. ‘I’m happy with the home’. ‘The food is good’ ‘I like the staff I tell them what I want and they do it for me’. The inspector made a plan prior to the visit summarising available information from the previous inspection report and service history. The inspection was positive indicating good outcomes for residents. No requirements or recommendations were made. 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 Gretton House DS0000067626.V311273.R01.S.doc Version 5.2 Page 6 contacting your local CSCI office. Gretton House DS0000067626.V311273.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 Gretton House DS0000067626.V311273.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. The inspector made this judgement using available evidence including a visit to this service. Personalised assessments ensure that prospective residents’ diverse needs are identified and planned for before they move into the home. EVIDENCE: Care staff completed assessments to identify residents’ needs at admission. Resident’s needs are clearly and concisely recorded in each section. All assessments had been signed by residents to indicate that they gave information for the assessment. One resident who spoke with the inspector stated that staff included his views in his assessment and that he was able to look round the home and was given information before he moved in. Gretton House DS0000067626.V311273.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): 6,7,9 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. Residents have care plans and risk assessments that cover all of their individual needs. These enable them to make choices, take risks and for their needs to be met. EVIDENCE: Staff complete care plans based on residents assessed needs that include strategies to meet the needs. A resident who spoke with the inspector stated that he was aware of his care plan and had helped to complete it. The residents had signed their plans to indicate that they agreed with them. Plans were very individual and covered areas such as diet, self-help, health care needs and mobility. Residents who spoke with the inspector stated that they are able to make choices regarding activities, food and the décor of their rooms. One resident is leaving the home soon and he stated that he has been consulted about this throughout the process. Risk assessments are clear and concise stating strategies to minimise risk in a range of situations for each resident. Gretton House DS0000067626.V311273.R01.S.doc Version 5.2 Page 10 Gretton House DS0000067626.V311273.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): 12,13,15,16,17 Quality in this outcome area is excellent. The inspector made this judgement using available evidence including a visit to this service. The promotion of residents’ rights, provision of activities within the local community, contact with families and the quality of the food all contribute to a positive lifestyle. EVIDENCE: Staff offer residents a range of activities at the home. On the day of the inspection a group went out bowling and appeared to be looking forward to this. One resident is about to start a college course and he spoke enthusiastically about it. Activities residents do include conservation groups, drama, pottery and work skills. A resident spoke about sessions with his key care worker stating that he finds these positive. Risk assessments enable staff to support residents to be part of the local community where appropriate. Residents are enabled to maintain contact with families and friends. Joint social events are held with the other Gretton homes and residents can receive visitors at any time. Residents stated that they are treated with respect; their preferred name is recorded and used, they open their mail and they are Gretton House DS0000067626.V311273.R01.S.doc Version 5.2 Page 12 encouraged to carry out domestic tasks where appropriate. The inspector spoke with the catering manager. Menus are rotated on a six weekly cycle and use fresh, seasonal ingredients. Residents are offered a low calorie option to enable them to lose weight and to minimise the effect of Prader Willi syndrome. All residents who spoke with the inspector stated that the food is good. Gretton House DS0000067626.V311273.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): 18,19,20 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. Residents’ personal and healthcare needs are met and they are protected by medication policies. EVIDENCE: Staff record residents’ personal and healthcare needs in their files. Residents are supported to access appropriate healthcare services and all appointments are recorded along with any advice or outcomes. The GP who provides a service to the residents at the home completed a comment card prior to the inspection and described the individual care and attention given to residents as ‘excellent’. A recent inspection of medication provision at the home by a community pharmacist was positive and resulted in only minor recommendations. All medication records were up to date and accurate on the day of the inspection. Gretton House DS0000067626.V311273.R01.S.doc Version 5.2 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): 22,23 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. Residents are protected from abuse and their concerns and complaints are listened to and acted upon. EVIDENCE: Residents who spoke with the inspector stated that they know who to speak to when they have a concern or complaint and feel confident that they will be listened to. Staff have all completed training regarding safeguarding adults. All necessary checks are made on new employees prior to them joining the company. The home’s safeguarding adults policy has recently been updated to include the local multi agency procedures. Gretton House DS0000067626.V311273.R01.S.doc Version 5.2 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): 24,30 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. Residents benefit from living in a house that is homely, comfortable clean and safe. EVIDENCE: The registered manager showed the inspector round the home, as all the residents were busy. The home has pleasantly decorated lounge and dining rooms. All bedrooms are personalised with pictures and belongings and residents are able to choose the décor. Equipment is provided to support residents with mobility difficulties. Residents who showed the inspector their rooms did so with pride. A programme of maintenance ensures that the home remains in good decorative repair; one resident told the inspector that a carpenter was fitting a new fire door to his room on the day of the inspection. Gretton House DS0000067626.V311273.R01.S.doc Version 5.2 Page 16 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): 32,34,35 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. Residents’ needs are met and they are protected by the recruitment and retention of a well-trained, experienced staff team. EVIDENCE: All relevant checks are completed on new staff before they start working at the home. Copies of these were in staff files seen by the inspector. A programme of staff development indicates training in all areas necessary to meet residents’ needs and keep them safe. A group of new staff were undertaking an induction on the day of the inspection. Gretton House DS0000067626.V311273.R01.S.doc Version 5.2 Page 17 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): 37,39,42 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. The home is well managed, residents’ views are sought regarding the running of the home and their health and safety are protected. EVIDENCE: The registered manager is qualified and experienced to run the home and clearly has the respect of residents and staff. Senior care staff support the manager and deputise in her absence. Residents’ views are sought regarding the running of the home using questionnaires, the results of which are published. Records are kept regarding health and safety; the inspector was shown up to date and accurate recordings of fire tests and drills. Gretton House DS0000067626.V311273.R01.S.doc Version 5.2 Page 18 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 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Gretton House DS0000067626.V311273.R01.S.doc Version 5.2 Page 19 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 Gretton House DS0000067626.V311273.R01.S.doc Version 5.2 Page 20 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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