CARE HOME ADULTS 18-65
Griffin Lodge 4 & 5 Griffin Lane Heald Green Stockport Cheshire SK8 3PZ Lead Inspector
Kath Oldham Unannounced Inspection 29th November 2005 09:15 Griffin Lodge DS0000008557.V263582.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 Griffin Lodge DS0000008557.V263582.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. Griffin Lodge DS0000008557.V263582.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Griffin Lodge Address 4 & 5 Griffin Lane Heald Green Stockport Cheshire SK8 3PZ 0161 498 0550 0161 498 0660 manager.griffinlodge@btinternet.com 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) Royal Schools for the Deaf Denise Gibson Care Home 12 Category(ies) of Learning disability (12), Mental disorder, registration, with number excluding learning disability or dementia (12), of places Physical disability (12) Griffin Lodge DS0000008557.V263582.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The home is registered for a maximum of 12 service users to include: *up to 12 service users in the category PD (physical disability) *up to 12 service users in the category LD (learning disability) * up to 12 service users in the category MD (mental disorder, excluding learning disability or dementia). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 27th July 2005 2. Date of last inspection Brief Description of the Service: Griffin Lodge is a single storey building, set slightly off the main road, in what appears to be a quiet area of Heald Green, Stockport. The home provides accommodation for 12 young autistic deaf people. The majority of service users originate from the South of England, with one or two being more locally based prior to moving into Griffin Lodge. All accommodation is provided in single rooms with en-suite facilities, either with a bath and/or shower. There are two main lounge areas and an additional two smaller rooms, which are currently used for a variety of activities, for example, playing pool or having quieter time. There are two domestic type kitchens, one central industrial kitchen and a main dining room, where all service users take their meals. The staffing ratio at Griffin Lodge is in keeping with the needs of the service users. The home is well placed for shopping and local amenities. Griffin Lodge DS0000008557.V263582.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. An evaluation was made of previous requirements and recommendations to see how the home had developed. The requirements had mostly been addressed in full. The requirement in relation to the decoration of the home is repeated, as it is not yet fully completed. All the recommendations have been fully addressed. This inspection was unannounced and was undertaken during the day, commencing at 9.15am. Time was spent in conversation with the manager and deputy. Comment cards were left at the home for distribution to relatives and visitors. Their comments are included within this report. The previous inspection, undertaken in July 2005, comments on the majority of the key standards. The remainder are described in this report. What the service does well:
The manager continues the development of the home by keeping in touch with changes in care practices and routines. All staff receive training in health and safety topics and a system is in place to make sure updates are provided each year. Service users are at the forefront of the planning and delivery of care and individual service users’ needs are identified very differently to others in the home. The home is clean and homely and was free from any odours. A relative stated “Griffin Lodge continues to provide a high standard of care for my cared for relative, it responds well to their changing circumstances and is very open and friendly”. Griffin Lodge DS0000008557.V263582.R01.S.doc Version 5.0 Page 6 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. Griffin Lodge DS0000008557.V263582.R01.S.doc Version 5.0 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 Griffin Lodge DS0000008557.V263582.R01.S.doc Version 5.0 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): 5 Individual contracts are in place. EVIDENCE: The service user contract has been amended to include the correct legislation in relation to registration and to detail correct information regarding the regulatory body and the role of the inspectors. All service users have a contract. Griffin Lodge DS0000008557.V263582.R01.S.doc Version 5.0 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, 8 & 10 Service users have control over their own lives and are provided with the support to do this. EVIDENCE: The home has given more thought to letter writing on behalf of service users, ensuring that the content is factual and appropriate comments are made, as would be spoken. The staff have received additional direction and the letters are seen by a team leader to ensure the content is appropriate. When writing letters to families, the service user is involved. Some service users are able to write their own letters, others type their own and staff support some service users. Griffin Lodge DS0000008557.V263582.R01.S.doc Version 5.0 Page 10 The communication systems within the home have been further developed to ensure that relatives are consulted with about service users’ care and important matters affecting them when the service user is not able to make those decisions themselves. A family liaison officer has been appointed and a record is kept of conversations with relatives to say what service users have done or if they have health care appointments. The family liaison officer is currently on maternity leave and it is planned for a current staff member to continue this role. One comment card indicated “communication between home and parent very fragile, have constantly asked for regular contact as child is unable to ring/talk or make individual spontaneous contact, but no response noted, request at every review.” The manager ensures that service users, where practicable and dependent on their abilities, participate in the day-to-day running of the home and contribute to the development of procedures and services. This is not always directly, due to the abilities of service users. Service users do some cooking, set up the dining room for meals and clean and tidy their bedrooms. Service users go to the shops and purchase the ingredients for a meal and, on their return to the home, they prepare a meal for themselves. Policies and procedures are tailored to meet the needs of service users and are service user specific. Service users are involved in risk assessments, dependent on what they want to do. There are individual risk assessments, for example, for when individuals go out shopping or go on outings and there are separate risk assessments for other activities of daily living if, for example, they go out as a group. Policies and procedures are developed sometimes through behavioural difficulties and are amended and developed as the service develops. Staff respect information given by service users in confidence and handle information about service users in accordance with the home’s written policies and procedures. The confidentiality policy is provided to staff on induction and copies are available for reference within the home. Staff sign that they have read and understood the policy. If procedures are broken, this is addressed through supervision and the home’s disciplinary procedures. Griffin Lodge DS0000008557.V263582.R01.S.doc Version 5.0 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): 15 & 16 Service users are able to form relationships, which are encouraged by the home within a risk management framework. EVIDENCE: Staff support service users to maintain family links and friendships inside and outside the home, these are subject to restrictions agreed within the care plan process. Key workers are allocated to service users and support this contact with families. Service users go out of the home, to college for example, and attend courses and activities. The home is looking at introducing a volunteers and befriending service to further develop service users’ contact with others. Some service users do not have close family contact and volunteers write and visit two service users. Griffin Lodge DS0000008557.V263582.R01.S.doc Version 5.0 Page 12 The home arranges summer and Christmas fairs and service users participate in these days. A recent art sale was arranged at the home where members of the public viewed service users’ artwork. Service users were reported to enjoy the experience and additional days are to be arranged. The daily routines and home rules promote service users’ independence, choice and freedom. Again, these are subject to risk assessments and the individuals’ abilities. Service users are involved in formulating care plans and risks and behaviours are included to safeguard service users and others. A tenancy contract is in place, which details what is and what is not acceptable behaviour. One relative/visitor comment card said, “The only concern I have about Griffin Lodge is I feel there is not enough for my ‘cared for relative’ to do. It seems to me ‘they’ get bored and therefore spends time in bed during the day.” Service users are offered a key to their bedroom and two service users currently hold their own keys. Staff are aware of the need for service users’ privacy and this is promoted within a risk managed environment. Service users receive letters and correspondence which are passed to them. In some cases, staff support service users to read the content of letters. Griffin Lodge DS0000008557.V263582.R01.S.doc Version 5.0 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): These standards were assessed and are reported on in the July 2005 inspection report. EVIDENCE: Griffin Lodge DS0000008557.V263582.R01.S.doc Version 5.0 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 A clear and effective complaints procedure informs and enables complaints to be made to the home. EVIDENCE: It was reported that all relatives have now been sent a copy of the home’s complaints procedure so they are familiar with how to make a complaint. In practice, not many service users make a complaint directly. The manager said that they are aware if something is not right from the service user’s behaviour or demeanour. This is acted on by the home and is highlighted by staff. One example of such a practice was that a service user’s behaviour was different than usual and it transpired that they did not like one of the key workers allocated to them. This was discussed with the service user and alternative arrangements were made. All relatives/visitors said they were aware of the complaints procedure, all stated that they had not made a complaint. Key workers and other staff advocate on behalf of the service users in some instances and visiting relatives make comments and complaints. The complaints procedure is displayed at the home and service users are aware to let the manager know of anything they are not happy with. Griffin Lodge DS0000008557.V263582.R01.S.doc Version 5.0 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 & 25 The home provides a comfortable environment that is clean and tidy. EVIDENCE: The decoration of the home continues with the majority of service users’ bedrooms now complete. Service users are able to choose their own decoration and colours. Service users’ bedrooms reflect their individuality and personality. Two service users who have changed bedrooms are scheduled to have their bedroom walls repainted to their own taste. The majority of the house has been repainted and looks less institutional in its design. The manager continues with the schedule of redecoration. A range of rooms are available to service users in Griffin Lodge. There are two living rooms and separate rooms to take part in art, for example. The rooms are homely and comfortable and reflect the personalities and age range of the service users accommodated at the home. Griffin Lodge DS0000008557.V263582.R01.S.doc Version 5.0 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): These standards were assessed and are reported on in the July 2005 inspection report. EVIDENCE: Griffin Lodge DS0000008557.V263582.R01.S.doc Version 5.0 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, 40 & 41 The management of the home is open and approachable and focused on meeting the needs of service users. EVIDENCE: The manager has been in post for a number of years and is well respected by both service users and staff. Staff ask for guidance and assistance from the manager to assist in their own development. The manager has NVQ level 4 and keeps up to date with techniques and development of care through additional training and research. The policies and procedures required by regulation are in place for the protection of service users and also assist in the effective and efficient running of the home. The policies were up to date and there was evidence of reviews being undertaken in line with good practice and changes in legislation. Griffin Lodge DS0000008557.V263582.R01.S.doc Version 5.0 Page 18 Staff have copies of the policies and procedures at the home which they are able to research or remind themselves of. Staff supervision is another opportunity when policies and procedures are discussed, as are staff meetings. Staff are provided with specific training time which is used to continue their studies in line with policy and practice. Griffin Lodge DS0000008557.V263582.R01.S.doc Version 5.0 Page 19 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 X X X 3 Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 X 3 Standard No 24 25 26 27 28 29 30
STAFFING Score 2 3 X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Griffin Lodge Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 X X 3 3 X X DS0000008557.V263582.R01.S.doc Version 5.0 Page 20 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 YA24 Regulation 23(2) Requirement The registered person must continue with the redecoration of the public parts of the home in a style, design and colour which suits the needs of service users. (Previous timescales of 31/10/04 and 30/04/05 not met). Timescale for action 30/03/06 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 Griffin Lodge DS0000008557.V263582.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Griffin Lodge DS0000008557.V263582.R01.S.doc Version 5.0 Page 22 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
