Inspection on 01/02/07 for Grindleford Avenue 2

This inspection was carried out on 1st 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Grindleford Avenue 2 06/11/07

Grindleford Avenue 2 27/06/06

Grindleford Avenue 2 31/10/05

Grindleford Avenue 2 03/08/04

Grindleford Avenue 2 14/04/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Grindleford Avenue 2 New Southgate London N11 1JN Lead Inspector Linda Kapambe Key Unannounced Inspection 1st February 2007 10:00 Grindleford Avenue 2 DS0000010447.V323047.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 Grindleford Avenue 2 DS0000010447.V323047.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. Grindleford Avenue 2 DS0000010447.V323047.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Grindleford Avenue 2 Address New Southgate London N11 1JN 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) 020 8368 5177 020 8368 5177 www.Adepta.org.uk Adepta Miss Louise McInnes Care Home 4 Category(ies) of Learning disability (4), Physical disability (4) registration, with number of places Grindleford Avenue 2 DS0000010447.V323047.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Limited to 4 adults of either gender who have a learning disability (LD) and who may also have a physical disability (PD). One specified service user who is over 65 years of age may remain accommodated in the home. The home must advise the registering authority at such times as the specified service user vacates the home. Two specified service users who have dementia may remain accommodated in the home. The home must advise the registering authority at such times as either of the specified service users vacates the home. 27th June 2006 Date of last inspection Brief Description of the Service: 2 Grindleford Avenue is a purpose built bungalow, situated at the end of a culde-sac on a relatively new housing estate in New Southgate. The home accommodates four adults who have learning and physical disabilities. The home is owned and maintained by Sanctuary Housing Association and managed by Adepta through a written agreement. The current group of residents have lived in the home since it opened in 1997. The home is specially adapted and furnished to meet the needs of residents with physical disabilities, whilst still providing a comfortable homely environment. The home consists of four double bedrooms, one bathroom, a shower room, a toilet, a lounge, a kitchen/diner and an office. The home has a well-maintained back garden and a small front garden, with off street parking for several vehicles. Twenty-four hour care and support is provided. The home has a minibus, which provides access to a range of day care and leisure facilities. Public transport, shops and amenities are a short walk from the home. The fee for residents living in the home is £1,505 per week. Grindleford Avenue 2 DS0000010447.V323047.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one day on February 1st 2007. The Registered Manager and staff members assisted with the inspection. Evidence was gathered by viewing a selection of the residents and staff files along with various safety certificates and other relevant files and documents. Evidence was also gathered through speaking to one resident and two care workers and the manager. Residents and staff were indirectly observed throughout the day. An internal and external tour of the home was conducted with one of the support workers. What the service does well: What has improved since the last inspection? What they could do better: To ensure the safety of resident’s evidence that staff have been through a robust recruitment procedure must be seen in individual staff files in the home in addition to the information held at head office. Grindleford Avenue 2 DS0000010447.V323047.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Grindleford Avenue 2 DS0000010447.V323047.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 Grindleford Avenue 2 DS0000010447.V323047.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. 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. There is an effective assessment process in place for perspective residents. EVIDENCE: No new service users since the last inspection. Assessments of potential residents to the home are carried out by managers The functional assessment form contains comprehensive information on the resident’s life history, current living arrangements, spiritual, cultural and ethnicity, family relationships and physical and mental health needs. Grindleford Avenue 2 DS0000010447.V323047.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a good care planning system in place to provide staff with the information they need to ensure that service users’ needs and wishes are fulfilled. EVIDENCE: The care plan of one resident was looked at and contained comprehensive information covering all aspects of their social, personal and health care needs. Residents are being supported to access health care professionals to ensure that their present and changing health care needs are identified and relevant intervention is available when required. Grindleford Avenue 2 DS0000010447.V323047.R01.S.doc Version 5.2 Page 10 The service user case tracked at this inspection has a service user plan that clearly details the decisions he makes. These are recorded in written and pictorial form. Staff have obtained additional training to support him. An individual learning plan was seen for a course he is doing that detail his strengths and areas for development. Observations throughout the day saw staff offering support and guidance. The risk management system supports the need for service users to be independent within their capabilities. Service users files contained risk assessments that are regularly reviewed. Along with the assessment of an individual risk guidance is attached. Grindleford Avenue 2 DS0000010447.V323047.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The services users access community facilities for social, leisure and educational opportunities. EVIDENCE: Service users are active in the community, although none of the residents are employed or take part in voluntary work, the staff ensure that the residents are supported to access various other activities such as attending day centres and college courses to aid their personal development. Through looking at care plans, talking to staff and a resident, it is apparent that residents are active in their local community. A resident told me about the various social activities he attends including going to the pub with his Grindleford Avenue 2 DS0000010447.V323047.R01.S.doc Version 5.2 Page 12 friend. Residents are supported to go to various pubs, restaurants, bowling and various other activities. Residents’ files contained information on their next of kin and information on what contact they have with their family. Residents have regular contact with their families and friends who visit them at the home. One service user had a friend visiting during the inspection. Staff described how they support the relationship to enable the service user to visit the friend at his home as well. Barnet Advocacy service has agreed to visit one resident who doesn’t have any family. The home hope he will benefit from that service. Throughout the inspection, staff were indirectly observed and overheard interacting and talking with residents in a sensitive, supportive and professional manner. Residents seemed happy and comfortable with staff and responded in a positive manner. The menus detail nutritional and healthy foods. Food offered meets the cultural needs of the client group. There are food meetings to discuss the menu. Residents help with shopping and cooking. On the day of the inspection a service user was being supported to make a chocolate cake. Throughout the day residents were able to have drinks when they asked for them or staff would ask if they wanted one. Grindleford Avenue 2 DS0000010447.V323047.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. . Personal support in this home is offered in such a way as to promote and protect resident’s privacy, dignity and independence. EVIDENCE: All care plans and risk assessments viewed contained information on individual residents personal support needs and what they are capable of doing for themselves and what staff intervention is required. There is also equipment in the home such as wheelchairs, commodes and assisted baths to aid residents’ independents. Both members of staff were spoken to individually and in private about supporting the residents with their personal care needs. Both had an adequate understanding of the residents’ support needs and were able to describe how the residents receive personal support according to the resident’s individual needs. Grindleford Avenue 2 DS0000010447.V323047.R01.S.doc Version 5.2 Page 14 Residents’ health care needs are being monitored and professional intervention is sought when required. Their care plans contained information on their physical and mental health and records are kept of visits to health care professionals such as their GP, chiropodist, dentist or physiotherapist. None of the residents administer their own medication. Medication Administration Record (MAR) sheets, were completed correctly. Grindleford Avenue 2 DS0000010447.V323047.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers a comfortable place to live. EVIDENCE: The home has an adequate complaints policy and procedure file in a suitable format for residents. On looking through the complaints book, no complaints have been recorded this year. Staff have either received or been booked on adult protection training. The home has Adepta’s policy and procedure for the protection of vulnerable persons from abuse, which contains information on how to recognise signs of potential abuse and the steps to take when an abuse situation to an adult is suspected or occurs. Grindleford Avenue 2 DS0000010447.V323047.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers a comfortable place to live. EVIDENCE: The home is in good condition with no outstanding repairs observed. It is nicely decorated in bright colours; furniture, fixtures and fittings coordinate well. The registered manager confirmed that Sanctuary is usually good at sorting out repairs when asked. The home is clean and hygienic and free from offensive odours and is kept this way by a part-time domestic. Grindleford Avenue 2 DS0000010447.V323047.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users are supported by staff that have the knowledge and skills to meet their needs. However robust recruitment procedures must be followed to ensure the safety of residents. EVIDENCE: The staff rota indicates that there are adequate numbers of staff on both the early and late shifts. Staff spoken to said that she felt that there are enough staff on duty to meet the needs of the residents and felt well supported. Throughout the day the staff seemed able to cope with supporting the residents and with other duties. The personal files staff were viewed and all but one contained the required recruitment information such as a recent photograph, two references, an application form and a Criminal Records Bureau (CRB) check. One staff member had no CRB details on file even though notes on file indicated a Grindleford Avenue 2 DS0000010447.V323047.R01.S.doc Version 5.2 Page 18 previous manager saw the disclosure. Manager advised to contact HR who hold original disclosures at head office. Training records and certificates were seen. Staff have access to a good selection of training. A new training plan and Learning and Development Manager has been well received by staff. The managers can access all training undertaken by individual staff from a list supplied by the HR department. It also includes information on whether they attended the training they were booked on. Grindleford Avenue 2 DS0000010447.V323047.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This judgement has been made using available evidence including a visit to this service. The manager has the background experience and knowledge to manage the home effectively. EVIDENCE: The registered manager is a qualified counsellor and has a National Vocational Qualification (NVQ) level 4. Grindleford Avenue 2 DS0000010447.V323047.R01.S.doc Version 5.2 Page 20 Adepta has a quality assurance manager, whose role is to co-ordinate reviews of the quality of service provided, through sending out questionnaires to residents, staff and other stakeholders. Residents are supported to complete the questionnaires by the staff, who ask the questions and record the answers. It was discussed that it should really be an anonymous system and looking in to the possibility of advocates helping residents. The information from the questionnaires received back are forwarded to operations managers and registered managers who will structure their development plan according to the views and comments from the questionnaires based on their overall findings. The staff are ensuring that all health and safety checks are carried out regularly. Fire drills and tests have been occurring regularly and all safety certificates such as gas, London Fire and Emergency Planning Authority (LFEPA) and the Portable Appliances Test (PAT) were seen and were up to date and in order. Grindleford Avenue 2 DS0000010447.V323047.R01.S.doc Version 5.2 Page 21 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 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 4 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Grindleford Avenue 2 DS0000010447.V323047.R01.S.doc Version 5.2 Page 22 Yes 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 YA34 Regulation 19 (1) (a) (b) Requirement The registered persons immediately must ensure that robust recruitment procedures are followed and that all staff files contain the required information as set out in Schedules 2 and 4 of the National Minimum Standards. (Timescale of 27/10/06 not met). This requirement is restated. Timescale for action 01/04/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Grindleford Avenue 2 DS0000010447.V323047.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Grindleford Avenue 2 DS0000010447.V323047.R01.S.doc Version 5.2 Page 24 - 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. 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