Inspection on 15/12/05 for Grindon Short Break Service

This inspection was carried out on 15th December 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 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

Grindon Short Break Service 10/05/05

Grindon Short Break Service 01/12/04

Grindon Short Break Service 07/06/04

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

CARE HOME ADULTS 18-65 Grindon Short Break Service 210 Grindon Lane Grindon Sunderland SR4 8HW Lead Inspector Sam Doku Unannounced Inspection 15th December 2005 10:30 Grindon Short Break Service DS0000032735.V256358.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 Grindon Short Break Service DS0000032735.V256358.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. Grindon Short Break Service DS0000032735.V256358.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Grindon Short Break Service Address 210 Grindon Lane Grindon Sunderland SR4 8HW 0191 525 7620 0191 525 7625 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) Council of City of Sunderland Mrs Mary Elizabeth Hancill Care Home 9 Category(ies) of Physical disability (9), Physical disability over 65 registration, with number years of age (1) of places Grindon Short Break Service DS0000032735.V256358.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th May 2005 Brief Description of the Service: 210 Grindon Lane is a ranch style bungalow, which stands in enclosed grounds, close to all local amenities. The bungalow is purpose built to high specification; the function is to serve as a short break unit offering a hotel type service for up nine people at any onetime. It has nine bedrooms, all of which have en-suite toilet and showers facilities. Some of the rooms have motorised sinks, which can vary the height of the sinks. The rooms have swipe card access, and there are electrical doors which allow access without movement. There are 2 bathrooms with assisted baths and overhead tracking, 2 lounges, dining room, domestic style kitchen and laundry. To the front of the building there is a very large garden, patio, and car park. At the rear of the building is another landscaped garden and an enclosed drying area. The home is able to admit service users over the age of 18 who have a physical disability. The criteria for admission is outlined in The Statement of Purpose which states that service users who use the service will be admitted from 3 days to 1 week. It is not intended that it will be used as an emergency admission service. The people who use the service have a wide range of care needs and are allocated up to a maximum of 56 nights per year. Grindon Short Break Service DS0000032735.V256358.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out at 10.30 in the morning and lasted for 4 hours 30 minutes. The inspection process involved talking to guests, sitting in the lounge and observing staff interaction with the guests, discussions with the manager and care staff, tour of the house, examination of health and safety records and guest’s personal file including care plans. The standards relating to Concerns and Complaints, Environment and Staffing were not inspected on this occasion. These standards have been consistently maintained to a high level. Readers interested in these standards should seek to view previous inspection reports, particularly the inspection report of the 10 May 2005. What the service does well: What has improved since the last inspection? Grindon Short Break Service DS0000032735.V256358.R01.S.doc Version 5.0 Page 6 Since the last inspection, recommendations from the department’s own Performance and Governance inspection report regarding medication system have been improved and systems put in place to maintain that standard. 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. Grindon Short Break Service DS0000032735.V256358.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 Grindon Short Break Service DS0000032735.V256358.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): 1, 2, 3, 4. The service user guide and other information leaflets provide good and comprehensive information to the general public about the service. The assessment process allows individual needs to be fully assessed, identifying their individual care needs and how those needs are met. EVIDENCE: The service user guide and other information systems, provide detailed and comprehensive information about the service. These are regularly updated which ensured that the information contained in these document are current and relevant. Guests commented on the good information they received from the home when they were first referred for the service. The guests confirmed that they were visited by a senior staff member of the home and given written information about the service. The care plans clearly identify the guest’s needs and how those needs are being met. Review and evaluation of care plans are carried out on regular basis with the individual’s involvement. This ensured that the care received by the guests are relevant to their current needs. It also ensured that they had the opportunity to be involved in decisions about their care. In this way the individual’s wishes were established and provisions made in the care plans reflected their views and needs. Grindon Short Break Service DS0000032735.V256358.R01.S.doc Version 5.0 Page 9 Guests commented on the meetings with the staff to discuss issues relating to their care and the management arrangements in the home. The guests said they feel this allows them the opportunity to have a say in the way they are cared for. Guest indicated that the management and the care staff have involved them in the planning of their care and found this method of working extremely useful as they are able to maintain some control over their lives. This promoted the rights and responsibilities of the guests. Grindon Short Break Service DS0000032735.V256358.R01.S.doc Version 5.0 Page 10 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, 9, 10. The assessment process involves contributions from the individual service users thus ensuring that each guest is consulted and involved in the planning of their care, including risk taking. Information about service users are kept in line with the local authority’s policy on data protection, which ensured security and confidentiality. EVIDENCE: Two guest files were examined and these showed that they have been involved in the drawing up of their care plans. Some of the guests have signed their care plans. This indicates their involvement with the care planning process. The manager confirmed that the process of involving the guests in the planning of their care has the benefit of ensuring that the care and support that is provided is exactly what the guests need. The guests who were spoken with indicated that they feel the service recognises their right to be involved in their own care. They all confirmed that the process give them a sense of involvement and participation. These comments remain consistent with previous comments by other guests during past inspections. Further evidence of guests involvement in their care and in the general management of care routines were available in the guests’ weekly meeting Grindon Short Break Service DS0000032735.V256358.R01.S.doc Version 5.0 Page 11 minutes. This provided evidence of them making decisions and choices about their daily routines during their stay in the home. These include social activities and meals. They confirmed that the weekly meetings allow them to decide on activities of their choice. They confirmed that as a result they feel they have control over their lives and that the routines in the home are geared towards meeting their needs and not that of the organisation. Contained in the service users’ files are individual risk assessments, which have been carried out by the staff. The risk assessments cover specific areas, which have been identified with individuals as requiring risk management strategies. The process ensured the safety and wellbeing of the of those guests involved, both within the home and outside the home, while at the same time enabling them to lead independent life as much as possible. Grindon Short Break Service DS0000032735.V256358.R01.S.doc Version 5.0 Page 12 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, 14, 16. There is strong awareness amongst the staff group to involve the guests in community activities, thus enabling them to continue to lead the life-style they prefer. The way the home is managed enables the rights of the guests to be respected by the staff at all times. EVIDENCE: Records examined provided evidence of past social and recreational activities that have been organised for the guests during their short stay in the home. Guests who have had previous admissions to the home confirmed some of these activities, which included visits to local pub, cinema, quiz games, visits to local places of interest and general bus rides. These arrangements gave the guests the opportunity to continue to take part in those activities that they are used to while living in their own homes. During this inspection, a number of trips had been organised for the guests to visit shopping centres to do their Christmas shopping for themselves and their families. Grindon Short Break Service DS0000032735.V256358.R01.S.doc Version 5.0 Page 13 Suggestions about social and recreational activities are discussed at the weekly meetings between the staff and the guests. Information about prevailing social activities in the community are discussed and the guests are offered the opportunity to attend or take part in such local activities. This enable the guests to know what kind of activities are available in the community so they can make informed choices about what to do. Practices observed indicate that staff enable and support the guests to make independent decisions for themselves. It was noted that staff always sought permission from individual service users before entering their rooms. This created an atmosphere of independence, respect and empowerment amongst the guests. Grindon Short Break Service DS0000032735.V256358.R01.S.doc Version 5.0 Page 14 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, 21. All aspects of the service users’ healthcare needs have been met and they are supported and encouraged to be involved in the planning of their personal care. Staff have good awareness of what to do in the event of death. EVIDENCE: The arrangements for meeting the healthcare needs of the guest has remained unchanged and guests continue to receive good medical and nursing support during their stay in the home. The positive comments made in the last inspection report regarding the healthcare needs have been re-stated here as the good practice remains in place. The two care plans that were examined and were found to provide details of guests’ care needs and how those needs were to be met by the staff. There was evidence in the care plans that the guests have been involved in the drawing up of their care plans. The records show evidence of who has been involved in the formulation of the care plans and in many cases the guest have been consulted. Risk assessments have also been carried out for those guests for whom it is thought necessary. These include falls, medication, and wheelchair risk assessments. Grindon Short Break Service DS0000032735.V256358.R01.S.doc Version 5.0 Page 15 Evidence from the guests’ files indicated that the home continues to ensure that their health care needs are met. There were details of contacts with healthcare professionals, particularly district nursing and GPs. All the guests retain their own GPs except for those who come from outside the area. For those guests who are out of the area, arrangements have been with the local surgery to provide GP and district nursing support until they are discharged back to their own homes. The guests who were spoken with all confirmed that their healthcare needs are adequately met in the home and that the arrangements for their care are good. Because of the nature of the service, the incidence of death occurring in the home is extremely small. Staff nonetheless, have good understanding of what to do in the event of death in the home. Grindon Short Break Service DS0000032735.V256358.R01.S.doc Version 5.0 Page 16 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): Not inspected on this occasion. EVIDENCE: These standards were examined at the last inspection and therefore not inspected on this occasion. Grindon Short Break Service DS0000032735.V256358.R01.S.doc Version 5.0 Page 17 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): Not inspected on this occasion. EVIDENCE: These standards were examined at the last inspection and therefore not inspected on this occasion. Grindon Short Break Service DS0000032735.V256358.R01.S.doc Version 5.0 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): Not inspected on this occasion. EVIDENCE: These standards were examined at the last inspection and therefore not inspected on this occasion. Grindon Short Break Service DS0000032735.V256358.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41, 42, 43. The manager offers good leadership, ensuring that the staff receive proper direction and as a result the Guests receive consistently high standard of care which enhance their health, safety and welfare. EVIDENCE: The manager has NVQ level 4 in management and has long experience in managing a care home. The staff who were spoken with stated that the manager runs the service for the benefit of the guests and has positive relations with the staff. Similar comments were also made by two of the guests. The Council produced detailed Health and Safety policies and copies of these were made available for inspection. These cover policy areas such as fire prevention and Care of Substances Hazardous to Health (COSHH). The manager stated that all staff have had training in food hygiene, fire precaution Grindon Short Break Service DS0000032735.V256358.R01.S.doc Version 5.0 Page 20 and first aid. There is evidence that these policies have been adhered to by the staff thus ensuring the safety and welfare of the service users. The Council has a comprehensive induction plan for all newly appointed staff. One newly appointed care staff was spoken with and he confirmed the arrangements for his induction and future training. The manager confirmed that all new staff are provided with an induction. All staff have been provided with statutory training and other training specific to the service user group and enhancing the quality of the care provided. However, other training needs which, have been identified by the manager have not yet been addressed, and it envisaged that this will take place in April 2006. Staff confirmed that they have been issued with individual job description and terms and conditions of employment and have received copies of the General Social Care Council code of conduct. It was evident from discussions with staff and the manager that the home follows the Council’s recruitment guidelines and in so doing ensured that the guests are safeguarded from any form of abuse. All the servicing records that were examined were up to date. These included fire fighting equipments, servicing of hoists, overhead tracking systems, water treatment, electrical installation and gas servicing. Up to date servicing and maintenance of these services and equipments ensure a safe environment for the guests and the staff who work there. Grindon Short Break Service DS0000032735.V256358.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 x Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 X 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 Grindon Short Break Service Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 X 3 3 3 DS0000032735.V256358.R01.S.doc Version 5.0 Page 22 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 YA35 Regulation Requirement Timescale for action 30/05/06 18(1)(c)(a) Training must be provided to all care staff on the specific training needs identified by the manager to ensure that the staff are further equipped to meet the needs of the Guests who may have such conditions. 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 Grindon Short Break Service DS0000032735.V256358.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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 Grindon Short Break Service DS0000032735.V256358.R01.S.doc Version 5.0 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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