Inspection on 25/01/06 for Grosvenor Court

This inspection was carried out on 25th January 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 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

Grosvenor Court 26/10/06

Grosvenor Court 13/10/05

Grosvenor Court 20/02/05

Grosvenor Court 02/08/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Grosvenor Court 15 Julian Road Folkestone Kent CT19 5HP Lead Inspector Chris Randall Unannounced Inspection 25th January 2006 09:30 Grosvenor Court DS0000023425.V268497.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 Grosvenor Court DS0000023425.V268497.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. Grosvenor Court DS0000023425.V268497.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Grosvenor Court Address 15 Julian Road Folkestone Kent CT19 5HP 01303 221480 01303 221481 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) Counticare Limited Mrs Christine Weathered Care Home 17 Category(ies) of Learning disability (17) registration, with number of places Grosvenor Court DS0000023425.V268497.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th October 2005 Brief Description of the Service: Grosvenor Court is a care home providing residential care for up to 17 people with a severe learning disability. The home accesses specialist services within the community, and visiting professionals provide individual therapy to meet the needs of the service users. The home is a detached property made up of an original house that has been extended and linked to form the current accommodation. The bedrooms are laid out over 2 floors and there are shaft lifts to access the first floor areas. The grounds are well maintained and include a private walled garden and a parking area The property is located in a quiet residential area in Folkestone and is within easy reach of facilities such as health centres, supermarket, other shops, recreational facilities, and the company’s day centre. Grosvenor Court DS0000023425.V268497.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took place over 5 hours on one day, (plus preparation time). As the majority of the standards were assessed at the announced inspection in October, this inspection concentrated on checking the requirements and recommendations made on the last report; and checking the standards not covered at the announced inspection. Time in the home also included a tour of the home; observing the interaction between the service users and staff; checking on training undertaken; inspection of records; and talking to the manager, several staff, 2 visitors and a visiting professional. The majority of the requirements from the last inspection had been met. The home was clean, well maintained, and odour free. The service users appeared happy and content, the staff are cheerful and well motivated, and a good relationship was witnessed between the service users and staff. Records inspected were up to date and relevant. Staff comments included, “its good”, and “Its brilliant” What the service does well: There is a friendly and welcoming atmosphere in the home and visitors are made welcome. The home maintains a clean and odour free environment throughout. The house and gardens are pleasant and well maintained. The home makes good use of sensory equipment to stimulate the service users. Service users are supported to enjoy a lifestyle suited to their needs and abilities, and the home has its own mini bus and estate car for taking service users out to the day centre and for drives. Service users receive a balanced and nutritious diet. Staff support of service users when they are in hospital is to be commended. The home employs a physio-support worker to work with service users on 5 days a week and she works under the direction and guidance of the physiotherapist, who visits monthly. Grosvenor Court DS0000023425.V268497.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: It has taken a while for the home to complete their consultation with the fire brigade and the three rooms with star locks still need to have these removed and appropriate locks fitted. Staff NVQ training needs to continue to ensure that 50 of care staff are trained to NVQ2 level or above. Although it is appreciated that accessing bank accounts for service users with high degrees of learning disability is not easy, wherever possible service users finances should be paid directly into their own bank accounts. Although there has been a marked improvement in recruitment practices staff records still need to be updated to ensure they comply with the revised Schedule 2 of the regulations. Please contact the provider for advice of actions taken in response to this Grosvenor Court DS0000023425.V268497.R01.S.doc Version 5.0 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Grosvenor Court DS0000023425.V268497.R01.S.doc Version 5.0 Page 8 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 Grosvenor Court DS0000023425.V268497.R01.S.doc Version 5.0 Page 9 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&5 Only service users who fall within the registration category are accommodated at Grosvenor Court. Service users contract or statement of terms and conditions with the home now clearly indicate the service users holiday entitlement. EVIDENCE: This section was fully inspected at the announced inspection and standards have only been revisited on this occasion to check the current situation with regards to the requirements and recommendations made on the last report. Although the home started to complete a variation application to comply with the recommendation that was made on the last report under Standard 1 (the home should not accommodate service users who fall outside their category of registration), the completion of this variation has since become unnecessary, as the service user who was over 65 is no longer a resident at the home. Service users contracts have been revised to clearly indicate, ‘an annual holiday up to the value of £250 is included in your bed fee’. The contracts now comply with the standards. Grosvenor Court DS0000023425.V268497.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, & 10 Service users individual needs and choices are clearly documented, they are consulted about life in the home and are able to make decisions in line with their individual abilities, and they can be assured that their confidences will be respected. EVIDENCE: All service users have an individual plan of care, which is drawn up initially from the pre-admission assessment and the joint assessment obtained from the Care Manager. Care plans include personal details and photograph, pictures from younger days, desensitisation programme, KCC care plan, life plan package, inventory, personal and medical details, homes care plan with revisions, strengths and needs review, goals, ideas, prioritising goals, appointments and letters, body maps, daily record, seizure chart where applicable, clinical notes, behavioural guidelines, communication, and a variety of general and individual risk assessments. Evidence was seen of regular reviews of these care plans. Service users are encouraged to make decisions regarding their lives in line with their abilities. The types of choices given are where to spend their time, (in their own rooms, in one of the communal rooms, moving around the home, Grosvenor Court DS0000023425.V268497.R01.S.doc Version 5.0 Page 11 out at a day centre, or taking part in an organised outing or activity). Any limitations on decisions are recorded in the service users own care plan. Currently there is one service user able to access a personal bank account. It is appreciated that it is difficult to access bank accounts for service users with this level of disability however the previous recommendation that wherever possible service users finances should be paid directly into their own named bank accounts has been repeated. Because of the severity of the learning disability of many of the service users the opportunities to participate in the day to day running of the home are limited bt their abilities. Those who do participate do simple tasks such as taking washing to the laundry, and simple dusting of their own room. The home does not hold resident meetings although the service users do have the opportunity to make their views known through one to one sessions with staff members and through quality questionnaires completed with their representatives. The home has a clear policy on confidentiality and staff handle information about service users sensitively. Service users records are kept up to date and relevant. Information is only shared with service users families and friends with the approval of the service user. Service users have access to their records in accordance with the Data Protection Act. Grosvenor Court DS0000023425.V268497.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, 15, 16, & 17 Service users are encouraged to engage in appropriate leisure activities and to mix in the local community. They maintain contact with families and friends and their rights are respected. EVIDENCE: Staff help service users to take part in valued and fulfilling activities. Many of the service users regularly attend the Martello Centre where they do Arts and Crafts, and puzzles. The centre has a snoezelum room that service users enjoy. Morning sessions at the centre also include lunch. The home has also recently fitted out one of their own lounges to become a lounge/snoezelum room. Service users are taken out shopping by staff either at the local supermarket or in the town. During the better weather service users also enjoy drives out in the homes mini-bus, or spending time in the secluded garden area. Whilst in the home service users have their choice of activities and many watch television, do puzzles, look at books, or join in arts and crafts sessions as well as having 1:1 interactions with staff. A visitor commented, “sometimes we take xxx out for a walk”. Staff comments included, “the clients are getting more day care and more 1:1 sessions now”, “I spend time with the Grosvenor Court DS0000023425.V268497.R01.S.doc Version 5.0 Page 13 residents and take them out for walks”, and “they all have their own key worker and the key worker gets their toiletries and things for them”. At Christmas a very successful party was held and staff commented, “the staff made the decorations for the Christmas party”, and “the Christmas party was good, the parents came and the clients from the other homes, and the staff families. We had music and a buffet tea”. Currently, because of the level of their disabilities, none of the service users are able to undertake jobs or to access further education. Some assist with simple tasks within the home such as taking their own washing to the laundry, or dusting their own rooms. The manager helps service users with minor finances, and all transactions are properly recorded. Any transactions over £50 and all dealings with service users benefits are dealt with directly by the company’s head office. Service users are encouraged to become part of the local community. They visit local shops, attend day centres, and visit places of interest. The home has its own mini-bus and estate car for transport. Currently no service users choose to attend religious services but this would be arranged if it were their choice to go. If service users wish and are able to take part in the political process this is supported by the home. Due to staffing shortages none of the service users had a holiday last year. However the home is planning this years holidays and are intending to go to Dorset and Centre Parks. 4 service users and 4 staff go at any one time. Everything is risk assessed prior to going. The group take a mobile hoist with them. Either the manager or one of the senior carers takes responsibility and is part of each group. The company pay for the carers and this does not come out of the amount allocated for the service users. The holidays tend to be for 5 days, the majority of service users take advantage of this although one chooses to go home for short weekends and 2 choose not to leave the home. The home supports service users to maintain family links and friendships. Families and friends are welcomed into the home and the service user can choose where they wish to see their visitors. A visitor commented, “we are very happy”, and staff commented, “all the relatives are lovely”, “we always offer visitors a cup of tea or coffee”, and “we make time to chat to visitors and we offer them a drink”. Daily routines in the home are flexible to the needs and choices of the service users. Service users move around the home freely although they are discouraged from accessing other service users bedrooms or the kitchen. Service users can access the garden area accompanied by a member of staff or visitor to ensure their safety. Good interaction between staff and service users was witnessed, staff treat the service users with respect, call them by their preferred name, and only enter their rooms after knocking and gaining permission. Service users make their own choices as to where they will spend Grosvenor Court DS0000023425.V268497.R01.S.doc Version 5.0 Page 14 their time, sometimes choosing to be alone in their own bedrooms and other times to be with other service users in the communal rooms or out at the day centre. A requirement was made on the last inspection report that the star locks fitted to three of the service users doors (and locked during the day when the service users are out of the rooms to prevent someone from wandering into the wrong room) must be removed. The home has been in negotiation with the fire brigade to find appropriate locks to use for these doors. Appropriate locks have now been identified but currently the star locks are still in situ, awaiting purchase and fitting of the new locks. The requirement is therefore repeated on this report. The home has recently appointed a new chef and he is in the process of readdressing the menus. He explained that everything is now home cooked, that they have cut down on fats, and that he makes sure the service users have 5 fruit and vegetables a day. There is a four week menu, the meals are nutritious and well balanced and the presentation is good. Likes and dislikes of service users are recorded and taken into account when preparing meals with alternatives being provided whenever necessary. Currently there are no special diets but some service users require all soft food. Any pureed food is served in separate portions. A visitor commented, “the meals are excellent, very good selection”, and staff commented, “The food is lovely. The clients are eating better and seem to really enjoy it”, “there is more variety of flavours now”, “a lot of them like curry”, “its mostly home cooked food, fresh meat and veg and lots have fruit for breakfast”, “they get a good variety”, and “the new cook has made a point of getting to know the clients”. Nutritional assessments have been prepared and a training session is booked to ensure that staff understand how to complete them accurately, and of their importance for the service users. Service users are weighed either fortnightly or monthly dependent on their condition and their weights are recorded. Any significant variation is investigated. Grosvenor Court DS0000023425.V268497.R01.S.doc Version 5.0 Page 15 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 Service users physical and emotional health needs are met and they receive personal support in the way they prefer. EVIDENCE: The personal support that is needed by each individual service user is clearly documented in their care plan. Personal support is provided in their own rooms or the bathroom to maintain their privacy and dignity. The time of getting up and going to bed is flexible according to the service users choice. The home employs a physio assistant 5 days a week and she works under the guidance and direction of the physiotherapist who visits monthly or more often if needed. The physiotherapist was in the home on the day of the inspection. Various aids and equipment are available to assist service users and staff are all trained in their use. In addition to support from the service users own doctors the home receives specialist support from the learning disabilities team, the learning disability nurses, speech and language therapists, occupational therapists, physiotherapist, epilepsy nurse, district and community nurses, chiropodist, optician, community dentist and dental specialist. Each service user has a key worker and this person is responsible for updating and reviewing their service users care plans. Grosvenor Court DS0000023425.V268497.R01.S.doc Version 5.0 Page 16 The service users health and personal care needs are assessed prior to admission, and regularly reviewed thereafter. The staff meet the assessed needs of the service users with full support from the various specialists. A visitor commented, “when xxx went into hospital a member of staff stayed with her overnight”, and staff comments included, “we have not got so many double handers now”, and “I think the clients are well looked after”. Grosvenor Court DS0000023425.V268497.R01.S.doc Version 5.0 Page 17 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 Service users views, and those of their supporters, are listened to and acted upon EVIDENCE: The home has a clear complaints policy, a copy of which is displayed in the hallway for all to see. There have been no complaints recorded since the last inspection although the complaints register demonstrates that complaints are taken seriously and that both the complaint and the outcome is always recorded. A visitor commented, “We have no complaints” Grosvenor Court DS0000023425.V268497.R01.S.doc Version 5.0 Page 18 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, 26, 27, 28, & 30 Service users are accommodated in a home that is safe, clean, odour free, homely, comfortable, and meets their needs. EVIDENCE: Grosvenor Court is accessible, safe, well maintained and appropriate to the needs of the service users. Since the last inspection the decorating has been completed in the dining room, new flooring has been laid, and new curtains have been fitted; the parts of the home that were in the process of being decorated have been completed, the new carpet has been laid in the extension, and the small lounge has been converted into a lounge/snoozalem. The company have their own maintenance team and problems that occur are quickly and efficiently dealt with. There is easy access to local amenities and the home has its own mini bus and estate car to assist the service users to access the wider community. The home has the benefit of 2 lifts to access first floor level. All furnishings and fittings are appropriate to meet the needs of the service users. Service users own bedrooms are bright and airy, all have been fitted with new curtains or blinds within the past year. Furnishings and fittings are appropriate to meet the individual’s needs and service users are able to bring in items of Grosvenor Court DS0000023425.V268497.R01.S.doc Version 5.0 Page 19 their own furnishings and belongings to personalise their rooms, many choosing to have items of sensory equipment for their own use. The home has sufficient toilets and bathrooms to meet the service users needs, and these rooms are lockable with staff having an override device in case of necessity. Communal rooms consist of two dining rooms, a large lounge and a small lounge/snoozalem room, all appropriately furnished. There is also a very pleasant walled garden. The home is kept clean, hygienic and odour free throughout. There are policies and guidelines in place for infection control, and gloves and aprons are readily available. Hand washing facilities are prominently sited and, since the last inspection, have been supplemented with alcohol gel cleanser. Grosvenor Court DS0000023425.V268497.R01.S.doc Version 5.0 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, & 36 Service users are supported by a sufficient number of properly recruited, dedicated staff, working towards achieving appropriate qualifications and training. EVIDENCE: All staff are provided with clearly defined job descriptions and work in accordance with the GSCC code of conduct. The staff have all developed good relationships with and are able to meet the individual needs of the service users who they care for. Since the last inspection 2 staff have completed NVQ 3 and 2 have completed NVQ 2. Currently there are 5 staff with NVQ 2 and a further 3 with NVQ 3, a total of 8 out of 21 staff or 38 being qualified. Another 1 staff member is currently doing NVQ 3 and 2 are about to start level 2. A recommendation is added that this training continues to ensure that at least 50 of staff are trained to NVQ standard. A staff member commented “I’m going to start NVQ 3 next year”. Staffing levels in the home have been increased since the last inspection, and are under regular review. A visitor commented, “there are not always enough staff but overall it is O.K.”, and staff comments included, “we have now got Grosvenor Court DS0000023425.V268497.R01.S.doc Version 5.0 Page 21 enough staff”, “it’s a lot better all round”, and “we were really short staffed but its picked up now”. The home has improved its recruitment practices. No new member of staff is now employed in the home until a satisfactory POVA first has been received, they then work under supervision and no one works unsupervised or has their appointment confirmed until 2 satisfactory references and a satisfactory enhanced disclosure have been received. All staff are issued with a statement of terms and conditions and a copy of this document is filed on their recruitment file. The home still needs to update the staff files to comply with the requirements of the revised Schedule 2 and a recommendation has been added to this effect. All new staff do induction training that meets the Skills for Care standards and the home is now introducing the new induction package that has recently been launched. Evidence was seen of training in food hygiene, first aid, moving and handling, medication, POVA, Sensory impairment and learning disabilities, supporting people with challenging needs, interpersonal relationships, sexuality and learning disabilities, and SCIP. Since the last inspection training opportunities have increased, particularly for senior staff. There are regular supervision sessions for staff, and an annual appraisal. One staff member commented, “We have supervision every 6 – 8 weeks”. A visitor said, “The staff are very kind”. General staff comments included, “I feel part of the team”, “we have a laugh on shift”, “we have a nice bunch of staff”, “I am quite happy”, and “the new staff are lovely”. Grosvenor Court DS0000023425.V268497.R01.S.doc Version 5.0 Page 22 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, 42, & 43 Service users benefit from a home that is well run with positive management, and an open and inclusive ethos. EVIDENCE: The registered manager has now completed her NVQ 4 in care. In addition she already holds a City & Guilds certificate in advanced management in care. To ensure that her practice is up to date and relevant she also attends various other training that is available. The ethos, leadership and management approach of the home is open, positive and inclusive and the registered manager communicates a clear sense of direction and leadership. A visitor commented, “Chris is very supportive”, and staff said, “its nice to have someone we can communicate with”, and “Chris is very good, she is always there for you, I cant fault her at all”. Since the last inspection the home has expanded its quality assurance to include visiting professionals and the results were all very positive with lots of excellent or good marks. Grosvenor Court DS0000023425.V268497.R01.S.doc Version 5.0 Page 23 Currently not all of the staff are up to date with statutory training although several courses have already been booked to rectify this. It is recommended that this training continue as planned to ensure all staff are up to date with the statutory training of moving and handling, fire safety, first aid, food hygiene, and infection control. The overall management of the service is good. The manager has a business plan for the home and there is appropriate up to date insurance cover in place. Grosvenor Court DS0000023425.V268497.R01.S.doc Version 5.0 Page 24 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 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 2 3 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X 3 3 3 X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 2 15 3 16 1 17 Standard No 31 32 33 34 35 36 Score 3 2 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Grosvenor Court Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 3 3 3 X X 2 3 DS0000023425.V268497.R01.S.doc Version 5.0 Page 25 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 YA16 Regulation 13.4a,c, 7, 23 2a Requirement The star locks fitted on service users bedroom doors should be removed to avoid the danger of service users being locked into their rooms (Previous timescale of 31/10/05 not met) Timescale for action 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard YA7 YA32 YA34 YA42 Good Practice Recommendations Wherever possible service users finances should be paid directly into their own named bank accounts The home should continue with its training policy to ensure a minimum of 50 of care staff are trained to NVQ level 2 or above. Staff files should be updated to comply with the revised Schedule 2 of the regulations. Planned training should continue to ensure that all staff are up to date with the mandatory Health and Safety training. Grosvenor Court DS0000023425.V268497.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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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