Inspection on 26/10/06 for Grosvenor Court

This inspection was carried out on 26th October 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 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

Grosvenor Court 25/01/06

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 Paul Stibbons Key Unannounced Inspection 26th October 2006 13:25 Grosvenor Court DS0000023425.V307195.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 Grosvenor Court DS0000023425.V307195.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. Grosvenor Court DS0000023425.V307195.R01.S.doc Version 5.2 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.V307195.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th January 2006 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. Fees for this service range between £838 and £1580 with additional charges for hairdressing, entrance fees for venues in the community, physiotherapy if not provided by the NHS, incontinence products in excess of those provided by the NHS, music sessions provided by an outside entertainer and additional toiletries other than basics. Grosvenor Court DS0000023425.V307195.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Regulatory inspector Paul Stibbons conducted this unannounced inspection on the 26th October 2006 and the visit lasted approximately three and a half hours. During the visit Relatives, staff and the registered manager were spoken with, service users were unable to verbally communicate therefore some judgements are based on observation. The pre-inspection questionnaire had been completed and returned to the CSCI prior to this visit. A tour of the building was conducted and a variety of records and documents were examined. What the service does well: What has improved since the last inspection? What they could do better: Although the home has made several attempts to open individual bank accounts for service users they have been unable to locate a bank willing to accept them. Furniture in the lounge is worn and shabby and needs replacing or cleaning. The home should insist on proof of identity before allowing agency staff/others access to the home. Grosvenor Court DS0000023425.V307195.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. Grosvenor Court DS0000023425.V307195.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 Grosvenor Court DS0000023425.V307195.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have sufficient information to be able to make an informed choice on whether this service will meet their needs and individual aspirations. EVIDENCE: The homes Statement of purpose and Service user guides have recently been reviewed (29.09.06) and a copy provided to the CSCI. The guide is clear about the facilities and opportunities on offer at the home and a written contract of terms and conditions details the financial commitment of the placement. Care plans viewed evidence that a comprehensive assessment of need and requirements has been carried out for individuals. Grosvenor Court DS0000023425.V307195.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs and personal goals are reflected in their individual plans and they are supported to take risks as part of an independent lifestyle. Their right to confidentiality is upheld. EVIDENCE: Care plans viewed were comprehensive in documenting assessed and changing needs of individuals. Various charts are used to monitor general health and progress towards personal goals and appropriate risk assessments are in place. There is evidence of frequent review of individual plans and service users are supported in making decisions within the scope of their abilities. Staff members facilitate the opportunity to express views through one–to-one sessions with service users and surveys from their representatives. Confidential information was securely stored and handled by staff members appropriately. The manager states that several banks and building societies have been approached about opening individual accounts for service users but without success. The company does have robust procedures for dealing with service user finances. Grosvenor Court DS0000023425.V307195.R01.S.doc Version 5.2 Page 10 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): 11,12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have the opportunity to participate in a range of activities both within the home and the local community. Family contact is supported and promoted and they enjoy a healthy and varied diet of their choosing. EVIDENCE: Individual plans viewed evidence that service users participate in a variety of activities and during the visit staff were observed supporting and interacting with individuals. There is a day-care officer on duty to organise various activities. In-house there is the opportunity for art and craft, games and puzzles, ball games, DVD and videos, massage, physiotherapy and sensory equipment. The home has its own day-care facility external to the home where the opportunity to mix with service users and staff from other homes is possible. Trips to places of interest, local shops, swimming, theatre and public houses are arranged by the home. The manager states that all service users who wanted an annual holiday have had one this year, Dorset and Bognor being two of the locations. There is evidence of family contact in service users Grosvenor Court DS0000023425.V307195.R01.S.doc Version 5.2 Page 11 bedrooms and relatives spoken with during the visit spoke well of the home and staff team. A tour of the kitchen evidenced a good supply of quality food provisions and menus viewed were healthy and varied. Because of communication difficulties likes and dislikes are closely monitored to enable client choice. Two service users require PEG feeding and training records show that staff have received training in this area. Grosvenor Court DS0000023425.V307195.R01.S.doc Version 5.2 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users physical and emotional health needs are met and they are protected by the homes policies and procedures for dealing with medication. EVIDENCE: The personal support that is needed by individual service users is clearly documented in their care plans. Care plans viewed evidence input from a variety of healthcare professionals and appropriate referrals when required. keyworkers are responsible for monitoring and updating service users health and personal care matters with support from relevant healthcare professionals. Medication storage, administration and recording complies with current regulations and guidance and staff have received “Safe and sure” medication training with competence based assessment Grosvenor Court DS0000023425.V307195.R01.S.doc Version 5.2 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users views are listened to and acted upon and they are protected from abuse, neglect and self-harm. EVIDENCE: A recent anonymous complaint from a member of the public was thoroughly investigated by the home and a satisfactory written response received by the CSCI within 20 days. Staff members and service users relatives spoken with at the time of the visit are aware of complaints procedures. There are some communication difficulties with service users in this service but through experience staff are able to recognise signs of distress. Training records evidence a variety of training for staff, but, there are some staff still requiring training around Adult protection issues and it is a recommendation of this report that this training takes place soon. Grosvenor Court DS0000023425.V307195.R01.S.doc Version 5.2 Page 14 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): 24,25,26,28,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a homely and safe environment with adequate personal and communal space to meet their needs. Some furniture is in need of cleaning or replacement. EVIDENCE: The home is generally well maintained and decorated with a tour of the building revealing no obvious health and safety hazards with the exception of a lounge settee that has the wooden frame exposed. This settee is in dangerous condition and must be replaced, the lounge chairs would also benefit from being cleaned as they are looking shabby. Bedrooms viewed reflect the interests and lifestyles of individuals and are adequate to meet service user needs. The locks on bedroom doors have been changed as required by the previous report. There is ample communal space with two dining areas and two lounges one of which doubles as a sensory area. There is also a large secure garden that service users can enjoy when the weather permits. At the time of the visit the home was clean and tidy and procedures and equipment is in place to maintain hygienic conditions. Grosvenor Court DS0000023425.V307195.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A competent and effective staff team support service users and have the skills and knowledge to meet their individual and joint needs. They are protected by robust recruitment policies and procedures. EVIDENCE: NVQ training in the home has been ongoing and the manager states that at least 50 of the staff team now has an NVQ qualification. Staff rosters viewed indicate that there are 6/7 care staff on daily plus cook, housekeeper, designated day-care officer and a physio-aide. Staff training matrix evidences a variety of training including health and safety and specific subjects relevant to meeting the individual and joint needs of the current service user group. Staff personnel files evidence that robust recruitment practices are in place and that a previous recommendation to comply with the revised schedule 2 has been met. Agency staff working at the home should have a form of identity and it is a recommendation of this report that these procedures and practices are reviewed for the protection of service users. Grosvenor Court DS0000023425.V307195.R01.S.doc Version 5.2 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a well run home where their health, safety and welfare is promoted and protected. The views of service users or their representatives underpins all self-monitoring and development of the home. EVIDENCE: The registered manager holds qualifications in Care and Management in addition to specific knowledge relevant to the homes client group. Members of staff and relatives spoken with spoke positively of the managers leadership and management approach of the home. Feedback is sought through surveys to relatives and other professionals in addition to the required Regulation 26 visits to monitor, review and develop the service. Appropriate policies and procedures are in place that comply with current legislation and guidance to ensure the health, safety and welfare of service users and staff. Grosvenor Court DS0000023425.V307195.R01.S.doc Version 5.2 Page 17 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 3 2 3 3 x 4 x 5 3 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 2 25 3 26 3 27 x 28 3 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 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 Grosvenor Court DS0000023425.V307195.R01.S.doc Version 5.2 Page 18 Are there any outstanding requirements from the last inspection? No 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)c Requirement The registered person shall ensure that that equipment provided at the home is maintained in good order. In this instance the lounge settee is in dangerous condition and must be replaced. Timescale for action 31/12/06 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. Refer to Standard YA23 YA24 YA34 Good Practice Recommendations Ensure ALL staff have training around Adult protection Lounge furniture would benefit from being cleaned Request identification from agency staff/others entering the home Grosvenor Court DS0000023425.V307195.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Grosvenor Court DS0000023425.V307195.R01.S.doc Version 5.2 Page 20 - 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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