Inspection on 16/02/06 for Grosvenor House

This inspection was carried out on 16th February 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Grosvenor House 23/10/08

Grosvenor House 26/10/06

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

CARE HOME ADULTS 18-65 Grosvenor House 11 Grosvenor Place Ashton Preston Lancashire PR2 1ED Lead Inspector Lesley Plant Unannounced Inspection 16 February 2006 4.00 th Grosvenor House DS0000062889.V259814.R01.S.doc Version 5.1 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 House DS0000062889.V259814.R01.S.doc Version 5.1 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 House DS0000062889.V259814.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Grosvenor House Address 11 Grosvenor Place Ashton Preston Lancashire PR2 1ED 01772 721938 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) Mr Meghadeven Pumbien Mrs Indrannee Pumbien Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places Grosvenor House DS0000062889.V259814.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service may accommodate up to 3 service users in category MD (Mental Disorder), excluding learning disability or dementia categories 17th June 2005 Date of last inspection Brief Description of the Service: Grosvenor House is a detached property situated in a residential area of Ashton, Preston. The home is registered to provide care to three adults of both sexes, who have a mental health disorder. The home is located close to local shops, a bus route and other amenities. The accommodation comprises of three single bedrooms each with a wash hand basin. There is a bathroom and separate toilet. Communal space consists of a large lounge with dining space and a designated smoking room. The lounge includes a facility of a sink unit, cupboards, kettle etc, to allow individuals to prepare their own refreshments. These facilities are situated on the ground floor and there is also an accessible garden area. Both Mr and Mrs Pumbien are the registered providers of Grosvenor House, however it is Mr Pumbien who delivers the service and manages the day- to- day running of the home. No staff are employed. Grosvenor House DS0000062889.V259814.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced, started at 4.00 pm and took place over two hours. The inspector spoke to Mr Pumbien, the registered provider in day-today management of the home, viewed care and medication records and looked at the accommodation provided. Time was spent talking to the three people living at the home, who are all able to express their views about the service provided. One individual was going out and therefore more time was spent with the remaining two residents. Key standards not assessed at this inspection will have been addressed at the previous inspection on the 17th June 2005. What the service does well: What has improved since the last inspection? What they could do better: Records show that Social Work contact had been unsuccessfully pursued on behalf of one person at the home, via telephone contact with the consultant Grosvenor House DS0000062889.V259814.R01.S.doc Version 5.1 Page 6 psychiatrist. Mr Pumbien was advised that any such future requests should also be made in writing. The inspector viewed confirmation of the registered managers award portfolio being completed, with the work awaiting final assessment. Mr Pumbien was advised to forward a copy of the course certificate to the CSCI, once assessment is completed. 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 House DS0000062889.V259814.R01.S.doc Version 5.1 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 House DS0000062889.V259814.R01.S.doc Version 5.1 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): EVIDENCE: None of the above standards were inspected during this visit. Grosvenor House DS0000062889.V259814.R01.S.doc Version 5.1 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 and 9 Changing needs are responded to and people are supported to make decisions about their lives. EVIDENCE: Care plans are in place, are signed by the individual and reviewed approximately every month. For two people this review is recorded on the diary sheets, which are used to note any significant events or changes. These recordings have improved and now provide more details regarding how things are for each person. Following advice at the last inspection, the third individual meets with Mr Pumbien each month and signs his review sheet to confirm that he is still happy with the agreements regarding personal care. Relatives have been informed of this agreement. This monthly exchange should continue as it a good opportunity for views to be aired. Two people still have care programme approach reviews undertaken by their mental health care coordinator. For one person a more structured week was recommended, and this was put in place. The individual does not always attend his day placements as agreed and records of this are kept. Mr Pumbien is aware that encouragement to attend is not welcomed by the individual and therefore limits his intervention to maintaining a supportive safety net and keeping records of changes. Records show that Social Work contact had been Grosvenor House DS0000062889.V259814.R01.S.doc Version 5.1 Page 10 unsuccessfully pursued on behalf of one person at the home, via telephone contact with the consultant psychiatrist. Mr Pumbien was advised that any such future requests should also be made in writing. Individuals are encouraged to make decisions about how they live their lives. Any restrictions are in the persons’ best interests. For one person there is an agreement regarding daily amounts of spending money, which has been agreed with the individual, a relative and court of protection appointee. People choose how they spend their time and the friendships they maintain. One person visits a friend on most evenings and stated that he looked forward to these visits. Risk assessments are in place and are reviewed. Grosvenor House DS0000062889.V259814.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13 and 16 Attendance at day placements is supported and helps people to maintain positive mental health. Individuals enjoy accessing the local community. EVIDENCE: Individuals at the home are involved in sheltered employment activities and also attend day services for people with mental health problems. One person spoken to explained that she enjoyed meeting friends at work and keeping in touch with what was going on. People are encouraged to keep some structure to their week, although Mr Pumbien acknowledges that attendance is down to the choice of the individual. Grosvenor House is situated close to a range of community facilities and is within easy reach of the city centre. The people spoken to talked about visiting friends, going to the pub, the betting shop and shopping in town. Two people have concessionary bus passes. Although people are able to go to bed and get up when they wish, getting up to attend agreed day placements is encouraged. One individual tends to return to the home only briefly for his meals. Meals are generally at set times, Grosvenor House DS0000062889.V259814.R01.S.doc Version 5.1 Page 12 although the small kitchenette means that snacks and drinks can be made at any time. People have a key to the front door as well as a key for their bedroom. Grosvenor House DS0000062889.V259814.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 and 20 Medication is appropriately managed and self-administration supported. EVIDENCE: The people currently living at the home do not require direct support with managing their personal care, although guidance and prompting may be needed at times. Mr Pumbien provides general oversight and takes care of all laundry tasks. One person has requested that Mr Pumbien does not remind or prompt him regarding bathing etc, an area, which had caused conflict in the past. The current agreement appears to be working well and the person concerned said that he was happier with this arrangement. Another individual explained that she is grateful for the support she has received in attending recent health appointments. Risk assessments are in place regarding medication and self-administration, although one of these was outdated. The individual concerned is no longer able to look after his own medication, this being now done by Mr Pumbien, who was advised to remove the outdated risk assessment from the case file. Medication administration records were viewed and are being appropriately maintained. One person looks after her medication in her bedroom and has a lockable facility for safe storage, although this is not always used. The medication for the other residents is kept in a locked cupboard in the kitchen. Grosvenor House DS0000062889.V259814.R01.S.doc Version 5.1 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 There are systems in place, which promote the safety of those living at the home. EVIDENCE: There is a complaints procedure in place and this is displayed in the lounge, along with details of advocacy services. No complaints have been received since the last inspection. The people spoken to confirmed that they could raise any concerns and each has contact with relatives who may advocate on their behalf if necessary. Mr Pumbien has a copy of the locally agreed abuse procedures, “No Secrets in Lancashire” and confirmed that he would follow this guidance if any such situation arose. Mr Pumbien has undergone training regarding handling aggression and although no staff are employed, has developed appropriate policies. Mr Pumbien supports one individual with their finances, providing an agreed amount of money each day. Appropriate records of these arrangements are maintained and these were viewed. Grosvenor House DS0000062889.V259814.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Individuals living at Grosvenor House are happy with the accommodation provided. EVIDENCE: The premises are maintained to a reasonable standard and there is good access to local facilities and services. All service user accommodation is on the ground floor of the home. The small kitchenette area in the main lounge/dining room allows individuals to make their own drinks and snacks, so promoting independence. Since the last inspection the tiling in the toilet has been completed. On the day of the inspection a workman arrived to examine a leak in the bathroom ceiling, with Mr Pumbien confirming that this was being attended to. The people living at the home are happy with their individual bedrooms and the accommodation provided, with one person stating that her room is warm, cosy and large enough to use as a bed-sitting room. Although individuals are encouraged to keep their rooms clean and tidy, Mr Pumbien takes responsibility for the majority of the cleaning and all laundry tasks. The individuals spoken to stated that they are happy with these arrangements. Grosvenor House DS0000062889.V259814.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 EVIDENCE: These standards are not applicable to Grosvenor House as there are no staff employed at the home. Grosvenor House DS0000062889.V259814.R01.S.doc Version 5.1 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 39 Informal quality monitoring systems are in place and the people spoken to feel that their views are listened to. EVIDENCE: Mr Pumbien is a qualified Mental Health Nurse and has many years experience in this area of work. Mr Pumbien carries out the day-to-day running of the home and no staff are employed. The inspector viewed confirmation of the registered managers award portfolio being completed, with the work awaiting final assessment. Mr Pumbien was advised to forward a copy of the course certificate to the CSCI, once assessment is completed. Mr Pumbien continues to update his skills and knowledge and is currently undertaking the NVQ assessor’s award. Past training includes medication, first aid, food hygiene and fire safety. The inspector discussed quality monitoring with the Mr Pumbien. In the past surveys have been used to gain feedback from those living at the home. At present this is carried out more informally, for example by both individual and group discussions during regular daily activities such as meal times. Records Grosvenor House DS0000062889.V259814.R01.S.doc Version 5.1 Page 18 show that one person has monthly meetings with Mr Pumbien to confirm satisfaction with agreements regarding personal care. The three people living at the home all have contact with relatives, who would advocate on their behalf if necessary. Individuals also have link workers at the day centres/sheltered employment settings they attend, providing another outlet for people to express their views. Two individuals were asked if they felt that their opinions were listened to, with both responding that they were. Grosvenor House DS0000062889.V259814.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 N/A 33 X 34 N/A 35 N/A 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 x 12 3 13 3 14 X 15 X 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 X 2 X 3 X X X X Grosvenor House DS0000062889.V259814.R01.S.doc Version 5.1 Page 20 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. Standard Regulation Requirement Timescale for action 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 Refer to Standard YA37 Good Practice Recommendations The registered provider in day-to-day management of the home should gain NVQ level 4 in management, providing the CSCI with a copy of the certificate. Grosvenor House DS0000062889.V259814.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 House DS0000062889.V259814.R01.S.doc Version 5.1 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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