Inspection on 01/11/06 for Grove Cottage

This inspection was carried out on 1st November 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

Grove Cottage 27/10/08

Grove Cottage 15/02/06

Grove Cottage 27/09/05

Grove Cottage 08/02/05

Grove Cottage 20/09/04

Grove Cottage 16/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

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

CARE HOME ADULTS 18-65 Grove Cottage 80 Bessingby Road Bridlington East Yorkshire YO16 4SH Lead Inspector Sarah Sadler Unannounced Inspection 1st November 2006 13:00 Grove Cottage DS0000019822.V308421.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 Grove Cottage DS0000019822.V308421.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. Grove Cottage DS0000019822.V308421.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Grove Cottage Address 80 Bessingby Road Bridlington East Yorkshire YO16 4SH 01262 670487 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) East Yorkshire Housing Association Limited Christine Margaret Lessentin Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Grove Cottage DS0000019822.V308421.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th February 2006 Brief Description of the Service: Grove Cottage (80 Bessingby Road) offers long term care to a maximum of three people of either gender with a learning disability. East Yorkshire Housing Association Limited owns the home. Grove Cottage is situated in Bridlington and it is within twenty minutes walking distance of the town centre. There are a variety of local community facilities close at hand and the service users go out on a regular basis. The home has a small attractive paved area outside and visitors can park their cars at the rear of the home at the organisations headquarters. The home is close to a bus route. The manager confirmed in the pre-inspection documents that the weekly charge for livng in the home ranges from £62.35 to £94.45. This does not include the cost of the hairdressers, chiropodist, toiletries and holidays, which have a variety of fees. Grove Cottage DS0000019822.V308421.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key unannounced inspection was undertaken as part of the routine programme of inspections. It commenced at 13.00 and was completed at 16.00 on the 1st November 2006, with a previous one day’s preparation. The registered manager and staff team assisted the inspector throughout the day. All of the service users were present; there were no visiting health professionals or residents’ representatives. One staff member and the manager were spoken with. A tour of the premises was undertaken and residents’ files and other records were examined. This included pre-inspection material provided by the manager. Comment cards were sent to relatives and professionals. One relative responded, and they commented that they were happy with the care provided in the home. Two professionals replied and they were also happy with the care provided in the home. The residents spoken with on the day of the visit all confirmed that they liked the home. What the service does well: The home is managed well with a service user focus. This was observed both within the structure of the days timetable and with the relationships between the staff and service users. Visitors are encouraged and made welcome. This helps service users maintain contact with family and friends. People are able to attend a variety of educational and leisure activities ensuring that their educational and social needs are met. People are supported to attend any necessary health appointments, and to receive treatment, and medication is appropriately handled. This ensures that all health needs are met. The home continues to be very comfortable and homely. It is clean and well maintained, supporting people to live in a comfortable and warm environment. Grove Cottage DS0000019822.V308421.R01.S.doc Version 5.2 Page 6 A well recruited and well trained staff team supports people, ensuring that people’s safety and personal needs are met. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Grove Cottage DS0000019822.V308421.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 Grove Cottage DS0000019822.V308421.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have their needs assessed prior to admission to make sure that Grove Cottage can deliver the care needed. EVIDENCE: The service user files all included a copy of an assessment undertaken by the Local Authority prior to the person moving into the home. This assessment details the person’s individual needs and the support required. The information has then been used by the home in completing a plan of care through a system called ‘person centred planning’. This ensures that the home are aware of the individuals strengths and needs, and that the home can meet these needs. Grove Cottage DS0000019822.V308421.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users health and personal care needs are met. EVIDENCE: Each service user has an individual plan of care that details the support required from the staff in order for those needs to be met. The manager and staff team have regularly reviewed the plan to ensure that it reflects the persons up to date needs and continues to assist with these being met. People’s daily notes are written in individual diaries, maintaining their privacy. These notes reflect the activities that each person has undertaken, the support they have received to meet their needs and how they have been met. These notes also reflect the different choices that people are able to make during the Grove Cottage DS0000019822.V308421.R01.S.doc Version 5.2 Page 10 day, for example, ‘ chose to stay in bed’ or ‘chose to have their lunch in their room’. One member of staff was formally interviewed and when asked what decisions and choices people were able to make, she gave positive examples, which included, what to wear, what to eat and asking if they would like to go out anywhere. Service user files also included up to date risk assessments. These detail different risks that people take, for example, going out alone, as well as the support that someone requires and how the risk is managed to ensure that people can undertake activities of their choice. Again these were regularly reviewed and updated ensuring that they took into account the latest needs of the individual and assisted in ensuring that these were continuously met. Grove Cottage DS0000019822.V308421.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users social, leisure and dietary needs are met. EVIDENCE: The service user records included details of activities and the member of staff confirmed the different activities, which people undertake, for example attending a local adult education centre. People attend these regularly throughout the week and were doing so on the day of the visit. These notes also reflected that people go out and about in their local community, having rides and meals out. On the day of the visit two service users had been to adult education and one service user had been supported to go shopping for clothes for their forthcoming birthday. Grove Cottage DS0000019822.V308421.R01.S.doc Version 5.2 Page 12 Through discussions with staff and reading of service user records it was clear that service users are supported to maintain relationships. Relatives are welcomed into the home, included in the quality assurance systems and kept up to date with developments in their relative’s lives. Feedback from relatives reflected that all were happy with the support their relative receives within the home. People are also supported to telephone from the home to speak with their relatives if they wish to. Service users were able to access all communal areas of the home and were observed to choose when to do this and when to spend time alone in their rooms. Staff and service users’ interactions were positive and relaxed. One member of staff has taken the guidance from the National Minimum Standards and has used this as their baseline to complete a review of the menus and how these are provided within the home. The paperwork attached to this reflects that people have a choice of a varied menu. When asked one service user confirmed that they liked the food provided. In addition, they had requested a ‘special’ meal as a member of staff was leaving that day and the home were providing this. This reflects that people’s individual opinions are respected and provided for. Grove Cottage DS0000019822.V308421.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s health needs are met. EVIDENCE: In the service user files there is a form, signed by the service users to confirm that they are happy to receive their support from wither a male or a female carer. Two service users confirmed that they are happy with the staff within the home. Interactions between the service users and two members of staff were observed. People were relaxed with each other, held appropriate conversations and reflected a positive and mutual relationship. Written records are kept of people’s visits to and support from other health professionals, to ensure consistency in the meeting of health needs. The manager reflected a good understanding of the ongoing health needs of the service users and there is an understanding of their changing needs, as the Grove Cottage DS0000019822.V308421.R01.S.doc Version 5.2 Page 14 service users get older. The manager confirmed in the pre-inspection material that people are registered with a GP and have access to a chiropodist. One health care professional commented that specialist advice is incorporated into care plans and medication is appropriately managed within the home. People’s medication is kept in a lockable storage area with written records kept of the administration of their medicines. There are details kept of the different medicines people are prescribed, with people signing to say that they are happy with the home managing their medicines for them. These practices allow for people to receive their medicines correctly and in a way that they are happy to receive. Grove Cottage DS0000019822.V308421.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are able to raise complaints and are protected from the risk of harm. EVIDENCE: There is a complaints procedure available within the home, with the manager confirming that there have been no complaints since the last inspection. There is a copy of the Local Authority’s policy ‘The Protection of Vulnerable Adults’, which provides the staff with the correct procedures to follow should an allegation of abuse occur. The staff member on duty confirmed that they had a good knowledge of protecting people, which included risk assessments and the correct procedure for reporting any allegation of harm or abuse. In addition the home have another policy for the handling of allegations of abuse. This is a very comprehensive policy and was discussed with the manager at the time of the visit, as it did not make clear the necessity to refer all allegations to the local Vulnerable Adults team prior to any decisions being made to ensure that any action taken by the home does not affect other potential investigations. One potential staffing issue had occurred within the home and the organisation had followed the correct procedures, including notifying the CSCI of this. Grove Cottage DS0000019822.V308421.R01.S.doc Version 5.2 Page 16 Grove Cottage DS0000019822.V308421.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a clean and comfortable home. EVIDENCE: People continue to live in a home that remains, comfortable, clean and homely. Individual rooms reflect people’s personalities, with the home being kept in a good state of repair throughout. There is a separate laundry area, which is also well maintained and away from eating areas. This ensures that laundry is handled correctly and reduces the risk of infection. Grove Cottage DS0000019822.V308421.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported by a well recruited and trained staff team. EVIDENCE: The manager detailed a variety of courses in the pre-inspection material that had been undertaken by the staff, this was confirmed in the staff records and by the member of staff on duty at the time of the inspection. The courses included food hygiene, first aid, back care, fire awareness and the protection of vulnerable adults (POVA). All of the staff team are qualified in a National Vocational Qualification to a minimum of level 2 in care. Being well trained assists the staff team in meeting the needs of the service users to a high standard. Good recruitment procedures are followed and all of the staff have Criminal Record Bureau checks (CRB) and references undertaken on them prior to them Grove Cottage DS0000019822.V308421.R01.S.doc Version 5.2 Page 19 commencing working in the home. This was confirmed in the pre-inspection material and was evident in the staff files. These processes assist in ensuring that people are suitable to work within the home. Grove Cottage DS0000019822.V308421.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a home that is well managed, allows them to express their views and ensures their safety. EVIDENCE: The manager has decided that due to their retirement they are not going to register with the CSCI. A deputy manager is due to commence and this person will become the manager and register with the CSCI. The current manager has a good knowledge of the service and the individuals needs, she is continuing to Grove Cottage DS0000019822.V308421.R01.S.doc Version 5.2 Page 21 update her knowledge and is to attend a training course on medication in the future. This ensures that the service continues to be managed by a well trained manager and the systems in place will ensure for a smooth transition to the new manager. There is a quality assurance system in place, which takes into account the views of the service users, staff and relatives, enabling them to be involved in the development of the home. A report is produced from the findings of the quality assurance questionnaires and actions are taken as necessary. Views of other stakeholders, for example, GP’s or district nurses are not currently sought, this would enhance the system by reflecting that everyone involved with the home offer their views and assist in a full assessment of the standards offered. There are up to date health and safety checks undertaken within the home, these include the gas, electrical and fire systems in the home. Written records are kept of these and other health and safety issues, for example any accidents or incidents. Risk assessments are completed, for example for the risk of working alone and the risk of fire. This assists in ensuring that people are protected from potential environmental risks of harm. Grove Cottage DS0000019822.V308421.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 4 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 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 Grove Cottage DS0000019822.V308421.R01.S.doc Version 5.2 Page 23 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 YA23 Good Practice Recommendations The registered person should ensure that the policy for the handling of allegations of abuse is clear, i.e. that all allegations are referred to the appropriate person prior to any decisions or actions being taken by the registered persons. The quality assurance system should include the views of all stakeholders. 1 YA39 Grove Cottage DS0000019822.V308421.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Grove Cottage DS0000019822.V308421.R01.S.doc Version 5.2 Page 25 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!