Inspection on 27/10/08 for Grove Cottage

This inspection was carried out on 27th October 2008.

CSCI found this care home to be providing an Good service.

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

Grove Cottage 01/11/06

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 31/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Grove Cottage 80 Bessingby Road Bridlington East Yorkshire YO16 4SH     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sarah Rodmell     Date: 2 7 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 25 Information about the care home Name of care home: Address: Grove Cottage 80 Bessingby Road Bridlington East Yorkshire YO16 4SH 01262670487 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) East Yorkshire Housing Association Limited Type of registration: Number of places registered: care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 5 The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD Date of last inspection Brief description of the care home Grove Cottage (80 Bessingby Road) offers long term care to a maximum of five 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 Care Homes for Adults (18-65 years) Page 4 of 25 Over 65 0 5 Brief description of the care home confirmed on 27th October 2008 that the weekly charge for livng in the home is 360.15 pounds. Care Homes for Adults (18-65 years) Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The key unannounced visit was undertaken as part of the routine programme of inspection. It commenced at 09.00 and was completed at 13.00 on 27th October 2008. As part of the process we spoke with the manager and a senior manager for the home. No staff were available at the time of the visit and we did not undertake any surveys as part of the process. We spoke to two of the people who were present at the time of the visit. People told us that they like living in the home are happy there and with the support that they receive. Care Homes for Adults (18-65 years) Page 6 of 25 We undertook a tour of the premises, including the new flat in the upstairs area of the home. We read peoples files and other documents in the home. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action is taken. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are assessed before they move into the home to make sure that the home are able to meet these. Evidence: Each of the people living in the home have had their needs assessed prior to moving in. This assessment covers basic information that includes their life history, personal likes and dislikes, strengths and needs and activities that they wish to complete. The assessments offer information from a variety of sources that include both health and social care professionals. When necessary meetings are held with other agencies, to share information and improve the assessment process. The information is developed into a plan of care, providing details to the staff team on how they can support people in the meeting of their needs, and ensuring that they have the necessary skills. Care Homes for Adults (18-65 years) Page 10 of 25 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported through a care planning process to live their lives make decisions and take risks. Evidence: Two of the three people who use the service had comprehensive plans of care, called person centred plans and individual files that detailed their personal needs, hopes and wishes including the support that the staff team needed to offer in order for these to be met. The third person had only recently moved into the home and although their file was more basic and was continuing to be developed a recent review of the placement had not raised any concerns. Were possible people are involved in the development and review of their file, for example, one person signed to agree to staff support for the handling of their finances. Also the minutes of their care review showed that they participated in this review. Peoples files include a monthly summary report, quarterly report and were necessary a Local Authority review. These reviews help to make sure that the information about people is kept up to date so that the staff team Care Homes for Adults (18-65 years) Page 11 of 25 Evidence: are aware of the latest needs of the individual and how these are to be met. People have daily diary notes that are individual and reflect the activities, decisions and support that people have required each day in the living of their lives. These notes included that people chose what to eat, how well they slept, what their mood was and what they did for example, went out with family or watched TV in the lounge. In addition peoples care plans included risk assessments that support them to live their lives as they choose. These included: the risks of accessing the community, making hot drinks and the risk of walking to their day activity alone. These were up to date and reviewed to make sure that they included the latest details and wishes of people to help them live their lives. Care Homes for Adults (18-65 years) Page 12 of 25 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples social, leisure and dietary needs are met. Evidence: People have individual diary notes that record details of people attending a variety of different activities throughout their week and that these are based upon individual choice. We spoke to two people who live in the home and both confirmed to us that they are happy in the home and with the support they receive. We saw that these people were offered choices of what activities to undertake and were supported in their choices. The manager told us that one person who has retired from a previous employment, now attends two social clubs and is awaiting an assessment for the possibility of attending CAP, which is a day activity provided by the housing association. He also informed us that two of the other people who live in the home already attend CAP. At the time of the visit one person was out in the local community Care Homes for Adults (18-65 years) Page 13 of 25 Evidence: and two went out during the day. Peoples notes also included details that they are supported with personal relationships. For example peoples relatives are able to visit the home and people have spent time out with relatives. Also people are supported to make/receive phone calls from relatives. There is a policy to help guide staff in supporting people who wish to develop relationships and the manager told us that one person is receiving additional advocacy support with this. Peoples choices regarding mealtimes are recorded in their daily diary notes and these choices continue to be based upon a menu developed by the organisation. People are able to choose what to have and are also supported to be involved in the making of their food. For example, one persons notes included that they enjoyed participating in baking and another person had been assisted to make their packed lunch for the following day. Care Homes for Adults (18-65 years) Page 14 of 25 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to meet their health and medication needs. Evidence: Peoples care files reflected that their health needs are individually assessed, monitored and that support is recorded. Monitoring addresses specific health needs and includes, for example,epilepsy monitoring. People are supported to visit their GP or other professionals and specialists appointments as necessary with records kept of these appointments. There is a medication policy in place to assist staff to support people and meet their needs with staff signing to confirm that they understand this. The manager confirmed to us that all staff complete medication training, this being assessed as part of their induction process. Also that some of the staff are undertaking advanced medication training. Records are kept of the receipt, administration and disposal of all medicines and medication is kept in a secure cabinet. The manager told us the home does not have Care Homes for Adults (18-65 years) Page 15 of 25 Evidence: any medications that are described as controlled or that need to be kept cool and stored in a separate fridge. Care Homes for Adults (18-65 years) Page 16 of 25 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to raise concerns and to be protected from harm. Evidence: There has been one compliment but no complaints made either directly to the service or the CSCI. There is a complaints policy that identifies how to support people with a concern and the process this will follow. People told us that they are happy living in the home. There are also policies and procedures to support people who live in the home and the staff team should an issue of safeguarding be alleged. The manager confirmed that all of the staff team undertake Protection of Vulnerable Adults (POVA) training in order to be able to fully support people should a concern be raised. In addition some staff have received training on handling challenging behaviour. There are procedures in place for the handling of peoples monies and records are kept of all expenditure and receipts. Care Homes for Adults (18-65 years) Page 17 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean, comfortable and well maintained home. Evidence: People live in a home that is clean, comfortable and well maintained. It is well lit, tidy and smells fresh.There are homely communal areas for people to sit in to have their meals or to relax and watch television. In addition people have individual rooms that they are able to personalise to their own choices, these have sinks for personal care. The bathroom includes an adapted shower that assists people with independence and personal care. There are laundry facilities away from the main eating area so that the risks of cross infection are reduced and in maintaining infection control. Fire procedures and checks are maintained and up to date to make sure that systems are in place to support people should an incident of fire occur. This includes regular fire drills to familiarise people with this process and to make it easier if this occurs. Care Homes for Adults (18-65 years) Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by well recruited and trained staff. Evidence: The manager told us that there have been recent changes to the staff rota to increase the opportunity for community based activities on an evening. Staff files included that staff complete an application form, two written references and a Criminal Records Bureau Check (CRB) prior to commencing employment. These checks help to make sure that these staff have the correct qualifications and do not have a criminal conviction that may prevent them from working with vulnerable people. As part of the induction to the home staff receive a handbook that details their roles and responsibilities, this helps them to fit into their role. Staff training needs are assessed and recorded. Following which staff are offered a variety of training courses. Staff files included that they attend a variety of courses throughout the year these include, for example, fire, first aid, medication and challenging behaviour. Care Homes for Adults (18-65 years) Page 19 of 25 Care Homes for Adults (18-65 years) Page 20 of 25 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home that is well managed and that takes into account their views and maintains their safety. Evidence: The registered manager has left the home and another manager is now in post. This manager has some formal qualifications and is undertaking courses in management. They have worked in a care setting since 2005 and at this home for over 1 year. They have yet to apply to the Commission to register as the manager for this home. The manager told us that they have altered the staff rotas and are updating files and records to meet the ongoing needs of the people in the home. Policies and procedures are in place to support staff with the meeting of needs. There is a quality assurance system that enables the views of people who live and work in the home to be included alongside other stakeholders. Although the report for this year has not yet been formalised, the senior manager told us that the questionnaires have been completed and this is an ongoing process. Staff and service Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: user meetings take place to offer an opportunity for peoples views to be heard. Safety checks are undertaken in the home, this includes that the gas and electrical systems are safe, however the electrical wiring certificate is due for renewal. Procedures are in place for any accidents in the home to be recorded. Care Homes for Adults (18-65 years) Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 42 13 Evidence that the electrical wiring in the home is safe must be forwarded to the Commission. This shows that the electrical wiring does not pose a safety risk for the people who live in the home. 18/12/2008 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 35 The registered person should consider that staff undertake training specific to Learning disabilities to assist the staff to develop their understanding and continue to meet peoples needs. The registered person should ensure that the manager is registered with the Commission. 2 37 Care Homes for Adults (18-65 years) Page 24 of 25 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 25 of 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. 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