Inspection on 27/09/05 for Grove Cottage

This inspection was carried out on 27th September 2005.

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 01/11/06

Grove Cottage 15/02/06

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 Pauline O`Rourke Unannounced Inspection 27th September 2005 13:00 Grove Cottage DS0000019822.V252754.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Grove Cottage DS0000019822.V252754.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Grove Cottage DS0000019822.V252754.R01.S.doc Version 5.0 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.V252754.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th February 2005 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. Grove Cottage DS0000019822.V252754.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection including preparation time took place over 8 hours. A tour of the building was conducted. A number of the service users records, staff records and records about the management of the home were inspected. 3 of the 3 service users, and 2 of the staff on duty were spoken with. What the service does well: 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. Grove Cottage DS0000019822.V252754.R01.S.doc Version 5.0 Page 6 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.V252754.R01.S.doc Version 5.0 Page 7 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): 2 Service users are assured their needs can be met. EVIDENCE: There had been no new admissions since the last inspection. The admission policy indicated that all new service users are only admitted following a full needs assessment and with the involvement of a care manager, other professionals and significant others. Prospective service users are also given trial days to see if they like the home and can get on with the other service users. Grove Cottage DS0000019822.V252754.R01.S.doc Version 5.0 Page 8 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. The service users are supported in their daily lives by the staff who are made aware of their needs through the care planning process. EVIDENCE: The service user files seen contained a detailed care plan pertinent to their individual needs. A link worker is identified in the plan and a member of staff spoken with said that they were responsible for ensuring the service user understands their care plan. The information held in the service user files contained risk assessments. This information is used by staff to enable them to encourage the service users to be as independent as possible whilst remaining safe. The files also indicated the most appropriate method of communication for each service user. One service user was observed making her self a cup of tea when she returned from the day service she had been attending. She was also given the opportunity to choose what she had for her main meal. Grove Cottage DS0000019822.V252754.R01.S.doc Version 5.0 Page 9 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, 15, 16, and 17. The service users take part in social and educational activities. They have a healthy, balanced and varied diet. EVIDENCE: Evidence was seen on service users plans of involvement in appropriate activities. The day centre they attend provides activities such as literacy and numeracy skills. The service users enjoy watching T.V and listening to music. The home is situated near to a school and across the road from a shopping centre there are no immediate neighbours next to the home. The home encourages contact with the family of service users and evidence was seen on the service users files of regular visits by family members. Staff members encourage service users to go out with them shopping and go out for lunch at local restaurants. Service users are encouraged to maintain links with family with observation by the inspector on the tour of the building of family photographs displayed in a Grove Cottage DS0000019822.V252754.R01.S.doc Version 5.0 Page 10 service users bedroom. Visits and contact from families are recorded on service users records The service users plan with staff what the menus are on a daily basis. Staff are aware of the dietary needs of the service user and incorporate this information is used in the planning of the meals. The service users assist the staff in shopping for the ingredients and where possible they also assist in the preparation of the meals. Drinks and snacks are available at all times. Grove Cottage DS0000019822.V252754.R01.S.doc Version 5.0 Page 11 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 and 20. The service users receive personal care and support according to their needs. EVIDENCE: Evidence was seen on the individual plans of service users, of staff supporting them and maintaining their independence. Staff demonstrated their respect for the service users by responding to them in the privacy of their own bedrooms. Service users are encouraged to choose their own clothes and time with the link worker is used for attention to personal appearance with nails and make up. Evidence was seen on service users files of their healthcare needs and procedures to follow to address them. Case files show evidence of regular optician, chiropody and dental health checks made for each service user. A local doctor makes annual health checks for all three service users. The home has a medication and staff medication policy and procedure, none of the current service users self medicate. The home operates a Boots blister pack system and this is recorded and administered appropriately. The staff have received training in the use of medication and administration of medication. Grove Cottage DS0000019822.V252754.R01.S.doc Version 5.0 Page 12 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. The service users can be assured any concerns they have will be acted upon. EVIDENCE: There is a detailed complaints policy in place. This policy is provided to all the service users and is displayed around the home. There have been no complaints made to the CSCI or the home in the last 12 months. Service users spoken with all said that if they had any problems there was someone within the home they would go to. There is an Adult Protection Policy in place. Staff spoken with had received training in Adult Protection issues and they had a good understanding of their responsibilities if they believed any inappropriate behaviour was taking place. Policies are also in place regarding the management of service users money. Staff are also subject to a criminal records bureau disclosure and a protection of vulnerable adults check to ensure that they are suitable to work in a care setting. Grove Cottage DS0000019822.V252754.R01.S.doc Version 5.0 Page 13 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. The service users live in a homely environment that is clean and well maintained. EVIDENCE: The accommodation provided is on the ground floor and ramped access is provided at the front door. All of the service users have a single room and there is a shared bathroom. The bathroom has a bath an assisted shower and a raised toilet. The laundry is domestic in size and the kitchen an be accessed by all the service users. The home was well maintained, clean and odour free. Grove Cottage DS0000019822.V252754.R01.S.doc Version 5.0 Page 14 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. The service users are supported by staff who are well trained and receive regular supervision EVIDENCE: At the time of inspection adequate staffing levels were seen with an increase in levels at peak times, this has recently happened due to a service user requiring extra help following an illness. A thorough recruitment procedure is followed and staff files seen contained all the documents as required by the Care Homes Regulations 2001. All staff receive a comprehensive induction plan compiled to the Learning Disability Award Framework Standard. Only one member of staff has a National Vocational qualification level 2 and the others are in the process of completing this. Grove Cottage DS0000019822.V252754.R01.S.doc Version 5.0 Page 15 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 and 42. The service users benefit form living in a well managed home. The service users views are sought regularly about the service they use. The health and welfare of the service users and staff is promoted. EVIDENCE: The registered manager completed the registered managers award in July 2003. She has 21 years experience of working in the care sector and has managed the home for the past 4 years. The manager has completed the first year of a B.A (Hons) in managing social care via a distance-learning course. However, this is now on hold until she has completed the National Vocational Qualification level 4 in Care. Service users are canvassed quarterly and the organisation compiles findings into a report for all of its homes in the area. Service users are asked for feedback on all services provided, on a regular basis, in addition to the quarterly canvassing. This feedback was evident in the service user plans. Grove Cottage DS0000019822.V252754.R01.S.doc Version 5.0 Page 16 The views of relatives and other stakeholders are sought by asking them to complete a questionnaire about the service. This information is used to form the basis of the annual development plan for the home. The registered manager is looking to develop the quality assurance further to include internal assessments within the organisation against the National Minimum Standards. The staff spoken with during the inspection said that they had received training in, back care, first aid, food hygiene, COSHH, and fire training. Evidence of this was seen in their records. The equipment used in the home is serviced at the prescribed intervals. Accidents are properly recorded and where necessary reported to the Commission for Social Care Inspection. Information from the accident records is used in the care planning process. All staff can access Induction and Foundation training, this provides them with basic skills required to undertake the role of resource worker. Grove Cottage DS0000019822.V252754.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Grove Cottage Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X DS0000019822.V252754.R01.S.doc Version 5.0 Page 18 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. Refer to Standard Good Practice Recommendations Grove Cottage DS0000019822.V252754.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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