Inspection on 04/04/07 for Grove House

This inspection was carried out on 4th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

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

CARE HOME ADULTS 18-65 Grove House 1 College Grove Road Wakefield West Yorks WF1 3RL Lead Inspector Tony Railton Unannounced Inspection 4th April 2007 08.35 Grove House DS0000068058.V333398.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 House DS0000068058.V333398.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 House DS0000068058.V333398.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Grove House Address 1 College Grove Road Wakefield West Yorks WF1 3RL 01924 200259 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) www.st-annes.org.uk St Anne`s Community Services Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (8) of places Grove House DS0000068058.V333398.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection First inspection under new owners. Brief Description of the Service: Grove House provides support for eight people who suffer from mental health problems. Set back in its own grounds and gardens in a residential area of Wakefield Grove House provides single bedroom accommodation for people who need supervision and support to live an independent a lifestyle. Service users at Grove House are very able and can do most things for themselves and all service users take advantage of being close to the city centre and the services and amenities it provides. Service users are also assisted to take advantage of local community based healthcare services, however, there is the support of the Community Psychiatric Nurses and hospital-based consultants if required. The philosophy of the home is based on ordinary living principles and promoting peoples independence and in particular people making positive choices about how they live. On 4th April 2007 the providers said that the fee per week for living in Grove House is £359.00. Information about the service provided can be obtained from the home or by accessing St Anne’s web site at www.st-annes.org.uk Grove House DS0000068058.V333398.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first visit to Grove House since St Anne’s, the new owners, were registered in December 2006. This visi commenced at 08.35 and ended at 14.00. There was the opportunity to speak to the new manager, two support workers and all service users. The previous inspection report, the pre inspection questionnaire, six service user records, including, assessments, care plans, medical and daily records were seen. Five staff records were seen and included supervision notes, training records, appraisals and staff rotas. The inspector would like to thank the manager, his staff team, and all service users for their hospitality and co-operation throughout this visit to the home. What the service does well: All service users are very able and make decisions about their daily lives. The care plans are good as they reflect service users choices and preferences. The daily records are excellent and provide a narrative using descriptive words to reflect and show service users choices , preferences and any decisions they make about their lives. Medication procedures provides flexibility so that service users can self medicate and yet is checked regularly to make sure that Service users are safe. One service user who decided not to take any medicines and was supported by her GP and staff in the home to do this said that she “feels much better”, and that she can “think more clearly”. The way service users monies are managed is excellent as again it allows flexibility for service users to look after their own money, but is checked properly to make sure service users are protected. Service users have the opportunity to discuss and have a real say in what happens to them. This includes daily conversation, user meetings, reviews, and quality assurance surveys. Service users benefit by the way the home is run as inclusion in community based opportunities are actively sought and include voluntary work and membership of local community groups. One service user said that he “liked working as a volunteer” however, “it’s hard work” and “sometimes makes him tired”. A competent, experienced and qualified staff team supports Service users. Grove House DS0000068058.V333398.R01.S.doc Version 5.2 Page 6 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 House DS0000068058.V333398.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 House DS0000068058.V333398.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): 1,2,3,4, and 5 People benefit from having information about where they live and how their support needs will be met. People have the security of a written contract with the service. Quality in this outcome area is good.This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service user handbook shows that all service users benefit from having the information they need about the home. People make sure they get the support they need because they are involved with their assessments, which they agree, and sign to say they are right. People have the security of knowing that they have a written contract with the service providers. One person said that he knew he had made the right choice because he had the opportunity to “visit the home, meet everyone and have an overnight stay, before he made up his mind”. The admission policy and practices seen are very flexible and accommodate individual service users preferences and choices. Grove House DS0000068058.V333398.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): 6,7,8,9 and 10. People are fully involved in writing and reviewing their own assessments care plans and risk assessments and know that they will get the personal support they need and want. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Peoples signatures on their support plans, risk assessments and reviews show that they are involved with every aspect of their care. The daily records are excellent and provide a narrative , which includes the use of descriptive words to show and reflect service users choices, preferences and the decisions they make about how they live. The minutes of the service user meetings and the returned service user quality assurance questionnaires show that people are fully involved in the running of the home and what happens to them. People benefit by being supported by experienced and competent workers who consult them about every aspect of their lives. Grove House DS0000068058.V333398.R01.S.doc Version 5.2 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16 and 17. People benefit from being part of the local community and being supported to take advantage of all ordinary community based leisure services. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People spoken to said that they use the local shops, post offices, public houses, community centres and churches. People benefit from living in a home where they are actively supported to seek community based opportunities such as voluntary work and membership of local clubs. One person who does voluntary work at a local Country Park said that he “likes going to work”, however, it is sometimes “hard work” and he “gets tired”. Another said that she “enjoys going to church” and her “faith helps her a lot”. Someone else said that they are looking forward to her holiday, as they are going on a “cruise in the Mediterranean”. Grove House DS0000068058.V333398.R01.S.doc Version 5.2 Page 11 Two other service users said that they have “chosen to go to Scotland”. One said that they originally come from Scotland and that “it will be good to go back”. The daily records show that service users take advantage of living close to the city centre, one service user said that it “is easy for supermarket shopping and for going to the post office”. The manager said that one service user has chosen to be on the committee of a local ‘Men’s Club’ organised by the Primary Healthcare Trust which meets regularly. The manager said that this service users mental health has improved greatly because of his involvement. Grove House DS0000068058.V333398.R01.S.doc Version 5.2 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. Peoples personal, emotional and healthcare needs are met. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A sample of six service users records show that they are fully involved in assessing their healthcare needs which includes, seeing their own general practitioner, collecting their own prescriptions, and recording the administration of their own medicines. People benefit from a medicine policy and practices, which are flexible and safe. A sample of three service users medicines were checked and found to be administered correctly. One person said that they decided to stop taking their medication “after consultation with my general practitioner and that “staff in the home supported me to do this”. They went on to say that she “feels much better” and that her “mind is clearer”. Peoples records show that they also benefit from the support of the Community Mental Health Team and hospital based consultants if they need them. Grove House DS0000068058.V333398.R01.S.doc Version 5.2 Page 13 The daily records contain descriptive words, which show service users choices, and preferences in how their medication is administered and recorded, and risk assessments show that service users are kept safe. Grove House DS0000068058.V333398.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People know that their views are actively sought and acted upon and that they are protected by the homes policies and practices. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People spoken to said that they know how to make a complaint if they needed to. The minutes of the service user meetings show that people are given opportunities to comment on the running of the home. The daily records have descriptive words to show and reflect peoples choices and preferences and any comments they have regarding the quality of support provided. The record of complaints show that there has only been one complaint made this year which was investigated and appropriately dealt with . The records show that service users views and concerns are taken seriously and acted upon. People are empowered by the way support workers ask on a daily basis if they are happy and if they have any concerns. On the day of the visit support staff were observed actively seeking the views of service users on what they wanted to do and when. This practice is to be commended. Service users are protected as staff training records show that all staff receives Grove House DS0000068058.V333398.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29 and 30 People benefit from living in a home, which is theirs and suits their needs and lifestyles. Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users benefit from having keys to their home and bedroom and have their privacy and wishes respected. People also benefit from having their bedrooms, kitchens and lounges how they want them. People are safeguarded and protected by the health and safety policies and practices. One person using the service is part of the health a safety team and his independence is promoted by participating and having the responsibility for monitoring the refrigerator temperatures in the kitchens. The minutes of the service user meetings show that they are involved in the running of the home and how they want to live. Grove House DS0000068058.V333398.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35 and 36. People benefit from helping to choose staff and by being supported by staff that are qualified, experienced and competent. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The training matrix shows that staff have received training to do their jobs properly including mental health and equality and diversity training. Support workers were observed throughout this visit treating service users with dignity and respecting their wishes. Support workers were observed demonstrating empathy, sensitivity and insight into the needs of people with mental health problems. Staff said that they receive line management supervision and feel supported in their work. The minutes of staff meetings show that support workers are fully involved in the running of the home. Comments on the eight returned service user surveys show that they are happy with the quality of support provided by staff. Grove House DS0000068058.V333398.R01.S.doc Version 5.2 Page 17 One person said that “staff are very good” and “caring”. Another said that “staff support me to do what I want” and are “very understanding”. Service users benefit from being supported by qualified staff as the pre inspection questionnaire and staff training records show that over 50 of support workers have a national vocational qualification at level 2 or above. The staff rotas show that there are enough staff on duty to meet the support needs of service users. Staff records show that service users are protected by the recruitment policies and practices as staff have a police check and Protection of Vulnerable Adults list check before they are employed. Grove House DS0000068058.V333398.R01.S.doc Version 5.2 Page 18 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): 37,38,39,42 and 43. People benefit from living in a home, which is run in their best interests. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The minutes of the service users meetings, daily records and reviews show that service users are involved and have a say in the running of the home. Discussion with service users and support workers found that everyone benefits from the way the home is run and managed. One support worker said that “there is a sense of belonging “ and “ownership”. One service user said that living in the home “is really good” and that “people always ask me what I think about things”. The service user questionnaires show that they are asked their opinion about the services provided. The manager said that their comments are put together and will be published annually. Grove House DS0000068058.V333398.R01.S.doc Version 5.2 Page 19 People benefit from living in a home that is well managed. The manager said that he was previously registered with the Commission for Social Care Inspection and that his application to be registered again is currently being processed. The pre inspection questionnaire and managers training records show that he has the Registered Managers Award and NVQ Level 4 in Management. People are protected and safeguarded by the policies and practices of dealing with service users monies. A sample of three service users finances were checked and found to be correct and well recorded. To make sure service users are safe staff receive Health and Safety, First Aid, Moving and Handling, COSHH, Basic Food Hygiene Fire Safety, Risk Assessment andSafeguarding. Grove House DS0000068058.V333398.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 N/A 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 4 4 3 3 3 X X 3 3 Grove House DS0000068058.V333398.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? N/A 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 House DS0000068058.V333398.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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. 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