Inspection on 27/02/06 for Grovelands

This inspection was carried out on 27th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Grovelands 03/01/07

Grovelands 05/12/05

Grovelands 26/03/05

Grovelands 03/09/04

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

CARE HOMES FOR OLDER PEOPLE Grovelands 45 Grove Avenue Yeovil Somerset BA20 2BE Lead Inspector Rachel Doyle Unannounced Inspection 27th February 2006 11:20 X10015.doc Version 1.40 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 Grovelands DS0000061698.V285422.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. 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. Grovelands DS0000061698.V285422.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Grovelands Address 45 Grove Avenue Yeovil Somerset BA20 2BE 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) 01935 475521 01935 472608 Somerset Care Limited Mrs Jacqueline Bridie Howells Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Grovelands DS0000061698.V285422.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th December 2005 Brief Description of the Service: Groveland’s currently provides residential services for 25 adults within the registration category of older people. Groveland’s is sited in a pleasant residential area of Yeovil. The town centre is about one mile away. There are bus services with stops nearby and local shops, pubs, clubs and doctors’ surgeries close to the home. A large garden surrounds the building with level access from various exits in the home. (This area is currently inaccessible due to major building works). The home aims to provide a homely atmosphere where service users feel included in every aspect of the life in the home, where their views and preferences are respected and rights promoted. All bedrooms are single with a few on the first floor are large with en-suite facilities. A lift connects the two floors. Grovelands DS0000061698.V285422.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was carried out on 27th February 2006 from 11.20 to 13.50. The inspector was welcomed by the manager and all staff were very friendly and accommodating. There were 20 residents at the Home at the time of the inspection. The inspector was able to speak with 6 residents in depth and join all the residents for lunch. The inspector spoke to the manager, 2 staff and the area manager. The inspector was able to move freely around the Home and look at any relevant documents. The inspection focussed only on key National Minimum Standards, which were not assessed during the previous inspection. Somerset Care plans to erect a new building within the grounds to provide better environmental facilities for existing service users and also to increase capacity at Groveland’s. The new building will meet all new environmental standards, including en-suite facilities and provide a secure garden. The building work has now entered Phase 1 and residents confirmed that there had been a thorough consultation period and ongoing progress communication. The new building will eventually be for Special Residential Care (mental health), with all staff and residents moving into the building from an existing SRC service provided by Somerset Care, along with the specifically trained staff. The existing premises will be demolished and current Groveland’s’ residents will move temporarily into the new building around July 2006 whilst a further new unit is built to which they will return. Groveland’s aims to provide a 60bedded service for Residential and Special Residential Care with 4 domestic style 15 room wings, each with their own lounge/dining areas. The Home is preparing an application for processing and approval by CSCI. What the service does well: The Home has only one requirement following this inspection, which is commendable. All residents spoken with praised the care that they received from staff and said that they were happy living at the Home. Staff are keen to ensure the well being and comfort of the residents and were observed treating them with respect and kindness. Meals are varied, well balanced and presented in a congenial setting offering choice. Residents all said that they enjoyed the meals at the Home saying that ‘it was good and lots of it’. Staff felt well supported by the manager and positive about working in the team commenting that there was good opportunity for training and Grovelands DS0000061698.V285422.R01.S.doc Version 5.1 Page 6 development. The Home has excellent staffing levels and uses extra staff in relation to residents’ needs and dependencies. Residents felt that they could choose how they spent their day and were looking forward to the completion of the new extension, getting flower tubs ready. One resident commented that ‘the girls are lovely with a wonderful sense of humour. Two years had flown by’. 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. Grovelands DS0000061698.V285422.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Grovelands DS0000061698.V285422.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not judged on this occasion. EVIDENCE: Not assessed on this occasion. Please see previous reports. Grovelands DS0000061698.V285422.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9 Medication procedures and records are well managed, promoting residents’ good health. EVIDENCE: The medication system and storage was inspected. All MARS charts were correct. These are checked every day with a supervisor at handover. A dispensed drug checklist is also completed to ensure that there are no drug errors. Staff sample signatures are recorded. All residents have photographic identification. Carers were seen administering medication correctly and all staff administering medication have attended relevant training on a three yearly basis. There is a PRN medication profile of use and liaison with the GP as necessary. There is a Homely Remedy policy; in general all medication is prescribed. Self-medication by residents is risk assessed and well managed. Fridge temperatures and expiry dates were all monitored and correct. Grovelands DS0000061698.V285422.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not judged on this occasion. EVIDENCE: Not assessed on this occasion. Please see previous reports. Grovelands DS0000061698.V285422.R01.S.doc Version 5.1 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not judged on this occasion. EVIDENCE: Not assessed on this occasion. Please see previous reports. Grovelands DS0000061698.V285422.R01.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 The standard of the environment is adequate providing residents with warm, clean, comfortable surroundings during the major building work. EVIDENCE: Although the current premises are in need of re-furbishment and the décor is looking somewhat shabby this is due to the new build extension plans, which are well underway. The staff team have done well to ensure that the existing Home is warm, comfortable and clean until the move into the new premises. Staff were aware of the maintenance book and there are contractors who check adaptations and equipment. The entrance hall is welcoming with a charity jellybean machine and the administrator office, visitors’ book and antiseptic hand-gel. Local school children have contributed their drawings along with detailed updates of the building plans and newsletters. All residents’ rooms were looked at and were well furnished and personalised. Carers paid attention to detail such as ensuring that they asked residents if they wanted more clothes or the windows closed before leaving them with their call bells. Grovelands DS0000061698.V285422.R01.S.doc Version 5.1 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29, 30 Resident’s benefit from having skilled, experienced and friendly staff in sufficient numbers to meet their needs. The procedures for the recruitment of staff are not consistent to provide robust safeguards for the protection of residents. EVIDENCE: There are 32 staff employed. On the day of the inspection there was the manager, a supervisor, 3 carers, administrator, cook and kitchen assistant on duty. All residents spoken to felt that there were plenty of staff to meet their needs. There was a lovely atmosphere at the Home and good rapport between staff and residents. Four staff recruitment files were inspected. All records were generally comprehensive but there was some lack of detail relating to application form employment histories. Not all references were adequate such as no recent employer or professional references but two friends were accepted without an explanation recorded or no capacity recorded. All staff had received satisfactory CRB checks prior to commencing employment. Once employed there were excellent records monitoring competency levels and probation periods. One record stated that ‘ well done, hope you continue the hard work, you have grown into a competent care’. There were good occupational health follow ups relating to health declarations. Induction training is excellent and the manager is clearly aware of POVA, this being mandatory training along with NVQ training on employment. Staff said that they were proud to gain these qualifications and looked smart in corporate uniforms. All staff have comprehensive individual training files detailing varied Grovelands DS0000061698.V285422.R01.S.doc Version 5.1 Page 14 relevant training and staff achievements are published in the Acacia Times for the Somerset Care Group. Grovelands DS0000061698.V285422.R01.S.doc Version 5.1 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 36 The manager provides clear leadership and excellent guidance to staff to ensure consistent care. EVIDENCE: Staff appraisal and supervision records were inspected. These are recorded in detail and dates are monitored using a computer system. All staff are receiving regular staff supervision sessions with the manager and supervisors as recommended by the National Minimum Standard. Comments recorded include ‘a caring nature and treats residents with respect’. Respectful caring by staff was seen during the inspection such as one carer tactfully ensuring that residents’ clothes were on properly whilst maintaining privacy. Staff records also include assessments and learning through staff meetings and other activities such as planned coaching, ad hoc coaching, demonstrations and other observations during work. There were good sickness statements. Grovelands DS0000061698.V285422.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x 3 x x x x 3 x 3 STAFFING Standard No Score 27 3 28 x 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x x 4 x x Grovelands DS0000061698.V285422.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? no 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. 1 Standard OP29 Regulation 19 Schedule 2 Requirement You must ensure that there is a consistently robust recruitment procedure and records to support staff recruitment. Timescale for action 27/04/06 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 Grovelands DS0000061698.V285422.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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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