Inspection on 05/12/05 for Grovelands

This inspection was carried out on 5th December 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

Grovelands 03/01/07

Grovelands 27/02/06

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 Announced Inspection 5th December 2005 10:45 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.V256164.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 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.V256164.R01.S.doc Version 5.0 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.V256164.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th March 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.V256164.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was carried out on 5th December 2005 from 10.45 to 14.45. The inspector was welcomed by the manager, and all staff were very friendly and accommodating. There were 19 residents at the Home at the time of the inspection, with 2 in hospital and lots of referrals. The inspector was able to speak with 10 residents in depth and join all the residents for lunch. The inspector spoke to the manager, 3 staff and a visiting health professional. One resident praised the staff saying that they ‘liked their home and had no problems and that the carers were very sweet and always very nice’. The inspector also was able to move freely around the Home and look at any relevant documents, including the pre-inspection questionnaire. 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. 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 60-bedded 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 no requirements or recommendations following this inspection, which is very 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’. Grovelands DS0000061698.V256164.R01.S.doc Version 5.0 Page 6 Staff felt well supported by the manager and positive about working in the team commenting that there was good opportunity for training and development. Residents felt that they could choose how they spent their day. 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.V256164.R01.S.doc Version 5.0 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.V256164.R01.S.doc Version 5.0 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): 1, 3, Information available for prospective residents enables them to make an informed decision about living at Groveland’s. The Home’s assessment process is thorough and ensures that the service is able to meet residents’ needs. EVIDENCE: The Statement of Purpose and Service Users’ guide are available in reception. This is a comprehensive, easy to read folder, including photographs, information about the provider followed by details of the service offered by Groveland’s. The last CSCI report is also freely available. There is a good admission policy and 3 assessments were looked at. All these referred to information gathered from the multidisciplinary team and were very detailed, including dates, mental health and relationships. The manager goes out to visit prospective residents at home or in hospital prior as part of the assessment process to ensure that the Home can meet their needs. Grovelands DS0000061698.V256164.R01.S.doc Version 5.0 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): 7, 8, 10 Residents’ needs are well met with evidence of good multidisciplinary working and an effective care planning system. Personal support is offered in such a way as to promote residents’ privacy, dignity and independence as able. EVIDENCE: Three care plan files were looked at and residents case-tracked. These were written well and showed respect for the residents. The Home liaises with families and residents to compile ‘Life Stories’ which provide individualised information about residents. The manager felt that this was particularly useful if residents developed increasing mental health needs. Monthly reviews were signed by residents who are involved as they chose. The Home has a keyworker system where carers are allocated residents. Staff spoken to were aware of their role as key-worker, such as reviewing their care needs monthly and adding details to the care plans, which ensure excellent individualised care, including emotional needs and hospital stays. The manager and staff clearly were knowledgeable about residents’ needs and there was evidence of multidisciplinary working. Staff were consistently seen promoting residents’ privacy, independence and dignity in a respectful way and residents stated that Grovelands DS0000061698.V256164.R01.S.doc Version 5.0 Page 10 this was usual practice. Residents are able to access the mobile phone on request at any time and some residents choose to have private telephones installed in their rooms. Grovelands DS0000061698.V256164.R01.S.doc Version 5.0 Page 11 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): 12, 14, 15 Social activities and meals are both well managed, creative and provide daily interest and variation for residents. Residents are encouraged to maintain their independence, exercising choice and taking control of their lives. EVIDENCE: Psychological and emotional needs care sheets are used regularly to ensure that residents are not socially isolated. Activities are included in the resident meetings agenda and life stories are discussed. The Home obviously tries to accommodate residents’ wishes and preferences in the activity programme and in their life in general at the Home. Carers were involved in bringing activity ideas. During the inspection one resident was playing ‘netball’, others were relaxing in the lounges and the manager had given thought to the view in arranging furniture. There is a busy Christmas programme for residents if they wish to participate. Residents confirmed that their families and friends could visit at any time. The inspector took lunch with residents in the well-appointed dining room. Catering staff provided a range of well-balanced menus to suit a variety of tastes and dietary needs. There was a congenial atmosphere between staff and residents, who were offered plenty of choice and an excellent service. Grovelands DS0000061698.V256164.R01.S.doc Version 5.0 Page 12 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): 16, 18 Residents are protected from abuse as sound practices and procedures are in place. Residents are confident that they are listened to and their concerns actioned. EVIDENCE: The Home has a Safeguarding Vulnerable Adults policy. Most of the staff have attended Protection of Vulnerable Adults training and were able to correctly discuss reporting procedures and what was abuse. The manager was also clear about the reporting process involving the multidisciplinary team. The complaints procedure was clearly displayed on the residents’ notice board and all residents felt that they would be able to discuss any concerns with the manager and/or staff and that these would be listened to and actioned. The Home have never had to deal with any related issues. Grovelands DS0000061698.V256164.R01.S.doc Version 5.0 Page 13 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): Not judged during this inspection. EVIDENCE: See information about the re-build in the summary. There are currently issues relating to space when using wheelchairs and mobility but these will be rectified within the new build plans for the future. The Home, although dated, was clean and comfortably decorated throughout. There is a lovely dining room with large bay windows. Grovelands DS0000061698.V256164.R01.S.doc Version 5.0 Page 14 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, 28, 30 Resident’s benefit from having skilled, experienced and friendly staff who have a good understanding of their needs. EVIDENCE: All residents spoken to felt that there were enough staff to meet their needs. The manager said that the Home regularly reviews staffing levels in relation to dependency. The rota was looked at and there were adequate staffing levels. The Home now employ an extra ancillary staff member for 2 hours each weekday evening to allow carers to concentrate on personal care and at weekends residents have high tea rather than a hot supper. Training is well managed and the manager described how relevant training is included in the induction process depending on residents’ needs such as aggression management. Training included CSCI, Mental Capacity Bill and staff commented that the training was good. Eight staff have completed their NVQ training and 2 others have nearly finished. The provider requests that all new staff complete NVQ training on employment as mandatory. Staff said that they enjoyed training. Grovelands DS0000061698.V256164.R01.S.doc Version 5.0 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): 31, 32, 33, 34, 35, 38 Residents’ financial interests are well safeguarded by the Home. The Home promotes and safeguards the health, safety and welfare of residents. There is clear leadership and guidance to staff to ensure residents receive consistent quality care. EVIDENCE: Grovelands DS0000061698.V256164.R01.S.doc Version 5.0 Page 16 The new manager started in July 2005 and has made noticeable improvements to the environment and systems in the home relating to previous inspection reports. All staff and residents spoken to felt that the manager was very fair and approachable. The inspector looked at the financial records of 3 residents. These were all correct and two staff used the system well during the inspection. Only the supervisor has access to the safe. The records were very detailed with larger amounts invoiced directly to families. The Home keeps a small amount of petty cash. Residents physically pay for everything in cash and the Home is not appointee for any residents. Two residents manage their own financial affairs and another with support. All residents have lockable storage in their rooms. All residents spoken to felt that they could air their views about the service to the manager and/or staff. There is an annual Quality Assurance audit and documents were seen for October. The Home holds regular resident and family meetings, which are well attended. The new building work had been incorporated into these and minutes were seen. The area manager visits the Home monthly as part of the quality assurance programme. The next Quality Assurance survey is due next month and the Home will send a report to CSCI. Residents and families have the opportunity to respond anonymously. The advocacy service contact details and building plans are on the notice board. There is extensive evidence of investment. There is a corporate business plan. The manager felt that they were able to obtain any relevant equipment and had flexible budgets depending on residents needs. All fire doors had appropriate automatic fire door closers as necessary. Accidents were well recorded with fall summaries included and follow up. Grovelands DS0000061698.V256164.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 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 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 x x x x x x x x STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Grovelands DS0000061698.V256164.R01.S.doc Version 5.0 Page 18 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. 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 Grovelands DS0000061698.V256164.R01.S.doc Version 5.0 Page 19 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. Extracts may not be used or reproduced without the express permission of CSCI Grovelands DS0000061698.V256164.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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