Inspection on 27/12/05 for Laurel Grove Care Home

This inspection was carried out on 27th December 2005.

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 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

Laurel Grove Care Home 04/01/07

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Laurel Grove Care Home 5 Ringwood Park View Brimington Chesterfield Derbyshire Lead Inspector Susan Richards Unannounced Inspection 10:00 27 February 2006 th Laurel Grove Care Home DS0000062726.V273423.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 Laurel Grove Care Home DS0000062726.V273423.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. Laurel Grove Care Home DS0000062726.V273423.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Laurel Grove Care Home Address 5 Ringwood Park View Brimington Chesterfield Derbyshire (01246) 452050 01246 477111 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) Mrs Ann Gibbins Mr Norman Turner, Mr Michael Charles Sadler Charlotte Janet Bowen Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Laurel Grove Care Home DS0000062726.V273423.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the registered Manager Charlotte Bowen is not responsible for the management of any other registered care establishments other than Laurel Grove and Oakwood Bungalow. This is the first inspection for this service, which is a new registration. Date of last inspection Brief Description of the Service: Laurel Grove is a domestic type property providing personal care and support for up to three residents with learning disabilities. Accommodation is over three floors on a split-level and had single bedrooms. Two of the bedrooms have their own separate lounges attached. One has an en suite shower room and wc and the other a separate bathroom facility with over bath shower and wc. The third bedroom has a separate en suite shower room with wc. There is also a communal lounge, separate domestic laundry room and kitchen and dining room. Separate staff facilities are also provided, including an office. Laurel Grove Care Home DS0000062726.V273423.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of this inspection, being the first inspection for this service, was on the care of residents, their environment and staffing arrangements. There were three residents accommodated and case tracking was undertaken with two of these. This involved discussions with those residents about their care and also the other resident accommodated, inspection of the environment, examination of their care and associated records and discussions with the manager and staff about the organisation and arrangements for the care and support of all residents accommodated. 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. Laurel Grove Care Home DS0000062726.V273423.R01.S.doc Version 5.0 Page 6 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Laurel Grove Care Home DS0000062726.V273423.R01.S.doc Version 5.0 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 Laurel Grove Care Home DS0000062726.V273423.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 & 4 Residents were actively involved in their admissions to the home and were satisfied that the home could meet their needs. Residents’ individual rights, independence, wishes and lifestyle preferences were well promoted in accordance with their risk assessed needs. EVIDENCE: Discussions were held with residents about their care and their care records examined. Each had well documented needs assessments, which were person centred, included their individual wishes and lifestyle preferences and covered all aspects of their personal, emotional, social and health care needs. They also identified potential risks to individuals within their daily lives. Specialist needs identified involved where appropriate inputs from state registered health care professionals Discussions were also held with staff about their skills and experiences and arrangements for training and development. Residents expressed that they got on well with staff and staff were observed to interact well and in a professional manner with residents. Discussions were also held with residents about the arrangements for their admissions to the home and the assistance and support they received in terms of choosing to live there and to move there. Laurel Grove Care Home DS0000062726.V273423.R01.S.doc Version 5.0 Page 9 Individual written terms and conditions were in place for each resident between them and the home, with information provided for each resident in suitable formats. Written contracts were also provided between the home and placing authority. Residents knew who their key workers and supporters were. Laurel Grove Care Home DS0000062726.V273423.R01.S.doc Version 5.0 Page 10 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 & 9 Residents knew how staff supported them and were enabled to make key decisions about their lives in accordance with their given capacities and risk assessed needs. EVIDENCE: The individual written care plans of two residents were examined and their care was discussed with them. Care plans were formulated within a framework of risk management and in accordance with their assessed needs. They were up to date and regularly reviewed with residents. Residents spoke at length about their lifestyle and choices they made in terms of daily living arrangements. Aspirations and personal goals were discussed with them and recorded. Laurel Grove Care Home DS0000062726.V273423.R01.S.doc Version 5.0 Page 11 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, 14, 15, 16 & 17 Residents were well supported to engage in occupational, social, educational and leisure activities of their choice and in accordance with the assessed needs, individual capabilities and lifestyle preferences of each resident. Residents were actively encouraged to engage in meal planning and preparation in accordance with their abilities and wishes and food provided was a nutritious and balanced diet. EVIDENCE: Residents spoke about their involvement in daily living activities, how these were planned and organised and their individual and collective responsibilities. They also advised the Inspector of a variety of occupational, educational, leisure and social activities, which they regularly participated in as individuals or sometimes collectively, both within and outside the home. They also spoke with the Inspector about their family and friends and how they maintained their contacts with them. Discussions were also held with staff about the organisation of these. Laurel Grove Care Home DS0000062726.V273423.R01.S.doc Version 5.0 Page 12 Residents described how meals were planned and prepared and their involvement in this process and also their likes and dislikes. Individual care records examined were reflective of this. There was a recognised approach to nutritional assessment of residents and care plans were in place in respect of identified needs where appropriate. Laurel Grove Care Home DS0000062726.V273423.R01.S.doc Version 5.0 Page 13 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, 20 & 21. Residents personal, physical, emotional and health care needs are well accounted for and they are supported in accordance with their preferences, beliefs and risk assessed needs. EVIDENCE: Residents’ care records examined detailed their personal care needs and care plans had clear written interventions as to how these would be met. Individual’s strengths and needs in respect of these were also identified. Discussions with residents about their care identified that their preferences in relation to these were accounted for. Discussions were held with staff and residents about the arrangements for monitoring the health of residents, including access to outside health care professionals for the purposes of routine health care screening and specialist care. Records were kept in respect of residents’ health care needs and interventions. The arrangements for the management and administration of medicines were examined. These were satisfactory. Individual’s wishes and belief’s in respect of death and dying were recorded within their individual care records. One of the residents accommodated spoke Laurel Grove Care Home DS0000062726.V273423.R01.S.doc Version 5.0 Page 14 at length about her experiences of bereavement through the death of a parent and how she was assisted and supported by staff in the home and outside agencies throughout this process. Laurel Grove Care Home DS0000062726.V273423.R01.S.doc Version 5.0 Page 15 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 There is suitable information provided for residents and their representatives to enable them to raise concerns and to complain. EVIDENCE: There is a complaints procedure in place, with information provided for residents as to how to complain. Residents felt that any concerns or problems they had could easily be raised with staff and addressed. There had been no formal complaints made since the registration of the home earlier in this inspection year. Laurel Grove Care Home DS0000062726.V273423.R01.S.doc Version 5.0 Page 16 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): Residents clearly enjoy and benefit from a clean and modern home, which suits their lifestyle needs. EVIDENCE: A full tour of the building was undertaken. Residents said they were pleased with their living arrangements and their own rooms. Some redecoration was being undertaken to one of the residents’ bedrooms as they had decided on a preferred colour scheme and theme. Other residents also had plans to personalise their rooms further. The home was clean, well maintained, well furnished and equipped and well lit and heated, although there was no chair provided to the private lounge of one resident. Individual en suite facilities were provided for each resident. There is a separate domestic laundry room, which was suitably equipped. Laurel Grove Care Home DS0000062726.V273423.R01.S.doc Version 5.0 Page 17 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): 33 & 35 Residents are well supported by an effective staff team who are appropriately trained. EVIDENCE: Discussions were held with staff and residents about the arrangements for staffing in the home and staff duty rotas were examined. Discussions were also held with the manager and staff about training and development of staff, including training undertaken in the previous 12 months and that planned. Laurel Grove Care Home DS0000062726.V273423.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The standards in this section were not fully assessed on this occasion. EVIDENCE: During the tour of the building, discussions were held with the manager and deputy regarding the relatively steep staircase and potential hazards and also potential hazards for residents in other areas of the home which they accessed, for exampled the kitchen. There was no recorded environmental risk assessment in place. Laurel Grove Care Home DS0000062726.V273423.R01.S.doc Version 5.0 Page 19 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 3 3 N/A Standard No 22 23 Score 3 X 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 4 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 4 3 X 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Laurel Grove Care Home Score 4 3 3 4 Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000062726.V273423.R01.S.doc Version 5.0 Page 20 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. 1. Standard YA42 Regulation 13 Requirement The registered manager must ensure that there is a recorded environmental risk assessment undertaken of the premises. Timescale for action 30/04/06 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 Laurel Grove Care Home DS0000062726.V273423.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Laurel Grove Care Home DS0000062726.V273423.R01.S.doc Version 5.0 Page 22 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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