Inspection on 19/06/06 for Lonnen Grove

This inspection was carried out on 19th June 2006.

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

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood Hall

Muston Road (70)

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

CARE HOME ADULTS 18-65 Lonnen Grove Ferham House Kimberworth Road Masbrough Rotherham South Yorkshire S61 1AJ Lead Inspector Ms Rosemary Reid Key Unannounced Inspection 19th June 2006 12:00 Lonnen Grove DS0000066374.V300615.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 Lonnen Grove DS0000066374.V300615.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. Lonnen Grove DS0000066374.V300615.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lonnen Grove Address 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) Ferham House Kimberworth Road Masbrough Rotherham South Yorkshire S61 1AJ 01709 565822 NONE NONE Kimberworth Health Care Limited Keeley Jane Rowley Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Lonnen Grove DS0000066374.V300615.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection This is the first inspection of the home since the home opened in January 2006. Brief Description of the Service: Lonnen Grove is owned by Kimberworth Health care Limited, which is part of the Exemplar group. Lonnen Grove is a purpose built home providing personal care with nursing for up to 6 younger people who have learning disabilities. Lonnen Grove is a bungalow and all of the six bedrooms are single and have en-suite facilities. There is a lounge, separate dining room, kitchen and laundry for the use of the residents of Lonnen Grove. Lonnen Grove is located in the residential area of Ferham, a suburb of Rotherham. The home is on a bus route within a short walking distance of bus stops. It is approximately a mile from Rotherham town centre. The home has a car park to the front of the building and a small garden area. Fees for are dependent on the package of care starting at £1900 upwards and are dependent on needs assessment as at 1st April 2005. Additional charges are made for Optical, Dental services, specialised toiletries and magazines etc. The registered person makes information about the service available to residents and their families via the home’s Statement of Purpose and the Service User Guide. A copy of the inspection report is made available at the home. Lonnen Grove DS0000066374.V300615.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place on the 19th and 21st June from to assess National Minimum Standards for Younger Adults and speak with residents and visitors to the home. On the first day it was Lonnen Grove first event since opening and the residents and staff had a “strawberries and cream afternoon” This was their first inspection of a new service, the home opened in January 2006. The inspection focused on the opinions of the three residents long with their files were case tracked along with the key standards of the National Minimum Standards for Younger Adults and three staff records were also assessed. The registered manager is Mrs Keeley Rowley who was available throughout the inspection. The home is registered for six people but had three service users in residence. All of the three residents, staff on duty and a family member were spoken with three files being cased tracked. Each file examined had full assessments; personal information and care plan, daily recording. Supporting documents were also seen for example home’s desk diary, administration of medication records, staff files and Health & Safety records. Three staff files were also interviewed. Staff work to support and empower each resident according to the individual resident’s personal package of care. The staff at the home have published the summer edition of the magazine Lonnen Grove News that includes events, recipes, jokes, gossip and fun, residents have made contributions. The three residents and five staff were observed and were spoken with. One visitor to the home was interviewed spoke about the home, the care and the staff in positive terms and the progress of the service user. A tour of the premises/environment/front gardens showed that the home was clean, tidy and without odours and the atmosphere welcoming. Every item in the home was new in January 2006. Residents and staff have planted garden tubs with flowering plans and an allotment has been rented for the use of the residents who like gardening. Health and Safety certificates and training were up to date. Feedback of the inspection was given to the Mrs Rowley and Guy Cunningham who is the Operational Manager. He visits the home on a monthly basis and a report is written with his findings. Lonnen Grove DS0000066374.V300615.R01.S.doc Version 5.2 Page 6 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. Lonnen Grove DS0000066374.V300615.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 Lonnen Grove DS0000066374.V300615.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service have good information in different formats about the home in order to make an informed decision about whether the service is right for them. The personalised needs assessment means that people’s diverse needs are identified and planned for before they move to the home. EVIDENCE: Case tracking confirmed good practice. The manager had visited prospective service users at home and undertaken a thorough initial assessment of their care needs. All three of the residents said they had visited the home up to five times before deciding to move there. They had chosen their key work and had a named nurse. The resident had been given information with the Service User Guide and had been told how the home could meet his needs. Another resident said he had spent time with the two other service users and talked to them about what it was like living there. The most recent service user that had been admitted to the home said, “the staff made me feel at home” and “ they have been very helpful. He had been given the service user guide before he came to the home and a staff member had gone through it with him to talk about anything he did not understand. The service user guide and photograph album was looked at and is written in Lonnen Grove DS0000066374.V300615.R01.S.doc Version 5.2 Page 9 plain language. A cassette of the Service User Guide is available. Other formats for the Service User Guide have been sourced if and when needed. The assessment process is in depth to provide and information given to service users so that they can be confident that their diverse needs will be met. Three permanent staff were spoken to and were able to describe the admissions procedure and the importance of making sure that that new service users felt welcomed. Written admission documentation was in on file including a copy of the care management assessment. Full information was available to staff to ensure they could meet the social, emotional and care needs of new service users. One of the residents had a written contract and terms and conditions of residence were on their file. The two other residents did not have contracts but this was not the fault of the home or the company but of the placing authority and this was being followed by the company. As soon as the contracts are signed a copy will be placed on file. The current fees were included and clearly laid out. Lonnen Grove DS0000066374.V300615.R01.S.doc Version 5.2 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, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a clear care plan system to ensure that residents changing needs and direction for staff are included within the care plan to support residents in their day-to-day life at Lonnen Grove. EVIDENCE: Each service user has a file and in depth assessment, risk assessment and care plan, which addressed service users changing needs and directed staff to care for those residents. The individual resident has been involved with the information that is in their file and care plan. Daily working notes were up to date to evidence the care that was provided. Records show that review of each care plan takes place and that families are involved. Three care files were examined and there were risk assessments in place. No accidents are recorded. Full risk assessments had been undertaken. Property list was within each resident’s file. There were many examples of maintaining safety and protecting residents for example, when resident are cooking /baking in the kitchen and when residents are accompanied and supported when going out Lonnen Grove DS0000066374.V300615.R01.S.doc Version 5.2 Page 11 within the community such as shopping, going to college. The residents and staff are aware of the company’s confidentiality policy. There were examples where staff offered choice in their day to day life for example at meal times, options for college courses and individual preference for the activities of daily living. Lonnen Grove DS0000066374.V300615.R01.S.doc Version 5.2 Page 12 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): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service The home provides a range of daily living and leisure activities both in and out of the home for the education, stimulation and enjoyment, which benefits residents to be part of the community. The home works towards offering a healthy diet for the physical and mental wellbeing of the residents. EVIDENCE: The home opened in January 2006 and it is the ethos of the home and residents to be part local and of the wider community. The staff at the home support the service user to have a range of information and opportunities to make their decision to what they would like to do and get the most of their lives and to broaden their horizons. The residents plan their individual activity/life skills programme and this is recorded within the care plan for each resident’s personal development. There are leisure activities in and out of the home for example a strawberry & cream afternoon was held which all residents and staff were involved with to an individual resident going Lonnen Grove DS0000066374.V300615.R01.S.doc Version 5.2 Page 13 shopping with a member of staff and another resident went to the snooker club accompanied with a staff member for a short period of time. Each Sunday residents and staff met to plan the menu for the week, which includes their likes and preferences. Residents’ meetings are on the first of each month this is to encourage discussions take place about the running of the home and activities. In discussions with staff that said that residents went out accompanied by a member of staff to the Rotherham town centre to college, pubs, shopping trips and this was confirmed by the residents. Residents said that it had been agreed at a residents meeting that they would be a mail evening meal at 6:00pm. One of the residents said that he like to have a big breakfast and he had a cooked breakfast since he came to the home. Another resident said that he liked cooking and had been involved of cooking a meal with the support of the staff. The home had rented a garden allotment for the use of the residents. Residents said they were looking forward to working in the allotment as the like gardening. Residents’ families/friends can visit the home and residents can choose to see them in their bedrooms or in the lounge area. Lonnen Grove DS0000066374.V300615.R01.S.doc Version 5.2 Page 14 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service Residents’ physical and emotional health care needs were met by the involvement of the Primary Health Team for example doctors’ surgeries consultants, social workers. The home has a medication policy as no routine medication was being administered the nursing staff at the home work to their medication policies, which promotes the wellbeing of residents. The ethos of the home promotes dignity, respect and independence for residents. Records show that advocacy services had been used, which promote and advance residents’ rights. EVIDENCE: The company’s ethos, induction for staff, the Statement of Purpose, the Service User Guide, along with the policies refers to dignity, respect and independence. Through observations staff were seen to treat residents with respect and dignity. The care records show that there was involvement of the Primary Care Team and appointments kept at clinics etc. The home’s diary showed that one recently admitted resident had been registered with a GP and an appointment had been made to attend for a new patient review. Lonnen Grove DS0000066374.V300615.R01.S.doc Version 5.2 Page 15 Medication records were examined, which were satisfactory however, no residents were on routine medications at the time of inspection nevertheless that could change at any time. Policies are in place for the storage and administration of medications. Lonnen Grove DS0000066374.V300615.R01.S.doc Version 5.2 Page 16 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service The home has policies and procedures and training at induction to protect residents from abuse. The home has a clear complaints system, which residents and relatives have used to record their grievances and/or concerns, which has also been simplified and supported with pictures for those resident who have limit or no reading skills. EVIDENCE: All staff members have a week’s induction and there is evidence in each staff file showed that they had training in Adult Protection procedures and what constitutes abuse. In discussions with staff they confirmed that they knew what to do if they thought any level of abuse took place. There has been no Adult Protection investigation or meetings for any residents at Lonnen Grove. The company have a robust complaints policy and complaints are recorded. At the time of the inspection there were no complaints recorded. The manager said that when a complaint is made action would be taken by the manager/staff to resolve the issues. The complaints policy has been simplified and supported by pictures for residents or visitors who have limited or no reading skills. Residents/house meetings take place on the first of the month where residents can make their views known and make comments and complaints through the complaints process. Lonnen Grove DS0000066374.V300615.R01.S.doc Version 5.2 Page 17 In discussions with the three residents and one family member confirmed that they could only speak positive terms about the home and the staff group. One resident said, “ I have no complaints at all”. A family member said “I am pleased with his progress” and “The home is very comfortable and staff are wonderful”. He went on to say,” I am concerned about the problem about his money and payment”. At this point the manager was brought in to discuss this issue and that the company was following up this matter with the placing authority. Lonnen Grove DS0000066374.V300615.R01.S.doc Version 5.2 Page 18 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, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service The home is purpose built and suitable for its stated purpose and residents stay in a comfortable, homely, safe environment. The home has sufficient communal space, number of toilets and bedrooms, which have ensuite facilities for residents’ needs and the benefit of residents. EVIDENCE: The home was opened in January 2006 and furnished to a high standard. There are two communal area one lounge, one dining room and kitchen with six bedrooms with ensuite facilities, office and storage areas. There are comfortable communal areas with comfortable seating for the residents. All bedrooms are single occupancy and had residents’ personal belongings for example pictures, keepsakes, photographs, posters, audio equipment and televisions/VCRs, videotapes, CDs, models and soft toys that bring pleasure and entertainment to residents. In discussion with residents they said they were highly satisfied with their bedrooms they confirmed that they could spent Lonnen Grove DS0000066374.V300615.R01.S.doc Version 5.2 Page 19 personal time in their bedroom listening to music or reading their books and could make decisions to lock their bedrooms for privacy and protection of their belongings. All areas of the home were clean and hygienic. Lonnen Grove DS0000066374.V300615.R01.S.doc Version 5.2 Page 20 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, 35, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has high staffing levels to support residents in their day-to-day needs and according to their care package. Staff have attended induction and training courses, which develops their skill and knowledge base to meet residents’ needs. EVIDENCE: Staffing levels reflect individual care packages to meet assessed residents’ needs. There is a team of five qualified nurses and ten care staff plus the manager. The parent company has robust recruitment policies and procedures. There are job descriptions for all levels of staff. Criminal Record Bureau and POVA checks are undertaken on all staff. The parent company has an induction programme for all new staff and a training strategy organised by the parent company. Records show that staff had attended training courses. Staff supervision sessions have taken place and are on target to have six sessions per year thereby maintaining a monitoring of staff development. Nine care staff have undertaken TOPPS Induction and one has gone straight on to do NVQ level 2. One Care staff has NVQ2 and doing level 3 and one staff has NVQ 3, seven care staff have applied to do NVQ level2. Lonnen Grove DS0000066374.V300615.R01.S.doc Version 5.2 Page 21 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, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service The manager’s focus is for the home to be well run for the benefit of the residents and where residents’ views are listening to and that action will be taken. There are policies and procedure, which promotes the health, safety and welfare of residents. Staff are undertake all necessary health and safety checks, which potentially reduces the possibility of putting residents at risk. EVIDENCE: The manager is a qualified nurse with a management qualification and has experience in the nursing and care sector Mrs Rowley was registered earlier this year when the home opened. Staff said that they feel supported by the manager and the company. Staff meetings take place with minutes taken, which were read by the inspector. Lonnen Grove DS0000066374.V300615.R01.S.doc Version 5.2 Page 22 The home has a fire assessment and fire prevention training had been undertaken along with Health & Safety training at induction. The home has a Health & Safety meeting each month. Two of the residents had undertaken food hygiene course and one staff member was doing the Intermediate Food hygiene course. Records show that there are service agreements in place and risk assessments have been undertaken. Records show that Health & Safety procedures were undertaken and certificates were up to date. Water temperatures are taken and recorded by the handyman. A member of the parent company does monthly monitoring visits to the home and a report written Staff and residents said they felt supported by the manager. Lonnen Grove DS0000066374.V300615.R01.S.doc Version 5.2 Page 23 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Lonnen Grove DS0000066374.V300615.R01.S.doc Version 5.2 Page 24 No 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 Lonnen Grove DS0000066374.V300615.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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 Lonnen Grove DS0000066374.V300615.R01.S.doc Version 5.2 Page 26 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!