Inspection on 26/03/07 for Popis Gardens (1 & 2)

This inspection was carried out on 26th March 2007.

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 found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Popis Gardens (1 & 2) 16/03/09

Popis Gardens (1 & 2) 29/11/05

Popis Gardens (1 & 2) 10/05/05

Popis Gardens (1 & 2) 27/11/04

Popis Gardens (1 & 2) 21/06/04

Popis Gardens (1 & 2) 15/01/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Popis Gardens (1 & 2) King George Road Ware Hertfordshire SG12 7DU Lead Inspector Claire Farrier Unannounced Inspection 26th March 2007 2:00 Popis Gardens (1 & 2) DS0000019498.V333634.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 Popis Gardens (1 & 2) DS0000019498.V333634.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. Popis Gardens (1 & 2) DS0000019498.V333634.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Popis Gardens (1 & 2) Address King George Road Ware Hertfordshire SG12 7DU 01920 485 030 01920 462732 popis@grantahousing.org.uk www.grantahousing.org.uk Granta Housing Society Limited 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) Ilse Maria Sharp Care Home 10 Category(ies) of Learning disability (10), Learning disability over registration, with number 65 years of age (10), Physical disability (10), of places Physical disability over 65 years of age (10) Popis Gardens (1 & 2) DS0000019498.V333634.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th November 2005 Brief Description of the Service: 1 & 2 Popis Gardens is a care home providing personal care and accommodation for ten people with a learning disability, who may also be aged over 65 and have a physical disability. It is owned by Granta Housing Society, which is a voluntary organisation, and it was opened in 1993. The home is situated in a residential area of Ware, within easy reach of the shops, pubs and other community facilities of the town centre. It consists of two purpose-built bungalows, situated in their own cul-de-sac. Each bungalow has five single bedrooms, none of which have en-suite facilities. Both the bungalows are fully accessible for wheelchairs, and both have accessible gardens. The Statement of Purpose and Service Users Guide provide information about the home for referring professionals and prospective clients. The current charges were not available at the time of this inspection. Popis Gardens (1 & 2) DS0000019498.V333634.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over one afternoon. The focus of the inspection was to assess all the key standards, and some additional standards were also assessed. The majority of time during the visit to the home was spent talking to the people who live in the home, and one person showed the inspector around one of the bungalows. Several members of staff also gave their views about the home, and some time was also spent looking at records, care plans and staff files. What the service does well: What has improved since the last inspection? The programme of refurbishment has continued, and the replacement of kitchens and of flooring in the dining rooms of both bungalows has now been completed. There are good procedures for administering and recording medication to ensure that any risks to the people who live in the home are minimised. Regular checks are made to ensure that medication has been administered and recorded properly Popis Gardens (1 & 2) DS0000019498.V333634.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Popis Gardens (1 & 2) DS0000019498.V333634.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 Popis Gardens (1 & 2) DS0000019498.V333634.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has sufficient information on the needs of the people who live in the home and access to appropriate services to enable their needs to be met. However the assessments do not address some specific needs, which means that the quality of life of each person may be affected. EVIDENCE: One new person has been admitted to the home since the last inspection. An assessment was completed before they were admitted, which provided information for the care plan to be written. The assessment states that the person “can handle their own personal care with supervision”, and the care plan reflects this (See Individual Needs and Choices). The staff said that they have sufficient information and training to enable them to meet the residents’ needs. However the social worker’s assessment states that the person is partially sighted. The home’s assessment and care plan make no mention of this, and there was no evidence of any special provision for the needs of someone with impaired vision. Popis Gardens (1 & 2) DS0000019498.V333634.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents’ care plans contain detailed information on all their personal care and health care needs, and comprehensive risk assessments related to each individual, which enable the staff to provide a good quality of care. EVIDENCE: Three care plans were seen during this inspection. The care plans are well written, with good details of all the residents’ personal care needs and of their likes and dislikes. They contained detailed assessments of individual needs coupled with clear instructions on how to proceed to meet them. Areas covered included personal care, emotional and social needs, with each need separately identified and care action plans set out with risk assessments and risk management strategies attached. However the care plan for the person who was admitted to the home in December 2006, three months before this inspection, had no mention of some particular needs, specifically that he is partially sighted, and no risk assessments associated with those needs. Popis Gardens (1 & 2) DS0000019498.V333634.R01.S.doc Version 5.2 Page 10 The staff who were spoken to said that the care plans give them the information that they need to provide appropriate care for the people who live in the home. There was little evidence that the people who live in the home are involved in planning their own care. This has also been noted in previous inspections, and further attention should be given to ensuring that the people who live in the home are fully involved in planning and decision making for their daily lives and activities. However the people in the home are involved in making decisions about their lives in the home and their activities. They said that they are asked about the food that they like, and there are regular residents’ meetings. The minutes of the residents’ meetings show that the residents who are able to take turns to chair the meetings, and that everyone is able to give their views. The discussions include plans for activities and holidays. The minutes of the meetings are produced in Widget format, so that most of the people who live in the home can understand them. Popis Gardens (1 & 2) DS0000019498.V333634.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 23, 14, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are encouraged to make choices for their activities, and to be involved according to their abilities in developing their skills for independence. EVIDENCE: Everyone takes part in their own choice of activities, either individually or in groups. The activities and outings that each person takes part in are recorded in their care plans, and the care plans include each person’s choice of activities. Most of the residents attend a day centre. The staff respect people’s privacy and support the residents to be as independent as possible. Daily living activities are written in the care plan as goals. One person showed the inspector around the bungalow and said that she cleans her own room and takes part in shopping and cooking. The staff the people who live in the home to maintain family contacts and enjoy positive relationships with others inside Popis Gardens (1 & 2) DS0000019498.V333634.R01.S.doc Version 5.2 Page 12 and outside the home. The residents plan their own menus every week with the staff, and a well balanced, nutritious diet is provided. Popis Gardens (1 & 2) DS0000019498.V333634.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff provide good quality personal care and treat the people who live in the home with sensitivity and respect. EVIDENCE: The care plans that were inspected provide comprehensive details of each person’s personal care and health care needs, and a good relationship was observed between the staff and the people who live in the home. Detailed recording of each person’s health care includes health notes for hospital visits and contact with GPs and other medical professionals and appropriate monitoring of epilepsy. The medication system was checked in both bungalows. The monitored dosage blister pack system is used. Sound procedures for the receipt, storage, handling and recording of medicines brought into the home were in place, and regular checks are made to ensure that medication has been administered and recorded properly. One person has their medication mixed with a spoonful of tea, or on a piece of bread. There are clear procedures for this that ensure that the person knows what they are taking, and can accept or refuse to take it. Popis Gardens (1 & 2) DS0000019498.V333634.R01.S.doc Version 5.2 Page 14 Some medication needs to be refrigerated, and this is stored in the food fridges in the kitchen of each bungalow. Although it is not essential to have a separate fridge for medication, all medication must be stored securely, so that it can be monitored effectively and access to it does not cause a risk for other people. In Bungalow 1 the medication is stored in separate lidded shelves on the door of the fridge. In Bungalow 2 it is stored in lidded shelves and on open shelves on the door of the fridge. This is easily accessible to the residents, and may cause a risk of a resident taking a taking the medication. In Bungalow 2 the record of fridge temperatures showed that the temperature of the fridge is between 5°C and 9°C. The medication package states that it should be stored between the temperatures of 2°C and 8°C. Popis Gardens (1 & 2) DS0000019498.V333634.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged and enabled to make their views and concerns known. Policies and procedures are in place to ensure that service users are protected from abuse and neglect. EVIDENCE: The home has an adequate complaints procedure that explains in simple language how to make a complaint. The complaints record was not seen on this occasion, but it was reported that no formal complaints have been received since the last inspection. One complaint was made to CSCI about the home. An anonymous caller was concerned about the arrangements for smoking, which they felt affected non-smoking residents, A satisfactory response was received from the home. The home has adequate policies concerning adult protection and whistle blowing. All staff have had training in the prevention of abuse, and the staff spoken with were aware of the procedures for reporting any allegations of abuse. Popis Gardens (1 & 2) DS0000019498.V333634.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 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 comfortable and well maintained environment for the residents, and the staff maintain a good standard of cleanliness. EVIDENCE: The home consists of two purpose-built bungalows, situated in their own culde-sac in a residential area of Ware. Both bungalows are furnished and decorated in domestic styles that produce a homely, comfortable environment that allows the residents to relax and feel very much at home. The residents all have their own rooms, arranged and decorated to reflect their particular interests and tastes. The lounges, dining rooms and kitchens are domestic in style and are comfortably furnished and well equipped. Each bungalow has an enclosed garden with a patio area, lawn and flowerbeds. The home appeared to be clean and generally well maintained, and the staff follow appropriate procedures to maintain hygiene and prevent the risk of infection. Popis Gardens (1 & 2) DS0000019498.V333634.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has an experienced and enthusiastic team of staff, who have the training and skills to provide a good quality of care for the people who live in the home. EVIDENCE: The staffing rotas showed that in each bungalow there are two care workers throughout the day, from 7.30am to 10.00pm, and one during the night. One person also sleeps in to provide extra support if needed, and there is some flexibility between the bungalows so that they can support each other if needed. The staff spoken to confirmed that Granta provides a satisfactory training programme that includes all the mandatory health and safety training. There is a comprehensive three week induction programme for new members of staff that includes a week of formal training at Granta head office. The staff files of two members of staff were inspected. They contained all the required information to show that they are fit to work in the home. Popis Gardens (1 & 2) DS0000019498.V333634.R01.S.doc Version 5.2 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed, and the management actively seeks the views of the residents and other involved people in order to ensure that a good quality of care is provided. EVIDENCE: The manager has long relevant experience in social care, and she was assistant manager at another Granta home before being appointed to Popis Gardens in April 2005. Granta has a comprehensive system for quality assurance in its homes, which includes annual surveys of residents and their families on different topics. All the staff have training in moving and handling, fire safety, food hygiene and infection control as part of their induction. The home maintains appropriate Popis Gardens (1 & 2) DS0000019498.V333634.R01.S.doc Version 5.2 Page 19 records for the health and safety of the residents and staff in the home, and staff follow the home’s policies and procedures. The inspector hand tested the bath water in both bungalows, and it seemed to be satisfactory. However there was no evidence on this occasion to show that water temperatures are monitored regularly to ensure that the hot water remains at a safe temperature. Regular fire drills take place in both bungalows, and both the residents and the staff who are on duty at the time take part in them. However the names of the staff are not recorded, and there is no evidence that every member of staff takes part in a fire drill at least once a year. One issue that may affect the safety of the people who live in the home was observed during the inspection. In the kitchen of Bungalow 2 the cupboard under the sink is not locked. There was a spray canister of oven cleaner in this cupboard, accessible to the residents. It was removed immediately. Popis Gardens (1 & 2) DS0000019498.V333634.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 2 3 3 4 X 5 X 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 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 2 X Popis Gardens (1 & 2) DS0000019498.V333634.R01.S.doc Version 5.2 Page 21 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 YA2 Regulation 14(1)(d) Requirement A comprehensive assessment must be completed before any resident is admitted to the home, that provides appropriate and adequate information to enable the staff to meet all the person’s assessed needs. Appropriate and adequate risk assessments must be put in place for all residents, and kept under review. Measures must be put in place to ensure that all medication is stored securely at all times, so that it can be monitored affectively and to ensure that access to medication does not cause a risk to the health and welfare of vulnerable residents. All medication must be stored at the temperature recommended by the manufacturer, in order to prevent any risk of deterioration. Measures must be put in place to ensure that all substances that may be hazardous to health are stored securely at all times, in order to ensure that there is no risk to the health and welfare of vulnerable residents. DS0000019498.V333634.R01.S.doc Timescale for action 31/05/07 2. YA9 13(4)(c) 31/05/07 3. YA20 13(2) 26/03/07 4. YA42 13(4)(a) 26/03/07 Popis Gardens (1 & 2) Version 5.2 Page 22 5. YA42 23(4)(e) The names of staff taking part in fire drills must be recorded to ensure that every member of staff takes part in at least one fire drill a year. 30/09/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA42 Good Practice Recommendations The registered person should ensure that water temperatures are monitored and recorded regularly to ensure that there is no risk of scalding to the people who live in the home. Popis Gardens (1 & 2) DS0000019498.V333634.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hertfordshire Area Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Popis Gardens (1 & 2) DS0000019498.V333634.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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