Inspection on 06/07/05 for Rock Grove (34)

This inspection was carried out on 6th July 2005.

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

Rock Grove (34) 06/03/07

Rock Grove (34) 06/10/05

Rock Grove (34) 16/03/05

Rock Grove (34) 04/11/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOMES FOR OLDER PEOPLE 34 Rock Grove Old Swan Liverpool Merseyside L13 2DY Lead Inspector Helen Carton Unannounced 6 July 2005 11:30am 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 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. 34 Rock Grove F52_F02_s25168_RockGrove_v234401_060705_Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Rock Grove Address 34 Rock Grove Old Swan Liverpool L13 2DY 0151 220 8267 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Personal Service Society Mr John Murphy CRH PC 3 Category(ies) of LD -3 registration, with number LD/OP - 3 of places within an overall total of 3 34 Rock Grove F52_F02_s25168_RockGrove_v234401_060705_Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1) The manager requires to undertake relevant management training to NVQ level 4 or equivalent in line with the NMS 34.3 and 34.5. 2) The maximum number of service users to be accommodated at any one time is three (3) Date of last inspection 16 March 2005 34 Rock Grove F52_F02_s25168_RockGrove_v234401_060705_Stage 4.doc Version 1.30 Page 5 Brief Description of the Service: 34 Rock Grove is a care home providing personal care and accommodation for three older people who have learning disabilities. The home is part of The Shared Living Project (SCOPE), which is managed by Personal Services Society (PSS). The home is located in the Old Swan area of Liverpool and is close to shops, pubs the post office and other amenities. The home is a purpose built bungalow, which was first registered in 1996. The bungalow has three bedrooms, a shower room and bathroom. There is a good size lounge with a separate kitchen dinette area. The home has a small front and larger rear garden both are well maintained and easily accessible. 34 Rock Grove F52_F02_s25168_RockGrove_v234401_060705_Stage 4.doc Version 1.30 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. There were three residents living at 34 Rock Grove at the time of the visit. The inspection was unannounced and took approximately three hours. The inspector spent time with two residents and spoke to the manager. What the service does well: What has improved since the last inspection? What they could do better: The home must not use residents’ money to buy things for the home or to pay for maintenance work even if they pay it back. The owner’s must review the guidance they have provided to the staff team and make sure this situation does not continue to happen. 34 Rock Grove F52_F02_s25168_RockGrove_v234401_060705_Stage 4.doc Version 1.30 Page 7 The owner’s must make sure any decisions made about the home are made with the involvement of the residents, the manager and the staff team. 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. 34 Rock Grove F52_F02_s25168_RockGrove_v234401_060705_Stage 4.doc Version 1.30 Page 8 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 Standards Statutory Requirements Identified During the Inspection 34 Rock Grove F52_F02_s25168_RockGrove_v234401_060705_Stage 4.doc Version 1.30 Page 9 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 standard(s) 3 and 5. There is sufficient information made available to prospective residents and their families to allow for an informed decision about whether the home can meet the needs of the person. EVIDENCE: The three people living at 34 Rock Grove have lived there for quite some time. Before anyone can come to live at the home an assessment takes place, which shows the type and level of care that is needed. Records observed confirmed this. Also families and friends are encouraged to visit the home and to meet the other people who are living there. This helps ensure that prospective residents gain as much information as possible for them to reach a decision as to whether they would like living at the home. 34 Rock Grove F52_F02_s25168_RockGrove_v234401_060705_Stage 4.doc Version 1.30 Page 10 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 standard(s) 7,8,9 and 11. The residents’ health, personal and social care needs are detailed in individual care plans and are being well met. The procedures for dealing with residents’ medications’ are in line with the home’s policies and procedures and they provide safeguards for residents. EVIDENCE: Records show the home have individual care plans which detail the best way to support and care for individual residents. This includes any medical conditions that may need specialist care. Following an assessment and discussion with other professionals involved with residents care the home make the decision to administer residents’ medication. The inspector looked at the residents’ medication and the accompanying records. They showed the home records and checks residents’ medication regularly. Following a discussion with the manager he agreed to discuss with residents and their relatives how they wish to be cared for should they become ill. This 34 Rock Grove F52_F02_s25168_RockGrove_v234401_060705_Stage 4.doc Version 1.30 Page 11 should ensure that residents and their family are treated with care, sensitivity and respect especially at the time of their death. 34 Rock Grove F52_F02_s25168_RockGrove_v234401_060705_Stage 4.doc Version 1.30 Page 12 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 standard(s) 12,13 and 15. The home supports residents’ lifestyle and meets their expectations and recreational interests. The meals provided are wholesome and appealing with residents confirming how enjoyable they are. EVIDENCE: Two residents told the inspector they go out every day to the local shops and had been away for the weekend to Llandudno. The manager told the inspector the residents attend a variety of activities such as a luncheon club/tea dance and outings arranged through the project the home is part of. Residents’ who use wheelchairs are having some difficulty gaining transport that helps them leave the home regularly. The inspector would advise the owner’s and the manager to look into this issue. The support workers are also responsible with the residents for the shopping and the cooking. Residents told the inspector they liked the food and the staff. Residents and the staff on duty eat their meals together in the kitchen/dining area. 34 Rock Grove F52_F02_s25168_RockGrove_v234401_060705_Stage 4.doc Version 1.30 Page 13 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 standard(s) 16 and 18 More should be done to make the current complaint procedure user friendly. Current arrangements for managing service users finances have significant flaws and leave service users open to potentially financially abusive practice within the home. EVIDENCE: The home has a complaints procedure however this is not in language that would be easily understood by residents. The owner is advised to look at ways to help residents understand whom they can raise concerns or complaints with. The home has documents that help the staff team understand what abuse is and how to support residents and protect them. However after looking at financial records for residents the inspector is concerned the owner’s are not protecting residents’ from financial abuse. Residents’ money is being used to buy large items of equipment and furniture for the home such as a kitchen equipment and radiator covers. The owners are then transferring money to residents’ accounts or sending cheques to them to cover the costs. The residents living at the home would not understand the reasons why large amounts of money would be taken from their accounts. This is potentially abuse of trust on the owners’ part and it is not an acceptable way for the home to use residents’ money. 34 Rock Grove F52_F02_s25168_RockGrove_v234401_060705_Stage 4.doc Version 1.30 Page 14 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 standard(s) 19,20,24 and 26. The standard of the environment within the home is good providing residents with an attractive and homely place to live. EVIDENCE: The inspector noticed the tumble dryer sits on top of the washing machine and moves slightly. The manager was asked to contact the owner’s repair department to have it checked. Since the last visit the home has had a new kitchen fitted and the room has been decorated. Two of the residents invited the inspector to look at their bedrooms, both rooms were nicely decorated and personalised. The furniture in one bedroom was damaged and should be repaired or replaced. All areas of the home visited were clean and tidy. 34 Rock Grove F52_F02_s25168_RockGrove_v234401_060705_Stage 4.doc Version 1.30 Page 15 The lounge area is pleasantly decorated and the furniture is comfortable and in good condition. The manager and staff team have worked hard to create a safe and homely place for residents’ to live. 34 Rock Grove F52_F02_s25168_RockGrove_v234401_060705_Stage 4.doc Version 1.30 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29 and 30. The vetting and recruitment practices in the home do not demonstrate the appropriate checks are being carried out and potentially leaving residents at risk. EVIDENCE: A sample of staff records were looked at and the manager was advised to make sure checks that must be made by the owner before anyone starts working at the home are recorded and held at 34 Rock Grove. The owner’s provide the staff team with regular training to help them support resident in the best way. 34 Rock Grove F52_F02_s25168_RockGrove_v234401_060705_Stage 4.doc Version 1.30 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33, 34, 35, and 38. Residents’ are not safeguarded by the accounting and financial procedures of the home. Service users are not adequately consulted about important decisions affecting their lives and especially their finances. The registered manager must ensure that they discharge their responsibilities fully for the benefit of residents. EVIDENCE: The inspector looked at the financial records of residents held in the home. These records showed managers who work for the owner’s are using resident’s savings and bank accounts to purchase items for the home such as a new kitchen and radiator covers. Money is also being used to pay for maintenance work such as window cleaning and for keeping the gardens tidy. The inspector also looked at records that show this money had been eventually repaid. 34 Rock Grove F52_F02_s25168_RockGrove_v234401_060705_Stage 4.doc Version 1.30 Page 18 By using residents’ money in this way the owner’s are potentially abusing the trust the residents have in the staff supporting them. This practice also goes against their own guidance to their staff team which states ‘ staff must not borrow money or anything else from service users they are supporting or lend them money’. The inspector telephoned a senior manager to discuss this unacceptable practice; she informed the inspector she would investigate and discuss these concerns with the managers involved and would inform the Commission of the outcome. A letter was sent to the representative of the owner’s detailing the concerns. Covers have been fitted to all radiators in the home to prevent the possibility of residents being burnt. The inspector is concerned managers who do not work at the home are making decisions about residents and how they live their lives without properly talking to them or the home manager. 34 Rock Grove F52_F02_s25168_RockGrove_v234401_060705_Stage 4.doc Version 1.30 Page 19 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 2 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 2 x x 3 x 3 STAFFING Standard No Score 27 x 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 1 2 x 2 1 1 x x 2 34 Rock Grove F52_F02_s25168_RockGrove_v234401_060705_Stage 4.doc Version 1.30 Page 20 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. 1. Standard 11 Regulation 12 Requirement The registered manager must ensure discussions take place with residents and their relatives with regard to the care and support they would wish leading up to the time of their death. The registered provider must ensure residents with mobilty difficulties are supported to access community facilities regularly. The registered provider must ensure the complaints procedure is appropriate to the needs of the service users. The registered provider must ensure systems and procedures are put in place to safeguard residents monies. The registered manager must ensure the tumbledryer is fastened to the wall to prevent a falling hazard to residents. The registered provider must ensure staffing information detailed in schedule 4 of The Care Homes Regulations is available in the home for inspection. The registered provider must ensure persons employed by F52_F02_s25168_RockGrove_v234401_060705_Stage 4.doc Timescale for action 30/9/05 2. 13 16 30/8/05 3. 16 22 30/9/05 4. 18,34&35 20 30/8/05 5. 21 13 30/705 6. 29 17 30/7/05 7. 31 &33 12 30/7/05 Page 21 34 Rock Grove Version 1.30 them to support and supervise the registered manager make the needs, wishes and protection of service the centre of decision making. Particularly with regard to the home. 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 Good Practice Recommendations 34 Rock Grove F52_F02_s25168_RockGrove_v234401_060705_Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Liverpool Area Office 3rd Floor 10 Duke Street Liverpool, L1 5AS 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 34 Rock Grove F52_F02_s25168_RockGrove_v234401_060705_Stage 4.doc Version 1.30 Page 23 - 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. 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