Inspection on 06/10/05 for Rock Grove (34)

This inspection was carried out on 6th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Rock Grove (34) 06/03/07

Rock Grove (34) 06/07/05

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 Rock Grove (34) 34 Rock Grove Old Swan Liverpool Merseyside L13 2DY Lead Inspector Helen Carton Announced Inspection 6th October 2005 12:50 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Rock Grove (34) DS0000025168.V256340.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Rock Grove (34) DS0000025168.V256340.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rock Grove (34) Address 34 Rock Grove Old Swan Liverpool Merseyside L13 2DY 0151 220 8267 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) sandra.clarks@pss.org.uk Personal Service Society Mr John Murphy Care Home 3 Category(ies) of Learning disability (3), Learning disability over registration, with number 65 years of age (3) of places Rock Grove (34) DS0000025168.V256340.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The manager requires to undertake relevant management training to NVQ level 4 or equivalent in line with the NMS 34.3 and 34.5. The maximum number of service users to be accommodated at any one time is three (3) 6th July 2005 Date of last inspection 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. Rock Grove (34) DS0000025168.V256340.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. There were three residents living at 43 Rock Grove at the time of the visit. The inspection was unannounced and took approximately two and a half hours. The inspector spent time with one resident and spoke to the manager. 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. Rock Grove (34) DS0000025168.V256340.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rock Grove (34) DS0000025168.V256340.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 There is sufficient information made available to prospective residents, their families and friends to allow an informed decision to be made by the person as to whether the home can meet their needs. EVIDENCE: The three people living at 34 Rock Grove have lived there for quite sometime. Before anyone can come to live at the home an assessment takes place. This helps the staff team at the home decide whether they will be able to care and support the person if they moved into the home. Looking through assessment records the home can show they do carry out assessments and take this information into account before they make an offer to a person to move into the home. The home provides people who are interested in moving into the home with clear information as to the accommodation provided and the type of care and support they can expect. Rock Grove (34) DS0000025168.V256340.R01.S.doc Version 5.0 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 10 Residents’ are treated with respect and their right to privacy is safeguarded through the care plans and the leadership of the manager. EVIDENCE: Records show the home have individual care plans which detail the best way to support and care for individual residents. This includes information about how individual residents’ want to be supported with their personal care needs and when they want private time. During the visit the inspector became aware a resident expressed a desire to go to their room to read and relax they were assisted to do this by the manager and a support worker. Rock Grove (34) DS0000025168.V256340.R01.S.doc Version 5.0 Page 9 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13 and 14 The home supports residents’ lifestyle and meets their expectations and recreational interests. The home actively encourages and supports residents’ to maintain contact with the significant people in their lives. EVIDENCE: Residents attend a variety of activities such as luncheon clubs, tea dances and outings arranged by the home. This summer two residents went to Llandudno for a few days. During the visit the inspector observed two residents leaving the home to attend a tea dance with the support of one member of staff. Discussions with the manager showed the home is actively supporting residents’ particularly those with mobility difficulties to access more community facilities. A resident told the inspector they had stopped going to one shop and was now trying different ones. Rock Grove (34) DS0000025168.V256340.R01.S.doc Version 5.0 Page 10 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 The complaints procedure is user friendly and attempts to provide clear information to residents. The home’s policies and procedure provide safeguards to protect residents from abuse. EVIDENCE: The home’s complaints procedure has been changed to include pictures of the manager and a senior manager from PSS. It has also been printed on yellow card to make the writing stand out. It provides clear information for residents and their visitors a copy is left in each bedroom. The home has documents that help the staff team understand what abuse is and how to appropriately support residents and protect them. Since the last visit the senior managers of PSS and the home manager have revised the financial practices in the home. This is to make sure residents’ finances managed by the home are used appropriately and detailed records are held. The inspector looked at all financial records and found them to provide detailed information. Rock Grove (34) DS0000025168.V256340.R01.S.doc Version 5.0 Page 11 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25 and 26 The standard of the environment within the home is good providing residents with an attractive, safe and homely place to live. EVIDENCE: The home has a kitchen/dining room and a good size lounge all communal areas are nicely decorated with the lounge furniture being comfortable. One resident has purchased a specialist chair for the lounge to make their time in the lounge more comfortable. The home has a shower room and a long bath to offer residents’ choice in their personal care needs. During the visit the manager told the inspector the home had won a prize in a garden makeover competition, which will mean the garden will be having work done on it next spring including a new patio area. Rock Grove (34) DS0000025168.V256340.R01.S.doc Version 5.0 Page 12 One resident invited the inspector into their bedroom. The inspector noted it had been personalised to show the residents interests. Specialist lifting equipment was present to assist the resident with their mobility. All areas of the home visited were clean and tidy. Rock Grove (34) DS0000025168.V256340.R01.S.doc Version 5.0 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 The home is unable to demonstrate that appropriate checks are being carried out which potentially leaves residents’ at risk of abuse. The owners are committed to providing training to the staff team to improve the type and quality of care provided. EVIDENCE: The home has no records, which would show that the owner’s have made the necessary checks such as taking references from past employers’, enhanced criminal records bureau checks and a medical reference. The inspector understands that this type of information is sensitive and must be securely held. However the owners must look at introducing a system, which allows the designated person making the checks to confirm to the registered manager of the home that they have been carried out and there are no issues they need to be aware of. At the time of the visit the manager had completed the NVQ level 4 manager’s award and was about to start the NVQ Assessors Award. A further four members of the staff team were involved in NVQ training. Rock Grove (34) DS0000025168.V256340.R01.S.doc Version 5.0 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33 and 35 The manager has a good understanding of the residents’ support needs and provides clear guidance and support to the staff team to ensure the most appropriate care and support is provided. The home’s recording of all financial transactions on behalf of residents is detailed providing safeguards against financial abuse. EVIDENCE: The manager provides individual supervision to all members of the staff team every four to six weeks. The manager is very involved in the daily support offered to residents and works alongside the staff team. Since the last visit the manager and representatives of the owner have reviewed all financial arrangements and the way they are recorded. Rock Grove (34) DS0000025168.V256340.R01.S.doc Version 5.0 Page 15 A representative of the owner carried out a financial audit of the home on the 20/7/05. Samples of financial records were looked at and were properly recorded with receipts kept in residents’ files. Rock Grove (34) DS0000025168.V256340.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X X Rock Grove (34) DS0000025168.V256340.R01.S.doc Version 5.0 Page 17 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 OP28OP29 Regulation 17 Requirement The registered provider must ensure staffing information detailed in schedule 4 of The Care Homes Regulations is available in the home for inspection. Timescale for action 30/01/06 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 Rock Grove (34) DS0000025168.V256340.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 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 Rock Grove (34) DS0000025168.V256340.R01.S.doc Version 5.0 Page 19 - 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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