Inspection on 16/02/06 for Scremby Grange

This inspection was carried out on 16th February 2006.

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

The inspector 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

Scremby Grange 14/06/07

Scremby Grange 03/02/05

Scremby Grange 03/09/04

Scremby Grange 10/12/03

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Scremby Grange Scremby Nr Spilsby Lincolnshire PE23 5RW Lead Inspector Kima Sutherland-Dee Unannounced Inspection 16th February 2006 09:15 Scremby Grange DS0000002414.V283728.R01.S.doc Version 5.1 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 Scremby Grange DS0000002414.V283728.R01.S.doc Version 5.1 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. Scremby Grange DS0000002414.V283728.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Scremby Grange Address Scremby Nr Spilsby Lincolnshire PE23 5RW 01754 890339 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) Linkage Community Trust Ms Bridget Anne Rowe Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Scremby Grange DS0000002414.V283728.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th July 2005 Brief Description of the Service: The home is a large period property registered for 14 service users with learning disabilities. It is situated just outside the small village of Scremby on the A158 towards Skegness, It is approximately 3 miles from the market town of Spilsby, and directly on a bus route. The home is surrounded by acres of land and the grounds contain a day service and the offices of Linkage community trust who provide the service. This home is a long stay home as long as assessed needs can be met and there are opportunities to move to more independent living if this is appropriate. Scremby Grange DS0000002414.V283728.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 4 ¼ hours on one day in February 2006. The main method of inspection used was ”case-tracking” and involved two residents, although all the other residents that were at home spoke to the inspector. Case tracking looks at the needs of the resident and follows this through by talking to the residents concerned and the staff who deliver the care, as well as observation of care practices, and reviewing their records. Three members of staff and the registered manager were also involved in discussions. A sample of the bedrooms and all the communal areas were seen as well as parts of the garden. A sample of regulatory records and policies that related to the case tracking were seen and feedback was given to the manager. What the service does well: This home although large, offers a relaxed and friendly environment where each person is respected and supported to develop their daily living skills. The staff, manager and the residents have built up strong and supportive relationships where people feel safe to express their views and they feel they will be listened to. The interactions observed were respectful, appropriate and at times fun. This home is lead by a competent and respected manager, who is able to maintain high standards and develop a well-trained and supportive team. The residents take part in a wide variety of leisure and educational opportunities, and these are often in very small groups. One of the home’s strengths is that the staff have a well developed knowledge of each resident and the care is tailored to their individual needs. Scremby Grange DS0000002414.V283728.R01.S.doc Version 5.1 Page 6 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. Scremby Grange DS0000002414.V283728.R01.S.doc Version 5.1 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 Scremby Grange DS0000002414.V283728.R01.S.doc Version 5.1 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): These standards were not assessed at this inspection. EVIDENCE: Scremby Grange DS0000002414.V283728.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 The home meets the needs of all the residents through the records it keeps and through the knowledge of the staff team and manager. EVIDENCE: One resident showed the inspector their care plan and all the residents are well aware of the records that are kept. The key workers regularly support the residents to update their plans and to gain an understanding of their needs. The care plans are available on computer disk and they are holistic, covering all areas of the resident’s life. They also include risk assessments, however these do not prevent the residents experiencing learning opportunities both inside and outside the home. The care plans exceed the minimum standards by including information that is updated and useful to the staff team, and by such wide-ranging involvement of the residents. The residents participate and make choices in a number of ways, including regular meetings, one to one sessions with key workers, the pointers committee (a representative attends) and daily discussions with the staff. The routines are flexible to meet the changing needs of the residents. Scremby Grange DS0000002414.V283728.R01.S.doc Version 5.1 Page 10 The staff were observed supporting the residents in an appropriate way, that valued their individuality and demonstrated a genuine understanding, and a caring approach. Scremby Grange DS0000002414.V283728.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,14,16,17 The home ensures that all the residents participate in age appropriate and valuing activities of their choice. Each person has the opportunity to develop and learn whilst being respected by the staff. The residents enjoy their meals, which they choose and are supported to prepare. EVIDENCE: The residents invited the inspector to join them for lunch. The residents were supported to prepare their choice of lunch, either baked beans on toast or a large salad. One resident laid the tables and the mealtime was relaxed and enjoyable with staff and the residents chatting together. One resident is planning to move to more independent accommodation therefore the staff have been supporting this person to develop their skills and they now shop, budget and prepare their food separately. The residents told the inspector about their recent holidays and events, and about what they had planned. Several residents were looking forward to a valentine’s disco. This is a home for 14 residents but the staff and manager make efforts to enable the residents to participate in the community in small groups. Scremby Grange DS0000002414.V283728.R01.S.doc Version 5.1 Page 12 Scremby Grange DS0000002414.V283728.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 The home meets the needs of each resident, and they receive support from other health professionals. EVIDENCE: The residents are offered support in the way that they prefer and this is achieved by the staff having a deep understanding of each person and their preferred routines and likes and dislikes. The residents gain information, and treatment from health professionals, including psychiatrist, psychologists and nurses. The staff are trained to enable them to carry out long-term behavioural management strategies and these are effectively monitored. The residents are encouraged to make choices about their lifestyle, including their clothing, room decoration and routine. The care plans included health and personal relationship information, this is available in written and symbol formats. The residents are supported to maintain their health and to understand appropriate relationships. The resident’s spoke about their friends and that they are able to visit or to invite them to their own home. Scremby Grange DS0000002414.V283728.R01.S.doc Version 5.1 Page 14 The care plans are kept up to date and regularly reviewed and they included information about medication. The staff are trained to administer medication and the last course was on the 17th January 2006. One resident showed the inspector a memorial garden they had built for a family member. The staff have supported this resident and continue to emotionally support them through a difficult time, whilst minimising the detrimental effects on the other residents. Scremby Grange DS0000002414.V283728.R01.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 The residents said they could talk to any of the staff, their key workers or the manager. EVIDENCE: The residents are confident that their views are listened to and that they have the power to change any aspects of their lives. The staff support the resident to speak up and be heard. There are opportunities to do this both formally in group meetings or individually. The resident have access to advocacy services and this has been used for long and short-term purposes. Scremby Grange DS0000002414.V283728.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,26 The home is large but comfortable, homely and well maintained. It would benefit the residents to live in smaller group homes that provide single bedrooms for all. EVIDENCE: The home is clean, well furnished and comfortable. From observation it was clear that the residents feel secure in their own home. It was noted that the residents were involved in housework and they were confident to freely move around their house. The inspector and the manager discussed the possible plans to develop smaller homes on the current site. At present there are 2 shared rooms and one of the residents has expressed a view that they would like their own room, the manager also feels this would benefit the other residents who share. The home is large and this can create conflict although this is minimised by the skilled staff. One resident showed the inspector their room, and they pointed out their photographs and personal possessions. The room was warm, well furnished and very personalised. There is an ongoing programme of decoration and the residents are involved in making choices about colour and furniture. Scremby Grange DS0000002414.V283728.R01.S.doc Version 5.1 Page 17 Scremby Grange DS0000002414.V283728.R01.S.doc Version 5.1 Page 18 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): 32,35,36 The residents are supported by a well trained, supervised and effective staff team, who are on duty in sufficient numbers to meet all of the residents needs. EVIDENCE: The staff are trained by accessing external courses and through in house learning. Staff take part in specific training to enable them to support the residents. The psychologist and other health professionals have attended the home and talked about specific behaviour management, and how to support individuals. One member of staff said they had been at the home for less than a year and they had completed their induction and foundation. They stated that they received good support from the manager and the staff team. Scremby Grange DS0000002414.V283728.R01.S.doc Version 5.1 Page 19 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): 37,38,40,42 The home is well run and the management structure ensures that all the relevant policies are in place. The resident’s health and safety is protected and regularly reviewed. EVIDENCE: The homes registered manager is extremely competent and has achieved the required qualifications as well as additional training, including a recent counselling diploma. The staff all stated that they feel well supported by the manager and they are able to raise concerns or ideas. The provider organisation, Linkage Community Trust is committed to providing high quality services and the manager of Scremby Grange is clear about their role and responsibilities. The manager ensures the health and safety of the residents and staff and the staff have attended relevant training. Different staff have defined responsibilities relating to health and safety, for example fire drills and testing. Scremby Grange DS0000002414.V283728.R01.S.doc Version 5.1 Page 20 Scremby Grange DS0000002414.V283728.R01.S.doc Version 5.1 Page 21 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 X 3 X 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 X ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 3 X LIFESTYLES Standard No Score 11 X 12 4 13 X 14 4 15 X 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 4 4 X 3 X 3 X Scremby Grange DS0000002414.V283728.R01.S.doc Version 5.1 Page 22 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 Scremby Grange DS0000002414.V283728.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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. 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