Inspection on 18/08/05 for The Grove

This inspection was carried out on 18th August 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

The Grove 17/01/08

The Grove 01/03/07

The Grove 19/01/06

The Grove 12/03/05

The Grove 24/01/05

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 GROVE CHESHIRE HOME Scotts Hill East Carleton Norwich NR14 8HP Lead Inspector Roger Andrews Announced 18 August 2005 9:30 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. GROVE CHESHIRE HOME I55 S15641 Grove Cheshire Home (an) V238878 180805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Grove Cheshire Home Address Scotts Hill, East Carlton, Norwich, Norfolk, NR14 8HP 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) 01508 570279 01508 571057 Leonard Cheshire Mrs J Jane Noble Care Home 31 Category(ies) of PD Physical disability registration, with number of places GROVE CHESHIRE HOME I55 S15641 Grove Cheshire Home (an) V238878 180805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The Grove is registered to accommodate up to 31 people who have a physical disability. Date of last inspection 12 March 2005 Brief Description of the Service: The Grove is a voluntary sector care home operated by the Leonard Cheshire Foundation. The premises comprise a carefully adapted period house to which purpose built extensions have been added. Accommodation is provided there for 31 people with physical disabilities. The Grove is situated within 54 acres of landscaped grounds on the edge of the village of East Carlton, to the south of Norwich. GROVE CHESHIRE HOME I55 S15641 Grove Cheshire Home (an) V238878 180805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced. On this occasion not all of the National Minimum Standards were inspected. Only the core standards, (the one that the Commission thinks should be inspected every year), were looked at. This is because The Grove is a home that the Commission does not receive regular complaints about. The inspection was carried out by talking to the manager, two of the staff and four of the residents. Records were also looked at as well as a look at the building, including some of the bedrooms. A walk round some of the grounds was also undertaken. In addition, the Commission also received 27 questionnaires from residents and four questionnaires from relatives. The views that are put forward in these questionnaires are included in this report. What the service does well: What has improved since the last inspection? Two written references are being taken up on each new employee which helps make sure unsuitable staff are not employed. GROVE CHESHIRE HOME I55 S15641 Grove Cheshire Home (an) V238878 180805 Stage 4.doc Version 1.40 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. GROVE CHESHIRE HOME I55 S15641 Grove Cheshire Home (an) V238878 180805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection GROVE CHESHIRE HOME I55 S15641 Grove Cheshire Home (an) V238878 180805 Stage 4.doc Version 1.40 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 standard(s) 2 & 4 Prospective residents are assessed prior to and following admission so their needs can be properly met. Residents are able to have a trial period to make sure their needs can be met by The Grove. EVIDENCE: Admissions are usually preceded by visits to The Grove. Once a resident moves in they have a three month trial period following which their permanent residency will be reviewed. Appropriate assessments are undertaken and specialist reports were observed on file. One of the residents showed some of the information that she had been provided with on admission. This included a handbook and complaints procedure and other general information. Specialist needs such as physiotherapy requirements will form part of admission assessments. GROVE CHESHIRE HOME I55 S15641 Grove Cheshire Home (an) V238878 180805 Stage 4.doc Version 1.40 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 standard(s) 6, 8 & 9 Residents know what is in their care plans and they discuss their needs with their key support worker. Thorough risk assessments are carried out to help make residents as safe as possible. Residents are properly consulted and involved in how the home is run. EVIDENCE: Each resident has a copy of their care plan details and risk assessments in their room. These documents are suitably detailed and include assessments of physiotherapy needs, continence, communication, mobility, behaviour management programmes and nutritional requirements. Each resident has a key support worker. Where able to do so residents have signed their care plans. Day to day comments are also recorded regarding care given to residents and professional input from other professionals, (e.g. the G.P.), is noted. Residents have a dedicated physiotherapy room on site for any physiotherapy needs. Risk assessments are detailed and examples include wheelchair use, (including outdoors as well as indoors), walking, moving in bed and swimming. The GROVE CHESHIRE HOME I55 S15641 Grove Cheshire Home (an) V238878 180805 Stage 4.doc Version 1.40 Page 10 newsletter advertises activities which include the ski club. Residents are able to get involved in pastimes and activities based on their wishes and from discussion on the day they feel they are supported to be as independent as possible. Residents have a high degree of involvement in the way the home is run. This includes regular meetings with staff and management, involvement in writing the in-house newsletter. They also have a new regional newsletter keeping them informed of wider events. Some residents act as ‘resident representatives’ taking matters forward on the behalf of others. Residents are also able to put themselves forward as a representative on a regional committee. One resident said that she was involved in the interview process when new staff are recruited. The Grove is commended for the way residents are involved in how the home is run. GROVE CHESHIRE HOME I55 S15641 Grove Cheshire Home (an) V238878 180805 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 16 & 17 Residents can be involved in a varied range of activities if they wish to be. Residents like the food and have a choice. EVIDENCE: There is a large activity room on the ground floor which has a wide range of craft, painting, computer and games equipment. Residents can use the computer to ‘surf the net’ and to produce their newsletter. The newsletter publicises various activities which include a trip to a sailing club, visiting the Sainsbury visual arts centre, the ski club and a list of craft activities. Residents are also able to organise ‘holiday swaps’ with residents in other Leonard Cheshire homes. Information is also included about support groups and changes in disability rights legislation. The vast majority of residents indicated that they felt the range of activities on offer was sufficient. The residents organise their own in-house shop and have an in-house bank which is open every Wednesday. GROVE CHESHIRE HOME I55 S15641 Grove Cheshire Home (an) V238878 180805 Stage 4.doc Version 1.40 Page 12 Residents can go further afield, e.g. into the city, though may have to depend on taxis at times, though the Home does have its own transport. Quite a few of the residents use electrically powered chairs to get around. Family and friends can visit freely and stay for temporary periods. All of the residents except one who replied to the questionnaire reported that they felt their privacy was respected. One resident indicated ‘sometimes’, t around though did not elaborate on this. A resident spoken to on the day said that staff knocked on doors and made sure dignity was maintained, for example, when helping to wash or bath a resident. Residents have a daily choice of menu. A resident reported that they are asked two days in advance what meals they want and one option is always a vegetarian one. Residents also said that they could buy something they particularly liked at the shops and the chef would cook it for them. On the day of the inspection the choice was between shoulder of lamb and vegetarian sausages. The lamb option was sampled and was found to be very nice. It was served with potatoes, broccoli, green beans and gravy. The day’s menu is displayed on the dining room door. There is a choice of venues where residents can take their meals. During the inspection and in their questionnaire responses, residents indicated that there is generally a high degree of satisfaction with the food served at The Grove. Some of the residents are assisted with eating by the staff. This was observed to be unhurried and undertaken at the residents’ pace. GROVE CHESHIRE HOME I55 S15641 Grove Cheshire Home (an) V238878 180805 Stage 4.doc Version 1.40 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 standard(s) 18 Residents are consulted about their preferences regarding personal care. EVIDENCE: Personal care is usually provided in the privacy of bedrooms and the bedrooms in the modern wings have en-suite facilities. Personal preferences regarding getting up and going to bed are respected and one resident reported that she just rings her bell when help is required and the staff respond. This resident said that staff are excellent and encourage as well as assist. Residents have specific staff teams who cover particular wings so there is a reason able continuity of help from the same group. Residents have a variety of specialist equipment ranging from adaptations to wheelchairs allowing mobility by residents who cannot use their hands to remote control tranceivers with which a resident can control electrical equipment ion their bedroom such as T.V, vide, DVD, call bell and musical equipment. GROVE CHESHIRE HOME I55 S15641 Grove Cheshire Home (an) V238878 180805 Stage 4.doc Version 1.40 Page 14 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 standard(s) 22 & 23 Complaints are listened to and dealt with. Staff are aware of adult protection policies which helps ensure residents are safe. EVIDENCE: Each resident has a copy of the complaints procedure in his or her care plan folder in his or her room. Five internal complaints have been dealt with over the past twelve months. These have been resolved and documented. The Commission has not received any complaints about The Grove during the past year. The majority of staff have undertaken training regarding the protection of vulnerable adults, (POVA). Those who have not completed the training will be undertaking it. Copies of the policies for both adult protection and complaints are available to all staff and residents and are located on a bookshelf outside of the manager’s office. Residents were reminded of this at their last meeting with management. Twenty-six of the residents who filled in the pre-inspection questionnaire reported that they felt safe at The Grove. One resident reported they felt unsafe because of the wheelchairs. One person reported feeling unsafe, but did not give any reason. Residents also reported that they knew who to speak to if they had concerns or were unhappy. GROVE CHESHIRE HOME I55 S15641 Grove Cheshire Home (an) V238878 180805 Stage 4.doc Version 1.40 Page 15 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 standard(s) 24, 25, 26 Apart from some small improvements the environment provides a pleasant place to live with all areas being accessible, especially to residents who use wheelchairs. Bedrooms are personalised and geared to the needs of residents who have disabled access requirements. EVIDENCE: A tour was made of the premises including the path around the lake which has been adapted in part for wheelchair users. No obvious hazards were noted and access to the lakeside area is risk assessed for each individual. In general most areas are pleasantly decorated with a variety of pictures to give a more domestic feel. Exceptions are some of the bathrooms which might benefit from some pictures and /or different colour schemes and the dining room which is in need of decoration. The floor tiles in the dining room are also becoming unsightly and consideration should be given to replacing this. See recommendations. Natural lighting is good throughout the building. The bedrooms in the newer wings have been designed to a good standard allowing easy disabled access and having large en-suite bathrooms. These GROVE CHESHIRE HOME I55 S15641 Grove Cheshire Home (an) V238878 180805 Stage 4.doc Version 1.40 Page 16 rooms have patio door access to the outside paved areas where there are places to sit out and some raised flowerbed areas. There is a family of Peacocks, (with two small chicks), living in the grounds and these are currently the topic of some interest amongst the residents. Bedrooms have television and telephone points and can be personalised according to individual preferences. One resident, judging from his bedroom, was obviously a keen Norwich City supporter. Some bedrooms have overhead tracking equipment for easy hoisting of a resident if required. From observation on the day residents using wheelchairs are able to move around in their bedrooms. GROVE CHESHIRE HOME I55 S15641 Grove Cheshire Home (an) V238878 180805 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33 & 34 Staff are properly recruited and are provided with relevant training opportunities which helps deliver a more professional service to residents. EVIDENCE: New staff receive induction training and the Leonard Cheshire organisation has its own training and development programme with regional training coordinators and development officers. Examples of training undertaken include health and safety, moving and handling, protection of vulnerable adults, disability equality, diabetes, Multiple Sclerosis and staff supervision. These examples are not exhaustive. At present eleven of the staff hold NVQ 2 or higher and eight staff are currently undertaking this training. Some staff have achieved NVQ Assessor qualifications. The staff rota was examined. Staffing levels are satisfactory and the number of nurses on duty meets requirements. As noted, the staff work in teams and do, on occasion, get stretched, e.g. due to sickness, when teams have to share members with other areas of the building. A volunteer from abroad is currently on a one-year placement and other volunteers also assist with outings and fundraising. Some random staff files were looked at. These contained written references, completed application forms and appropriate Criminal Records Bureau and GROVE CHESHIRE HOME I55 S15641 Grove Cheshire Home (an) V238878 180805 Stage 4.doc Version 1.40 Page 18 POVA First checks. As noted, residents are involved in the recruitment process for new staff. GROVE CHESHIRE HOME I55 S15641 Grove Cheshire Home (an) V238878 180805 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not inspected on this occasion. EVIDENCE: GROVE CHESHIRE HOME I55 S15641 Grove Cheshire Home (an) V238878 180805 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x x x x Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score x 3 3 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 GROVE CHESHIRE HOME Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x I55 S15641 Grove Cheshire Home (an) V238878 180805 Stage 4.doc Version 1.40 Page 21 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 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. 1. 2. Refer to Standard 24 24 Good Practice Recommendations The dining room would benefit from redecoration and attention to the floor tiles which are becoming unsightly. Some of the communal bathrooms might benefit from the addition of pictures and/or colour schemes to give them a more homely feel. GROVE CHESHIRE HOME I55 S15641 Grove Cheshire Home (an) V238878 180805 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection 3rd Floor Cavell House St Crispins Road Norwich NR3 1YF 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 GROVE CHESHIRE HOME I55 S15641 Grove Cheshire Home (an) V238878 180805 Stage 4.doc Version 1.40 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. 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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