Inspection on 12/07/06 for The Grove (46)

This inspection was carried out on 12th July 2006.

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 (46) 22/12/05

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 The Grove (46) 46 The Grove Isleworth Middlesex TW7 4JF Lead Inspector Ms Jean Bovell Key Unannounced Inspection 12th July 2006 11:30 The Grove (46) DS0000060673.V300990.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 The Grove (46) DS0000060673.V300990.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. The Grove (46) DS0000060673.V300990.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Grove (46) Address 46 The Grove Isleworth Middlesex TW7 4JF 020 8568 5660 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) info@gcpcare.com www.gcpcare.com Grove Care Partnership Ltd Mrs Josephine Gardner Care Home 7 Category(ies) of Learning disability (0), Physical disability (0), registration, with number Sensory impairment (0) of places The Grove (46) DS0000060673.V300990.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd December 2005 Brief Description of the Service: 46 The Grove is a care home for seven younger people with learning difficulties. It is situated on a quiet residential street off a main road on which there are local amenities, and bus links to Brentford, Hounslow and East or Central Hounslow underground stations. Brentford Railway Station is within easy walking distance. The accommodation is on two floors is newly refurbished and spacious. The ground floor consists of a lounge, kitchen, separate dining room, adjoining activities’ rooms, cloak room, store room, laundry room, en suite toilet/shower/bathroom, office, staff bedroom with en suite facilities and separate staff toilet. There is a large garden with patio at the rear of the building and ample parking area at the front. There are six bedrooms with en suite facilities and one separate en suit toilet/shower/bathroom on the first floor. One bedroom with separate bathroom/toilet facilities is situated on the lower first floor level and is accessed via a separate door. The home does not contain a passenger lift. The permanent staff team includes the Registered Manager, two team leaders and nine care support workers. The Grove (46) DS0000060673.V300990.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 between 11:30am and 4:15pm on 12th July 2006. Two care support workers and two service users were present during the initial stages of the inspection. The Registered Manager confirmed that a service user was being supported in an activity within the community and that another, accompanied by two members of staff, was on holiday. During the course of the inspection, a tour of the building was undertaken, the home’s records, policies, procedures and documents were examined and observations were made. Discussions were held with four members of the care support staff team and all key Standards were inspected. The Registered Manager was present throughout the inspection and provided appropriate assistance. What the service does well: Although the service users were non-verbal, they appeared appropriately dressed, well cared for and comfortable within their environment. The ratios of care support staff to service users ensures that service users receive individual support in their everyday living routines including developing life skills and pursuing separate activities and interests. Regular appropriate training is being delivered to the members of the care support staff team and the ratios of staff to service users ensures they are individually supported with developing life skills and pursuing separate interests. All records, procedures and documents were satisfactory and indicated that best interests of the service users were being safeguarded. Overall, the home was found to be clean, hygienic and well maintained. The atmosphere was calm and homely. The Grove (46) DS0000060673.V300990.R01.S.doc Version 5.2 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. The Grove (46) DS0000060673.V300990.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 The Grove (46) DS0000060673.V300990.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The statement of terms and service users’ guide are satisfactorily detailed. Appropriate needs led assessments which involves prospective service users being invited to the home, are undertaken prior to admission. Information relating to the home’s capacity to meet separate assessed needs are included within contracts/statement of terms and conditions. EVIDENCE: The home’s service users’ guide and statement of purpose are in place and contain the required information. The statement of purpose is written and illustrated in a format suitable to meeting the needs of the service users. The records were indicative of comprehensive needs led assessments being undertaken in relation to prospective service users. This involved visits to prospective service users in their own homes and any day resource that they might be attending, by an identified support worker. Relatives, carers, care managers and medical professionals participated in the process of assessing separate personal, health care, dietary, cultural/religious and social needs. The Grove (46) DS0000060673.V300990.R01.S.doc Version 5.2 Page 9 Prospective service users were introduced to the home and its routines during a series of planned visits prior to admission. All service users’ files viewed contained copies of appropriately signed contracts/statement of terms and conditions which confirmed that specifically assessed needs would be met at the home. The Grove (46) DS0000060673.V300990.R01.S.doc Version 5.2 Page 10 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 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. Care plans and risk assessments are being satisfactorily drawn up and service users receive appropriate support and encouragement with maintaining their independence and making decisions – where possible. EVIDENCE: The changing personal, social and health care needs of the service users were reflected on care plans that were examined and action plans and set goals had been put into place. Risk assessments/management strategies had been undertaken in relation to activities and behavioural patterns identified within care plans. All care plans and risk assessments/management strategies viewed were regularly reviewed. The service users at the home are non-verbal but the Registered Manager confirmed that makaton, body language and pictures were used in enabling service users to make choices regarding meals, activities, clothing and The Grove (46) DS0000060673.V300990.R01.S.doc Version 5.2 Page 11 personal purchases. This was evidenced on pictorial records such as care plans, menus and activities programmes. It was indicated on care plans that service users received opportunities and support with pursuing their aspirations and developing life skills. One service user was supported while attending an arts workshop at the time of the inspection. Service users moved freely around the home. They were observed being able to have privacy in their bedrooms which contained individual locks and in which personal choices and interests were reflected, and certificates of achievements were displayed. The Grove (46) DS0000060673.V300990.R01.S.doc Version 5.2 Page 12 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): 11, 12, 13, 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 service users are given opportunities for personal development and receive individual and focused encouragement and support during participation in activities within home and in the community. Contact with relatives and/or friends are encouraged and service users’ rights are being respected. Varied and nutritional meals are provided to the service users. EVIDENCE: It was indicated on activities programmes that service users received opportunities and were supported while attending college courses such as art, life skills and makaton. The Grove (46) DS0000060673.V300990.R01.S.doc Version 5.2 Page 13 One service user was accompanied to an arts workshop at time of the inspection and various drawings, paintings and craftwork that had been undertaken by a service user were on display in his/her bedroom. Service users regularly participated in indoor and outdoor activities such as gardening, music, bus and/or train rides, walks in the park, visits to museums and art galleries, swimming and companion cycling. Day trips and annual holidays were also organised. Service users were supported while participating in various individual activities in the community including bus/train rides and an arts workshop, and a service user was being accompanied during an annual holiday, at the time of the inspection. The Inspector was informed by care support workers that service users assisted with various housekeeping tasks such as bringing down their laundry, preparing vegetables, laying the dining table and emptying the dishwasher. The home’s visiting policy was in place and contact with relatives and/or friends are encouraged and facilitated. Care support workers were observed interacting with service users in a respectful manner and knocked on bedroom doors, which contained separate locks, prior to entering The home does not employ a cook but it was reflected on the menus that varied and wholesome meals, prepared by care support workers, are being provided to the service users. The Grove (46) DS0000060673.V300990.R01.S.doc Version 5.2 Page 14 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 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive appropriate support with personal care and their physical, emotional and health care needs are being met. The home’s policies and procedures regarding medication are satisfactory but none of the service users are capable of controlling or administering their medication. EVIDENCE: Care support workers who spoke to the Inspector reported that all the service users required assistance, supervision or monitoring with personal care and that these tasks were carried out in privacy within individual en-suite bathroom facilities. Service users were, however, offered choices in relation to what they wore. The Grove (46) DS0000060673.V300990.R01.S.doc Version 5.2 Page 15 It was indicated on care plans that service users were accompanied during hospital appointments and that access to GPs were arranged as required. There were regular dental and eye checks and holistic/group therapies. The home’s policies and procedures on medication were in place and medication training had been delivered to all members of the care support staff team. The storage and administration of medicines were satisfactory. Disposable medication awaiting collection by the pharmacist was placed in a separate container. The opening date was not seen on one bottle of medicine. The Registered Manager explained that the information had peeled off accidentally. All other opened medication were appropriately dated. None of the service users were self administering their medication at the time of the inspection. The Grove (46) DS0000060673.V300990.R01.S.doc Version 5.2 Page 16 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 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure is satisfactory and service users are being protected from abuse. EVIDENCE: The complaints procedure is in place. It is written and illustrated in a clear format which suitable to meeting the needs of the service users and is accessible. Two complaints were recorded in the complaints book and both had been satisfactorily investigated and resolved. The home accidents and incidents book was appropriately documented. A health and safety poster was on display and the London Borough of Hounslow guidelines on the protection of vulnerable adults were in place. The Registered Manager confirmed that relatives or appointees were responsible for the financial affairs of the service users but that personal allowances were managed at the home. Individual financial records were inspected and no discrepancies were identified. All cashed monies were kept in individual wallets and secured within a locked safe. The Grove (46) DS0000060673.V300990.R01.S.doc Version 5.2 Page 17 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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. The home is satisfactorily maintained and the environment is safe and comfortable. EVIDENCE: The home is bright, airy and spacious. It is appropriately furnished and suitable for shared and/or individual activity. The garden is well kept and accessible to the service users. There are no issues regarding laundry facilities at the home. Overall, the accommodation is clean, hygienic and well maintained. The environment is safe, comfortable, supportive and homely. The Grove (46) DS0000060673.V300990.R01.S.doc Version 5.2 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, 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. Staffing levels at the home are excellent and care support workers are suitably qualified and trained for meeting the needs of the service users. The home’s recruitment policy and practices are appropriate for ensuring that the service users are being supported and protected. EVIDENCE: The Registered Manager confirmed that that three care support workers had achieved National Vocational Qualification in levels 2, 3 or 4 and that three care support workers were receiving level 3 - National Vocational training. It was indicated on staff rotas that the Registered Manager and ten permanent care support workers including two team leaders, were employed at the home. Four care support workers were on duty during waking hours and there was one sleeping and one waking staff cover at night. A key worker system was in operation and there was a one-to-one staff to service user ratio at the time of the inspection. The Grove (46) DS0000060673.V300990.R01.S.doc Version 5.2 Page 19 A number of recruitment files were viewed at random and were found to contain all the required documents including CRB disclosure certificates, photidentification, application forms, references and signed contracts/statements of terms and conditions. Training programmes relating to individual care support workers were in place. It was evidenced on accredited certificates that training delivered included: epilepsy, autism spectrum disorder, functional assessment of behaviours, basic communication, protection of vulnerable adults and fire awareness. Care support workers expressed satisfaction with the training opportunities they received at the home and were observed being attentive and competent in meeting the needs of the service users. The Grove (46) DS0000060673.V300990.R01.S.doc Version 5.2 Page 20 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, 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 Registered Manager is appropriately qualified and the home is organised and well run. The views of the service users are satisfactorily established safety and welfare are being protected. EVIDENCE: and their health, The Registered Manager has had two years experience with the Company but has held her position since the home was opened in 2005. She holds the Registered Managers Award and it was reflected on training certificates that she has kept up to date by attending various management courses and training in meeting the needs of the service users. The Grove (46) DS0000060673.V300990.R01.S.doc Version 5.2 Page 21 Members of the care support staff who spoke to the Inspector reported that the Registered Manager was open, approachable and supportive. Although the service users are non-verbal, the records indicated that pictures, relatives, previous carers, care managers and medical professionals – where appropriate, were involved in obtaining the views of the service users. Health and safety checks, including gas maintenance, portable appliance tests, water temperatures and fire alarms/drills were up-to-date. Environmental risk assessments had also been undertaken. The Grove (46) DS0000060673.V300990.R01.S.doc Version 5.2 Page 22 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 3 2 3 3 3 4 3 5 3 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 4 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 4 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X The Grove (46) DS0000060673.V300990.R01.S.doc Version 5.2 Page 23 N/A 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 The Grove (46) DS0000060673.V300990.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection West London Area Office 11th Floor West Wing 26-28 Hammersmith Grove Hammersmith London W6 7SE 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 The Grove (46) DS0000060673.V300990.R01.S.doc Version 5.2 Page 25 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!