Inspection on 22/12/05 for The Grove (46)

This inspection was carried out on 22nd December 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 (46) 12/07/06

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 Unannounced Inspection 22nd December 2005 12:30 The Grove (46) DS0000060673.V261419.R02.S.doc Version 5.0 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.V261419.R02.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 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.V261419.R02.S.doc Version 5.0 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 (7), Physical disability (7), registration, with number Sensory impairment (7) of places The Grove (46) DS0000060673.V261419.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 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 spacious, newly refurbished and is situated on two floors. 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.V261419.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out between 12.30 pm and 3.40 pm on Thursday 22nd of December. Three members of the care support staff team and two service users were present. The Inspector was informed that the Registered Manager had been attending a meeting elsewhere. During the course of the inspection, a tour of the building was undertaken, records, policies and procedures were examined and observations were made. The Inspector spoke to three members of the care support staff team. All key Standards were inspected. The Inspector was advised that there were five service user vacancies at the home. However, needs led assessments were being carried in relation to two prospective service users. One care support staff member provided appropriate assistance during the initial stage of the inspection. The Registered Manager was co-operative and helpful subsequent to her arrival at the home. What the service does well: Two non-verbal service users who were present at the time of the inspection appeared well cared for, appropriately dressed, comfortable and content. Staff members who were on duty were observed being attentive and responded appropriately to the needs of the service users. All records, policies and procedures viewed were satisfactory, up to date and indicated that the safety and welfare of the service users were being protected. Overall, the home was found to be clean, hygienic and well maintained. The atmosphere was calm and homely. The Grove (46) DS0000060673.V261419.R02.S.doc Version 5.0 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.V261419.R02.S.doc Version 5.0 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.V261419.R02.S.doc Version 5.0 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): 2,3,4 and 5. Appropriate needs led assessments in relation to prospective service users are carried out and letters detailing how specific needs would be met are sent to prospective service users and/or their relatives prior to admission. The home’s written contract/statement of terms meets the minimum requirements under Standard 5. EVIDENCE: It was confirmed by the Registered Manager that prospective service users were referred by a social worker from the placing authority and written background information would be submitted. The home would initiate its own assessment process by visiting the prospective service user. This was followed by visits to the home from social workers, relatives and medical professionals, where appropriate. The prospective service user was also invited to the home and overnight stays would be arranged prior to admission. Previous key workers were required to accompany service users on admission and enter into a co-working regime during a settling in period of approximately two days. Service users were initially placed on a three-month trial period but a review of the placement would be held after one month. The Grove (46) DS0000060673.V261419.R02.S.doc Version 5.0 Page 9 It was evidenced on documents viewed that letters were sent to prospective service users and/or their relatives detailing how specific needs would be met at the home. Copies of written contracts/statement of terms that had been signed by relatives were evidenced during the inspection. The Grove (46) DS0000060673.V261419.R02.S.doc Version 5.0 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. Individual care plans and risk assessments are appropriately drawn up and regularly reviewed and service users are able to make decisions in relation to their daily routines. EVIDENCE: The care plans of two service users were examined during the inspection and it was indicated that separate personal care, social activities, health care and dietary needs were identified. Action plans and set goals were put into place and appropriate risk assessment had been undertaken. All care plans and associated risk assessments were regularly reviewed. The Registered Manager confirmed that both service users at the home required supervision or assistance with personal care and were supported during outdoor activities. They were, however, encouraged to make decisions in relation to activities, choice of clothes and meals, and were able to take dishes from the dining room into the kitchen, bring down their laundry, hoover their bedroom and prepare drinks. The Grove (46) DS0000060673.V261419.R02.S.doc Version 5.0 Page 11 The Inspector was informed that service users were accompanied by care staff during shopping trips and were supported in purchasing items of their choice. The Grove (46) DS0000060673.V261419.R02.S.doc Version 5.0 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): 12,13,15,16 and 17. Service users are given opportunities for pursuing interests within the community and regular contact with relatives are being encouraged and facilitated. Wholesome and nutritious meals are provided at the home. EVIDENCE: There is an activities room within the home and it was reflected on care plans viewed that service users were able to participate in various indoor and outdoor activities of their choice. These included music, cycling and swimming. The Inspector was informed that service users were supported during daily activities within the community. Service users moved comfortably and freely around the home and were observed being involved in separate activities such as listening to music, ball games or resting in their bedrooms. They were also taken to an outdoor activity during the inspection. The Grove (46) DS0000060673.V261419.R02.S.doc Version 5.0 Page 13 An open visiting policy is in operation at the home and contact between service users and their relatives are encouraged. Staff members were observed being competent and respectful in responding to the needs of the service users and knocked on bedroom doors prior to entering. The Grove (46) DS0000060673.V261419.R02.S.doc Version 5.0 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. Service users receive assistance with personal care as required and their health care needs are being satisfactorily met. EVIDENCE: A care support worker reported that personal care tasks were usually carried out by key workers but always in privacy within bedrooms or bathrooms. Service users were supported in being self-caring where appropriate and were able to choose what they wore. It was evidenced on care plans viewed that the health care needs of the service users were being met at the home. Service users received an overall health check from a community nurse subsequent to admission. They were registered with a local General Practitioner and appointments were arranged when required. Annual dental checks were organised and hospital appointments were met. Medication kept at the home was appropriately stored, administered and recorded. The Inspector was advised that none of the service users were able to administer their own medication. The Grove (46) DS0000060673.V261419.R02.S.doc Version 5.0 Page 15 The home’s policy and procedures on medication were in place and the records indicated that all members of the care support staff team had received medication training. The Grove (46) DS0000060673.V261419.R02.S.doc Version 5.0 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. The home’s policy and procedures relating to complaints are satisfactory and the service users safety and welfare are being protected. EVIDENCE: The home’s policy and procedures on complaints were clearly stated and accessible to service users and their relatives. The policy and procedures relating to the protection of vulnerable adults and whistle blowing were in place. The records confirmed that training on the protection of vulnerable adults and adult abuse awareness had been delivered to all members of the care support staff team. The Grove (46) DS0000060673.V261419.R02.S.doc Version 5.0 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, 25, 26, 27, 28, 29 and 30. The home is well maintained, appropriately furnished and suitable for meeting the needs of the service users. EVIDENCE: The service users’ bedrooms are suitably furnished and fitted. Each contain en suite toilet/shower/bath facilities and reflect personal choices and interests. The numbers of toilet and bathroom facilities at the home are sufficient for meeting the private and personal needs of the service users. The service users at the home experience no physical difficulties and aids or adaptations are not currently required. The communal areas within the home are spacious and suitable for shared activities or individual use. The garden is easily accessible and contains a large chair swing and a football net. The Grove (46) DS0000060673.V261419.R02.S.doc Version 5.0 Page 18 Service users appeared comfortable and relaxed. They were observed to have freedom of movement within the home and were also able to spend private time in their bedrooms. Overall, the home was found to be clean, hygienic, well maintained and suitable for meeting the needs of the service users. The environment was bright, airy and pleasant. The Grove (46) DS0000060673.V261419.R02.S.doc Version 5.0 Page 19 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, 34 and 35. Care support staff members are appropriately trained and competent in meeting the needs of the service users. EVIDENCE: It was evidenced on the rota that three members of the care support staff team and the Registered Manager were on duty during waking hours, and one sleeping and one waking staff member covered duty at night. Members of the care support staff team who were on duty at the time of the inspection were observed being attentive and competent in meeting the needs of the service users. A number of personnel files were inspected and were found to contain all the required documents in CRB clearance certificates, proof of identity, application forms, references and signed contracts. It was reflected on training certificates viewed, that members of the care support staff team had received appropriate training for meeting the needs of the service users. This included epilepsy and autism. The Grove (46) DS0000060673.V261419.R02.S.doc Version 5.0 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. The home is organised and well run and the safety and welfare of the service users are being safeguarded. Relatives are able to express their views relating to the needs of the service users and provisions within the home. EVIDENCE: The Registered Manager has obtained the Registered Managers Award and has had six years managerial experience in care homes. The home’s written policies and procedures were satisfactory and suggested that the welfare and best interests of the service users were being protected. The Registered Manager reported that the home maintained close links with relatives. They participated in the drawing up of care plans, attended reviews and were encouraged to express views or opinions relating to service users’ needs and the general running of the home. The Grove (46) DS0000060673.V261419.R02.S.doc Version 5.0 Page 21 The records indicated that fire awareness training had been delivered to the members of the care support staff team and that fire safety checks were up to date. The Grove (46) DS0000060673.V261419.R02.S.doc Version 5.0 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 “ ” 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 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 X 3 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Grove (46) Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X DS0000060673.V261419.R02.S.doc Version 5.0 Page 23 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.V261419.R02.S.doc Version 5.0 Page 24 Commission for Social Care Inspection West London Area Office 58 Uxbridge Road Ealing London W5 2ST 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.V261419.R02.S.doc Version 5.0 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!