Care Home: 56 Sycamore Grove

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What the care home does well 56 Sycamore Grove is located in an ordinary residential area and fits in well with the neighbouring properties. Service users can be part of a local community and be close to a range of facilities and amenities, including Trowbridge College. What has improved since the last inspection? Not applicable. What the care home could do better: The home was without a registered manager when the home was last inspected. It was judged at the time that the quality of the management and conduct of the home was poor. A permanent manager will need to be in post before new service users move into the home. This is to ensure that they benefit from a well run home and so that OLPA meets its legal responsibilities. The quality of care and support was also judged to have been poor. The service users had been at risk because some areas of their support were not being regularly reviewed. There had been a lack of clear guidance for staff, which could have put service users at risk and resulted in an inflexible approach in the provision of personal care. Incompatibility between service users has also been a factor in the past. It will be important to review the arrangements being made for the care and support of service users, before new admissions are made. This is so that the shortcomings identified at pervious inspections are not repeated. As reported at the last inspection, the training requirements of the staff team will need to be assessed and fully met to ensure that future service users benefit from an appropriately trained staff team. CARE HOME ADULTS 18-65 Sycamore Grove (56) 56 Sycamore Grove Trowbridge Wiltshire BA14 0JD Lead Inspector Malcolm Kippax Key Inspection 13th September 2007 09:15 Sycamore Grove (56) DS0000028338.V350900.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 Sycamore Grove (56) DS0000028338.V350900.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. Sycamore Grove (56) DS0000028338.V350900.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sycamore Grove (56) Address 56 Sycamore Grove Trowbridge Wiltshire BA14 0JD 01225 763056 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) Ordinary Life Project Association Vacant Care Home 3 Category(ies) of Learning disability (2), Learning disability over registration, with number 65 years of age (1) of places Sycamore Grove (56) DS0000028338.V350900.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only one named female service user over 65 years of age. Date of last inspection 18th April 2007 Brief Description of the Service: 56 Sycamore Grove is one of a number of care homes in Wiltshire that are run by the Ordinary Life Project Association (OLPA). The property is a detached bungalow in a residential area of Trowbridge. There are some shops nearby and the home is close to Trowbridge College. The accommodation includes three single bedrooms and a lounge with a dining area. Information about the service is available in a Statement of Purpose for the home. Copies of inspection reports are available from the OLPA head office at Beckford House, Gipsy Lane, Warminster, Wiltshire, BA12 9LR. They are also available through the Commission’s website: www.csci.org.uk Sycamore Grove (56) DS0000028338.V350900.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. OLPA informed the Commission prior to this inspection that the home was unoccupied and not providing a service. The home has had no service users since shortly after the last key inspection, which took place in April 2007. The two people who were living in the home at the time of that inspection moved to other care services. The staff team were relocated to work in other OLPA run care services. There have since been discussions with OLPA about their intentions for the home. OLPA has not applied for a voluntary cancellation of registration, preferring to have the option of being able to admit people into the home on a future date. In August 2007, the OLPA Chief Officer confirmed with the Commission that plans had been drawn up to increase the number of places in the home from three to four. This would involve making some internal alterations to the premises. The Commission is considering the legal position of a registered service that is unoccupied and not providing a service. While it continues to be registered, 56 Sycamore Grove is subject to the Commission’s timescales for carrying out inspections. A visit to the home was therefore arranged with Ms S. Wheelan, an OLPA Service Co-ordinator. This took place on 13 September 2007 at 9.15 am. The key inspection of a care home usually includes gaining feedback from the people living there and from others who have contact with the home. Judgements are then made about how well the home is performing, based on the outcomes for service users. In the absence of service users and feedback about their experience, it has not been possible to carry out a meaningful inspection at this time. In view of this, judgements about quality have not been made under the different outcome areas that are identified within the report. A normal key inspection of 56 Sycamore Grove will take place when OLPA is providing a service to people in the home. During the visit on 13 September 2007, Ms Wheelan said that plans in connection with the proposed development of the home were being submitted for approval during that week. Sycamore Grove (56) DS0000028338.V350900.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Sycamore Grove (56) DS0000028338.V350900.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 Sycamore Grove (56) DS0000028338.V350900.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. JUDGEMENT – we looked at outcomes for the following standard(s): Not applicable at this time. EVIDENCE: Sycamore Grove (56) DS0000028338.V350900.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Not applicable at this time. EVIDENCE: Sycamore Grove (56) DS0000028338.V350900.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): Not applicable at this time. EVIDENCE: Sycamore Grove (56) DS0000028338.V350900.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): Not applicable at this time. EVIDENCE: Sycamore Grove (56) DS0000028338.V350900.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): Not applicable at this time. EVIDENCE: Sycamore Grove (56) DS0000028338.V350900.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): Not applicable at this time. EVIDENCE: Sycamore Grove (56) DS0000028338.V350900.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Not applicable at this time. EVIDENCE: Sycamore Grove (56) DS0000028338.V350900.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Not applicable at this time. EVIDENCE: Sycamore Grove (56) DS0000028338.V350900.R01.S.doc Version 5.2 Page 16 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 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X X X X X X Sycamore Grove (56) DS0000028338.V350900.R01.S.doc Version 5.2 Page 17 Are there any outstanding requirements from the last inspection? No 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 Sycamore Grove (56) DS0000028338.V350900.R01.S.doc Version 5.2 Page 18 Commission for Social Care Inspection South West Regional Office Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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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