Care Home: Granby Lodge

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Granby Lodge 10 Granby Road Harrogate North Yorkshire HG1 4ST two star good service The quality rating for this care home is: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Linda Trenouth Date: 2 8 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Internet address www.csci.org.uk Information about the care home Name of care home: Address: Granby Lodge 10 Granby Road Harrogate North Yorkshire HG1 4ST 01423888462 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Granby Lodge Care Limited care home 14 Number of places (if applicable): Under 65 Over 65 14 0 learning disability Additional conditions: Registered for 14 service users with a learning disability, some of whom may be over 65 years. Date of last inspection A bit about the care home Granby Lodge is a semi-detached building situated in Harrogate. It provides single and shared accommodation for people with a learning disability. Everyone has easy access to the towns facilities and amenities through the homes central location and use of the homes minibus. Health services are within easy reach of the home. Granby Lodge is owned by Granby Lodge Care Limited and managed on their behalf by Mrs Linda Atcheson who is one of the two directors of the company who are also the registered persons. Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home How we did our inspection: This is what the inspector did when they were at the care home The visited the service over one day for approximately 6 hours. The inspection also included gathering information and evidence before and after the visit to decide the overall judgement. We looked at records, watched staff working, and talked to people who live at the home. We also looked around the building. The main purpose of this inspection is to make sure the service provides a good standard of care. We sent comment cards to people who use the service, staff and health care professionals to give then the opportunity to comment on the service. The manager of the home completed a self-assessment form, which is information we asked for every year and is used as part of the inspection process. Feedback was given during the inspection to the manager of the home. What the care home does well People are well supported to choose the right home for them and assessed to make sure the home can meet all their needs. The staff of the home care for and support people in the way they prefer with dignity and respect. People have many opportunities to have their opinions heard and to take part in decisions about important things in their lives. People are asked to say what care they need and how they would like this to be given, this gives them chance to have a say in planning services. They have plenty of activities both inside and outside of the home and people make good use of the local and wider communities. People tell us they are happy with the activities that are organised by the staff at the home. All comment cards received felt the staff did a good job. Staff are well supported, the service is committed to making sure the staff have the right training to make sure that everyone is cared for safely. Staff say, I have regular one to one support The home is well managed and staff say people are well looked after. If there are any issues our manager gives them immediate attention, she is a very caring manager. What has got better from the last inspection What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Linda Trenouth St Pauls House 23 Park Square (South) Leeds LS1 2ND 011 3220 4600 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People are fully assessed before they move into the home to make sure the home is able to meet their needs. Evidence: People are told what the service can provide and have their needs fully assessed. Comment cards from people who use the service confirm that they receive good information, helping them decide if the home is right for them. The service user guide is written to meet peoples different communication needs. This is important so that people can understand what the home can provide for them and what to do if they were unhappy or have concerns. The service ensures that care assessments are completed before someone is admitted to the home. From this information the service can decide if they are able to meet a persons needs. The staff and the care records confirm that people are supported to visit the home and try it out before they move in. This important to make sure everyone is happy. Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People are supported to be involved in important decisions in their lives. Evidence: The people are supported to be involved in important decisions in their lives and everyone has a care plan. The records confirm the people have good care plans, these care plans looked at all peoples needs. Care planning meetings are held for everyone where they can have their say in planning any changes to the service. People have risk assessments to make sure they can enjoy a fulfilling life with the minimal of risk. Individual wishes are recorded in their care plan. This makes sure that activities are what an individual wants and explores their choices. Personal development is encouraged alongside supporting people to engage in an active social life. Staff say people are always involved in making decisions, in care plan meetings, house meetings and their day-to-day decision making. Staff say, The home caters for clients individual needs and allows them their own independence Evidence: This is a friendly homely environment People also are supported in what they want to wear and staff make sure that they are supported to make the best of their appearance. This is important to make sure people make their own decisions and their dignity is respected. Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People enjoy a fulfilling life both in the home and wider community. Evidence: People have their own individualised bedrooms, where they can spend time relaxing and enjoying their hobbies and interests. Individuals have a wide variety of choice in what they want to participate in. Some in house activities are organised Karaoke, DVD nights, music sessions, games nights, events and parties. Some individuals attend day services, college and vocational placements. Staff support people in doing the things they enjoy such as going out into the local community, visiting attractions and attending events. They recently have enjoyed local events held on the Stray in Harrogate such as fairs and bonfires. People have also attended the local shows such as, Annie, and Vampire Rocks, they are also booked to see the Pantomime. Everyone is encouraged to have an annual holiday, which staff support them with. People are enabled to develop and maintain personal relationships of their choosing. Relatives and and friends can visit any time and can be seen in private. Evidence: Food at the home is good and comments received were positive. The home offers a varied diet and there is all as an alternative meal available if people do not like what is on offer. Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Peoples health care needs are met. Evidence: Each persons care record provides good information about how their health care needs will be met. During a visit it was observed the peoples personal care was attended to discreetly and sensitively. Staff approach and interacted with people in a relaxed and friendly way. It was observed that bedroom doors were closed to respect privacy and people were well supported with their personal care. Staff were also diligent to make sure people always look good and that their dignity was well supported. Care records confirmed that all aspects of health care was reviewed and people were well supported to keep good health. The local GP commented, This is a very warm and caring home Peoples mental health is also reviewed and specialist behavioural management teams have worked with staff to support individuals in the home. Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People using the service feel confident that their concerns will be acted on properly and procedures are in place to safeguard people from harm. Evidence: The home has a complaints procedure, which is in the service user guide. A comprehensive complaints procedure is made available to individuals in an easy read style with pictures and graphics. This details how someone can make a complaint and the actions that will follow on from this. There have been no complaints made to the home or received by the CSCI about this service. The staff team complete training in how to make sure that someone is protected from abuse. Staff say they feel confident that they know what to do in response to allegations or incidents of abuse. This is important to make sure that vulnerable people are safe. People living and working at the home hold regular meetings in which they can express any concerns. Daily checks individual finances were undertaken. The manager is appointee for people in the home and monitors the records regularly to make sure the peoples money is safe. Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People live in a clean and comfortable home. Evidence: This was unannounced visit to the home and it was found to be well decorated, furnished, maintained and clean throughout. The home has a cleaner, which means that staff can spend more time supporting people in the home. Individuals are encouraged where possible to help with some household tasks, such as filling the dishwasher, stripping their beds and keep their own rooms clean. Some bedrooms were seen, these were all well decorated and provide people with comfortable furniture and facilities. There are six single and four double bedrooms. Five rooms have ensuite facilities. Appropriate aid and adaptations are fitted throughout the home. Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People are receiving good care from a committed staff team who are well trained to meet their needs. Evidence: Sufficient staff were on duty at the time of the visit and staff rosters indicated staffing was good at all times. There were some problems with recruitment and this could have been managed better. Some of the new staff had not had all the right checks before they began work at the home. This could mean that people living at the home are not safe. Other staff at the home told us that they had the right checks before they began working at the home, When I started I had a CRB check and references were looked at. Staff training was clearly audited and the manager knew where training updates were required. All staff had induction training and over 50 percent of staff have competed their NVQ award. The manager has also an appropriate management qualification to manage the home. Staff say they have regular supervision from the manager and records of these meetings are available. They say that the manager also holds regular monthly staff meetings. They felt well supported by the management of the home. Evidence: Staff say, I have regular one to one supervision I enjoy coming to work Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home is well managed and run in the best interest of the people who live at the home. Evidence: The home is well managed and run in the best interest of the people who live at the home. The manager is very experienced in running the home and has completed a management qualification to enhance their leadership and management skills. The manager provides good leadership and staff say that they feel well supported. There are good systems in place to involve people in having a say in how the home is run. House meetings are held and care planning meetings, which give people an opportunity to voice their opinions. Staff are encouraged to have a say in how the home is run and their views are valued. Staff meetings are held monthly and staff have individual regular supervision. If there are any issues the manager gives this her immediate attention, she is a very caring manager. The home also conducted a survey to find out how people feel about the running of the service this information is used to improve the quality of the service. CSCI Comment cards were returned from people who use the service and they confirmed that the home is being well run. Evidence: Health and safety records are kept up-to-date, areas checked included electric, gas and fire safety these records are complete. When requirements or recommendations from previous inspection have been made the manager makes sure that these had been dealt with promptly and in the best interest of the people living and working at the home. Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 1 34 18 Staff must be recruited 05/02/2009 safely and all checks must be completed before they are employed This makes sure that vulnerable people are safe. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). 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