Care Home: Grove House

What the care home does well What has improved since the last inspection? People wanting to use the service now have an assessment to be completed by them, telling others about the support they feel they need. Everyone living in the home now has the support of a named care co-ordinator who is part of the Community Mental Health Team. Last year some people decided to decorated their lounge and choose some new carpets and furniture. To show everyone what people say about the home the results of the satisfaction surveys are published for everyone to see, and copies of the report are given to people wanting to use the service. This includes an action plan telling people what changes will be made as a result of their comments. What the care home could do better: The service continues to meet the regulations. CARE HOME ADULTS 18-65 Grove House 1 College Grove Road Wakefield West Yorks WF1 3RL Lead Inspector Tony Railton Key Unannounced Inspection 4th April 2008 08:25 Grove House DS0000068058.V361463.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 Grove House DS0000068058.V361463.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. Grove House DS0000068058.V361463.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Grove House Address 1 College Grove Road Wakefield West Yorks WF1 3RL 01924 200259 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) no e-mail www.st-annes.org.uk St Anne’s Community Services Mr Rogan McKechnie Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (8) of places Grove House DS0000068058.V361463.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following category: Mental disorder - Code MD The maximum number of service users who can be accommodated is: 8 4th April 2007 2. Date of last inspection Brief Description of the Service: Grove House provides support for eight people who suffer from mental health problems. Set back in its own grounds and gardens in a residential area of Wakefield Grove House provides single bedroom accommodation for people who need supervision and support to live an independent a lifestyle. Service users at Grove House are very able and can do most things for themselves and all service users take advantage of being close to the city centre and the services and amenities it provides. Service users are also assisted to take advantage of local community based healthcare services, however, there is the support of the Community Psychiatric Nurses and hospital-based consultants if required. The philosophy of the home is based on ordinary living principles and promoting peoples independence and in particular people making positive choices about how they live. On 4th April 2008 the providers said that the fee per week for living in Grove House is £380.00. Information about the service provided can be obtained from the home or by accessing St Anne’s web site at www.st-annes.org.uk Grove House DS0000068058.V361463.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This service has been given a Three Star rating which means that people using the service experience excellent outcomes. This visit to the home started at 08.25 and ended at 12.25. During the visit there was the opportunity to speak to most people living in the home, the registered manager and two support workers. A sample of peoples records were looked at and included assessments, support plans, reviews, daily, medical and financial records. Some staff records were also seen and included police and P.O.V.A, (Protection of Vulnerable Adult List) checks, training records, supervision notes and appraisals. Other documents seen included the health and safety and maintenance records, record of complaints, service history, and previous inspection visit report. The homes Service User and Stakeholder Satisfaction surveys and report for 2007 was also considered and the A.Q.A.A, (Annual Quality Assurance Assessment), and the homes Newsletter. This was a very positive visit where a number of improvements were identified. The inspector would like to take the opportunity to thank people living in the home, the manager and support staff for their hospitality and co-operation throughout the visit. What the service does well: One person said they “like living in the home”, as “staff are great” and they can “come and go” as they wish. Two people living in the home enjoy doing voluntary work and one who works in the café’ at a local country park said “voluntary work has changed his outlook on life, and they would encourage others to take the opportunity if they get it”. The manager said the aim is to actively seek opportunities in the local community for people to take part if they choose for example, one person is a member of a local men’s group. The daily records show that people make choices about what they do on a dayto –day basis and show that people are encouraged and supported to live as ordinary a lifestyle as possible. Records show that people use local clubs, public houses, shops, supermarkets and leisure, and healthcare services. The returned satisfaction surveys show Grove House DS0000068058.V361463.R01.S.doc Version 5.2 Page 6 that people and their relatives are very happy with the support provided with most saying it’s an “excellent service”. One person said they chose to go to Scotland for their holidays last year and enjoyed Inverness and visiting Loch Ness, they went on to say “they were disappointed as they did not see the Loch Ness monster”, but did enjoy the whisky tasting. The assessments, support plans and reviews show that people and their relatives are fully involved and have a say in the support they receive and how they live their lives. People are protected by the way they are supported with their medicines and finances and their health and safety is promoted by the way the home is run. The Quality assurance action plan shows that the home actively seeks the views of people living in the home and their relatives and changes the way things are done as a result of what people say. One person writes “I like it at Grove House, and have a good home life with plenty of space and friendly staff. It’s a good place, I love it”. Another writes, “I think its good that staff listen to me”. The returned relatives satisfaction surveys show that they think the services provided are “excellent”. What has improved since the last inspection? What they could do better: The service continues to meet the regulations. Grove House DS0000068058.V361463.R01.S.doc Version 5.2 Page 7 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. Grove House DS0000068058.V361463.R01.S.doc Version 5.2 Page 8 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 Grove House DS0000068058.V361463.R01.S.doc Version 5.2 Page 9 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): 2 People living in the home experience excellent outcomes in this area. We have made this judgement using a range of evidence including this visit. People know that the service can meet their needs and have as say in how this will be done. EVIDENCE: Samples of peoples’ records show that they are fully involved in saying what their support needs are and have a say how their needs will be met. The manager said that there is now a new assessment sent to people that want to use the service that they complete and sign this themselves to show what they feel their support needs are. The assessments confirmed this. People said that they involved in reviewing their assessments and support plans and records show that they sign them to show their involvement and to say they agree with the support to be provided. The reviews show that other people are involved in assessing peoples support needs as relatives, and others sign them, such as the Community Mental Health Team Nurses or Social Workers. Grove House DS0000068058.V361463.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 People using the service experience excellent outcomes in this area. We have made this judgement using a range of evidence including this visit. People are supported to make decisions about how they live their lives and take risks as part of living an ordinary lifestyle. EVIDENCE: Peoples’ person centred support plans and reviews show that they are fully involved in planning and reviewing the support that is provided. The registered manager said that people and their relatives are encouraged to regularly look at the support provided to see if they are happy with it. The signatures of people and their relatives on their review reports confirm this. People said that they are happy in the home and with the services provided. The returned satisfaction surveys show that people, their relatives and other stakeholders are very happy with life in the home and the way support is provided. Grove House DS0000068058.V361463.R01.S.doc Version 5.2 Page 11 Discussion with people using the service found that they are very able and can make decisions and choices about how they live their lives. The daily records contain descriptive words to reflect and show peoples’ choices and preferences and any decisions they make about what they do on a day-to-day basis. Peoples’ records show that there is risk assessments to show the support people need to minimise any risk to them or the people supporting them, when living an ordinary lifestyle. Grove House DS0000068058.V361463.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People are part of their local communities and are supported to live an ordinary lifestyle of their choosing. People are assisted to enjoy a varied and balanced diet of their choice. EVIDENCE: People were observed going out into the local community independently taking advantage of local shops and services. The manager said that people are encouraged and supported to be part of the local community, and records show that one person is a member of a local men’s group and two others are involved in voluntary work. The newsletter shows that one person works in a local country park café’ and has been awarded a certificate of merit. Grove House DS0000068058.V361463.R01.S.doc Version 5.2 Page 13 They said, “getting involved with voluntary work has changed their outlook on life and they would encourage others to take the opportunity if they get it”. The daily records show that people are supported to use ordinary community leisure services that include visits to clubs, pubs, restaurants, visits to theatre. The minutes of the residents meetings show that they choose their holidays and photographs in the bi monthly newsletter show people enjoying a holiday at Inverness. After a visit to Loch Ness, one person told the inspector that they are “disappointed, as they did not see the Loch Ness monster”. Support workers were observed treating people with dignity and respecting their wishes. Discussion with the support workers found that they have a positive attitude to the people they support and an insight into the support of people who have mental health problems. People are treated with dignity and respect as staff training records show that they have Equality and Diversity training, and training on Values and Attitudes. The registered manager said that the homes aim for people using the service is one of inclusion in mainstream society. The person centred plans’, reviews and daily records show that people are supported to be part of their local community. The returned satisfaction surveys show that people and their relatives are very happy with the services provided which they say is “excellent”. Grove House DS0000068058.V361463.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, and 20 People using the service experience excellent outcomes in this area. We have made this judgement using a range of evidence including this visit. People receive personal support in a way they prefer and require, there healthcare needs are met, and they are protected by the way medicines are dealt with. EVIDENCE: The signed person centred plans and reviews show that people feel their healthcare needs are met. The returned satisfaction surveys show that people and their relatives and other stakeholders feel that peoples’ healthcare needs are met by the service. The registered manager said as part of living an ordinary lifestyle, people are supported to use ordinary community based healthcare services. The daily and medical records confirmed this. The registered manager also said to make sure peoples needs are fully met everyone living in the home now has the support of a Care Co-ordinator who is part of the local Community Mental Health Team. The person centred plans and reviews confirmed this. Grove House DS0000068058.V361463.R01.S.doc Version 5.2 Page 15 To make sure the right support is provided staff training records show that they have specialist Mental Health training, which includes dealing with Personality Disorders, Paranoia, and Bi Polar Disorders. Other associated training includes Equality and Diversity, Effective listening Skills, Hearing Voices and Emotional Shutdown, and Promoting non Challenging Behaviours. The manager said that all of this training is to make sure people remain safe and get the support they need. The person Centred Plans, reviews, risk assessments, daily and medical records show that people are supported to look after their medication if they choose to do so and if they are safe. The medication audits show that they are looked at and checked on a regular basis to make sure they are administered safely. Staff training records show, to make sure people remain safe, they are trained in how to administer medicines properly and safely. The returned satisfaction surveys show that people and their relatives and others feel that peoples’ healthcare needs are met by the home and the service is excellent Grove House DS0000068058.V361463.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People know that they will be listened to and their comments acted upon and they are protected from any kind of abuse. EVIDENCE: The records show that the home has not received any complaints since the previous visit or had any Safeguarding Referrals. The registered manager confirmed this. The residents’ and the staff handbook both show that they have a copy of the complaints policy and procedure to refer to if they want to make a complaint. The minutes of the residents meetings and reviews show that people have the opportunity to comment on the running of the home and that changes have been made as a result of their comments. People said that they know how to complain but have never had a reason to do so. The returned satisfaction surveys show that people are very happy with the services provided. To keep people living in the home safe, staff training records show that they have Safeguarding training to protect them from any kind of abuse. Discussion with two support workers and the registered manager confirm that they have attended Safeguarding training. The staff training and development plan shows that they have Safeguarding Training and update training provided by the Health Authority. Grove House DS0000068058.V361463.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People live in a home that is safe and clean and they have their personal space, as they want it. EVIDENCE: People were observed having their own front door key and a key to their own living area. The information provided by the service shows that people have their bedrooms as they want and they are personalised and owned by them. The person centred plans show that people are supported and assisted to keep their home clean. The maintenance records show that regular checks are carried out to make sure the home is safe and well maintained. This includes Fire equipment checks, Emergency Lighting and Health and Safety Risk assessments. Grove House DS0000068058.V361463.R01.S.doc Version 5.2 Page 18 To keep people safe staff training records show that they have Health and Safety, Fire Prevention, Risk Assessment, Food Hygiene, and Infection Control Training. The registered manager said that one staff has been trained as a Fire Prevention Trainer and shows others how to keep people living in the home safe. The registered manager also said that one staff has been trained as a Health and Safety Trainer and has responsibility for training all staff in maintaining a safe environment, for people living in the home and those supporting them. The staff training records confirmed this. The returned satisfaction surveys show that people living in the home, their relatives and other stakeholders think the services provided are very good or excellent. Grove House DS0000068058.V361463.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People are supported by trained and qualified staff who are supervised and have a good understanding of their support needs, and they are protected by the way staff are recruited and selected. EVIDENCE: Discussion with support workers found they have a good understanding of the needs or people who have mental health problems. To make sure peoples personal needs are met staff training records show that they receive Mental Health Awareness training and other training that includes, Equality and Diversity, Personality Disorders, Depression and Bi –Polar Disorder, Promoting None Challenging Behaviours, Hearing Voices and Emotional Shutdown. The inspector was impressed with the experience and attitude of the support workers as they demonstrated a good knowledge of the needs and showed empathy towards those they support. They said that they feel confident and supported in their work. Grove House DS0000068058.V361463.R01.S.doc Version 5.2 Page 20 Staff supervision and appraisal records show that staff are supported and their work is supervised. People are supported by trained staff that are qualified as the training records and staff files show they have National Vocational Qualifications at Levels 2 and 3. The manager said that to make sure people are well cared for and receive the right support, providing Mental Health training for staff has a high profile. To make sure people are protected, staff records show that Police and POVA (Protection of Vulnerable Adults List) checks are taken up before they are employed. People living in the home have a say in who supports them as staff records show that they are involved in the staff selection and recruitment process. Grove House DS0000068058.V361463.R01.S.doc Version 5.2 Page 21 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): 37, 39 and 42 People using the service experience excellent outcomes in this area. We have made this judgement using a range of evidence including this visit. People live in a well managed home where they have a say in what happens to them, have a say in how the home runs and where they are safe. EVIDENCE: The care management systems and in particular the assessments, person centred support plans, daily records, and reviews show that people are fully involved in planning and reviewing the support they receive, and have a say in the running of the home. The staff management systems and in particular the staff selection and recruitment, staff training, supervision and appraisal records show that people receive the support they need and require. All the evidence shows that peoples’ views are actively sought and influence the way the home runs and the quality of the services provided. Grove House DS0000068058.V361463.R01.S.doc Version 5.2 Page 22 The satisfaction surveys show that people and their relatives and other professionals involved feel that the quality of support provided is either very good or excellent. The action plan provided before the visit shows that the service changes what it does as a result of what people say. The staff training records and the homes maintenance records show that the Health, Safety and Welfare of people living and working in the home is promoted and protected. Peoples’ financial interests are promoted and protected as the financial records as some people living in the home were checked and found to be correct, properly recorded and safe. They also have peoples’ signatures to show they are correct. The 2007 Quality assurance report and results of the satisfaction surveys and action plan have been provided and are published and update the residents handbook, and the information given to people wanting to use the service. Grove House DS0000068058.V361463.R01.S.doc Version 5.2 Page 23 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 4 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 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 4 X 4 X X 4 X Grove House DS0000068058.V361463.R01.S.doc Version 5.2 Page 24 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 Grove House DS0000068058.V361463.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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. Extracts may not be used or reproduced without the express permission of CSCI Grove House DS0000068058.V361463.R01.S.doc Version 5.2 Page 26 - 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!