Care Home: Grovely House

Annual service review Name of Service: Grovely House The quality rating for this care home is: The rating was made on: three star excellent service 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 review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Alison Duffy Date of this annual service review: 2 2 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: Grovely House South Newton Salisbury Wiltshire SP2 0QD 01722742066 Telephone number: Fax number: Email address: Provider web address:   grovely@glensidemanor.co.uk Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Conditions of registration: Glenside Manor Healthcare Services Ltd Number of places (if applicable): Under 65 Over 65 7 0 The maximum number of service users who can be accommodated is 7 The registered person may provide the following category of service only: Care Home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Mental disorder, excluding learning disability or dementia (Code MD) Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Grovely is a seven bedded rehabilitation unit for younger people with acquired brain injury. Accommodation is provided over two floors of a domestic style dwelling. Grovely is not the persons permanent home as, on completion of their rehabilitation programme, they will move onto a permanent placement, which suits their individual needs. Grovely is part of a group of homes, all on one campus owned by Glenside Manor Health Care Services Ltd. Mr Andrew Norman is the nominated responsible Annual Service Review Page 2 of 7 individual. He is supported by a senior management team. Mrs Samantha Theobald is the registered manager of the home; she leads a team of care staff. A team of therapeutic staff, including medical staff, physiotherapists, occupational therapists and psychologists are employed to work across the Glenside group. One catering and laundry department supplies all the different registrations. A maintenance team also works across the site. The group of homes is situated in the village of South Newton, on the A36, five miles north west of the city of Salisbury. A mainline train station is in Salisbury, the A36 is on a bus route and ample car parking is available on site. The home has a service users guide, which is offered to all prospective people and or their supporters. The fees are worked out an individual basis and may range between 1325 pounds to 1550 pounds per week. Extra charges include hairdressing, chiropody and sundries, such as toiletries. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection. This included: 1. The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. 2. The previous key inspection, which took place on the 12th February 2009. 3. Surveys returned to us by two people using the service and two members of staff. 4. What the service has told us about things that have happened in the service. What has this told us about the service? The AQAA stated that information regarding Glenside Manor had been developed in order for people to be able to make an informed choice about using the service. We saw that a pre-admission assessment was always completed with a prospective person to ensure an appropriate placement. The AQAA stated that ensuring each prospective person was within the remit of rehabilitation criteria and had clear aims for their stay at Glenside Manor were areas the service could improve upon. We saw that people were encouraged and supported to attend goal planning meetings to enable them to make choices and decisions regarding their rehabilitation goals. The AQAA stated that goal planning was clear and person centred. A working party had been introduced to improve the goal planning procedure. Capacity and consent details were completed on care plans. We saw that therapists were available on site, which enabled a multi disciplinary team approach to meeting goals set by individuals. Therapists were also involved in developing risk assessments. The AQAA stated that people using the service participated in cognitive rehabilitation therapy. As part of the rehabilitation therapy, community visits were supported. This ensured people had opportunities for development. We saw that the occupational therapy team supported a vocational programme. This promoted people working in Glenside Manors coffee shop and recycling scheme, as well as supporting people with other volunteer work. As a means to improve the service, we saw that staff were to work alongside the Psychology Department to ensure that challenging behaviour difficulties could be managed in a positive manner. The AQAA stated that over the last twelve months there had been various developments in terms of health care systems. This included individuals now access the local surgery when required rather that using the on-site doctor. Continuation of clinical governance meetings. Introduction of a health screening questionnaire to enable us to support individuals with basic health needs. Medication audit competed in December 2009. The AQAA stated all staff complete an induction day and attend mandatory training. A number of the staff are NVQ qualified and new members of staff are put on the NVQ Annual Service Review Page 4 of 7 programme after the probation period. Supervision and appraisals are in place for individuals. All staff are recruited appropriately with regard to CRB. We saw that new training around Deprivation of Liberty guidelines and capacity and consent had been undertaken. An outside provider had also been used for medication training. The AQAA stated that team leaders were to be trained in staff supervision. In relation to equality and diversity, the AQAA stated we have care plans, induction and continuing training, policy and procedures and a mission statement in place. Glenside Manor Healthcare was awarded the Disability Symbol in December 2007. The organisation will continue to work towards ensuring Glenside Manor is fully disability friendly. Individuals are involved, if they wish, in the local community i.e. local church. Within surveys, two people told us that they were not asked if they wanted to move to the service. One person said not suitable for me. I want to go home. Another person told us that they were not happy that their time at the service had been extended. People told us that they could decide what they wanted to do in the day but not during the evenings or at weekends. One person said my week is planned on a Monday and it is only then that I can make decisions about my whole week. I feel a session mid-week would be much better to discuss changes I would like to make to my timetable in future. They continued to tell us there is nothing to do here in the evening. Only sit and watch TV. This unit is in the middle of nowhere - 3 miles to the nearest shop. There is very little to do here at the weekends. People told us that they knew how to make a complaint yet one person said I have a complaint form but it seems to get me nowhere. One person told us that the staff always treated them well. Another person said staff sometimes treated them well. In relation to our question, do staff listen and act on what you say, one person said sometimes. Another person said never. They gave an example, which they felt staff had not acted upon. In order to improve the service, one person said the unit has no computer for use of service users. There is a computer in the office which service users are not allowed to use during the day and rarely at night. I thought with seven service users here when full, a computer with Internet access would be available for us to use. Within their surveys, two members of staff told us that they were given up to date information about the people they supported. They had training related to their role and often met with their manager to gain support and discuss their work. They said their employer carried out checks such as CRB and references before they commenced employment. The staff told us that they knew what to do if someone had concerns about the service. One staff told us that there were usually enough staff to meet the individual needs of people using the service. Another staff member said there were sometimes enough staff. In relation to what the service did well, one staff member told us rotas done in advance. Good communication system - book and handover. Another member of staff said care for staff and service users. In relation to what the service could do better, one staff told us more things to do in and around the area. Another staff member said general note - more beneficial if induction training was closer to start date. There have not been any formal complaints or safeguarding referrals since the last inspection. The service has notified us of any incidents which have affected the well being of people using the service, as required. Annual Service Review Page 5 of 7 At the last inspection, we judged six outcome areas as excellent. Two outcome areas were judged as good. Clear, well managed management and administration systems were in place. Quality of care provision was regularly reviewed and principals of health and safety were upheld. We saw that the development of peoples individual needs and choices were central to the rehabilitation programmes in place. People were supported by the multi disciplinary team in developing independence in their lifestyles. People were supported in a homely environment, which met their needs. Equipment needed as part of peoples rehabilitation was provided. What are we going to do as a result of this annual service review? The information available, gives evidence that Grovely House is continuing to provide good outcomes for people. However, we advise that consideration should be given to the feedback we received within surveys from people using the service. Subject to any changes in registration and inspection practice following implementation of the Health and Social Care Act 2008, our current plan is to do a key inspection by 2011. However, we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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