Care Home: Lonnen Grove

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What the care home does well Lonnen Grove provides a welcoming and safe home suitable for people`s needs. Staff had a close relationship with people living at the home and could describe individual needs in depth. People made positive comments about the care provided, these included; "I like it here" "The staff look after me how I want""I like all of them (the staff)" Equality and diversity was promoted, each persons individual differences, likes and dislikes were known and respected. Opportunities were available to all of the people living at the home that took into account individual needs. People living at the home had a written care plan so that their needs were identified. People`s health care was monitored and access to health specialists was available to maintain good health. Relatives could visit the home at any time, to maintain contact. Staff said that they worked well together. The health and safety, complaints and adult safeguarding procedures protected people. What has improved since the last inspection? Person centred planning had continued to evolve further enabling staff to focus their plans and care to meet people`s wishes and needs. Staff training had been provided as part of a training plan to maintain and improve staff skills. What the care home could do better: Staff needs extra training so that they know and understand about the Mental Capacity Act 2007, this would make sure that they are able to fully protect vulnerable people and promote their rights in making decisions for themselves. CARE HOME ADULTS 18-65 Lonnen Grove Ferham House Kimberworth Road Masbrough Rotherham South Yorkshire S61 1AJ Lead Inspector Ian Hall Key Unannounced Inspection 30th June 2008 09:30 Lonnen Grove DS0000066374.V367155.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 Lonnen Grove DS0000066374.V367155.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. Lonnen Grove DS0000066374.V367155.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lonnen Grove Address 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) Ferham House Kimberworth Road Masbrough Rotherham South Yorkshire S61 1AJ 01709 565822 NONE NONE Kimberworth Health Care Limited Keeley Jane Rowley Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Lonnen Grove DS0000066374.V367155.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th June 2006 Brief Description of the Service: Lonnen Grove is owned by Kimberworth Health Care Limited, which is part of the Exemplar group. Lonnen Grove is a purpose built home providing personal care with nursing for up to 6 younger people who have learning disabilities. It is a bungalow design with all six single bedrooms having en-suite facilities. There is a lounge, separate dining room, kitchen and laundry. Lonnen Grove is located in the residential area of Ferham, a suburb of Rotherham. The home is on a bus route within a short walking distance of bus stops. It is approximately a mile from Rotherham town centre. There is a car park and a small garden area. Fees for are dependent on the package of care starting at £2122.00 per week to £2467.00 per week. Additional charges are made for optical, dental services, specialised toiletries and magazines. The registered person makes information about the service available to people and their families via the home’s Statement of Purpose and the Service User Guide. A copy of the inspection report is available at the home. Lonnen Grove DS0000066374.V367155.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that people who use this service experience good quality outcomes. This was an unannounced key inspection carried out by Ian Hall, regulation inspector. Lonnen Grove was visited between the hours of 08:30 am and 13:45 pm on the 23rd of June 2008. The registered manager Mrs Rowley was present during this visit. As part of this visit we looked in detail at how people were protected from harm. Prior to the visit the registered manager had submitted an Annual Quality Assurance Assessment (AQAA) which detailed what the home was doing well, what had improved since the last inspection and any plans for improving the service in the next twelve months. Information from the AQAA is included in the main body of the report. Comments and feedback from people living at the home have been included in this report. On the day of the visit staff were observed interacting with people that live in the home. A tour of the premises was made and records relating to care and the running of the home were examined. All people that lived at the home and the staff on duty were spoken with. Feedback of the inspection was given to the Mrs Rowley and Mr Cunningham the Operational Manager. He visits the home on a monthly basis and a report is written with his findings What the service does well: Lonnen Grove provides a welcoming and safe home suitable for people’s needs. Staff had a close relationship with people living at the home and could describe individual needs in depth. People made positive comments about the care provided, these included; “I like it here” “The staff look after me how I want” Lonnen Grove DS0000066374.V367155.R01.S.doc Version 5.2 Page 6 “I like all of them (the staff)” Equality and diversity was promoted, each persons individual differences, likes and dislikes were known and respected. Opportunities were available to all of the people living at the home that took into account individual needs. People living at the home had a written care plan so that their needs were identified. People’s health care was monitored and access to health specialists was available to maintain good health. Relatives could visit the home at any time, to maintain contact. Staff said that they worked well together. The health and safety, complaints and adult safeguarding procedures protected people. 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. Lonnen Grove DS0000066374.V367155.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 Lonnen Grove DS0000066374.V367155.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): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service provides people with detailed information to enable them to choose whether the home is the one for them. Detailed assessments ensure that people’s needs could be met prior to offering them a place. EVIDENCE: The service user guide and photograph album was looked at and is written in plain language. A cassette of the service user guide is available. Other formats for the service user guide have been sourced if and when needed. We checked three case files. Each contained a detailed needs assessment; this included such things as daily living, personal care, health care, social interests and areas of risk when appropriate. The assessment formed the basis for the initial care plan. People said they had been able to discuss their wishes and the type of help they needed before they made the decision to live at Lonnen Grove. Whenever possible people had been encouraged to visit and spend time at the home so they could meet members of staff and other people living at the home. This was confirmed by written entries in the case files. Lonnen Grove DS0000066374.V367155.R01.S.doc Version 5.2 Page 9 Copies of contracts, social work referrals and assessments were available and kept in the case file. Lonnen Grove DS0000066374.V367155.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 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People were treated with respect, were able to make some decisions about their lives and take risks as part of an independent lifestyle EVIDENCE: Three care plans were examined in detail. They contained a range of information that had been reviewed regularly. The plans contained risk assessments. There were many examples of maintaining safety and protecting people for example, when people are cooking /baking in the kitchen and when people are accompanied and supported when going out within the community such as shopping, going to college. There were examples where staff offered choice in their day to day life for example at meal times, options for college courses and individual preference for the activities of daily living. Lonnen Grove DS0000066374.V367155.R01.S.doc Version 5.2 Page 11 Staff were fully aware of the plans and could describe individuals needs in detail. People living at the home were aware of their care plan and had signed these, one person said, “I know about my care plan but I never want to look at it. I could if I wanted to” It was clear that individuals were encouraged to make decisions about their lives. Staff talked to people respectfully and supported their choices. One person decided to go out for the day, another person wanted to visit the local shop, and then watch television. These choices were respected. Lonnen Grove DS0000066374.V367155.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, 14, 15, 16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home have their social and personal care needs met in a way that respects their privacy and dignity. EVIDENCE: Lonnen Grove DS0000066374.V367155.R01.S.doc Version 5.2 Page 13 There were opportunities for personal development and fulfilling activities. People are helped to plan their individual activity/life skills programme. This is recorded within the care plan for each person’s personal development. There are leisure activities in and outside the home. People attend the local college, go shopping and go to the snooker club with staff. Each Sunday people meet with staff to plan the menu for the week. This includes their likes and preferences. Residents’ meetings are on the first of each month this encourages discussion about the running of the home and activities. Friends are welcomed. There are facilities for people to have visitors to the house. People have their own items such as televisions and CD players in their bedrooms. People were seen to helping to prepare their own food with staff. There was a range of fresh fruit available in the kitchen. There are facilities for people to make snacks and drinks at all times. People are encouraged to become involved in the day-to-day running of the home. Risk assessments are in place for people using equipment in and outside the home. Lonnen Grove DS0000066374.V367155.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 & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home have their health and personal care needs met in a way that respects their privacy and dignity. EVIDENCE: Plans of care were examined and found to be comprehensive. They were reviewed at least every six months to meet people’s changing needs. The goals and that objectives were agreed with each person were regularly monitored and reviewed. One person looked at his file in the presence of the inspector, checking and agreeing what staff had written about him. People were registered with a General Practitioner and attend the health centre if necessary. Other health services such as dental, ophthalmic and chiropody services were available in the wider community with staff accompanying people to appointments if needed. Medication was securely stored to keep it safe. A sample of Medication Administration Records (MAR) was examined that were fully completed and up Lonnen Grove DS0000066374.V367155.R01.S.doc Version 5.2 Page 15 to date. There were no controlled drugs, and a sample of medication stocks checked corresponded with the records kept. All staff that administered medication had received accredited medication training to make sure safe procedures were followed. Lonnen Grove DS0000066374.V367155.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 & 23. Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. People who live at the home and their representatives feel able to complain and are confident they will be listened to EVIDENCE: Written information about how to make a complaint was seen in the service user guide. This gave contact details of the CSCI so that people could contact the Commission with any concerns. Records of all complaints made were recorded, and detailed the action taken by staff in response to the complaint. No formal complaints had been made about the home. People had made a few minor complaints to staff; these had been satisfactorily dealt with. One person said, “I know I can speak to any staff (if I have any complaints)” The manager and staff had undertaken training in adult protection. They were clear about the steps to follow if an allegation was made or if they suspected abuse. Staff were aware of the different types of abuse. The Rotherham MBC Adult Protection procedure was kept at the home and was included for staff going through induction training. People said that they felt safe at the home. Lonnen Grove DS0000066374.V367155.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 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a clean, comfortable, homely and safe environment suitable to their needs. EVIDENCE: The home was clean and well maintained. It had been furnished to a high standard. Communal areas were suitably furnished and equipped. People had personalised their bedrooms with keepsakes, photographs, posters, audio equipment, televisions and soft toys. People said they were highly satisfied with their bedrooms and spent time listening to music or reading. They were able to lock their bedrooms for privacy and protection of their belongings. Lonnen Grove DS0000066374.V367155.R01.S.doc Version 5.2 Page 18 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at the home are cared for by a group of staff who have been properly recruited, trained and are sufficient in numbers to ensure their needs will be met. EVIDENCE: Staffing levels reflected individual people’s care packages. There was a team of qualified nurses and care staff plus the manager. Two staff recruitment files were checked. These contained required information to make sure safe procedures were followed and protect people. All staff were provided with a job description and contract of employment. Records show that staff had attended training courses. Staff confirmed their skills were up to date. Lonnen Grove DS0000066374.V367155.R01.S.doc Version 5.2 Page 19 Regular supervision takes place to monitoring of staff performance and development. Lonnen Grove DS0000066374.V367155.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a home that is well managed and takes into account their wishes about how the home is run. EVIDENCE: We saw that there was always trained nurse on duty at the home with advice and support readily available. People said: “I feel the home is well run, they organise things for us to do”. Staff said the manager was approachable, very professional and they felt confident in her. The manager had a job description that clearly defines her roles and responsibilities and staff were aware of his role. Lonnen Grove DS0000066374.V367155.R01.S.doc Version 5.2 Page 21 Staff had received management supervision at regular intervals; this is needed to develop staff and monitor care practices. The home’s owners visit the home to monitor care and standards at the home. Management use a quality assurance system to measure standards of care and service provided. Questionnaires were used annually to seek the views of people and relatives. Regular meetings are held for staff and people who live at the home. These give people living at the home a voice and chance to say how the home should be run. People felt that their views and opinions were taken into account by the staff. The manager handles money on behalf of some people, account sheets were kept with receipts kept. A second person witnessed each transaction. Policies and procedures met the required standards. Records were mainly up to date and well ordered to ensure the best interest of people. No fire exits were obstructed and hazardous substances were securely stored. Statutory servicing and checks of equipment were complete. Risk assessments had been completed and were being reviewed regularly to maintain a safe environment. Fire safety records and other maintenance records were up to date. The manager had received training in the Mental Capacity Act. This training has not been provided for the staff; it is needed to ensure they are aware of the changes needed to fully protect vulnerable people at the home. Lonnen Grove DS0000066374.V367155.R01.S.doc Version 5.2 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 “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 x 3 3 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Lonnen Grove DS0000066374.V367155.R01.S.doc Version 5.2 Page 23 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. 1 Refer to Standard YA7 Good Practice Recommendations Lonnen Grove DS0000066374.V367155.R01.S.doc Version 5.2 Page 24 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 Lonnen Grove DS0000066374.V367155.R01.S.doc Version 5.2 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. 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