Inspection on 23/11/09 for 1 The Glade

This inspection was carried out on 23rd November 2009.

CQC found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

1 The Glade 11/05/09

1 The Glade 17/06/08

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Extracts from inspection reports are licensed from CQC, this page was updated on 15/02/2010.

Random inspection report Care homes for older people Name: Address: 1 The Glade 1, The Glade Bromham Beds MK43 8HJ one star adequate service 11/05/2009 The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Sally Snelson Date: 2 3 1 1 2 0 0 9 Information about the care home Name of care home: Address: 1 The Glade 1, The Glade Bromham Beds MK43 8HJ 01234827068 Telephone number: Fax number: Email address: Provider web address: www.fremantletrust.org Name of registered provider(s): Name of registered manager (if applicable) Miss Marion Jean Gant Type of registration: Number of places registered: Conditions of registration: Category(ies) : The Fremantle Trust care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 6 The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category of service only: Care home Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Learning Disability -Code LD Date of last inspection Brief description of the care home 1 The Glade is a home for up to six adults with learning disabilities, managed by Fremantle in conjunction with Bedfordshire Pilgrims Housing Association - who are responsible for the maintenance of the building. The home is a large bungalow situated on the outskirts of Bromham village, Care Homes for Older People Page 2 of 9 1 1 0 5 2 0 0 9 Brief description of the care home approximately 5 miles from Bedford town centre. There are six bedrooms, a dining room, 2 lounges, a relaxation room, and a family room. In addition, a staff office, laundry, kitchen, bathing and toilet facilities are provided. There are no facilities for people with a physical disability, apart from one toilet. The bungalow is set in substantial grounds, which includes a separate building, used as an activity room. Some of the people living in the home demonstrate behaviours, that challenge, and to this end, access to the home is through a secure gate, controlled by staff. High fencing surrounds the home, meaning that the people living in the home are free to roam safely, within the bungalows grounds. Parking for several cars is available to the front, and side of the building. The homes Statement of Purpose sets out that the home aims to provide a specialist service for people with Autistic Spectrum Disorder, or associated needs. Care Homes for Older People Page 3 of 9 What we found: This inspection was undertaken taking account of the standards for younger adults and not older people as the front cover suggests. This random visit to the service took place from 12:15 on the 23rd November 2009. The last inspection of this service was a key inspection when we judged the home to be an adequate one star service. At the time of the last inspection there was a new manager in post who had not been through the registration process and not been able to make the improvements to the service we would have expected. This inspection was to check that work had been done to make the necessary improvements to take the home forward. We had been informed by our registration team that the manager, Marion Gant, had successfully become the registered manager for the service. At the start of the visit the manager showed us an action plan she had recently completed to achieve our requirements and other areas that she had identified for improvement. The document was well thought out, if a little long. We were concerned that it had taken almost six months to write and in that time many areas had not completely progressed. For example on the whole the care plans were written in more detail, had been dated and signed by the person completing them and were reviewed monthly as required by the company. However we were not able to establish the documentation relating to the most recent review of the person whose care we were tracking, although the manager confirmed the monthly review had taken place. We were also disappointed to see that actions identified in reviews were not always transfered to the support plans and could, if staff failed to read all the file, lead to care being compromised. We saw no evidence that care was being compromised and it was apparent that the staff team were very aware of the needs of the residents. We discussed our findings with the operational manager who told us that the manager was to be supported by a colleague to ensure that there were user friendly documents available, including care plans, and to organise the service. A pictorial service users Guide had been produced but it needed some narrative for staff to use when working with the residents. A deputy manager was employed for this service but this person had been off sick for a number of weeks and was consequently not able to support the manager. We were also advised that the staff who were supervised by the deputy were not up-to-date with their supervisions. At the previous inspection we had been unsure as to how actions undertaken by staff were in line with what the residents wanted and how decisions were made. Over the last month the manager had introduced separate books for staff to record residents choices in. This showed that people were being asked how and what care and support they wanted but needed more detail if it was to be used to confirm that a choice had been made by a resident. Care Homes for Older People Page 4 of 9 Since the last inspection the home had been the subject of a number of discussions about its future and the future of the people living at 3 The Glade. On the day of the inspection the housing association and other interested parties were meeting at the home to continue these discussions. Everyone was concerned for one residents whose needs were changing and it was apparent he could do with a home that was quieter and had other aids to support his failing health. For example as discussed at the last inspection the furniture in the lounge was not suitable for his needs. We aware told that places had been identified and assessments carried out but to date he had not moved. The manager had ordered more suitable furniture for him but to date this had not been delivered. Another resident had been assessed for supported living and was visiting a possible flat for his future needs. What the care home does well: What they could do better: 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 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 7 12 It must be apparent that 01/08/2009 care and support is delivered in a way that is acceptable to the resident. This ensures that the person using the service receives the care he wants and is happy with. 2 11 12 There must be clear documentation to support that the activities that residents participate in met their needs. To show that what staff plan for people using the service is what they want to do. 01/08/2009 3 24 18 The furniture must be suitable for the needs of the people using the service. This is to ensure that a resident with limited, unsteady mobility can be comfortable in a chair in the communal area of the home. 01/08/2009 4 24 23 The homes premises must 01/09/2008 be suitable for its stated purpose; accessible, safe and well maintained; and meet the individual and collective needs of the people living in the home in a comfortable Page 6 of 9 Care Homes for Older People 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action and homely way. This is a re-stated requirement in relation to the kitchen and the fittings and furniture within the home. 5 32 19 The service must ensure that 01/08/2009 people working at the home are committed and suitably trained to undertake the tasks defined to their role. This ensures that all the staff are completing the roles expected of them. 6 37 17 The manager must ensure 01/07/2009 that all policies and procedures are implemented by all the staff and that there are processes in place to audit and improve this. This ensures that people using the service receive the correct care. 7 40 17 Polices and procedures must 01/09/2009 be kept under review. This indicates that the home is working to current good practise. 8 41 15 Staff must ensure that all documentation is correctly recorded. This must then be audited by the manager. This ensures that the correct care is provided at all times. 01/07/2009 Care Homes for Older People Page 7 of 9 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 Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 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 Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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 © (2009) Care Quality Commission (CQC). 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. 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