Inspection on 16/12/05 for 103 Glebe Road

This inspection was carried out on 16th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

103 Glebe Road 25/03/09

103 Glebe Road 21/03/07

103 Glebe Road 05/07/05

103 Glebe Road 08/02/05

103 Glebe Road 29/09/04

103 Glebe Road 11/12/03

Similar services:

Radfords

Honeybourne House

32 Beaumont Way

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 103 Glebe Road 103 Glebe Road Minchinhampton Stroud Glos GL6 9JY Lead Inspector Mr Tim Cotterell Announced Inspection 16th December 2005 11:00 103 Glebe Road DS0000016313.V272426.R01.S.doc Version 5.0 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 103 Glebe Road DS0000016313.V272426.R01.S.doc Version 5.0 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. 103 Glebe Road DS0000016313.V272426.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 103 Glebe Road Address 103 Glebe Road Minchinhampton Stroud Glos GL6 9JY 01453 835023 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) Gloucestershire Group Homes Mr Jeffrey Michael Bird Care Home 2 Category(ies) of Learning disability (2) registration, with number of places 103 Glebe Road DS0000016313.V272426.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th July 2005 Brief Description of the Service: 103 Glebe Road is a semi detached house on an estate near Minchin Hampton and offers a specialised individual service for people with Asperser’s Syndrome, a form of Autism. Service users have transport that is provided by the home enabling them to access facilities in several other local towns and enjoy regular trips out with staff. The home is staffed 24 hours a day by carers and manager who have experience in dealing with service users with Aspergers Syndrome.The home has three bedrooms; two are occupied by service users, the other is used as an as an office and sleeping in room for staff.Bedroom accommodation is on the first floor and both service users have access to a bathroom with shower and a separate toilet adjacent to the bathroom on this level. On the ground floor there is a suitably equipped kitchen. Leading from the kitchen is the dining room, with a comfortably furnished lounge leading from the hallway. . 103 Glebe Road DS0000016313.V272426.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was undertaken in one day and both service users were seen and spoken to. The inspection consisted of talking to staff, service users, and looking at the accommodation. A number of records were also seen and they included medication, personal monies, health and care plans. After speaking to the service users it was evident that the staff make great efforts to provide an environment which is safe, friendly and stimulating Service users are encouraged and supported to be involved in the daily practices in the home and this enables the routines of the day to be sympathetic to their needs. Staff were seen by the service users as good listeners, caring and responsive to their needs What the service does well: What has improved since the last inspection? No identified areas 103 Glebe Road DS0000016313.V272426.R01.S.doc Version 5.0 Page 6 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. 103 Glebe Road DS0000016313.V272426.R01.S.doc Version 5.0 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 103 Glebe Road DS0000016313.V272426.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Not inspected 103 Glebe Road DS0000016313.V272426.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 The practices of the home ensures that the needs and wishes of the service users are identified and met. EVIDENCE: The needs of the service users are assessed, updated and reviewed through a number of methods. They include an annual review, the Individual Personal Plan and a skills list. The inspector discussed the question of conventional plans of care with the senior carer but there was little doubt that the current systems identified, reviewed and met the needs of the service users. Service users are involved in the writing and review of the “plans of care”. 103 Glebe Road DS0000016313.V272426.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 Service Users enjoy life styles of their choosing and engage in activities that are provided by the community and were seen as appropriate to their needs EVIDENCE: The home is part of a small estate and would be seen as a normal domestic house. The service users, with staff support, are able to use the local facilities, and on the date of the inspection staff and service users were Christmas shopping. The home provides considerable support to ensure the service users maintain contact with their family and friends, and at Christmas they are spending time at home. Staff have created an environment where the rights of service users are respected. The menus are written every week and service users are involved in this process. One service user prepares some meals as part of an independence programme. Access to a dietician is readily available. 103 Glebe Road DS0000016313.V272426.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 21 The health care needs of the service users are being met through support and guidance from staff. EVIDENCE: The home keeps individual records of all the healthcare received by the service users. The records include the dates of all visits, and of any treatment recommended. There is also a clear record of any future appointments and this ensures that all health care needs are met. It was evident that the service users enjoy the range of community services that are available. Staff manage the administration of medicines and this is done through the prepacked nomad system, which is completed by the local pharmacist. At the time of the inspection there was no self-medication. It was noted that service users are, however, involved in the process of recording the administration of medicines; they are signing to say that they have had their medicines, which are held and administered by staff. The home must consider the responsibility of staff in this procedure and review the need for them to sign to acknowledge that the administration has taken place. 103 Glebe Road DS0000016313.V272426.R01.S.doc Version 5.0 Page 12 There is a monthly health check form completed by staff and six monthly medication review held by health professionals. 103 Glebe Road DS0000016313.V272426.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Service users are consulted and are adequately supported by staff and protected from abuse. EVIDENCE: The home keeps a record of the receipt and expenditure of personal allowances and the records were seen. There is a record of the weekly personal allowance. Disability allowances are paid direct to the individuals building society account. Any expenditures incurred by staff are evidenced by receipts and an example was inspected and found to be correct; the accounts are audited by the Trust. After talking to the service users it was evident that they are able to approach staff easily and felt they were good listeners. The home, subject to risk assessments, operates on the basis that they are afforded all the rights to which they are entitled. 103 Glebe Road DS0000016313.V272426.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 The home provides a comfortable and appropriate environment. EVIDENCE: The accommodation has been maintained to a good standard and provides a comfortable environment. Service users bedrooms reflect the interests of the individual and provide a pleasant and private space. The inspector was informed by staff that it is proposed to refurbish the bathroom. It was noted that there were a number of areas that were suffering from damp, and this was evident on the bath seal and tiles, which were placed above. The bath and associated equipment has never been replaced and it was hoped that replacements would provide a more up to date and appropriate facilities. It is also proposed that the outside “shed” is converted to a laundry room which would remove the need to have soiled items in the kitchen. This was seen as important as the needs of the service users have changed. If this is 103 Glebe Road DS0000016313.V272426.R01.S.doc Version 5.0 Page 15 done the extra room provided in the kitchen would enable a dishwasher to be fitted. The senior carer advised the inspector that the hot water outlets were not controlled, however, risk assessments had been written and it was felt that the procedures were safe. 103 Glebe Road DS0000016313.V272426.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 , 36 Staff were competent and caring and had a positive relationship with the service users EVIDENCE: The home is managed on a day-to-day basis by a senior carer who is on the staff rota and works evening, morning and middle shifts, this enables him to see all the staff. The home also has a number of carers and this provides at least one person on duty during the waking day and one person on duty at night. The staff team were seen as suitably competent to provide a service that meets the objectives of the Statement of Purpose of the home. The objectives incorporate principles which assure service users of choice, dignity, privacy and individuality. The senior member of care staff was on duty at the time of the inspection and was helpful and well aware of the procedures and practices within the home. 103 Glebe Road DS0000016313.V272426.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 39 42 The senior carer and staff provide an open style of management, which involves service users in all aspects of the running of the home. EVIDENCE: Both service users were seen and spoken to. They confirmed that they are consulted over matters which affect them in the home and felt that they were fully involved in the day to day running of the home. Staff on duty were clear about the aims of the home and the need to support service users if and when necessary. The home has a member of the care staff who is the dedicated fire officer. The Fire and Rescue Services undertook a goodwill visit in November 2005 and there is a six monthly fire drill and everyone is involved. 103 Glebe Road DS0000016313.V272426.R01.S.doc Version 5.0 Page 18 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X X X 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 103 Glebe Road Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X DS0000016313.V272426.R01.S.doc Version 5.0 Page 19 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. 2 Refer to Standard 24 20 Good Practice Recommendations Refurbish first floor bathroom. Review the practice of the recording of the administration of medicines and the role of staff in this process 103 Glebe Road DS0000016313.V272426.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB National Enquiry Line: 0845 015 0120 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. 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