Inspection on 21/03/07 for 103 Glebe Road

This inspection was carried out on 21st March 2007.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

103 Glebe Road 25/03/09

103 Glebe Road 16/12/05

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 Key Unannounced Inspection 21st March 2007 03:00 103 Glebe Road DS0000016313.V331198.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 103 Glebe Road DS0000016313.V331198.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. 103 Glebe Road DS0000016313.V331198.R01.S.doc Version 5.2 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.V331198.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th December 2005 Brief Description of the Service: 103 Glebe Road is a semi detached house on an estate near Minchinhampton and offers a specialised individual service for people with Asperger’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.V331198.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. The inspection was undertaken through three visits to the service. The total time taken was 6.5.hrs. During the visits both service users were seen and spoken to. They said they were happy in the home and felt that staff were supportive and wherever possible met their needs and wishes. The senior and three other support workers were seen. They clearly enjoyed working in the home and were committed to providing a flexible service, which responds to individual needs. The environment was inspected and the records in respect of care planning, the management of personal monies, health care and the administration of medicines were seen. The home provides a safe and comfortable environment and the service users are treated in an appropriate manner which ensures their dignity and privacy is safeguarded. What the service does well: The home provides a warm and friendly atmosphere where service users can receive advice and support or alternatively have time for privacy. The staff are clear about their role and were seen as competent and caring. There was a relaxed atmosphere in the home. 103 Glebe Road DS0000016313.V331198.R01.S.doc Version 5.2 Page 6 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. 103 Glebe Road DS0000016313.V331198.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 103 Glebe Road DS0000016313.V331198.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): Not inspected. EVIDENCE: Standards not inspected as there had not been any admissions since the last inspection. 103 Glebe Road DS0000016313.V331198.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 679 Quality in this outcome area is good. The changing needs of the service user are reflected in the care plan, and they are able to make decisions about their lives. Responsible risk taking is encouraged. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users are funded by a local authority and the home were provided with Care Management Assessment on admission. There is an annual review and these were seen. The Individual Personal programme is used on a daily basis and then reviewed every three months. It includes specific aims, objectives and strategies to deal with current issues. The Individual Personal Programme is also used as a formal plan of care and at the annual review evidence of any progress with specific matters would be 103 Glebe Road DS0000016313.V331198.R01.S.doc Version 5.2 Page 10 provided. There is also a written report submitted to the review by the key worker and this indicates what progress has been made and the current needs of the individual. 103 Glebe Road DS0000016313.V331198.R01.S.doc Version 5.2 Page 11 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 17 Quality in this outcome area is good. Service users enjoy an active life through activities, access to the local community and contact with families. Staff ensure their rights are safeguarded. Staff encourage service users to participate in menu planning. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users have a weekly programme and this indicated a busy and varied programme. The activities included local unsupervised walks and trips to local towns and visits to two local day facilities, which are provided by the Trust. The programme whilst offering structure also accommodates for periods when individual choices can be made and “free time” enjoyed. 103 Glebe Road DS0000016313.V331198.R01.S.doc Version 5.2 Page 12 103 Glebe Road DS0000016313.V331198.R01.S.doc Version 5.2 Page 13 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. Service users are supported in identifying and meeting their health care needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service at Glebe Road is very flexible and personal and responds to individual needs and wishes. Medicines are held and administered by staff and there is a record of the administrations. At the time of the inspection staff were providing one signature even through they may be giving several items from different prescriptions. It is recommended that signatures are provided for each individual medicine. It is also suggested that the home keeps a list of the initials of staff to ensure they are able to identify staff who administered the medicines. 103 Glebe Road DS0000016313.V331198.R01.S.doc Version 5.2 Page 14 Staff are required to consult the senior on call if homely remedies are requested. The health care records provided evidence that health care professionals were consulted. The records are collated monthly and are part of the information which is discussed at the annual review. 103 Glebe Road DS0000016313.V331198.R01.S.doc Version 5.2 Page 15 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 is good. Staff in the home are good listeners and service users feel comfortable about approaching them. Staff are aware of the various forms of abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a written complaints procedure. Service users told the inspector that they were happy and comfortable about approaching staff if they had any concerns. They are also able to contact the Registered Manager and staff at the head office of the Trust. The records of the personal and disability allowances were seen. There are records of the receipts and expenditures of personal allowance. The disability allowance is paid directly into the accounts of the service users (bank and building society) and there is also an additional written record kept in the home. Balances are checked frequently to ensure the accounts balance 103 Glebe Road DS0000016313.V331198.R01.S.doc Version 5.2 Page 16 The inspector was advised by the Senior Support Worker that all staff have received updated training on the “identification of abuse”. 103 Glebe Road DS0000016313.V331198.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. The home provides a homely and domestic environment which is seen by service users as comfortable. It has been maintained to a good standard. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home continues to be maintained to a good standard and provides a comfortable physical environment for the service users. The bathroom and toilet on the first floor has been refurbished and both service users are able to use the bath and toilet. Their individual abilities should be reviewed regularly to ensure they are able to access and use the toilet/bathroom. The home should consult with the occupational therapist if in doubt. 103 Glebe Road DS0000016313.V331198.R01.S.doc Version 5.2 Page 18 The last report indicated that some remedial work was to be completed in a bedroom. This was discussed with the senior support worker who informed the inspector that the service user wanted the redecoration left at this stage and this was agreed. The inspector saw the bedroom and felt that this was the right decision and provided evidence of considering and meeting the wishes of a service user. 103 Glebe Road DS0000016313.V331198.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 Quality in this outcome area is good. Staff in the home were seen as supportive, caring and competent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff records were not examined, as there had not been any new appointments since the last inspection. The inspector saw and spoke to three support workers during the inspection. Staff felt that they were providing a service which met the needs of the service users, but would also welcome additional training in respect of the specific conditions/disabilities experienced by the service users. It was clear that they were committed and competent carers and had an excellent relationship with the service users. During the inspection they demonstrated their listening skills and were seen as very patient with good 103 Glebe Road DS0000016313.V331198.R01.S.doc Version 5.2 Page 20 listening skills. They offered guidance and support but were never prescriptive in their responses but providing information and options. 103 Glebe Road DS0000016313.V331198.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 42 Quality in this outcome area is good. The home is well run and all practices reflect the wishes of the service users. Service users are involved in all aspects of the day to day running of the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager is also the manager of other homes and does not normally form part of the direct caring team at the home. The senior support worker however meets the registered manager on a regular basis and is 103 Glebe Road DS0000016313.V331198.R01.S.doc Version 5.2 Page 22 available if needed. The senior support workers meet weekly and the registered manager is usually present. The inspector felt that the home was well run and that the direct management by the senior support worker together with the support of the registered manager proved an effective management team. 103 Glebe Road DS0000016313.V331198.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 X 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 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 X 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 103 Glebe Road DS0000016313.V331198.R01.S.doc Version 5.2 Page 24 no Are there any outstanding requirements from the last inspection? 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. 1 Standard YA20 Regulation 13 Requirement The home must ensure that there is a record of the administration of medicines Timescale for action 21/03/07 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 103 Glebe Road DS0000016313.V331198.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 103 Glebe Road DS0000016313.V331198.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. 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