Inspection on 05/07/05 for 103 Glebe Road

This inspection was carried out on 5th July 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 16/12/05

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 Minchinhampton Stroud Gloucestershire GL6 9JY Lead Inspector Tim Cotterell Unannounced 5 July 2005 14:00 th 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 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 Stationary 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 D51_D03_S16313_103GlebeRd_V236932_050705_Stage4_U.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 103 Glebe Road Address Minchinhampton Stroud Gloucestershire GL6 9JY 01453 835023 Telephone number Fax number Email 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 Jeff Bird Care Home 2 Category(ies) of LD Learning Disability Both (2) registration, with number of places 103 Glebe Road D51_D03_S16313_103GlebeRd_V236932_050705_Stage4_U.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 8th February 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 Asperger’s 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 D51_D03_S16313_103GlebeRd_V236932_050705_Stage4_U.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and was undertaken in the home on the afternoon of 6 July 2005. A further visit was made to the Trust’s headquarters on Friday 8 July 2005. At the time of the initial inspection to the home both service users were present and there was one carer on duty. Service users were not seen individually as it was felt that this may not have been appropriate. In the circumstances any discussions took place with both service users present in the lounge. The inspection included looking at the accommodation, talking to service users and staff and looking at a number of records. There was a friendly and relaxed atmosphere in the home and everyone made the inspector feel welcome. What the service does well: Care planning and risk assessment is undertaken and reviewed. The home provides a domestic setting where individual needs and wishes are paramount and wherever possible met. Staff provide guidance and support in an unobtrusive manner and considerable emphasis is placed on developing individual skills in a safe and supportive environment. Service Users have active lives and are involved in appropriate interests and activities. Staff have access to all relevant training which can be provided by the Trust or from outside sources. 103 Glebe Road D51_D03_S16313_103GlebeRd_V236932_050705_Stage4_U.doc Version 1.40 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. 103 Glebe Road D51_D03_S16313_103GlebeRd_V236932_050705_Stage4_U.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 103 Glebe Road D51_D03_S16313_103GlebeRd_V236932_050705_Stage4_U.doc Version 1.40 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 standard(s) 1 Service Users have sufficient information about the home before admission EVIDENCE: The inspector was informed that all service users/relatives are given a copy of the Service Users guide and that a copy had been sent to the Commission. The Trust whilst accepting the principle of giving service users and relatives/ advocates sufficient information at the point of admission, they felt that other forms the Trust had available were adequate, however the requirement is now being met. 103 Glebe Road D51_D03_S16313_103GlebeRd_V236932_050705_Stage4_U.doc Version 1.40 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 standard(s) 6.7.9 Service users are involved in planning their care. Service users are supported to make decisions about their lives and to undertake responsible risk taking. Risk taking in the home encourages independent life styles EVIDENCE: Service users have an annual I.P P which is produced in consultation with them and this is reviewed six months later. There is also an annual review attended by all interested parties and health professionals are invited to attend. There are also daily records held in the home. Where appropriate individual plans of care are completed and it was noted that health professionals are involved. This includes the staff from the Community Learning Disability Team. 103 Glebe Road D51_D03_S16313_103GlebeRd_V236932_050705_Stage4_U.doc Version 1.40 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 standard(s) 12 16 Service users have a varied and active social life engaged in activities of their choosing. Staff ensure that their rights are respected. EVIDENCE: The inspector spoke to both service users. Each service user had a programme of activities, which included, recreational and educational events, a training day each week usually spent in the home with support and the ability to spend time at the provider’s day care facilities in Nailsworth. It was evident that service users were doing things they enjoyed and were given adequate support and guidance from the staff in the home. 103 Glebe Road D51_D03_S16313_103GlebeRd_V236932_050705_Stage4_U.doc Version 1.40 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 standard(s) none Not inspected EVIDENCE: Not inspected 103 Glebe Road D51_D03_S16313_103GlebeRd_V236932_050705_Stage4_U.doc Version 1.40 Page 12 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 standard(s) 22.23 Service Users are able to express their views in an open and inclusive environment. The staff in the home ensure service users are protected from abuse, neglect and self-harm. EVIDENCE: The inspector spent the afternoon in the home and during this period staff were for most of the time engaged in discussions with service users regarding how they were to spend the next few days. It was evident that service users felt able to express their views and that decisions about what they did were based on their views and wishes, subject to responsible and appropriate risk taking. The philosophy of the home is supported by the practice of the staff and service users are protected from any form of abuse and assured of their rights. In spite of the competence of the staff two said that they had not received any formal training in the identification of abuse. 103 Glebe Road D51_D03_S16313_103GlebeRd_V236932_050705_Stage4_U.doc Version 1.40 Page 13 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 standard(s) 24.30 The service users live in a comfortable physical environment EVIDENCE: All of the accommodation was seen and one-service user was happy to show the inspector his bedroom. The home retains the domestic features of a small home and was seen as in good decorative order, suitably furnished, clean and comfortable. There are plans to refurbish some areas of the home in this financial year. The small back garden provides a garden and greenhouse and staff and service users are involved in the upkeep and development of this area. 103 Glebe Road D51_D03_S16313_103GlebeRd_V236932_050705_Stage4_U.doc Version 1.40 Page 14 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Service users are supported by competent, caring and sensitive staff. EVIDENCE: At the time of the inspection there was a shift change and the senior in the home was visiting to discuss the following day with one-service user. During the waking day there is at least one member of staff on duty and at night there is a sleeping member of staff. The home has regular staff meetings and there is also individual supervision. It was evident that the staff member on duty was caring and competent and conversant with the needs of the individual service users. 103 Glebe Road D51_D03_S16313_103GlebeRd_V236932_050705_Stage4_U.doc Version 1.40 Page 15 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39.42 The policies of the home reflect the needs and wishes of the service users. Staff and management are providing appropriate support and guidance. EVIDENCE: The visits by the Responsible Individual are now being undertaken and a copy of the last report was seen. The question of Fire training for staff was raised in the last report and this matter was discussed with staff in the home and the responsible individual in the Trust. The staff in the home were clear about what to do in the event of a fire and each home has a fire procedure. One service user can be left alone in the home and it is essential that this person is updated about what to do in the event of an emergency. The fire equipment is tested by staff and is serviced by a company, which is seen as suitably qualified. 103 Glebe Road D51_D03_S16313_103GlebeRd_V236932_050705_Stage4_U.doc Version 1.40 Page 16 A number of senior staff have recently attended a Fire Training Day and a video has been obtained and will be shown to everyone in the home. Staff were not clear if the water outlets temperatures are controlled. The home must ensure that risk assessments have been completed and are reviewed and that in their opinion the safety of service users is assured by the arrangements of the home. 103 Glebe Road D51_D03_S16313_103GlebeRd_V236932_050705_Stage4_U.doc Version 1.40 Page 17 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 3 x x x x Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 x x x 3 x Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 103 Glebe Road Score x x x x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x D51_D03_S16313_103GlebeRd_V236932_050705_Stage4_U.doc Version 1.40 Page 18 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. 2. Standard 23 23 Regulation 18 13 Requirement Staff to be trained in the identifcation of abuse Hot water outlets must be risk assessed Timescale for action 30 September 2005 30 August 2005 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 42 Good Practice Recommendations A regular update for service users on what to do in the event of a fire. 103 Glebe Road D51_D03_S16313_103GlebeRd_V236932_050705_Stage4_U.doc Version 1.40 Page 19 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI 103 Glebe Road D51_D03_S16313_103GlebeRd_V236932_050705_Stage4_U.doc Version 1.40 Page 20 - 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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