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Inspection on 12/12/05 for Glyn Residential Care Home

Also see our care home review for Glyn Residential Care Home for more information

This inspection was carried out on 12th 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides a safe environment for residents where they are looked after by dedicated and caring staff, who are suitably trained. There is a commitment to staff training with Glyn. The manager leads by example. The home enables residents to participate in appropriate activities and meals are varied, plentiful and well managed to meet residents` needs and preferences. There is continuity of care with staff having worked in the home a long time. Residents support needs are met within Glyn.

What has improved since the last inspection?

Since the last inspection service users` files have been put in a modular format, which has helped for ease of access. The care plans have been computerised and broken down into headings that again have helped staff to read and assimilate the written information more easily.

What the care home could do better:

It was agreed that staff files would now also be put into a modular file to contain all the details regarding staff details, to include the recruitment process, supervision notes, appraisals, training attended and copies of certificates obtained et cetera.

CARE HOME ADULTS 18-65 Glyn Residential Care Home 6 Dudley Avenue Hordle Lymington Hampshire SO41 0HY Lead Inspector Mr Rodney Martin Unannounced Inspection 12th December 2005 10:00 Glyn Residential Care Home DS0000011739.V272479.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 Glyn Residential Care Home DS0000011739.V272479.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. Glyn Residential Care Home DS0000011739.V272479.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Glyn Residential Care Home Address 6 Dudley Avenue Hordle Lymington Hampshire SO41 0HY 01425 614595 01425 614595 info@glyn-residential.co.uk 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) Glyn Residential Limited Mrs Suzanne Bull Care Home 7 Category(ies) of Learning disability (7), Physical disability (7) registration, with number of places Glyn Residential Care Home DS0000011739.V272479.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Dispensation has been given to one named service user in the MD category to remain accommodated in the home. 12th July 2005 Date of last inspection Brief Description of the Service: 6 Dudley Avenue [Glyn] is one of three homes owned by Mr & Mrs Hayward and currently provides personal care and accommodation for six service users with learning and physical disabilities. An additional three service users, from 2 Dudley Avenue, go daily to Glyn for day care. The home is located in a quiet rural area of the New Forest but is within reach of local shops. Glyn has a mini-bus to access wider community networks. The home is a large chalet style bungalow with all the service users accommodated on the ground floor. Although Glyn is registered for seven, the home currently is only accommodating six service users. All six bedrooms are single, provided with en suite facilities, and are situated on the ground floor. There are two large single bedrooms, upstairs. The sleep-in night staff uses one bedroom and the other is not in use. There is a lounge/dining room, conservatory as well as an accessible garden. Glyn Residential Care Home DS0000011739.V272479.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. There were no requirements in the previous inspection report, dated 12 July 2005 and none again on this occasion. The unannounced inspection took place between 10.10am and 2pm. Suzanne Bull, registered manager was available. On the day of the visit the home was accommodating six service users, whose ages ranged from 25 to 64 years old. Glyn has four male and two female service users. One service user has been in the home fifteen years and there have been no new admissions since April 2001. The inspector was able to tour the building as well as speak to the staff members on duty and also met two physiotherapists and an NVQ assessor who were visiting. Two service users were out at day services. The inspector had a meal with residents at lunchtime. The inspector spoke to the four residents from Glyn as well as two residents from Cornerways, 2 Dudley Avenue, as well as all the staff on duty. Staff are actively encouraged to help residents make decisions in promoting independence. From discussion with the staff and an inspection of residents’ plans the inspector was able to confirm that, as far as is practicable, the home supports the residents to make all the important decisions in their lives. There was evidence available on the day of the inspection to indicate that the core values are being upheld in Glyn. Care, fire, medication and staffing records were inspected. These were relevant and up to date. It is confirmed that all forty-three standards, including the key standards have been inspected during this inspection year. There have been no complaints received by the home or the Commission. The only contact with the home has been through receiving notification of incidents within Glyn [Regulation 37 notification]. What the service does well: The home provides a safe environment for residents where they are looked after by dedicated and caring staff, who are suitably trained. There is a commitment to staff training with Glyn. The manager leads by example. The home enables residents to participate in appropriate activities and meals are varied, plentiful and well managed to meet residents’ needs and preferences. There is continuity of care with staff having worked in the home a long time. Residents support needs are met within Glyn. Glyn Residential Care Home DS0000011739.V272479.R01.S.doc Version 5.0 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. Glyn Residential Care Home DS0000011739.V272479.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 Glyn Residential Care Home DS0000011739.V272479.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): 1, 2 and 5 The home’s admission procedure ensures that prospective residents have opportunities to visit the home and that assessed needs and aspirations are met within Glyn. EVIDENCE: Glyn is a settled home where the residents have been together a minimum of five-and-a-half years. The last admission was in April 2001. The home has one upstairs bedroom that is vacant. Service users in wheel chair users occupy the six ground floor bedrooms, however, an ambulant resident could only use the upstairs bedroom. The manager reported that one of Glyn’s domiciliary care clients might be a prospective service user. The prospective service user would be subject to a comprehensive assessment, undertaken by the manager. The prospective service user would be introduced to the residents and could spend a day in the home. Depending on how the introductory visit went would determine the pace of the process. A short stay admission was discussed as a means of providing a fuller assessment and determining whether Glyn was the right home for them. Each service user has a suitable contract and terms and conditions of residency. Glyn Residential Care Home DS0000011739.V272479.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, 8, 9 and 10 Service users are involved as much as possible in developing support plans that reflect their needs and objectives and are supported to make decisions about their lives, within a risk management strategy. EVIDENCE: Since the last inspection the home has changed individual resident’s files into a modular format, with key information, care plan reviews, contacts relevant to the individual resident, medical information, financial information and confidential information et cetera. The manager had further developed the care plans by computerising them with more sub-headings. It was agreed that this an improvement on the previous system and helps carers assimilate information and care needs more easily. The new files were viewed. These were up to date, very comprehensive and detailed in some depth all aspects of the resident’s life within the home. Residents are able to voice their opinion at the regular residents’ meetings and are involved in their reviews. A meeting was held on 6 December 2005 and the minutes were available. Each service user has an activities’ plan. The residents have a say in where they have their holiday. Since the last inspection Mr and Mrs Hayward have purchased a holiday home in Spain and Glyn Residential Care Home DS0000011739.V272479.R01.S.doc Version 5.0 Page 10 the three residents from Cornerways, 2 Dudley Avenue have been to ‘test drive’ the facilities. Service users are able to take risks and each resident has a comprehensive risk assessment completed in their file. Action is taken to minimise any identified risks and service users are given training about their personal safety. Confidential records are kept locked in the office and are kept in accordance with the Data Protection Act 1998. The home has a policy on confidentiality, which is updated as appropriate. Service users can have access to their files and staff give assistance, where appropriate. Glyn Residential Care Home DS0000011739.V272479.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17 Residents are able to engage in a variety of activities in the home and the community, enabling independence, development and choice. Nutritional needs of residents are well managed and offer variety and choice. EVIDENCE: Daily activity programmes have been developed for each resident. Residents attend various clubs and activity centres, as well as have activities in-house, including games and computer literacy. Day services/activities and the service users social life is part of the care plan and service users are supported to develop and maintain their skills, relevant to their age and capabilities. Residents attended a Christmas craft fayre on Sunday, 4 December 2005. Service users are attending various courses, including a music course, over the Christmas period. On the day of the inspection two residents were out, along with two residents from Cornerways. Two physiotherapists were in the home providing support and exercise for some residents. It was evident that each service user has different needs and interests but these are catered for in the home. Glyn Residential Care Home DS0000011739.V272479.R01.S.doc Version 5.0 Page 12 Glyn has its own transport to provide access to the local community, for service users. There is support for the service users to pursue entertainment, outings and holidays of their choice, as well as eat out and enjoy visits to local pubs. There are joint residents’ meetings with the other two homes. The last one was on 6 December 2005. The parent of a service user has donated a 42inch plasma television for service users to enjoy. Service users are going to see ‘Santa Claus the musical’ at the Mayflower theatre on Boxing Day. Service users have their own radios, televisions, video, books and hi-fi systems in their rooms. The home has Sky television installed and is connected to each bedroom. Glyn has a beach hut at Milford-on-Sea, where service users can enjoy a break by the seaside, in the summer as well as a holiday home in Spain. The inspector spoke to one service user who recently went to Spain and they said that they enjoyed the holiday. All service users have family and friends involved. The home actively encourages and supports the service users to maintain family links. Service users spend time with their families in the home and also go to stay with their families. It was reported that service users would be in the home for Christmas but that they would be seeing their family over the festive period. Service users are able to use their own rooms, the dining room or the lounge to entertain guests. Friendships, both in the home and out in the community, are also supported under the same conditions. The home has further developed its newsletter, with the November 2005 edition sent to friends and family members. The newsletter contains a diary of forthcoming events, news items about the residents, articles, quizzes, photographs and visits from local events. All the service users can express a view about meals and some service users help to choose the menu. One service user has a vegetarian preference, two service users require a soft diet and one service user has a PEG feed [a system of direct liquid food into the stomach] which a dietician monitors. Residents had a choice of main course between beef stew or cod in butter sauce and were able to choose from a selection for desserts, from fruit cocktail in fruit jelly, blackberry sponge and custard and white chocolate mousse. One resident told the inspector that they enjoy fishmeals, in particular tinned tuna fish. Following the discussion about tuna fish the manager asked the cook to order tuna steaks for the resident to try. Residents’ dietary needs are catered for and enjoy the quality and quantity of food provided. Glyn Residential Care Home DS0000011739.V272479.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 Systems for managing medication are appropriate ensuring the medication needs of residents are met. EVIDENCE: All residents are on some form of medication, although none are on a controlled drug. One of the three service users from Cornerways has their lunchtime medication in the home and one is able to manage their own medication. Medication is preferred in liquid form due to swallowing difficulties for some service users. The home is not on a monitored dosage system for that reason. The manager dispenses the tablets into a weekly cassette system [WW system]. Medication records were satisfactorily maintained. The home has an appropriate policy and procedure for the recording, handling, administration and disposal of drugs. The file also contained p.r.n. medication [as and when required] as well as copies of the patient information leaflets, which are always included in the medication packaging. The GP had signed for homely remedies that could be given. Staff have recently attend a course on the safe handling of medicines. A satisfactory ordering system for repeat prescriptions is in place, which avoids the home going to the surgery to collect prescriptions. The pharmacist does not routinely visit the home and it was agreed that the manager would discuss this them. Glyn Residential Care Home DS0000011739.V272479.R01.S.doc Version 5.0 Page 14 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 and 23 A satisfactory complaints procedure is available, which relatives and residents have been made aware of. Staff have an understanding of the reporting procedures to protect service users from abuse. EVIDENCE: The home has a complaints procedure which is also in a Bliss [a means of communication by symbols] and picture format. Residents, spoken to, were aware of how to complain and said that they had no complaints about the home or service. There have been no complaints recorded or referred to the Commission. Glyn has an adult protection policy. The home has an adult protection video and staff have received training in preventing and dealing with suspected abuse. Glyn Residential Care Home DS0000011739.V272479.R01.S.doc Version 5.0 Page 15 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): EVIDENCE: These standards were not inspected on this occasion, although they were previously met. Glyn Residential Care Home DS0000011739.V272479.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): 33 and 34 The number of staff available was sufficient to meet the needs of residents. Recruitment procedures are robust in the protection of service users. EVIDENCE: Since the last inspection the home recruited a night carer, in August, working one night per week. The staff file was seen and contained the relevant required documentation, their induction programme, job description and a photograph of the staff member. The home has a full compliment of staff. The manager discussed having all the staff details in one file, to include the recruitment process, supervision notes, appraisals, training attended and copies of certificates obtained et cetera. Having successfully completed service users’ files into modular form, it was agreed that this would be done for staff files as well and would save on filing space. Glyn employs seventeen staff members, including the manager and the manager from Cornerways, who when working in Glyn becomes a senior carer. Two staff members started an NVQ level 3 course at Brockenhurst College in October 2005 and a further two carers are due to commence NVQ training in January and when completed, eight staff will have obtained NVQ at either level 2 or 3. Glyn Residential Care Home DS0000011739.V272479.R01.S.doc Version 5.0 Page 17 Since the last inspection all staff have attended a three-month basic BSL [British sign language] course through Brockenhurst College. All, bar one, staff members have completed a safe handling of medicines course. A fire safety course has been booked for 16 January 2006, with an external provider, in readiness for the new fire regulations due to come into force in April 2006. The staff on duty were spoken to. The majority of staff have worked in the home a long time and so there is continuity of care. Staff work well together and are well aware of the specific needs of the individual service users. Glyn Residential Care Home DS0000011739.V272479.R01.S.doc Version 5.0 Page 18 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, 41 and 42 Glyn is a well run home by a qualified and experienced manager, who provides effective leadership. Record keeping practices safeguard service users’ best interests and systems are in place to promote the health, safety and welfare of residents. EVIDENCE: On the day of the inspection the inspector met an assessor for NVQ training. She is currently assessing the manager’s portfolio for the registered managers award for NVQ level 4 in both management and care. The manager has one unit [the AI unit for the assessor’s award] to complete the registered manager’s award. The manager is a qualified Registered General Nurse having a diploma in nursing and comes across as a competent manager. The inspector spent time speaking to staff during the four hours in the home. They confirmed that they felt supported by the manager and enjoyed working in Glyn. The manager communicates a clear sense of direction and leadership through regular Glyn Residential Care Home DS0000011739.V272479.R01.S.doc Version 5.0 Page 19 informal meeting with the staff, staff meetings, staff supervision and education. The inspector also spoke to two visiting physiotherapists, on the day of the inspection. There was evidence to confirm that staff are supported to do their work. Relevant records were satisfactorily maintained. The fire logbook was inspected and fire safety equipment had been tested and serviced regularly. Staff receive in-house fire instruction as well as the home arranging a fire safety lecture. There have been four fire drills this year; the last fire drill was on 7 July 2005. The health, safety and welfare of residents is promoted and protected by the manager ensuring that Glyn is a safe environment to work in, by staff having receiving relevant training appropriate to the needs of the service users. Relevant assessments have been carried out. Glyn Residential Care Home DS0000011739.V272479.R01.S.doc Version 5.0 Page 20 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 3 X X 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X 3 3 X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Glyn Residential Care Home Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X X 3 3 X DS0000011739.V272479.R01.S.doc Version 5.0 Page 21 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. Refer to Standard Good Practice Recommendations Glyn Residential Care Home DS0000011739.V272479.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Glyn Residential Care Home DS0000011739.V272479.R01.S.doc Version 5.0 Page 23 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!