Inspection on 14/02/07 for Glebe Gardens

This inspection was carried out on 14th February 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 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

Glebe Gardens 11/12/08

Glebe Gardens 25/01/06

Glebe Gardens 04/08/05

Glebe Gardens 17/02/05

Glebe Gardens 12/08/04

Glebe Gardens 08/12/03

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

CARE HOME ADULTS 18-65 Glebe Gardens Reading Road Burghfield Reading Berkshire RG7 3BH Lead Inspector Ruth Lough Unannounced Inspection 14th February 2007 13:15 Glebe Gardens DS0000011146.V323927.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 Glebe Gardens DS0000011146.V323927.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. Glebe Gardens DS0000011146.V323927.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glebe Gardens Address Reading Road Burghfield Reading Berkshire RG7 3BH 0118 983 5476 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) Residential Community Care Limited Mrs Jennifer Carol Laing Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Glebe Gardens DS0000011146.V323927.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th January 2006 Brief Description of the Service: Glebe Gardens is a residential home, which provides people with a learning disability with accommodation and services in a communal setting. Our main aim is to live as safely, comfortably and as independently as possible and we hope that you will be very happy in the house and will come to regard it as your home. Glebe Gardens is a four bedroom detached house with four single bedrooms and a staff bedroom. All other rooms in the house are to be shared with the other residents. There is a large garden with a patio and garden furniture. (Extract from the service users guide) Glebe Gardens is one of three homes in the local area operated by Residential Community Care Limited. Information provided by the provider in regard to the current annual fee for a place in the home was £196,098.30 per annum. This is inclusive of day care activities and Psychology consultations. Service users are responsible for expenses of some activities, transport, personal possessions and clothing. Glebe Gardens DS0000011146.V323927.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection visit to the home to review the quality of the service and the outcomes for the people living there. This inspection process included information provided prior to the inspection by the home, consultation with service users and a one-day visit to the home. Records for care provision, employment and administration were also reviewed. Three of the four service users responded to questionnaires sent to them prior to the inspection process. What the service does well: 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. Glebe Gardens DS0000011146.V323927.R01.S.doc Version 5.2 Page 6 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 Glebe Gardens DS0000011146.V323927.R01.S.doc Version 5.2 Page 7 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): 2 and 3 Quality in this outcome area is good. The service users have a thorough assessment of their needs before a decision is made to admit them or they make their choice to live in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records for 2 service users were reviewed and information was taken from the service users questionnaires. Service users wrote in the questionnaires that they had been given information about the home before they moved in, one said “I had enough information about this home before I moved in. I was happy and satisfied about this home” The home has not admitted any new service users since 2005. There is a system in place for an assessment of service users needs that includes obtaining information from the service users, their relatives, other health and social care professionals and the referring social services. The home use various document tools to record the information obtained. These are personal profiles, health needs, behavioural needs, life style choices and risk assessments. Glebe Gardens DS0000011146.V323927.R01.S.doc Version 5.2 Page 8 The three service users who completed the survey confirmed that they had received a copy of their contract, one stated “The contract was explained to me after I had read through”. Copies of the contracts were reviewed and supported that service users are informed about the facilities and support that are included in the fee. They are also given information about the respective conditions of stay for both themselves and the home and where this could be terminated if not met. Changes in fees are provided as additional records to the terms of agreement with the service users. Glebe Gardens DS0000011146.V323927.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): 6,7,9 and 10 Quality in this outcome area is good. The service users care plans are detailed informative documents that give staff good instruction of how to support the service users and reduce any risks to themselves or others. They could improve the information and the recorded decision making for assessing service users ability to handle managing their personal spending money. These judgements have been made using available evidence including a visit to this service. EVIDENCE: The care plans and associated records were reviewed to identify that service users needs and choices of how they wish to be supported are met. Service users gave their opinion through the returned questionnaires and through discussion with the inspector on the day of the visit. Glebe Gardens DS0000011146.V323927.R01.S.doc Version 5.2 Page 10 Service users did say that they liked living in there and were helped to live by the staff in the home. One service user stated, “Staff give me the support and care I need. In fact they are always there to assist me in different things. I am happy with their support.” The service users’ care plans are detailed records that are generated from the assessment of need process and the subsequent reviews. They are consulted throughout the development of the care plans and their choices are recorded in their life style plans. They are also provided with a summary of their care plan in a format that is suitable to their understanding. The staff also supports them to record their consent to the plans. The care plans include detailed personal history and information from healthcare professionals. They also include risk assessments for personal safety, behaviour and daily routines. The risk assessments give staff good information of how to eliminate or reduce the risks to service users and themselves to achieve the intended activity. If required there are guidelines for staff interventions for de-scaling and redirection of aggressive, confrontational and possible self-harming behaviour of the service users. The manager informed the inspector that nearly all of the service users manage their own personal spending money with some assistance from staff, periodically. This was not reflected in depth in the service user plans reviewed or how that it was established that they were able to do this safely. It was recommended that they developed this information and the assessment process and recorded appropriately in the service users care plans. Service users are provided with lockable boxes in their rooms to keep their valuables in should they wish. Service users’ personal information is kept securely and in accordance to the homes confidentiality policy. Glebe Gardens DS0000011146.V323927.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 and 17 Quality in this outcome area is good. Service users are encouraged and assisted to develop independence and new skills. They are also supported to continue and make new relationships. Service users are provided with a healthy diet and are given help with learning skills to provide meals for themselves. These judgements have been made using available evidence including a visit to this service. EVIDENCE: Service users’ records showed that they are consulted about what they would like to do, their interests and what skills they would like to develop. This is through the assessment processes, personal support from the day centres they attend and any psychologists or psychiatrists that are responsible for providing treatment to meet their needs. Glebe Gardens DS0000011146.V323927.R01.S.doc Version 5.2 Page 12 The service users’ likes and dislikes are recorded and their Essential Lifestyle plans are all reviewed regularly and updated as and when the service users choices or needs change. The service users all attend a day centre that is provided by the provider where they can meet the other service users that live in the other 2 homes in the group. The day centre is able to offer educational opportunities such as developing their reading, writing and numeric skills. Service users have also had the opportunity to attend external general public establishments for further education, but none currently choose to do this. They also are able to take part in joint social and personal development activities with other people with similar interests. Service users have individual activities programmes that include accessing facilities in the local community such as bowling, eating out, car boot sales and shopping. Further activities they are supported with are trips out, visiting relatives and continuing with their hobbies. The service users and staff went to London recently and visited Madame Tussaud’s, which they enjoyed. One service user told the inspector that he was very happy about the holiday they and the staff went on during the summer last year. The service users were supported to stay in caravans by the coast and visited local places of interest. They also went to the beach and he was able to use his binoculars for bird watching. Another wrote about the activities provided, “There are so many activities arranged by this home. We sit down and talk about what we want to do and we make timetables as a team.” One service user wrote that there were usually activities that he could take part in. The service users have put photos of some of the activities and events they have taken part in on display on the notice board in the hallway of the home. Service users are supported to continue with their relationships with their families where they are able. They are also supported by staff to build new relationships with new friends and are provided with the appropriate information and guidance to protect them and the other people involved. The staff record the interventions that have put in place for the service users to be able to continue and develop these relationships. The staff seek additional specialist professional assistance and advice when necessary. Service users have a daily routine plan that they draw up with staff. This forms an agreement to developing independence and the service users learning to take responsibility for themselves, whilst recording their personal choices of how they wish to live. The service users are encouraged to learn skills for housekeeping tasks. These include cleaning their rooms, preparation and cooking of meals and their laundry. The home has a gardener who visits all three of the provider’s establishments, weekly. He works alongside and supports service users as a group activity to maintain and develop the gardens. The service users last year had a vegetable plot at the bottom of the garden. Glebe Gardens DS0000011146.V323927.R01.S.doc Version 5.2 Page 13 The service users have jointly adopted a stray cat that they all care for, ensure that he is fed and visits the vet when necessary. Service users gave comments about the meals they have in the home. Two wrote that they liked the meals and one said that he sometimes liked the meals. One stated that they all take part in the preparation of meals and that he liked the idea of going to eat out once in a while. One wrote, “ Would like better improved meals.” The service users are involved with the meals and menu planning with advice and support from staff. The weekly meal plan is decided at the mid week ‘Focus’ meeting in preparation for food shopping before the weekend. The staff give guidance to the planned meals to ensure that they are balanced and meets the cultural and personal choices of all the service users. Staff also take into consideration when planning that all service users have equal opportunity to develop their skills for meal preparation. Some of the service users said they enjoyed cooking and that they were able to cook a meal for everybody on their own. This was supported in service users care plans that minimal help and guidance was needed from the staff for some meals. Service users eat together and mealtimes are flexible to changes in the activities and events that occur in the home. Service users are able to make drinks and snacks when they wish. However, guidance and support is given by staff to ensure that their health and wellbeing is not compromised. Glebe Gardens DS0000011146.V323927.R01.S.doc Version 5.2 Page 14 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 and 20 Quality in this outcome area is good. The service users are provided with the personal and social care support they need and assisted to access specialist healthcare when required. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service users are aged between 27 and 56 years old, fairly active and do not required much assistance with personal care. The care plans have information about the support they do require which is around guidance and prompting to ensure they look after themselves well. The staff spend time with them to record service users choices for their daily routines and amend these as and when changes occur. Each service user has a ‘key worker’ who is responsible for this and the development and review of the care plans. The home identifies and records service users health care needs in their care plans. They monitor service users weight regularly and record service users body measurements periodically. The service users are supported to seek support and consultation with their local doctor, surgery nurse and other healthcare professionals. Glebe Gardens DS0000011146.V323927.R01.S.doc Version 5.2 Page 15 This includes an annual health check with their doctor at the local surgery and the outcomes of these visits are recorded in the care plans. Dental, opticians and audiologists are accessed regularly. Service users expressed during the visit, that they felt that staff gave them support to see their doctor and the nurse when they were unwell or worried. One service user wrote, “ I receive the medical support I need,” another “Not sure.” The manager and staff have identified that one service user’s health care needs have changed during the last year and have implemented suitable actions to meet these. They have supported him through two surgical procedures and accessing treatment from the local surgery. The manager informed the inspector that they are reviewing the processes in place for the monitoring of service users health and are looking at developing recording tools for these. The care staff has the responsibility for the administration of service users’ medication. None of the current service users living in the home are able to do this. The staff are provided with training for safe medication administration when they commence employment in the home. The medications are supplied by a local pharmacy in a Monitored Dosage System. The manager takes the responsibility of checking the movement of medication in and out of the home and that staff had administered and recorded them appropriately. Staff are provided with supporting information about the possible effects and adverse reactions for the medications that service users receive. One service users medication has changed recently, but this has not been recorded in their care plan, although the administration records do reflect this. Service users’ consent to their medication is recorded in their care plan. The home has suitable recorded policies and procedures for the safe administration of medication. The staff have sought and recorded service wishes with their care after their death. They have discussed this in depth and have noted service users preferences, religious needs and opinions accordingly. Service users and staff have mutually supported each other through a sudden bereavement of a staff member last year. Glebe Gardens DS0000011146.V323927.R01.S.doc Version 5.2 Page 16 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 and 23 Quality in this outcome area is good. Service users know that their concerns and complaints will be listened to and acted upon by staff. The policies, procedures and training provided to staff ensure that service users are protected from possible abuse. These judgements have been made using available evidence including a visit to this service. EVIDENCE: Service users gave comments in the questionnaire and during the inspection visit that they knew who to speak to if they were unhappy or wanted to complain. They did say that they could talk to staff and that they were listened to. The home provides the complaints procedure, written in the appropriate format for the individual in the Service User Guide and in the house folder that is available for service user to look at. The home has received one formal complaint, which was partially substantiated, since the last inspection. The records were reviewed and provided evidence that the manager carried out the investigation and implemented actions appropriately. The commission has not been in receipt of any concerns or complaints about the service in the period between inspection processes. The staff confirmed in discussion that they had training and information about the protection of vulnerable adults. They are provided with policies and procedures that include ‘whistle blowing’ and the local interagency protocols for protection. Glebe Gardens DS0000011146.V323927.R01.S.doc Version 5.2 Page 17 Service users care plans have strategies in place to deal with aggression and inappropriate behaviour of the individual. There have been no allegations or incidents of abuse that have occurred in the home since the last inspection process. Glebe Gardens DS0000011146.V323927.R01.S.doc Version 5.2 Page 18 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 and 30 Quality in this outcome area is good. The home is suitable for service users needs, regularly maintained and kept clean and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service users told the inspector that they liked living in the home and that they liked their bedrooms. One service user wrote that the home is usually fresh and clean and “ Need more flowers, ornaments and pictures.” Another wrote, “ We all have tasks that we do to make sure the home is clean.” The building is a moderate sized four-bedroom family home that was not built for purpose and has been converted to provide the current accommodation. It is situated off the main road and not far from the village centre. They use a shared driveway with their neighbour and have parking at the front for at least four vehicles. Glebe Gardens DS0000011146.V323927.R01.S.doc Version 5.2 Page 19 The service users’ four bedrooms are situated upstairs and they share the use of a shower room and a bathroom. All bedrooms have hand washbasins. Staff have the use of a ‘sleep in’ room that is accessed off the office on the ground floor. The ground floor accommodation has a lounge, dining room and kitchen that is suitable in size for the four service users living there. There is a separate laundry area and a downstairs toilet. The rear garden is accessible through the kitchen and dining room. The garden is laid mainly to lawn with a gentle slope down with a vegetable patch and shed at the bottom. There is a patio area close to the house with seating where they can sit and enjoy their garden and the countryside that can be seen from the back of the house. The home is furnished with furniture and fittings that is both practical and homely. The service users have been supported to personalise their rooms with the furnishings and décor that they like. The home has not required any major adaptations or specialist equipment to meet their needs; the exception is a handrail in the shower room to give one service user extra confidence when using the shower. The home has a routine programme for maintenance and renewal for the fabric and decoration of the home that is supported by a maintenance man who works across the three homes. The home appears to be kept clean and hygienic. The service users are encouraged to take part in keeping it clean and tidy with designated times for them all to work as a team to carry out the tasks to achieve this. The laundry is accessible to service users as they are supported to wash and take care of their clothing and bed linen. The area is kept clean and tidy and provides one domestic washer and two dryers for this purpose. The staff have ensured that there is liquid soap and paper towels in bathrooms, toilets and areas where staff and service users need to wash their hands. Glebe Gardens DS0000011146.V323927.R01.S.doc Version 5.2 Page 20 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): 32,33,34 and 35 Quality in this outcome area is good. Service users are protected by the recruitment practices and the training provided to staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service users were complimentary about the staff that support them. The staff team currently consists of three full-time and one part-time employees and addition support is obtained from the other homes in the group. The service users usually know the replacement staff member as they take part in many joint activities across the homes. The rota indicates that there is usually two staff plus the manager on duty during the daytime in the week, two in the evenings and weekends and one staff member that has a sleeping duty at night. There is always a duty manager on call for all three homes. The current rota document does not indicate staffs full name, the time of the shifts or who is in charge of the home. This is recorded in the other records kept in conjunction with the rota. Glebe Gardens DS0000011146.V323927.R01.S.doc Version 5.2 Page 21 The manager informed the inspector that a new male member of staff is to commence soon that should compliment the all female staff team. The recruitment records of the two most recently employed staff were reviewed. The home ensures that the applicants complete their application form with the required information that includes their full work history, health declaration and personal information. The applicant’s enhanced criminal record bureau check, two written references and proof of identity are obtained before they commence in the home. One employee had not supplied an up to date recent photograph and the manager had already put actions in place to rectify this. The manager records and has auditing tools in place for the recruitment process to ensure that the necessary information is obtained. The interview process is recorded and explores the gaps and full work history of the applicant. New employees are subject to a probationary period before they receive a permanent contract of employment. The staff’s training and qualifications are recorded in their employment records and copies of the training certificates are obtained. The manager provided information that 50 of the staff team had obtained an NVQ 2 or above and that all hold a current first aid certificate. The new staff are all provided with an induction programme that includes the mandatory health and safety training and instruction for medication administration. They also receive information and training about the key needs of service users with a learning disability and how to implement non-violent interventions should it be necessary. There is a training plan that is provided to all three establishments that the provider is responsible for and the manager is able to access training if required, externally. Training that staff have received since the last inspection process has included NVQ 2 and refreshers for protection of vulnerable adults, fire safety, non-crisis intervention and food hygiene. Training planned over the next year for staff has topics that are pertinent to the needs the service users currently living in the home. These will include learning disability overview, autistic spectrum disorders, equal opportunities/values and attitudes and personality disorders. Glebe Gardens DS0000011146.V323927.R01.S.doc Version 5.2 Page 22 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 and 42 Quality in this outcome area is good. The home is managed well and continually monitors the quality of the service it provides. The homes safe working practices protects the service users and staff. These judgements have been made using available evidence including a visit to this service. EVIDENCE: The manager is a skilled and experience person who has been the registered manager for the home since February 2005. She has obtained her Registered Managers Award and an NVQ 4 and has attended refresher training for the mandatory health and safety training and protection of vulnerable adults during the last year. She has also has a planned programme of training for management development booked to attend in the next few months. Glebe Gardens DS0000011146.V323927.R01.S.doc Version 5.2 Page 23 Staff and service users did comment that the manager was very approachable and would always listen to what they said. The home has several methods of seeking service users, staff and others opinion of the services they provide. This is done through an annual survey to service users, families and others such as doctors, health and social care professionals and people that have contact with the home. They have weekly meetings with service users called a ‘ Focus’ meeting where service users are asked to comment and contribute to the development and activities planning of the home. Service users also have the opportunity to do this in their reviews of their care. The staff receive regular supervision and meetings and have the opportunity of attending joint meetings with the other homes in the group. Together these assist the manager to monitor the service. The manager also has auditing systems in place for the care for the service users through checks in care planning and record keeping. The manager routinely reviews the medication administration, safety checks and service users finances. The home has the necessary systems for safe working practices. There is a rolling programme of training and information provided to staff for the key topics for health and safety. Staff are also provided with the required policies and procedures in their induction process. Safety notices are on display in the key areas such as the laundry and kitchen. They have information and safe storage for hazardous substances with risk assessments both for general activities and specific for the individual service user. There is a routine maintenance programme for the gas, electrical and water systems and external providers are purchased for this purpose. Service users and staff are involved with the routine fire safety training and testing procedures. Glebe Gardens DS0000011146.V323927.R01.S.doc Version 5.2 Page 24 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 3 3 3 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 3 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 3 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 Glebe Gardens DS0000011146.V323927.R01.S.doc Version 5.2 Page 25 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 Refer to Standard YA7 Good Practice Recommendations That they review and develop the information and assessment of service users ability to manage their personal spending money. Glebe Gardens DS0000011146.V323927.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 Glebe Gardens DS0000011146.V323927.R01.S.doc Version 5.2 Page 27 - 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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