Inspection on 04/08/05 for Glebe Gardens

This inspection was carried out on 4th August 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Glebe Gardens 11/12/08

Glebe Gardens 14/02/07

Glebe Gardens 25/01/06

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, Berks RG7 3BH Lead Inspector Amanda Longman Unannounced 11.15 4th August 2005 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. GLEBE GARDENS H52-H01 S11146 Glebe Gardens V226496 040805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Glebe Gardens Address Reading Road Burghfield RG7 3BH 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) 0118 983 5467 Residential Community Care Limited Mrs Jennifer Carol Laing Learning Disabilities (LD) 4 Category(ies) of Learning Disability registration, with number of places GLEBE GARDENS H52-H01 S11146 Glebe Gardens V226496 040805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 17.02.05 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. GLEBE GARDENS H52-H01 S11146 Glebe Gardens V226496 040805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a very positive inspection. The home has a happy, homely atmosphere. It has good facilities and its close working relationship with the two other homes owned by the organisation benefits the people who live there. Individuals visit other homes in the group, forming friendships and sharing educational and social activities. Service users enjoy a good balance of educational and leisure activities supported by committed and caring staff. On the day of the inspection the inspector was able to spend a lot of time talking with service users and observing the interaction between staff and service users. The inspector talked in detail to two service users, the manager and one member of staff. All service user files were examined and sections of the staff files were reviewed. Policies and procedures were also reviewed. The inspection was cut slightly short as the service users went out to a jazz concert in the afternoon, accompanied by the manger and another staff member. What the service does well: What has improved since the last inspection? GLEBE GARDENS H52-H01 S11146 Glebe Gardens V226496 040805 Stage 4.doc Version 1.30 Page 6 The previous report made two requirements relating to NVQ training. The time limit for both of which does not expire until the end of the year. The home has made good progress towards meeting these, with the manager having nearly completed her NVQ level 4 in care and management, and an additional care worker having commenced their NVQ level 2. 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. GLEBE GARDENS H52-H01 S11146 Glebe Gardens V226496 040805 Stage 4.doc Version 1.30 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 GLEBE GARDENS H52-H01 S11146 Glebe Gardens V226496 040805 Stage 4.doc Version 1.30 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) 3 and 4 Prospective service users know that the home will meet their needs and aspirations. They have an opportunity to visit and “test drive” the home. EVIDENCE: Glebe Gardens has a satisfactory admissions policy in place. Service user files examined show that a full assessment is undertaken to ensure the home can meet identified needs. This includes all aspects of physical and social needs as well as preferences and daily routines. On the day of the inspection the home was being visited by a prospective new service user. The gentleman arrived with his existing key worker, was welcomed by the manager and spent time looking round the home and chatting and eating with the other service users. His care manager also came to review the home and assess, with the manager, service user and key worker, whether or not the home could meet his needs. GLEBE GARDENS H52-H01 S11146 Glebe Gardens V226496 040805 Stage 4.doc Version 1.30 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, 8, Service users know their assessed and changing needs and personal goals are reflected in their individual plan. They make decision about their lives, with assistance as necessary and are consulted on, and participate, in all aspects of life in the home. EVIDENCE: From the service user files examined it was evident that needs and goals are reflected in individual care plans. In depth conversations with two service users showed that they make decisions about their own lives in relation to the activities they pursue. They choose college courses and social activities, with appropriate assistance. One service user had recently started a new pottery course, had recently chosen his holiday destination and was looking forward to resuming his regular trips to the home games of his favourite football team, where he is a season ticket holder. Both service users and the member of staff spoken with were enthusiastic about the focus group meetings held in the home every Friday. These meetings discuss everything from the menus for the following, items related to the running of the home, to individual social plans. GLEBE GARDENS H52-H01 S11146 Glebe Gardens V226496 040805 Stage 4.doc Version 1.30 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) 13 Service users are part of the local community EVIDENCE: The manager and the staff member spoken with stated that the service users were part of the local community and this was borne out through the discussions with service users who spoke of the local shops, pubs and neighbours. GLEBE GARDENS H52-H01 S11146 Glebe Gardens V226496 040805 Stage 4.doc Version 1.30 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) 18 Service users receive personal support in the way they prefer and require. Privacy and dignity are well respected in the home. EVIDENCE: Personal support is offered to service users in the way they choose, which is detailed in their individual care plans. These were seen on service user files. This included their individual daily routines, signed by the service user which showed preferences for such things as times of getting up, dressed, breakfast, bedtime and night time routines. All service users have locks on their bedrooms and a key to the front door. GLEBE GARDENS H52-H01 S11146 Glebe Gardens V226496 040805 Stage 4.doc Version 1.30 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) none EVIDENCE: GLEBE GARDENS H52-H01 S11146 Glebe Gardens V226496 040805 Stage 4.doc Version 1.30 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, 27, 28 and 30 Service users live in a homely, comfortable and safe environment, which is clean and hygienic and suitable for its purpose. The toilets and bathrooms provide sufficient privacy and the shared spaces are satisfactory. EVIDENCE: Glebe Gardens is situated in a residential area with neighbours on both sides. A tour of the home revealed it to be safe, comfortable, homely and bright. The carpets have recently been cleaned. The communal spaces at Glebe Gardens consist of a kitchen, lounge and dining room. There is also a laundry/utility room. The furniture, fixtures, fittings and kitchen are all domestic in style. The home has a pleasant large garden, which includes a vegetable patch tended by some of the service users. On the day of the inspection lunch included beetroot from the home’s garden. On the day of the inspection the organisation’s handyman was present performing odd jobs as part of the on-going maintenance of the home. The home includes a bathroom and shower room on the first floor and a cloakroom on the ground floor. All were clean and suitable. The light pull cords GLEBE GARDENS H52-H01 S11146 Glebe Gardens V226496 040805 Stage 4.doc Version 1.30 Page 14 were seen to be slightly grubby. This was pointed out to the manager who stated they would be cleaned or replaced. The home was clean and free from odours. Service users undertake their own laundry with appropriate assistance. The laundry was clean and was in line with the required standards. GLEBE GARDENS H52-H01 S11146 Glebe Gardens V226496 040805 Stage 4.doc Version 1.30 Page 15 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) 32, 33, 34 and 36 Service users are supported by competent staff, some of whom are qualified, who form an effective team and are well supervised. Service users are also supported and protected by the home’s recruitment practices. EVIDENCE: The staff currently consist of the manager and four care staff. There is one vacancy for a care worker which is currently covered by regular agency workers who are known to both the staff and service users. This was confirmed by the manager. One of the care workers is already qualified to NVQ level 2 and one is working towards it. The manager is on target to complete her NVQ level 4 in care and management by the end of 2005. Both service users spoken with in detail spoke highly of the staff in terms of their level of care and competence. The care worker spoken with spoke of good support from the manager and colleagues, and felt they worked well as a team. The homes recruitment procedures were examined and two care worker files were examined to check these procedures had been followed. All was in order. However the application forms completed in both cases asked for employment history for the last five years only. On pointing this out to the manager, she telephoned the head office who changed the form there and then. The GLEBE GARDENS H52-H01 S11146 Glebe Gardens V226496 040805 Stage 4.doc Version 1.30 Page 16 supervision and appraisal procedures were examined and found to be satisfactory. One member of staff spoken with confirmed regular supervision with written feedback is received and this was further evidenced by the staff files. GLEBE GARDENS H52-H01 S11146 Glebe Gardens V226496 040805 Stage 4.doc Version 1.30 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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) 37 and 38 Service users benefit from a well run home. The management approach of the home is transparent and creates an open, positive and inclusive atmosphere. EVIDENCE: The previous inspection made a requirement that the manager complete NVQ level 4 in care and management. The manager’s appraisal from her recent meeting with her own manager was seen and showed that she is on target to complete her NVQ level 4 in care and management before the end of 2005. Conversations with service users and observation of life at Glebe Gardens on the day of inspection showed that service users feel engaged with the running of the home. They spoke enthusiastically about the staff and manager and also about of the relationship with the other two homes operated by Residential Community Care. GLEBE GARDENS H52-H01 S11146 Glebe Gardens V226496 040805 Stage 4.doc Version 1.30 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x 3 3 x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 3 3 x 3 Standard No 11 12 13 14 15 16 17 x x 3 x x x x Standard No 31 32 33 34 35 36 Score x 2 3 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 GLEBE GARDENS Score 3 x x x Standard No 37 38 39 40 41 42 43 Score 2 3 x x x x x H52-H01 S11146 Glebe Gardens V226496 040805 Stage 4.doc Version 1.30 Page 19 Yes 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 19 (5) (b) Regulation 32 Requirement The registered person must ensure that 50 of staff working at the home have NVQ level 2 or above in social care. This is a requirement from the previous inspection. The timescale for compliance has not yet elapsed. The manager of the home must have NVQ level 4 in management and care. This is a requirement from the previous inspection. The timescale for compliance has not yet elapsed. Timescale for action 31 December 2005 2. 19 (2) (i) 37 31 December 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 30 Good Practice Recommendations It is recommended that the state of cleanliness of the light pull cords in the bathroom, shower room and cloakrooms is monitored and that these pull cords are regularaly cleaned or relaced, as necessary. GLEBE GARDENS H52-H01 S11146 Glebe Gardens V226496 040805 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 2ns Floor 1015 Arlington Business Park Theale RG7 4SA 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 GLEBE GARDENS H52-H01 S11146 Glebe Gardens V226496 040805 Stage 4.doc Version 1.30 Page 21 - 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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