Inspection on 25/08/05 for 49 Glendale

This inspection was carried out on 25th 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 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

49 Glendale 24/05/07

49 Glendale 24/01/06

49 Glendale 23/03/05

49 Glendale 26/08/04

49 Glendale 27/02/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME ADULTS 18-65 49 Glendale 49 Glendale Swanley Kent BR8 8TP Lead Inspector Jo Griffiths Announced 25th August 2005 09:30 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. 49 Glendale H56-H06 S23789 49 Glendale V234264 250805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 49 Glendale Address 49 Glendale Swanley Kent BR8 8TP 01322 614349 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) Mr David Curling Mrs Anne-Marie Curling CRH Care Home 2 Category(ies) of MD Mental Disorder registration, with number of places 49 Glendale H56-H06 S23789 49 Glendale V234264 250805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23/03/05 Brief Description of the Service: The property is detached and situated in a quiet road on the outskirts of Swanley town centre, where there is a range of shops, a weekly market, a sports complex and other amenities. The proprietors provide care in their own home for two female service users who have mental health difficulties. No other member of staff are employed except for when the proprietors have their annual holiday. 49 Glendale H56-H06 S23789 49 Glendale V234264 250805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced. For the purpose of this report the people living at 49 Glendale are referred to as the residents of the home. Mrs Curling was present and gave feedback on the progress made since the last inspection. Comment cards were received from relatives, residents and care managers. Both residents were offered the opportunity to speak with the inspector, but both stated they had no issues of concern. One resident was away on holiday with family and the other lady was going about her daily activities. 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. 49 Glendale H56-H06 S23789 49 Glendale V234264 250805 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 49 Glendale H56-H06 S23789 49 Glendale V234264 250805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 3, 5 Residents are provided with the information they need about the home. They have a signed agreement with the home and feel confident that their needs are being fully met. EVIDENCE: Each resident has been issued with a copy of the “Service User Guide” to the home. This gives information about the terms and conditions of the home and the residents have signed a separate terms and conditions document. It was evident through feedback from the residents, their relatives and care managers that the needs of the people living at 49 Glendale are being met. 49 Glendale H56-H06 S23789 49 Glendale V234264 250805 Stage 4.doc Version 1.30 Page 8 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, 10 Residents have a plan of care that meets their needs. They are supported to take appropriate risks and feel their decisions are respected. Residents information is stored confidentially. EVIDENCE: Both residents have a care plan drawn up by themselves and their care manager. Mrs Curling is also involved in the aspects of this that require support within the home, however, the residents can choose how much personal information they wish to share. Mrs Curling demonstrated a strong commitment to respecting the right to privacy for the residents and has made arrangements for all personal documents to be stored within a locked cabinet at the home. Risk assessments are included as part of the care plan and the plans are reviewed every 3 months. The residents are supported to make decisions about all aspects of their lives and it was evident that this is the core value of the home, as such this standard has been assessed as “commendable”. 49 Glendale H56-H06 S23789 49 Glendale V234264 250805 Stage 4.doc Version 1.30 Page 9 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) 11, 12, 13, 14, 15, 17 Residents take part in activities that meet their needs and interests. They have plenty of opportunities to use the local community and enjoy leisure activities. Residents are provided with a varied and balanced diet. EVIDENCE: Residents choose and arrange their own activities based on their interests and needs. This includes voluntary work, support groups and exercising. In their spare time the residents enjoy relaxing at home, shopping or seeing family and friends. Both residents have TV and music in their room and there is now a 2nd lounge area they can use if they wish to receive visitors or have some space alone. Both residents use public transport to get to their activities and use the local town for their shopping needs. Residents choose on a daily basis what they wish to eat and nutritional guidance has been sought where needed. Records of meals provided are kept. 49 Glendale H56-H06 S23789 49 Glendale V234264 250805 Stage 4.doc Version 1.30 Page 10 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, 19, 20 Residents’ physical and emotional health needs are met. They are able to manage their own personal care and are protected by safe procedures for storing and administering their medication. EVIDENCE: The residents do not require any support with their personal care and their privacy in this area is respected. They are supported by various health and social care professionals to meet their emotional and physical needs. Records indicate that the level of support provided by the Maudsley hospital and the local mental health team is very good. Both ladies are registered with a GP of their choice. Records are kept of any involvement by health professionals. Residents medication is stored securely and administered by Mrs Curling and records of all medication administered are kept. It is recommended that Mrs Curling attend a competence based medication training course. 49 Glendale H56-H06 S23789 49 Glendale V234264 250805 Stage 4.doc Version 1.30 Page 11 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 Residents know how to make a complaint and feel their views are listened to. They are protected as far as possible from abuse. EVIDENCE: The home has a complaints procedure and a complaints log. Both residents and their relatives know how to make a complaint if needed. There have been no complaints made about this home. It is recommended that the complaints procedure be amended to inform the reader that they are entitled to contact CSCI at any time with their concerns. Mrs Curling has developed a policy on the protection of vulnerable adults and has obtained a copy of the Kent and Medway multi agency adult protection policy. Mrs Curling has covered Adult protection as part of her NVQ4 award. 49 Glendale H56-H06 S23789 49 Glendale V234264 250805 Stage 4.doc Version 1.30 Page 12 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, 25, 26, 27, 28, 30 Residents live in a comfortable, clean and homely environment. Their bedrooms meet their needs and they have access to plenty of bathrooms and communal space. EVIDENCE: The property is a 3 bedroom family home in a quiet cul de sac. Each resident has their own bedroom and although one bedroom is below the recommended size the resident has said that it meets their needs. There is a bathroom with bath, shower and toilet and an additional downstairs toilet. Residents have access to 2 lounges, a conservatory/ dining room and a large kitchen/ diner. The garden is well maintained and has recently been fitted with a decked area. The home is clean and hygienic and decorated to a high standard. 49 Glendale H56-H06 S23789 49 Glendale V234264 250805 Stage 4.doc Version 1.30 Page 13 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, 34 Residents receive the support they need to ensure their needs are met. They are protected by safe recruitment procedures. EVIDENCE: The home does not employ any staff except to cover when the Manager is on holiday. A family friend is used in this instance and a CRB disclosure and references have been obtained. The residents receive the support they need from Mrs Curling. All members of the family living at the home have received a CRB disclosure. 49 Glendale H56-H06 S23789 49 Glendale V234264 250805 Stage 4.doc Version 1.30 Page 14 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, 38, 39, 40, 41, 42 Residents benefit from a well run home. The manager is competent to provide the care needed by the residents and ensures their safety and well being. EVIDENCE: The Manager of the home is well organised and ensures the home is managed effectively. She is working to complete the NVQ4 in care by December 2005, has attended first aid and food hygiene courses since the last inspection and is looking to attend an awareness session in Mental Health. It is recommended that training in Medication be undertaken. The residents feel they are able to talk to the Manager and their views will be listened to. Since the last inspection a procedure for obtaining the views of the residents on an annual basis has been developed. The Manager has developed further policies for the home to ensure the safety of the resident and all policies have been updated annually. Residents records are kept up to date and stored securely. Fire safety equipment has been serviced and wiring and gas checks have been made. 49 Glendale H56-H06 S23789 49 Glendale V234264 250805 Stage 4.doc Version 1.30 Page 15 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 3 x 3 Standard No 22 23 ENVIRONMENT Score 2 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 4 x 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 N/A 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 x 3 Standard No 31 32 33 34 35 36 Score x 3 x 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 49 Glendale Score N/A 3 2 x Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 3 3 x H56-H06 S23789 49 Glendale V234264 250805 Stage 4.doc Version 1.30 Page 16 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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. 2. 3. Refer to Standard YA20 YA22 YA37 Good Practice Recommendations It is recommended that the Manager undertake competence based training in medication. It is recommended that the complaints procedure be amended to advise the reader that they can contact CSCI at any time. It is recommended that the manager complete the NVQ4 in care by December 2005. 49 Glendale H56-H06 S23789 49 Glendale V234264 250805 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection The Oast, Hermitage Court Hermitage Lane Maidstone Kent, ME16 9NT 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 49 Glendale H56-H06 S23789 49 Glendale V234264 250805 Stage 4.doc Version 1.30 Page 18 - 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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