Inspection on 27/02/06 for Fair Glen, Gate House & Maurice House

This inspection was carried out on 27th February 2006.

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

Fair Glen, Gate House & Maurice... 18/12/07

Fair Glen, Gate House & Maurice... 11/01/07

Fair Glen, Gate House & Maurice... 06/10/05

Fair Glen, Gate House & Maurice... 31/10/04

Fair Glen, Gate House & Maurice... 06/07/04

Fair Glen, Gate House & Maurice... 02/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Fair Glen & Gate House Lancaster Gardens Whitleigh Plymouth Devon PL5 4AB Lead Inspector Sheila Giblin Unannounced Inspection 27th Feb 2006 11:15 Fair Glen & Gate House DS0000036285.V270387.R01.S.doc Version 5.1 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 Fair Glen & Gate House DS0000036285.V270387.R01.S.doc Version 5.1 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. Fair Glen & Gate House DS0000036285.V270387.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Fair Glen & Gate House Address Lancaster Gardens Whitleigh Plymouth Devon PL5 4AB 01752 770358 01752 770358 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) Gyaneshwar Purgaus Santee Sawock Purgaus Gyaneshwar Purgaus Care Home 22 Category(ies) of Learning disability (22) registration, with number of places Fair Glen & Gate House DS0000036285.V270387.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Age 18 - 65 The home may accommodate two service users named elsewhere who have mental health needs 6th October 2005 Date of last inspection Brief Description of the Service: Fair Glen/The Gate House is a care home providing personal care and accommodation for seventeen people aged 18 - 65, with learning disabilities. Mr and Mrs Purgaus privately own the home. This home is located in the residential area of Whitleigh, close to shops, pubs, the post office and other amenities. The home is at the end of an un-adopted road, close to a housing estate, and overlooking the local playing fields. The home was opened in 1987 and is comprised of two detached two-storey houses. Fair Glen has twelve bedrooms and The Gate House has five bedrooms. All the homes bedrooms are single and none of them have en suite facilities. Both of the houses have separate lounge and dining rooms and Fair Glen has a conservatory off the dining room. The home has large grounds; a patio and all areas are accessible to the Residents. The owners have now extended the property and included another house next to the existing properties and have called this Maurice House. At present this property has one resident. The home is staffed 24 hours a day with sleep in staff in each house at night. Fair Glen & Gate House DS0000036285.V270387.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place on Monday 27th Feb 2006. There were 17 residents living in the home and 8 were at home during the inspection. The inspector toured the houses, spoke to residents and staff and discussed the management of the home with Mr Purgaus, the owner. Records were sampled. The focus of this inspection was to talk to residents and hear their views about the quality of the services being provided. The inspector suggests that this report is read in conjunction with the previous one written following the announced inspection of 6th October 2005 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. Fair Glen & Gate House DS0000036285.V270387.R01.S.doc Version 5.1 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 Fair Glen & Gate House DS0000036285.V270387.R01.S.doc Version 5.1 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 the following standard(s): 3 Prospective residents can be confident that the home will be able to meet their assessed needs. EVIDENCE: Fair Glen is located near shops and amenities in Whitleigh. An important part of enabling residents’ independence has been to encourage them to use the local facilities either with support or independently. Led by the Registered Manager, staff have the experience and attitudes to work sensitively with residents according to their assessed care needs. Evidence of this was seen during the inspection. Fair Glen & Gate House DS0000036285.V270387.R01.S.doc Version 5.1 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 the following standard(s): 10 Residents can be confident that the information about them that is held by the home is handled and stored in a confidential secure system. EVIDENCE: Residents’ personal files are held securely in the office. Residents have access to their own files if they wish. Privacy is respected and anyone who wishes to speak to a member of staff in confidence does so behind a closed door. Evidence of this was seen during the inspection. Meetings and reviews, which take place in the home, are held in the dining room with the door closed. Residents said they were treated with respect and that they felt happy about talking to staff about personal and private matters. Fair Glen & Gate House DS0000036285.V270387.R01.S.doc Version 5.1 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 the following standard(s): 11, 13, 14, 15 Residents can be confident that they will have access to a variety of activities and the encouragement of staff to develop an independent lifestyle. EVIDENCE: Residents were seen relaxing at home, listening to music, using a laptop, reading, art work and drawing, making drinks for themselves, doing their washing and going out and about to the local shops. Residents said they were very happy and comfortable in the home and felt well supported by the staff team. Mr Purgaus has encouraged residents to be independent and to take some responsibility for keeping their rooms tidy and doing their own laundry. Evidence of this was seen during the inspection. Residents were quite happy to be contributing to the domestic arrangements in the home. Fair Glen is located close to the shops and the bus route to town. Residents go out for coffee and shopping. Some residents have lived in the home for many years. Many of them have formed close friendships and personal relationships. Some spoke of their longterm aspirations and their hopes for the future. Residents’ family and friends are welcome to visit and residents said they go out to see them occasionally. Fair Glen & Gate House DS0000036285.V270387.R01.S.doc Version 5.1 Page 10 A week’s holiday has been planned for all the residents in May 2006. Mr Purgaus pays for the holiday, food and staff support. Residents contribute to transport costs and have their own spending money. Fair Glen & Gate House DS0000036285.V270387.R01.S.doc Version 5.1 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 the following standard(s): 18, 19, 21 Residents are supported in a way they prefer to ensure their physical and emotional needs are met. EVIDENCE: Residents said they were satisfied with the level of support and care they receive from staff. Some residents have few physical care needs as recorded in their care plans but are encouraged and prompted by staff to care for themselves including personal hygiene and grooming. Residents said they were able to talk to the staff if they had a worry or felt upset about anything. Evidence of this was seen during the inspection when staff listened patiently to a resident’s concerns. There have been no deaths in the home since Mr Purgaus bought the home three years ago. However, residents have suffered family bereavements and Mr Purgaus has provided appropriate grief counselling and support as and when it has been needed. Fair Glen & Gate House DS0000036285.V270387.R01.S.doc Version 5.1 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 the following standard(s): 22, 23 Residents can be confident that their concerns and complaints will be listened to, taken seriously and acted upon. EVIDENCE: None of the residents seen during the inspection had any complaints about the home or the services being provided. No complaints have been received by the CSCI since the previous inspection. Mr Purgaus and the senior carer both attended Adult Protection training on January 25th 2006 to ensure they fully understand the issues of abuse and the Protection of Vulnerable Adults. They will be passing on the information and learning from the course to the staff working in the home. The home also uses the TOPPS Videos for staff training. Fair Glen & Gate House DS0000036285.V270387.R01.S.doc Version 5.1 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 the following standard(s): 24, 25, 27, 28, 30 Residents live in a well maintained home that is warm, safe and comfortable. EVIDENCE: Fair Glen is located close to all amenities in the Whitleigh Green shopping area. It is close to the bus route into Plymouth City Centre. The home is laid out in three houses all self contained and with their own facilities for independence. The bedrooms and sitting rooms provide spacious attractive living areas that were warm and comfortable. The handyman employed by the home is on hand to make minor repairs as needed. Residents have their own keys to their rooms. All the rooms are single and there were personal possessions, pictures and ornaments on display. The latest extension to Fair Glen and Gate House is a modern detached building named Maurice House, which provides a high standard of contemporary accommodation for five people, designed for ease of access, comfort and convenience. The bedrooms in Maurice House are en suite. At the time of this inspection one resident was living in the new house. The occupied bedroom had been personalised and was furnished with the resident’s own and the home’s new furniture. Bathrooms in Fair Glen are to be refurbished and shower cubicles added to the facilities. Mr Purgaus is planning to upgrade the conservatory attached to the dining room, which will add to the spacious accommodation already provided. Each house has a large sitting room, a dining room and a kitchen. The spacious Fair Glen & Gate House DS0000036285.V270387.R01.S.doc Version 5.1 Page 14 hallway in Fair Glen acts as a reception area where visitors are invited to sign the visitors’ book on arrival and departure. Throughout all three houses, there were high standards of cleanliness. The home was free from offensive odours and the bathrooms and toilets were clean and hygienic. Fair Glen & Gate House DS0000036285.V270387.R01.S.doc Version 5.1 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 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): 34, 36 Staff are well supported and supervised to provide services to the residents with confidence. EVIDENCE: One staff member had joined the team since the previous inspection. The personal file showed that the home’s recruitment processes have been well used. There were two references, an application form, a CRB disclosure, proof of identity and a health questionnaire seen on file. Mr Purgaus provides staff supervision for all eleven staff at least six times each year. These have been recorded and include training needs assessments and appraisals. Fair Glen & Gate House DS0000036285.V270387.R01.S.doc Version 5.1 Page 16 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, 38, Residents living in Fair Glen benefit by a well organised home that is managed with their best interests at heart. EVIDENCE: The Registered Manager is Mr Purgaus, the owner. He holds the Registered Manager’s Award and NVQ4 in Care Management. He manages the home supported by a senior carer. The records and offices are well organised and confidential information is securely stored. Residents spoke very positively about the Manager and were confident about stating their views and commenting on the lifestyle in the home. The management approach to running Fair Glen is a relaxed style that consults with staff and residents in meetings about changes and plans. The atmosphere in the home was lively and positive. Residents pleased themselves about what they wanted to do and some joined in with the inspection process offering comments and opinions. Fair Glen & Gate House DS0000036285.V270387.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 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 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X 3 LIFESTYLES Standard No Score 11 3 12 X 13 3 14 3 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X 3 3 3 X X X X X Fair Glen & Gate House DS0000036285.V270387.R01.S.doc Version 5.1 Page 18 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Fair Glen & Gate House DS0000036285.V270387.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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. 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