Inspection on 06/10/05 for Fair Glen, Gate House & Maurice House

This inspection was carried out on 6th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

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

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

Fair Glen, Gate House & Maurice... 27/02/06

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

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

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

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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 Kim Fowler Announced 6th October 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. Fair Glen & Gate House D52-D07 S36285 Fair Glen Gate House V241941 061005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Fair Glen & Gate House Address Lancaster Gardens, Whitleigh, Plymouth, Devon, PL5 4AB 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) 01752 770358 01822 612427 purgaus@freenet.co.uk 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 D52-D07 S36285 Fair Glen Gate House V241941 061005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1) Age 18 - 65 2) The home may accommodate two service users named elsewhere who have mental health needs Date of last inspection 31/10/04 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 home’s 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 exsiting properties and have called this Maurice house. At present this property is vacant. The home is staffed 24 hours a day with sleep in staff in each house at night. Fair Glen & Gate House D52-D07 S36285 Fair Glen Gate House V241941 061005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 4 hours and was a planned Announced Inspection. A full tour of the building took place as well as staff and care records were looked at. 13 of the 16 service users were spoken with during the inspection and 1 staff member, one relative as well as the Registered Provider. The CSCI received 4 Service users Feedback cards and 1 relative/visitor feedback card. What the service does well: What has improved since the last inspection? What they could do better: The inspector has recommended that the Registered Provider and the Senior Carer attend the Devon Adult Protection training for the protection of the service users in the home. Fair Glen & Gate House D52-D07 S36285 Fair Glen Gate House V241941 061005 Stage 4.doc Version 1.40 Page 6 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 D52-D07 S36285 Fair Glen Gate House V241941 061005 Stage 4.doc Version 1.40 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 Fair Glen & Gate House D52-D07 S36285 Fair Glen Gate House V241941 061005 Stage 4.doc Version 1.40 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) 1/2/4/5 Prospective service users are able to use the homes Statement of Purpose to influence their choice of care home and they can be confident that Fair Glen can meet their needs. EVIDENCE: The homes Statement of Purpose was seen and read as evidence and included some updating to include Maurice House, the new extension to the current property. A care plan for the most recent service user who moved in was read and was comprehensive in detail. The owner informed the inspector that this service user came for a trial visit before moving in and the inspector spoke to the service user who confirmed these visits. The owner also confirmed that the care manager involved with this service user came to support them during some of the trial visits. Case tracking provided evidence on one service user file that they had a contract which contained the terms and condition of occupancy. Fair Glen & Gate House D52-D07 S36285 Fair Glen Gate House V241941 061005 Stage 4.doc Version 1.40 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) 6/7/8/9 The service users in this home can be assured that the staff will treat them with respect and encourage them to make decisions about their own lives. EVIDENCE: A requirement from the previous full inspection stated that the home must provide staff with clear and timely guidance as to how to manage behaviours they encounter and be risk assessed. The service user who this related to has now been moved to another home but the owner discussed with the inspector the need for future service users needs and to be prepared for this. Case tracking provided evidence on one care plan that had been completed with input from the service user and had also been signed by the service user concerned. The service users spoken with and the homeowner confirmed that service users are encouraged to take responsibility for their own lives. The owner is not appointee to any service users but service users confirmed that the home does help them with their finances. Individual cash records were read and checked and were correct at this inspection. Service users records seen also showed that all DLA and Personal allowance was paid into individual bank accounts. Fair Glen & Gate House D52-D07 S36285 Fair Glen Gate House V241941 061005 Stage 4.doc Version 1.40 Page 10 Service users meeting minutes were read during this inspection and these included agendas, feedback and any action taken or planned from issues raised by the meeting. Evidence was seen of risk assessments in place and service users confirmed that they are able to take risks but staff discuss with them when they go out the risks to look out for. Many service users go out by themselves and risk assessments are in place. Fair Glen & Gate House D52-D07 S36285 Fair Glen Gate House V241941 061005 Stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12/13/15/16/17 Service users can be confident that the home will provide support for them to access the local community and many leisure activities. EVIDENCE: Case tracking on service users care plans showed evidence that the service user attend a wide range of day care. The service users spoken with confirmed that they attend a varied and wide range of day care activities. Some service users who do not have full time day care go out regularly to local shops. The service users spoken with during this inspection, and confirmed by the owner, that they access a wide range of community facilities including local shops, pubs and other amenities. Many service users go out independently and use local transport and some of the service users spoken with had either been out already or were coming back from trips to local shops. The home has its own transport to take people out when needed. Several service users confirmed that they have family who visit regularly and one service user stated that she visits her boyfriend who lives in another home. Service users also informed the inspector that they felt that their privacy and dignity were maintained and the home quality assurance Fair Glen & Gate House D52-D07 S36285 Fair Glen Gate House V241941 061005 Stage 4.doc Version 1.40 Page 12 questionnaire seen completed also confirmed that the service users in this home agreed with this. Many service users have their own keys to their bedroom and the inspector was able to witness several service users use them to enter their own rooms during this inspection. The owner and service users confirmed that all service users are able to go and come freely though some service users said they only wish to go out with staff. The service users meetings showed evidence that the menus and food choices are discussed with service users and agreed by all. Most service users spoken with agreed the food was fine and that the staff cook the food and they help sometimes. All confirmed that they could go to make drinks and snacks when they wish and the food cupboard is accessible for all. The home keeps a food diary for the main house to monitor each service user intake and to provide choice. Fair Glen & Gate House D52-D07 S36285 Fair Glen Gate House V241941 061005 Stage 4.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18/19/20 Service users can be assured that their personal care needs are respected. EVIDENCE: A discussion with many of the service users in the home, and with the owner, indicates that the service users receive the personal support they wish. Case tracking on individual care plans also shows how individual need on personal care is to be carried out by staff. The home has a key worker system in place and case tracking showed that key workers assist service users to complete care plans and personal support details. Case tracking provided evidence that one service user who had a accident had a completed accident form on file and also a follow up visit to A&E and this information was recorded on the outcome from the hospital visit and any treatment to be carried out at the home. The home is to be commended on the excellent record of the accident including details of before during and after treatment including notifying RIDDOR. Evidence was also seen on file of other health care professional input including a service user having a mammogram and a out patients appointment to specialist services including the mental health team. The homes Pharmacist had visited the home the day before the inspection and the owner informed the inspector that Boots were satisfied with the system and procedures in place. The home has a new metal drug cupboard that also Fair Glen & Gate House D52-D07 S36285 Fair Glen Gate House V241941 061005 Stage 4.doc Version 1.40 Page 14 has a build in lockable inner cupboard for any controlled drugs. This was a recommendation for the previous inspection. The homes medication records were checked and examined on the day of the inspection and was found to be correct at that time. Fair Glen & Gate House D52-D07 S36285 Fair Glen Gate House V241941 061005 Stage 4.doc Version 1.40 Page 15 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 Service users can be confident that they concerns and complaints will be listened to, taken seriously and acted upon. EVIDENCE: The pre-inspection questionnaire shows that the home has received 19 complaints since the last inspection. The home has a designated complaints book in each house and the service users have regular access to this. Evidence was clear that each and every complaint made by the service users were read, action and a recorded showed any outcomes. All complaints made were by a service user on everyday issues and the home is to be commended on taking each complaint serious and dealing with each in a professional manner. The home has the TOPPS training approved videos that the home uses to carry out in-house training. The homes owner has applied to the Devon Adult Protection team for the adult protection training course for staff. The inspector recommended that the owner and the senior carer receive this training as soon as possible. Fair Glen & Gate House D52-D07 S36285 Fair Glen Gate House V241941 061005 Stage 4.doc Version 1.40 Page 16 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) 24/26/30 The home continues to maintain a suitable environment for its stated purpose. EVIDENCE: A tour of the premises indicated that the home is accessible to all the service users. The home is comfortable and the décor is satisfactory. Several rooms had been decorated since the last inspection. The new extension, called Maurice House, has been completed and is now included on the Registration Certificate but is currently vacant. The owner informed the inspector that the games room build recently is used regularly and has a snooker table in situ. All bedrooms doors now have suitable locks that are accessible from the outside in an emergency. Evidence was seen of service users having their own keys to their individual bedrooms. The Gate House was seen and inspected on this occasion and was found to be clean and comfortable. The home employs a maintenance person to carry out day-to-day work. The home was found to be clean and free from offensive odours. There are three laundry rooms, one for each house. The two laundry rooms seen on this inspection met the required standard. Fair Glen & Gate House D52-D07 S36285 Fair Glen Gate House V241941 061005 Stage 4.doc Version 1.40 Page 17 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) 33/34/35 Staff in-house training is promoted and supported enabling service users to receive the best possible service. EVIDENCE: A requirement form the previous inspection for sleep in staff to be recorded onto the homes staff rota was carried out and evidence of this was seen on the rota sent to the Commission with the pre-inspection questionnaire. One staff file was read and contained all the relevant information as required to meet this standard. This included completed CRB checks and a work permit. Supervision records were seen for staff during this inspection and showed that all staff received regular and updated supervision. The owner showed training videos of courses that he had completed for all staff in-house. These included Food Hygiene, Health and Safety, Adult Protection, First Aid and Mental Health. An external trainer carried out the Fire Safety Training. The owner updates staff every 6 months on all courses and the videos also come with a workbook for each staff. The staffs training file was read as evidence and certificates were seen of completed training courses including Medication and Health and Safety. Fair Glen & Gate House D52-D07 S36285 Fair Glen Gate House V241941 061005 Stage 4.doc Version 1.40 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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) 39/42 The management of this home is good and ensures that records are effectively maintained and staffs receive in-house training and above all the service users are happy and their needs are met. EVIDENCE: The homes quality assurance system was seen in place including completed questionnaire from service users. The owner gave feedback on these forms to service users at the regular service users meetings. The minutes for the service users meetings were read and evidence was recorded of the feedback being given on this quality assurance system and any concerns or complaints raised on the completed forms. The Health and Safety training is carried out for staff by the owner in–house using a TOPPS approved videos and workbooks. Any issues are also discussed at staff meetings and these are mandatory for staff to attend. The home has a designated Health and Safety policy and procedure in place. Fair Glen & Gate House D52-D07 S36285 Fair Glen Gate House V241941 061005 Stage 4.doc Version 1.40 Page 19 The homes accident and incident books were seen completed and case tracking provided evidence of excellent records of a recent accident that required A&E visit and follow up to RIDDOR. The home risk assessments were in place on each service user and a separate risk assessment file to cover all possible areas of risks within the home. The homes Fire Log book was in place and recorded regular fire drills and evidence was seen on who attended each drill. Also was evidence of regular maintenance check up on other fire equipment. A recent visit by the environmental health officer was recorded and showed that no issues were raised. Certificates for electrical checks were in place. Fair Glen & Gate House D52-D07 S36285 Fair Glen Gate House V241941 061005 Stage 4.doc Version 1.40 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x 3 3 Standard No 22 23 ENVIRONMENT Score 4 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Fair Glen & Gate House Score 3 4 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x D52-D07 S36285 Fair Glen Gate House V241941 061005 Stage 4.doc Version 1.40 Page 21 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 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 23 Good Practice Recommendations The home owner and senior carer should have the Adult Protection training. Fair Glen & Gate House D52-D07 S36285 Fair Glen Gate House V241941 061005 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton Devon, 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. Extracts may not be used or reproduced without the express permission of CSCI Fair Glen & Gate House D52-D07 S36285 Fair Glen Gate House V241941 061005 Stage 4.doc Version 1.40 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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