Inspection on 20/03/06 for Galanos House

This inspection was carried out on 20th March 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

Galanos House 06/03/07

Galanos House 11/05/05

Galanos House 05/01/05

Galanos House 08/06/04

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

CARE HOMES FOR OLDER PEOPLE Galanos House Galanos House Banbury Road Southam Warwickshire CV47 2BL Lead Inspector Paul Appleyard Announced Inspection 20th March 2006 09:30 X10015.doc Version 1.40 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 Galanos House DS0000035730.V287053.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 Older People. 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. Galanos House DS0000035730.V287053.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Galanos House Address Galanos House Banbury Road Southam Warwickshire CV47 2BL 01926 812185 01926 815596 jawilson@britishlegion.org.uk 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) The Royal British Legion Ms Jo-Anne Wilson Care Home 60 Category(ies) of Old age, not falling within any other category registration, with number (60) of places Galanos House DS0000035730.V287053.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Galanos House is registered for 60 elderly persons - up to 40 places may be used for service users requiring nursing care. Can admit one named service user in the Variation Application dated 12 July 2005. Eight service users may be between 54 & 65 years of age with complex care needs/palliative care. 11th May 2005 Date of last inspection Brief Description of the Service: The original Royal British Legion Home, Galanos House, was built in the mid 1960s as a country home for elderly and incapacitated ex-servicemen and women and their dependents (residents must fulfil certain eligibility criteria). A wealthy Greek merchant, Christos Galanos, gave the funds for the building in a bequest. The new home was purpose-built and ready for residents in September 2002. It is registered to provide nursing and personal care to elderly residents over the age of 65. It has 60 rooms, all en-suite and set in approximately 3 acres of grounds, not far from the market town of Southam. The home has a large airy dining room with tables seating 2, 3 or 4 residents. There is a lounge, bar and seating area situated on the ground floor. The first floor has a library, lounge, a well-equipped activities room and other smaller seating areas. Residents are encouraged to bring items in with them and can furnish their private room to their own taste if they wish. Ample car parking space is available at the front of the home. Galanos House DS0000035730.V287053.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over three hours and was the second visit of the inspection year 2005/06. The inspection included a tour of the home, discussions with the matron, talking with residents and staff and examining records and reading care plans. Twenty five residents’ survey forms were returned. These were generally positive in response, with one service user reporting:“Galanos House is as good or even better than I expected”. What the service does well: What has improved since the last inspection? The manager and her staff have reviewed elements of the medication standard that needed improvement and implemented appropriate changes. Care plans have also been reviewed to be more concise and more service userfocused. Galanos House DS0000035730.V287053.R01.S.doc Version 5.1 Page 6 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. Galanos House DS0000035730.V287053.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Galanos House DS0000035730.V287053.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 There is a clear, consistent needs assessment and care planning system in place that adequately provides staff with the information they need to satisfactorily meet service user needs. EVIDENCE: Three pre-admission assessments were read during the inspection. The matron always undertakes the assessment. The home has very few admissions from social services referral, but when this is the case, a management assessment is obtained. Evidence of NHS nursing assessment was available for all service users receiving nursing care. The needs assessment contains all the information required in the standards and enables the staff to put together a full care plan based on the needs of each individual. The service user or their representative signs all assessments as being correct. Galanos House DS0000035730.V287053.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 8 and 10 Health needs of residents are met with evidence of liaison with health and social care professionals on a regular basis. Personal support is offered in such a way as to maintain residents’ privacy and dignity. EVIDENCE: Access to health professionals outside of the home is available, which includes the chiropodist, GP, district nurses and the dentist. Care files viewed showed involvement of members of the multi-disciplinary team in assessing and meeting residents’ care needs. The home also employs an occupational therapist and physiotherapist, both available to all service users. Specialist training and advice is employed to manage complex issues such as long-term tissue viability problems and manage peg feeds. Service users with nutritional issues are referred to the dietician for advice and monitoring. All service users are weighed monthly to provide guidance on weight loss. Galanos House DS0000035730.V287053.R01.S.doc Version 5.1 Page 10 Staff were observed treating the residents with dignity and respect during the inspection. Residents said that the staff were very kind and caring and that they were happy living at Galanos House. The home is actively involved in local palliative care initiatives and the implementation of the National Gold Standards Framework for Palliative Care. Galanos House DS0000035730.V287053.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed at this inspection. EVIDENCE: These standards were all met at the unannounced inspection undertaken in June 2005. Since this visit the home has received two new mini-buses, which can be used for trips and taking service users away on holiday. Galanos House DS0000035730.V287053.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Systems for the management of complaints are satisfactory. Residents can be confident that their concerns are listened to, taken seriously and acted upon. Robust policies and staff practices are maintained by the home to ensure that residents are safeguarded from abuse. EVIDENCE: The manager, staff and service users are able to refer to a clear and detailed complaints procedure. This is displayed in the main reception area with information also available in the service users’ guide. There have been no complaints made since the last inspection, either to the commission or the home manager. Policies and procedures relating to the protection of residents have recently been reviewed. Discussions with the manager demonstrated a good understanding of recognising the types and signs and symptoms of abuse and how to report any allegations of abuse. Staff receive ongoing training on recognition and management of abuse. NVQ training also covers this topic. The manager had a good understanding of when and how to refer staff to the POVA list. Galanos House DS0000035730.V287053.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 26 The home was observed to be clean and tidy and free from odours at the time of the inspection. EVIDENCE: The standard of cleanliness remains extremely high at Galanos House. No unpleasant odours were noted during the tour of the home. The laundry is purpose-built to deal with the volume of laundry generated from a large care home. Two staff are employed to ensure an effective turnaround. Systems are in place to ensure that cross contamination does not occur between dirty and clean laundry. Information as required by Control of Substances Hazardous to Health Regulations 1988 are available. The organisation has detailed policies for staff to follow in respect of all areas of infection control. Galanos House DS0000035730.V287053.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 30 All staff are provided with training that allows them to provide a high standard of nursing and personal care. Training is well planned and good opportunities are available for all staff. EVIDENCE: Training is promoted at Galanos House with in-house and external trainers used. All new staff have clear induction programmes with reviews undertaken at 10 and 21 weeks. The manager has excellent records of training, both completed and outstanding. A detailed training programme is in place for 2006. This covers statutory training and specialist training. This year’s focus includes dementia updates, first aid, report writing and medical conditions. The activities coordinator is also undertaking a specialist NVQ in activities. Since the last inspection a number of staff have completed vena puncture training. Twenty two care staff have NVQ level 2 and two have level 3. The home currently exceeds the standard for care staff and NVQs. Galanos House DS0000035730.V287053.R01.S.doc Version 5.1 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35 and 38 The quality management systems in place ensure that the home is run in the best interests of the residents. Residents’ monies and any valuables held are safe and their financial interests are safeguarded. The health and safety of residents and staff are promoted and protected. EVIDENCE: The organisation has employed a quality assurance advisor since the last inspection. The last audit was completed in November 2005 with a detailed report provided to the commission. Views were taken from staff and service users, 62 returned surveys. One outcome of the results was to employ a residents’ coordinator to support service users who have no family by accompanying them to appointments, organising shopping trips or running errands etc. Galanos House DS0000035730.V287053.R01.S.doc Version 5.1 Page 16 It was also recorded that 81 of service users enjoyed the food, 90 felt that they could make a complaint and 100 stated that friends and relatives are made welcome. In order to safeguard residents’ financial interests staff adhere to agreed policies and procedures used for the safe handling of residents’ monies and property. Records and receipts are held of all financial transactions and of property handed over for safekeeping. Secure facilities are provided for the safe keeping of money and valuables on behalf of the resident. The registered manager is aware of her responsibilities regarding compliance with relevant Health and Safety legislation and should ensure that her knowledge remains up to date. Records show that staff receive ongoing moving and handling instruction. Records of fire procedures include: • • • Alarm testing, Emergency lighting, Fire drills. The last fire drill is recorded as the 6th January 2006. The fire officer last visited on 31 January and no issues were noted. Certificates for the maintenance and service of major systems were available; the registered manager states that appropriately qualified personnel carry these out. Records provided indicated that servicing of appliances are as follows: • Boilers and central heating systems: Monthly • Lifts: January 2006 • Water tanks and checks for Legionella: January 2006. Valves are fitted on all appliances that involve total water immersion. During the tour of the building, windows on the upper floor were checked and found to have adequate restrictors in place while also allowing the rooms to be naturally ventilated. The building appeared to be secure with all entrances locked during the night. During a tour of the outside of the building all paths and steps were noted to be in good condition. The home has a written policy on health & safety and safety procedures are posted in the main office. The home has a large number of risk assessments in place. These are due for update with input from the home’s manager. The accident book was checked and no particular pattern noted. Galanos House DS0000035730.V287053.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 Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 Galanos House DS0000035730.V287053.R01.S.doc Version 5.1 Page 18 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 Galanos House DS0000035730.V287053.R01.S.doc Version 5.1 Page 19 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 Galanos House DS0000035730.V287053.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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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