Inspection on 04/07/06 for Gallagher Residential Care Limited

This inspection was carried out on 4th July 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

Gallagher Residential Care... 18/12/08

Gallagher Residential Care... 08/03/06

Gallagher Residential Care... 04/07/05

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

CARE HOME ADULTS 18-65 Gallagher Residential Care Limited 212 Charnwood Road Shepshed Leicestershire LE12 9NR Lead Inspector Mr Steve Hunnybun Unannounced Inspection 4th July 2006 14:00 Gallagher Residential Care Limited DS0000063965.V302762.R01.S.doc Version 5.2 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 Gallagher Residential Care Limited DS0000063965.V302762.R01.S.doc Version 5.2 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. Gallagher Residential Care Limited DS0000063965.V302762.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gallagher Residential Care Limited Address 212 Charnwood Road Shepshed Leicestershire LE12 9NR 01509 503113 01509 507239 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) Gallagher Residential Care Limited Mr Paul Anthony Gallagher Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Gallagher Residential Care Limited DS0000063965.V302762.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. None Date of last inspection 8th March 2006 Brief Description of the Service: Gallagher Care Residential Home is located on the outskirts of Shepshed, with easy links to Coalville and Loughborough and within easy reach of local facilities. The home is registered for nine adults with a learning disability. The property comprises of seven single and one shared bedrooms located on the ground, first and second floors. On the ground floor there are two lounges, and a dining area. Bathrooms/shower rooms and toilets are sited on the ground and second floor. The house has a large rear garden, which is well maintained by a service user. The range of fees currently charged is £1306.29-£2737.86 every four weeks. Extra charges for services such as hairdresser and chiropodist are made on an individual basis. This information was given on the day of the inspection. Gallagher Residential Care Limited DS0000063965.V302762.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The primary method of inspection used was ‘case tracking’ which involved selecting three residents and tracking the care they receive through review of their records, discussions with them and with the care staff and observations of care practices. A plan was made prior to the visit in which available information from the previous inspection report and service history was summarised. The inspection was positive indicating good outcomes for residents. No requirements were made. 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. Gallagher Residential Care Limited DS0000063965.V302762.R01.S.doc Version 5.2 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 Gallagher Residential Care Limited DS0000063965.V302762.R01.S.doc Version 5.2 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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed in order to inform the care planning process. EVIDENCE: All three files tracked contained community care assessment documents and review notes. The registered manager confirmed that such assessments are always acquired prior to admission. Residents’ needs are subsequently assessed as part of the care planning process. Gallagher Residential Care Limited DS0000063965.V302762.R01.S.doc Version 5.2 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): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have comprehensive care plans that focus on the individual and useful risk assessments. These enable them to make choices, take risks and for their needs to be met. EVIDENCE: All files tracked contained comprehensive care plans. All but one had been recently reviewed and the assistant manager stated that all care plans are currently being reviewed. Residents confirmed that they are enabled to make choices. One stated that he often prefers to opt out of activities and is able to do so if he wishes. Risk assessments are being developed for residents at present. An example was shown to the inspector and was a very useful and comprehensive document. Gallagher Residential Care Limited DS0000063965.V302762.R01.S.doc Version 5.2 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): 12,13,15,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ rights, activities within the local community, contact with families and the quality of the food all contribute to a positive lifestyle. EVIDENCE: Residents who spoke to the inspector stated that there is a good range of activities on offer. One resident enjoys shopping and another went to a local air show the weekend before the inspection. A group of residents are about to embark on a holiday to Mabelthorpe. Residents are also enabled to attend local day centres and colleges. A resident spoke to the inspector about voluntary work he carries out at a local charity shop. Residents are enabled to use local facilities such as shops, pubs and parks and are encouraged to be as independent as possible. Residents are enabled to keep in touch with families; files contained a list of significant contacts. Residents who spoke with the inspector stated that staff treat them with respect. Household tasks are shared, one resident maintains the garden and a group were preparing dinner when the inspector arrived at the home. All residents who spoke with the Gallagher Residential Care Limited DS0000063965.V302762.R01.S.doc Version 5.2 Page 10 inspector stated that the food is good and that they are able to have a choice. Menu records indicated a healthy, nutritious diet. Gallagher Residential Care Limited DS0000063965.V302762.R01.S.doc Version 5.2 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): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ personal and healthcare needs are met and they are protected by medication policies. EVIDENCE: Files contained information regarding residents’ personal and healthcare needs. Residents who spoke with the inspector stated that staff meet their needs. Medication provision has improved at the home. An alternative pharmacist has been sourced who uses a monitored dosage system. This in turn means that medication records have improved. All those seen by the inspector had been completed correctly. Medication is stored appropriately and managers have reiterated with staff the importance of safe practice when giving medication. Gallagher Residential Care Limited DS0000063965.V302762.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected from abuse and their concerns and complaints are listened to and acted upon. EVIDENCE: The home has a robust complaints procedure and uses the Multi-Agency Vulnerable Adult Protection document No Secrets. Staff have had training on adult protection. When asked, residents stated that they knew who to speak with if unhappy about the service. Records of complaints indicated that appropriate action is taken in a timely fashion. Records of residents’ money were up to date and accurate. Gallagher Residential Care Limited DS0000063965.V302762.R01.S.doc Version 5.2 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): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The property is homely, comfortable and safe. EVIDENCE: Two residents showed the inspector round the home. The property was clean, tidy safe and in good decorative repair throughout. The shaving point mentioned in the last report has been disconnected and the boiled room is now locked. Residents’ rooms are personalised with décor, pictures and belongings. All three residents tracked showed the inspector their rooms with pride. Gallagher Residential Care Limited DS0000063965.V302762.R01.S.doc Version 5.2 Page 14 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): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met and they are protected by the recruitment and retention of a well-trained, experienced staff team. EVIDENCE: Staff files contained records of a comprehensive induction programme and staff training. Staff are adequately supervised although the process of recording formal sessions is not yet up and running. Risk assessments for lone working need to be completed. Staff are offered a comprehensive training package including NVQ awards where appropriate and the deputy manager is currently completing the NVQ assessors award. Staff files contained appropriate documents except references which none had. All resident who spoke with the inspector stated that they like the staff and that they feel their needs are met. Gallagher Residential Care Limited DS0000063965.V302762.R01.S.doc Version 5.2 Page 15 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, 39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed. EVIDENCE: The assistant manager is currently working to take on the role of registered manager. Residents who spoke with the inspector were aware of the roles of senior staff and appeared to be confident to approach them if necessary. Records regarding health and safety were up to date and accurate. Fire tests and drills have been carried out at appropriate intervals. The home has recently received a fire inspection at which they were found to be complying with relevant legislation. Records regarding the Control of Substances Hazardous to Health were up to date and accurate. Gallagher Residential Care Limited DS0000063965.V302762.R01.S.doc Version 5.2 Page 16 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 3 3 X 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Gallagher Residential Care Limited DS0000063965.V302762.R01.S.doc Version 5.2 Page 17 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. 1. 2. Refer to Standard YA33 YA34 Good Practice Recommendations Risk assessments to be completed for lone working to ensure risks to staff and service users are minimised. Copies of references are kept on staff files when they are appointed. Gallagher Residential Care Limited DS0000063965.V302762.R01.S.doc Version 5.2 Page 18 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Gallagher Residential Care Limited DS0000063965.V302762.R01.S.doc Version 5.2 Page 19 - 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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