Inspection on 21/10/05 for Galteemore Rest Home

This inspection was carried out on 21st October 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

Galteemore Rest Home 28/01/08

Galteemore Rest Home 27/07/06

Galteemore Rest Home 31/01/06

Galteemore Rest Home 24/03/05

Galteemore Rest Home 07/10/04

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

CARE HOME ADULTS 18-65 Galteemore Rest Home 12 Bank Square Southport Merseyside PR9 0DG Lead Inspector Miss Orla Murphy Unannounced Inspection 21st October 2005 11:00 Galteemore Rest Home DS0000005412.V258689.R01.S.doc Version 5.0 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 Galteemore Rest Home DS0000005412.V258689.R01.S.doc Version 5.0 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. Galteemore Rest Home DS0000005412.V258689.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Galteemore Rest Home Address 12 Bank Square Southport Merseyside PR9 0DG 01704 538983 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) Mr John Campbell Mrs Ellen Mary Campbell Mrs Ellen Mary Campbell Care Home 15 Category(ies) of Learning disability (15) registration, with number of places Galteemore Rest Home DS0000005412.V258689.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 15 LD The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 24th March 2005 Date of last inspection Brief Description of the Service: Galteemore provides care and accommodation for up to 15 adults with Learning Disabilities. A private individual, Mr J Campbell, owns the home. Mrs E Bennett is the Registered Manager. The home is located in a quiet square off the Promenade in Southport and is very close to the town centre, shops, amusements and facilities. The home is a converted house and bedrooms and bathrooms are located over four floors. There is no lift and residents on the top three floors need to be mobile to be able to access these areas. There is seating to the front of the property and a small patio to the rear which residents enjoy using. Parking is available but is a pay & display service. Galteemore Rest Home DS0000005412.V258689.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection was unannounced and neither residents nor staff knew the Inspector was coming. The last inspection report was examined and no requirements needed to be followed up on this visit. The Inspection was the first in the home’s required visits, which are 2 inspection visits per year. 7 residents and two staff were spoken to at the inspection. Two residents were “case tracked”. Case tracking means that the Inspector concentrates on the care given and experiences of one or more residents to get an idea of what is like to live there and how that person’s needs are being met. Case tracking also shows the inspector where needs aren’t being met. A variety of records (care plans, medical notes, complaints records, assessments, reviews, medication sheets, meeting minutes, menus, timetables, risk assessments and significant events) were examined. What the service does well: The Manager has worked very hard to introduce more records and evidence of the work carried out and this has continued to be a positive aspect of the service. Galteemore has been home for many current residents for several years. The staff group has a low turnover and staff know the needs and strengths of residents very well. Residents have continued to say in all inspections that they really enjoy living at Galteemore. There is a very positive and relaxed atmosphere in the home and staff have been observed always being patient, kind and positive with residents. It is obvious residents are comfortable and close with staff. Staff supervisions have been introduced and are being continued. Each resident has an Essential Lifestyle Plan, which are positive. These plans detail the person’s strengths and needs and the support they need to live life fully and safely. The meals cooked are very popular and of a good standard. Galteemore Rest Home DS0000005412.V258689.R01.S.doc Version 5.0 Page 6 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. Galteemore Rest Home DS0000005412.V258689.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Galteemore Rest Home DS0000005412.V258689.R01.S.doc Version 5.0 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 the following standard(s): 2 Resident’s needs are assessed fully. EVIDENCE: Many of the current residents have lived at the Home for a number of years. Current procedure when choosing to live at the home, is a gradual process of moving in which was discussed with and confirmed by the 2 residents case tracked. Both the resident’s case tracked had moved in earlier this year. Before moving in, they had a process of visits to the home to view it, to meet other residents, to join a meal and to stay overnight. Records seen confirmed this. Assessments of both residents were detailed and informative. One resident case tracked said, of moving into the home, “ I was allowed to choose stuff for my room and now I’ve done it exactly how I like it”. Galteemore Rest Home DS0000005412.V258689.R01.S.doc Version 5.0 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 the following standard(s): 6 and 9. Residents all have essential lifestyle plans, which records their needs and wishes. Residents take risks where they have been assessed. EVIDENCE: The 2 residents case tracked said clearly that they felt staff met their needs. One said, “They (staff) are very, very good, if I have any problem they sort it out”. Essential Lifestyle Plans are very positive and identify the specific work needed to help a resident succeed. These Plans give lots of information about each residents goals, likes/dislikes, things they are good at, things they need help with, what makes them sad and what makes them happy. It tells staff how to care for them and help them. Daily records were detailed and linked to the Essential plans. Both residents had risk assessments in relation to various issues. All were seen & satisfactory. Both residents knew what issues were a risk for them, and why records were kept about these. Galteemore Rest Home DS0000005412.V258689.R01.S.doc Version 5.0 Page 10 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): 12,15 & 17. Resident’s have their own routines and activities, which they are supported to do. Resident’s family and friends are encouraged to visit and be involved, and personal relationships are supported. Meals are nutritious, popular and of a good standard. EVIDENCE: Most residents have developed strong links in their local community and have, with support, their own daily routines and social activities. Residents informed the Inspector that the staff team help them to go to day services, interests outside the home and activities. An arts and crafts group and exercise class is held weekly and is very popular. One of the residents caser tracked said “Exercise is a good laugh and it helps me move about”. Daily records of the resident’s case tracked and records of consultations showed a variety of social/leisure activities are in resident’s lives. The 2 residents case tracked confirmed they go shopping, to the library, to have meals out, to church and to see friends. Both also said they had visitors to the home, friends & family, and visitors are welcomed by staff. They said they could stay for meals and it was a relaxed Galteemore Rest Home DS0000005412.V258689.R01.S.doc Version 5.0 Page 11 policy. Next of kin and important people in resident’s lives were all clearly recorded. Meals are always popular and of a high standards at the home. The menu shows a wide variety of meals and all residents said they discussed food with the chef, telling him what they liked and didn’t like. The 2 residents case tracked said the food was “lovely” and “ very tasty”. One said “We have lovely roast dinners on Sunday”. They confirmed there are alternative choices if they don’t like the meal. Galteemore Rest Home DS0000005412.V258689.R01.S.doc Version 5.0 Page 12 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 & 20. Resident’s plans detail the support they need and how they prefer to receive it. Medication administration is satisfactory and all residents are assessed as to their ability to self medicate. EVIDENCE: Residents are supported to meet their healthcare needs. The Essential Plans and assessments of the 2 residents case tracked recorded the support each resident needs for health and personal care. Both confirmed that staff help them when they need it and staff go to health appointments with them (where they want them to). Records were showed all healthcare appointments and their outcome. Treatment was also recorded. The medication administration was satisfactory and both residents have risk assessments/statements about their ability to self medicate. Galteemore Rest Home DS0000005412.V258689.R01.S.doc Version 5.0 Page 13 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 Residents feel able to complain safely. EVIDENCE: The home has a procedure relating to complaints and this is included in the Statement of Purpose and Service User Guide. There have been no recorded complaints since the last inspection. Both the resident’s case tracked and those who talked to the inspector were knew what to do if they were worried or scared or angry about something. All said they would talk to particular members of staff or their family. All felt happy that they would be listened to and the manager would sort it out. Galteemore Rest Home DS0000005412.V258689.R01.S.doc Version 5.0 Page 14 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): No environmental standards were assessed at this inspection. EVIDENCE: No environmental standards were assessed at this inspection. Galteemore Rest Home DS0000005412.V258689.R01.S.doc Version 5.0 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 & 35 All staff files are fully up to date and checked, which protects residents. Staff supervision is in place providing guidance and support. EVIDENCE: 7 staff files were checked on this occasion. All contained the required checks such as the Criminal Record Bureau (CRB) check, references, and identification, proof of qualifications/training and application forms/work history. Staff supervision is in place and the records seen were positive and constructive. This must be continued and a minimum of 6-recorded sessions a year held with each staff member. Galteemore Rest Home DS0000005412.V258689.R01.S.doc Version 5.0 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): 42 Health & Safety systems are up to date and protect residents and staff. EVIDENCE: Fire Safety, Electrical & gas safety checks and training were checked and are all up to date. Maintenance checks are carried out weekly. Staff are attending a rolling update of Manual Handling, First Aid, Food Hygiene and Fire Safety training, as seen on individual files and in the training plan. Galteemore Rest Home DS0000005412.V258689.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Galteemore Rest Home Score 3 X 3 X Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X DS0000005412.V258689.R01.S.doc Version 5.0 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 Galteemore Rest Home DS0000005412.V258689.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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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