Inspection on 28/01/08 for Galteemore Rest Home

This inspection was carried out on 28th January 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Galteemore Rest Home 27/07/06

Galteemore Rest Home 31/01/06

Galteemore Rest Home 21/10/05

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 Mr Mike Perry Key Unannounced Inspection 28th January 2008 09:30 Galteemore Rest Home DS0000005412.V353801.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 Galteemore Rest Home DS0000005412.V353801.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. Galteemore Rest Home DS0000005412.V353801.R01.S.doc Version 5.2 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 Elaine Bridget Bennett Care Home 15 Category(ies) of Learning disability (15) registration, with number of places Galteemore Rest Home DS0000005412.V353801.R01.S.doc Version 5.2 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 27th July 2006 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. The fees for the service are £372 weekly. Galteemore Rest Home DS0000005412.V353801.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. The inspection was a ‘key’ inspection for the service and covered the core standards the home is expected to achieve. The inspection took place over a period of one day. The inspector met with residents and spoke with some in more depth. The inspector also spoke with members of care staff on a one to one basis and the registered manager and the Provider. Service user and relative comment cards were also given out to try and gain more views as to how the home is run and what it is like to live there. Staff were also issued with comment cards that they could return if they wished. A social care professional was also spoken with by phone. The manager also completed an Annual Quality Assurance Assessment [AQAA] which is a document containing information about the home and statistical information to assist the inspection process. A tour of the premises was carried out and this covered all areas of the home including the resident’s rooms [not all bedrooms were seen]. Records were examined and these included two of the resident’s care plans, staff files, staff training records and health and safety records. What the service does well: There is a system of care in the home called Person Centred Planning [PCP] and this assists in breaking down the care into clearly defined areas and then setting clear goals that can be aimed at. Residents spoken to felt involved in the care planning are encouraged to sign care plans. They are very personalised. For example one talks about friendships and various social activities that the resident engages in and lists daily routines: ‘does some shopping for the home. Likes her independence. Likes to help around the home – go out for walks’. Galteemore Rest Home DS0000005412.V353801.R01.S.doc Version 5.2 Page 6 Relatives were very pleased that ‘residents do a lot in the day and are always out and about’. Another commented, ‘Galteemore provides a home from home for my brother. His preferences are catered for and he is happy with comfortable surroundings where he can display his belongings’. A group of residents in the lounge were eager to talk about life in the home. They all said that they like living at Galteemore. One resident talked about his outings with another resident to the allotments. ‘Not much to do this time of year but when spring comes we’ll do a bit more’. I like the fresh air’. All liked the meals and the fact that there is a cooked breakfast always available. Relatives reported in the surveys that they are always welcomed into the home. ‘The home are excellent at keeping in touch. Staff provide a homely atmosphere – the very opposite of an institution’. A resident commented: ‘I like Galteemore. I like what I see. I would tell management if I wanted to complain. I get treated well. I like living here and I am happy at Galteemore’. Staff interviewed understood basic principals of care such as the need for privacy and dignity to be maintained. Residents spoke well of staff assistance. Residents spoken to were clear that staff would listen to them if they had any concerns about feeling unwell and felt that any worries would be acted on and not ignored. For example one resident spoke about regular optician appointments as he wears glasses. There is a complaints policy available in the policy file, the staff file, and resident’s file in the lounge. This includes an ‘easy read’ complaint format so that residents are assisted to understand. What has improved since the last inspection? The resident admitted to the home since the last inspection had been fully assessed by the home and by referring social workers. This ensures that the home can best meet the needs of the resident concerned. The referring social worker was very complimentary and said that the management and staff were very supportive and helpful during the admission and that the resident concerned was now well settled in the home. Galteemore Rest Home DS0000005412.V353801.R01.S.doc Version 5.2 Page 7 There were some issues around infection control in the home such as the management of laundry and hand washing facilities in communal bathrooms and toilets. These have been addressed. Staff files contained copies of the Code of Conduct issued by the General Social Care Council [GSCC] so that staff have a reference to a code of care principals and values. The managers have consulted the health and safety executive regarding the management of the hot water supply in the home and have also installed safety measures to reduce the risk of legionella. What they could do better: Residents are encouraged to manage their personal allowances but the manager has responsibility for overseeing a number of these and maintaining appropriate records. Records seen for one resident showed an amount of money held in the homes safe. This resident had his own separate bank account, which could be used to place this money. Following discussion the manager needs to review the homes policy regarding keeping residents money on site and access information on good practice. All residents spoken to described the food in the home as very good. Menus are placed on each table. These are rather difficult to follow as they cover a number of weeks and it is difficult to see which week is current. Perhaps some easier to read menus or a daily menu board would be useful. On inspecting the policies and procedures it was noted that there are no specific risk assessment tools if residents do self medicate. This was discussed and the inspector left an example of a risk assessment tool. There are also some recommendations around better recording of medication. The manager should update staff around the reporting and investigation of allegations of abuse using the local multi agency guidance so that all staff are aware and are confident about raising any issues. Two of the bedrooms are shared. It is recommended that curtain screens be put in place so that if residents need to they can choose to have more privacy. Staff files seen contained all records apart from enhanced disclosures from the Criminal Records Bureau [CRB]. One staff had worked in the home for a year and the other for three months. The manager explained she had got basic CRB Galteemore Rest Home DS0000005412.V353801.R01.S.doc Version 5.2 Page 8 disclosures but these did not include Protection of Vulnerable Adult [POVA] checks, which are required. The accident book was seen and advice given as to the filing of accident forms. These need to be filled centrally and accessible by the manager only to comply with data protection. This was a previous recommendation. 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. The summary of this inspection report can be made available in other formats on request. Galteemore Rest Home DS0000005412.V353801.R01.S.doc Version 5.2 Page 9 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.V353801.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1 and 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are assessed appropriately so that the staff are better able to meet their care needs and the resident is more assured of being suited to the home.. EVIDENCE: The home has information available for residents and relatives giving an outline of the service and the philosophy of the home. This materiel [service user guide] is available in the home. There has only been one admission since last inspection. The resident was admitted as an ‘emergency’ on the request of family and social worker. Since admission there has been a build up of assessments and information. Assessments have been completed by the manager and these are of a good standard and are based around a ‘person centred planning’ approach which covers all areas of social care needs as well as health information. These are backed up by recent assessments from the social worker together with various risk assessments. Since admission the manager has been in touch with Sefton welfare rights to try and sort out allowances. The social worker was spoken with and said that the home are: Galteemore Rest Home DS0000005412.V353801.R01.S.doc Version 5.2 Page 11 ‘Very helpful and accommodating. The manager is easy to communicate with and prompt at arranging things. The resident has settled well and likes the home and wants to stay there. Trying to arrange appointments to get his eyes reviewed and the home have said they will escort him and make sure he gets to his appointments. He says he can come and go as he pleases which obviously suits him’. Galteemore Rest Home DS0000005412.V353801.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): Key standards. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care planning and the management of risk has been devised so that a full picture of the resident is made available and residents can feel involved and Supported in activities they choose. EVIDENCE: Plans of care were seen for two of the residents in the home. There is a system called Person Centred Planning [PCP] and this assists in breaking down the care into clearly defined areas and then setting clear goals that can be aimed at. There are sections on health, finance, activities and also personal aims and objectives where the resident can have some input into how the care is organised. Residents spoken to felt involved in the care planning and some were able to talk about ‘reviews every so often to see how things are going’. Residents are encouraged to sign care plans. They are very personalised. For example one Galteemore Rest Home DS0000005412.V353801.R01.S.doc Version 5.2 Page 13 talks about friendships and various social activities that the resident engages in and lists daily routines. There is a weekly planner that lists shopping, ‘does some shopping for the home. Likes her independence. Likes to help around the home – go out for walks’. Another resident attends an allotment to do gardening and this was discussed in the care plan. The resident spoke about this positively and clearly enjoys getting out in the fresh air. The manager was able to show risk assessments in place for those residents who wished to participate in daily living events. For example one resident spoken with has a kettle in the bedroom so that they can make a cup of tea and be more independent. This is highlighted and any associated risks are assessed. Relatives were very pleased that ‘residents do a lot in the day and are always out and about’. Another commented, ‘Galteemore provides a home from home for my brother. His preferences are catered for and he is happy with comfortable surroundings where he can display his belongings’. Residents are encouraged to manage their personal allowances but the manager has responsibility for overseeing a number of these and maintaining appropriate records. Records seen for one resident showed an amount of money held in the homes safe. This resident had his own separate bank account, which could be used to place this money. Records were correct in that totals recorded were kept in the safe and any money asked for and given to residents was signed by the resident concerned. Good practice here was discussed and the addition of a staff signature [or 2 staff signatures if the resident does not sign] is recommended. Following discussion the manager needs to review the homes policy regarding keeping residents money on site and access information on good practice [Mencap have some good practice advice on service users finances]. The manager said she would consult about opening appropriate accounts. The inhouse records should be audited and signed by the provider on a regular basis. Galteemore Rest Home DS0000005412.V353801.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Key standards Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. As much as possible residents are encouraged to contribute to daily life and activities and therefore feel part of the external and internal community of the home. EVIDENCE: Residents were in and out of the home during the time of the inspection. Some residents have day services that they attend and others were visiting friends locally. A group of residents in the lounge were eager to talk about life in the home. They all said that they like living at Galteemore. One resident talked about his outings with another resident to the allotments. ‘Not much to do this time of year but when spring comes we’ll do a bit more’. I like the fresh air’. One resident said there are 6/7 smokers in the home and these can go downstairs in the basement lounge [this opens onto the patio at the front and is quite a nice room.]. All liked the meals and the fact that there is a cooked breakfast always available, which is served at any time of the morning so that residents can have a choice regarding the time they get up. The concept of Galteemore Rest Home DS0000005412.V353801.R01.S.doc Version 5.2 Page 15 encouraging choice is highlighted in the AQAA return sent by the manager; ‘a resident didn’t want to go to church anymore after talking to her. She said she would like to have Holy Communion at home and a regular visit from somebody at the church. This was arranged for her’. Relatives reported in the surveys that they are always welcomed into the home. ‘The home are excellent at keeping in touch. Staff provide a homely atmosphere – the very opposite of an institution’. The manager was able to discuss rights and risks associated with personal relationships and under stood how to access support and information. The manager has built up positive relationships with the social work team. Residents felt that their best interests where upheld by staff and knew how to approach staff to make a complaint. Staff knew the complaints procedure and where observed interacting and supporting residents during the inspection. One resident comments: ‘I like Galteemore. I like what I see. I would tell management if I wanted to complain. I get treated well. I like living here and I am happy at Galteemore’. All residents spoken to described the food in the home as very good. Menus are placed on each table. [These are rather difficult to follow as they cover a number of weeks and it is difficult to see which week is current. Perhaps some easier to read menus or a daily menu board would be useful]. There is usually only one main meal on offer but staff awareness is such that personal choice of residents is known and special requests are easily catered for [confirmed by resident interviews]. Staff mentioned various activities that are arranged. One staff member does a knitting group; also a staff member does a karaoke, which is very popular. Other staff do bingo. 2 residents go to ‘link’, which is a social support group locally. Three men go to the ‘men’s group’ in Shakespeare Street. Another resident goes to woodwork sessions locally [there is a staff escort for this]. One resident helps out at church and helps out on the altar. Galteemore Rest Home DS0000005412.V353801.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): KEY STANDARDS Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Both health and personal care are offered on an individual basis, which encourages independence and helps ensure appropriate standards so that residents are supported. EVIDENCE: The level of self care residents receive varies, but most are able to provide routine self care with minimal assistance from staff. Staff interviewed understood basic principals of care such as the need for privacy and dignity to be maintained. Residents spoke well of staff assistance. Both care files seen evidence regular appointments and checkups with local GP’s, chiropody and dental and other health care appointments. One resident has blood pressure monitored and this is checked on visits to District nurses. The resident is on medication, which is listed so that staff are aware. There is a ‘health action plan’ in liaison with local hospital so that the resident is supported through all processes. Galteemore Rest Home DS0000005412.V353801.R01.S.doc Version 5.2 Page 17 Residents spoken to were clear that staff would listen to them if they had any concerns about feeling unwell and felt that any worries would be acted on and not ignored. For example one resident spoke about regular optician appointments as he wears glasses. None of the current residents self medicate. Residents spoken to were happy with this arrangement. The manager stated that risk is measured and entries regarding the management of medication are made in the care notes. On inspecting the policies and procedures it was noted that there are no specific risk assessment tools if residents do self medicate. This was discussed with the inspector, for consideration, left an example of a risk assessment tool. It is recommended that the policies and procedures appertaining to medicines are kept by the medication storage for easier access by staff [this was arranged on the inspection]. Two medication recording sheets were seen and the recordings were generally clear and accurate. Only one staff member signed some handwritten entries on the records and it is recommended that two signatures be recorded to reduce the risk of errors. The manager had some knowledge of the various medicines and had reference material. The supplying pharmacist advises the home and carries out routine auditing yearly. There are currently no residents on any controlled medication but it is recommended that a controlled drugs registered is acquired in case of any eventuality. Galteemore Rest Home DS0000005412.V353801.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Key standards Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a complaints procedure and concerns are acted on so that resident feel safe in the home and are protected. EVIDENCE: There is a complaints policy available in the policy file, the staff file, and resident’s file in the lounge. This includes an ‘easy read’ complaint format so that residents are assisted to understand. The manager keeps a complaints file but there are no complaints recorded for the service. There have been no complaints received by the Commission for Galteemore. Feedback from residents surveyed and spoken with is that they know how to complain if needed and who to speak to. Safeguarding of residents from abuse was discussed. The manager found difficulty in initially locating the local safeguarding procedure although this was eventually discovered in the staff room. Not all staff have signed to say they have read this and the manager should update herself and all staff regarding the reporting processes as some staff were not really aware of the larger picture in terms of how such allegations are reported and investigated. Galteemore Rest Home DS0000005412.V353801.R01.S.doc Version 5.2 Page 19 Training records show that staff do attend training around safeguarding and Protection of Vulnerable Adults and that this is generally well monitored. Resident interviewed and surveyed feel very safe in the home and fell that their interests are looked after. Galteemore Rest Home DS0000005412.V353801.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): Key standards and standard 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment at Galteemore is maintained in a very good state being both clean and comfortable so that residents feel at home. EVIDENCE: The home is located in a quite square off Southport promenade. It is near shops and many local facilities, which residents regularly access. It is a converted house and bedrooms and bathrooms are located over 4 floors. Because there is no lift residents on the upper floors need to be mobile. There are seating and patio areas to both front and rear of the building and these areas are well used by residents. Home was clean and tidy and residents spoke about how they are encouraged to maintain their own rooms. Bedrooms seen were very well personalised and displayed evidence of the resident’s personalities. Galteemore Rest Home DS0000005412.V353801.R01.S.doc Version 5.2 Page 21 Two of the bedrooms are shared. On inspection it was observed that one of the rooms did not have any sort of screening for residents if they wished some privacy. This was discussed wit the manager. There are portable screens available but practically these are cumbersome to use [and so aren’t used]. It is recommended that curtain screens be put in place so that if residents need to they can choose to have more privacy. Galteemore Rest Home DS0000005412.V353801.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): Key standards. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. care staff are competent and provide good support for residents in the home but there needs to be some updating of recently employed staff files to ensure all staff are ‘fit’ to work in the home and residents are protected. EVIDENCE: The home is regularly staffed with the manager, 2 carers and a cook. The home is small and job roles are flexible with all staff attending to laundry and kitchen duties at various times. Staff have requisite training in food hygiene. Staff where observed to be interacting with residents regularly and residents spoke in very positive terms regarding the staff’s ability to support them. Likewise relatives felt that staff were skilled at their work and gave residents good support. Staff files were seen of the last two staff members to be recruited. Staff files contained all records apart from enhanced disclosures from the Criminal Records Bureau [CRB]. One staff had worked in the home for a year and the other for three months. The manager explained she had got basic CRB disclosures but these did not include Protection of Vulnerable Adult [POVA] checks, which are required. The manager has now accessed an umbrella body Galteemore Rest Home DS0000005412.V353801.R01.S.doc Version 5.2 Page 23 to process these and reported to the inspector that an application process has started. Staff files contained training records and staff spoken to where able to list recent updates and training courses attended and stated that they felt training in the home was good and appropriate. The manager has, following recommendations previously, made available a file containing some information on learning disability although staff spoken with have not had any formal training and this should still be considered so that staff have a deeper understanding of residents they are caring for. There has been some planning here with some staff recently attending training around Mental Capacity. Following previous recommendations the manager has accessed the Code of Conduct issued by the General Social Care Council [GSCC] and all staff have received a copy so that they are more aware of the underlying values and principals of care. Galteemore Rest Home DS0000005412.V353801.R01.S.doc Version 5.2 Page 24 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. JUDGEMENT – we looked at outcomes for the following standard(s): Key standards and standard 41 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. the manager is competent and there are good systems in place to ensure that the home is run in the best interests of the residents. EVIDENCE: Elaine Bennet is the manager of the home. She is a constant presence and residents, staff and relatives commented on her commitment. She is seen as approachable and supportive. She is supported by the provider who is also a daily presence in the home and attends to the health and safety and maintenance of the home. Residents and relatives are asked their views as to how the home should be run on a regular basis and more formally by resident and relative satisfaction surveys. The manager also keeps quality assurance notes from discussions Galteemore Rest Home DS0000005412.V353801.R01.S.doc Version 5.2 Page 25 with residents so that the service can keep up to date with resident needs and aspirations. There are external quality audits and the main one of these is carried out on a yearly basis. Health and safety is managed effectively in the home with liaison between the manager and the Registered Provider who is also a regular presence in the home and attends too much of the routine maintenance. Generally the management is good with risks assessed on a regular basis and the home maintained satisfactorily. The health and safety issues raised on the last inspection [regarding the management of the hot water system and legionella risk as well as other infection control issues] have been attended to. The accident book was seen and advice given as to the filing of accident forms. These need to be filed centrally and accessible by the manager only to comply with data protection. This was a previous recommendation. Galteemore Rest Home DS0000005412.V353801.R01.S.doc Version 5.2 Page 26 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 3 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 2 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 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 4 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X 2 3 X Galteemore Rest Home DS0000005412.V353801.R01.S.doc Version 5.2 Page 27 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 YA34 Regulation 19(1)b Requirement All staff must receive enhanced CRB and POVA Checks so that the manager can ensure they are fit to care for vulnerable people. Timescale for action 01/03/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Refer to Standard YA7 Good Practice Recommendations The manager needs to review the homes policy regarding keeping residents money on site and access information on good practice The in-house records of residents monies should be audited and signed by the provider on a regular basis. 2 3 YA17 YA20 The manager should review the menus displayed to make them easier to follow or perhaps make us of a daily menu board so that residents can be more aware of the menu. • The risk assessment tool discussed on the inspection should be considered for use and included in the homes procedure manual for medication. • Galteemore Rest Home 1 It is recommended that the policies and procedures DS0000005412.V353801.R01.S.doc Version 5.2 Page 28 appertaining to medicines are kept by the medication storage for easier access by staff [this was arranged on the inspection]. • Only one staff member signed some handwritten entries on the records and it is recommended that two signatures be recorded to reduce the risk of errors. There are currently no residents on any controlled medication but it is recommended that a controlled drugs registered is acquired in case of any eventuality. • 4 5 YA23 YA26 The manager should ensure that all staff have time to discuss and sign the local multi agency policy / procedure document so that they are fully aware. It is recommended that curtain screens be put in place so that if residents need to they can choose to have more privacy. Care staff should receive training around issues involved with learning disability on an ongoing basis. Accident records should be filed with respect to data protection. 6 7 YA35 YA41 Galteemore Rest Home DS0000005412.V353801.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection North West Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston, PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Galteemore Rest Home DS0000005412.V353801.R01.S.doc Version 5.2 Page 30 - 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. 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