Inspection on 20/10/05 for Garswood

This inspection was carried out on 20th October 2005.

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

Garswood 29/01/08

Garswood 31/10/06

Garswood 13/02/06

Garswood 22/02/05

Garswood 31/08/04

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

CARE HOMES FOR OLDER PEOPLE Garswood 32 Trafalgar Road Southport Merseyside PR8 2HE Lead Inspector Miss Orla Murphy Unannounced Inspection 20th October 2005 11:00 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 Garswood DS0000005345.V265464.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 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. Garswood DS0000005345.V265464.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Garswood Address 32 Trafalgar Road Southport Merseyside PR8 2HE 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) 01704 568105 Christadelphian Nursing & Residential Care Mrs Lesley Denise Porter Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (42) of places Garswood DS0000005345.V265464.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 42 OP The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 22nd February 2005 Date of last inspection Brief Description of the Service: Garswood is located in the Birkdale area of Southport, relatively close to the town centre. The home is owned by a voluntary organisation, Christadelphians. The home can have up to 42 residents who are of old age and who belong to the Christadelphian community. The home is 3 storeys and bedrooms and bathing areas are on all floors. There is a large garden to the rear of the house which residents use. The house is accessible to public transport and Southport centre, Lancashire and Liverpool are all within reach from the home. Parking is available to the front of the home but parking is also available on the street outside the home. Garswood DS0000005345.V265464.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. 6 residents and two staff were spoken to at the inspection. Three 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, medication sheets, meeting minutes, menus, timetables, staff rotas and significant events) were examined. What the service does well: What has improved since the last inspection? What they could do better: One staff file requires updating with a second reference. Staff must have a minimum of 6 supervision sessions per year. Garswood DS0000005345.V265464.R01.S.doc Version 5.0 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Garswood DS0000005345.V265464.R01.S.doc Version 5.0 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 Garswood DS0000005345.V265464.R01.S.doc Version 5.0 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 Resident’s needs are fully assessed prior to moving into the home. EVIDENCE: Assessments are carried out on prospective residents, prior to them choosing to move to the home. Three resident’s assessments were examined in detail, as part of the case tracking process. These detailed each resident’s needs and strengths about their health, mobility, medication, support needed, family and lifestyle, spirituality and their wishes, likes & dislikes. It was obvious through discussions with residents that the fact that the home is specifically for people in the Christadelphian faith was a defining factor for those choosing the home. It means, for those residents, that their spiritual needs can be met fully. Garswood DS0000005345.V265464.R01.S.doc Version 5.0 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): 7, 8 & 9. Care Plans are detailed and structured to ensure consistency in the care provided. Resident’s health care needs are met. The home has a medication procedure to ensure effective administration and working practises. EVIDENCE: The care plans of those residents case tracked were examined in detail. All three care plans were detailed, structured and up to date. They detailed the needs of residents in relation to their health, mobility, emotional wellbeing, spirituality and other relevant issues. All plans were reviewed and changed where required. Those residents spoken to were aware that records were held to inform staff of their needs and how best to support them. Daily records showed that staff are monitoring the care needs of residents and their progress. Health needs were clearly recorded in resident’s assessments and in their care plans. One resident informed the Inspector that the home’s staff & manager had been invaluable to her & her husband through a period of ill health. Risk assessments were in place for all residents. Garswood DS0000005345.V265464.R01.S.doc Version 5.0 Page 10 Medication administration was examined and was satisfactory. There is a clear procedure in place for staff to follow and those residents spoken to were all happy with the medication system. Garswood DS0000005345.V265464.R01.S.doc Version 5.0 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): 13 & 15. Residents have contact with family, friends and the community, and this is encouraged by staff. Residents have a healthy, varied diet available to them and are informed of choices available where they don’t like a menu item. EVIDENCE: Visitors were in the home on the day of the visit and they were observed interacting freely with their relative/friend and moving about the home freely. The atmosphere between staff, residents and visitors was relaxed. All resident’s files seen held clear family and contact history and detail. Four residents spoken to said their family lived outside the area but were in contact by phone, visits and staff contacted family when they wanted them to. Menus are on display in the home. Everyone spoken to said the food was very nice and if you didn’t like it you could request something else. The range of food on the menu was varied, healthy and nutritious. Alternatives for each course were recorded. Garswood DS0000005345.V265464.R01.S.doc Version 5.0 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): 18 Residents are mostly protected from abuse. EVIDENCE: Staff have been trained in POVA (Protection Of Vulnerable Adults) and three of the four staff files checked held 2 satisfactory references, proof of identification, Criminal Record’s Bureau (CRB) checks and POVA checks. One file held only 1 satisfactory reference and this must be addressed. All residents spoken to said if they were scared or worried they would definitely tell the home’s Manager or staff and they trusted either to deal with the issue. Garswood DS0000005345.V265464.R01.S.doc Version 5.0 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): No environmental standards were assessed on this occasion due to redecoration works. EVIDENCE: Garswood DS0000005345.V265464.R01.S.doc Version 5.0 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): 29 & 30. Recruitment practises are mostly up to date & accurate. Staff supervision sessions are not up to date. EVIDENCE: Four staff files were examined and were mostly satisfactory. Three files held the required checks, identification, references and Criminal Record clearances. One file had all required except a second satisfactory references. Training received was evident on staff files and proof of qualifications was also in place. Garswood DS0000005345.V265464.R01.S.doc Version 5.0 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 & 36. Resident’s interests are important in the running of the home. Staff supervision needs to be increased. EVIDENCE: The home is a service for members of the Christadelphian community. This focus is extremely important to residents and is a primary consideration in routines (for services & meetings) and values. All residents spoken to emphasised this and stated it was the primary benefit to living in the home. Staff supervision sessions were on file & recorded but on current regularity will not meet the minimum of 6 sessions per year. This must be addressed. Garswood DS0000005345.V265464.R01.S.doc Version 5.0 Page 16 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 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 2 x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 3 x x 2 x x Garswood DS0000005345.V265464.R01.S.doc Version 5.0 Page 17 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. 1 2 Standard OP29 OP36 Regulation 18 18 Requirement The staff file identified must hold 2 satisfactory references. All staff must receive 6 recorded supervision sessions per year. Timescale for action 30/11/05 14/01/06 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 Garswood DS0000005345.V265464.R01.S.doc Version 5.0 Page 18 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. Extracts may not be used or reproduced without the express permission of CSCI Garswood DS0000005345.V265464.R01.S.doc Version 5.0 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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