Inspection on 16/10/07 for Gilby House Care Home

This inspection was carried out on 16th October 2007.

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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Gilby House Care Home 31/07/09

Gilby House Care Home 19/05/09

Gilby House Care Home 15/01/07

Gilby House Care Home 06/03/06

Gilby House Care Home 01/11/05

Gilby House Care Home 29/11/04

Gilby House Care Home 26/05/04

Gilby House Care Home 02/03/04

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

CARE HOME ADULTS 18-65 Gilby House Care Home High Street Winterton Scunthorpe North Lincolnshire DN15 9PU Lead Inspector Ms Wilma Crawford Key Unannounced Inspection 16th October 2007 09:30 Gilby House Care Home DS0000002787.V352782.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 Gilby House Care Home DS0000002787.V352782.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. Gilby House Care Home DS0000002787.V352782.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gilby House Care Home Address High Street Winterton Scunthorpe North Lincolnshire DN15 9PU 01724 734824 01724 734824 info@prime-life.co.uk info@prime-life.co.ukwww.prime-life.co.uk Prime Life Limited 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 Upenyu Thomas Magorokosho Care Home 22 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (22), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (1) Gilby House Care Home DS0000002787.V352782.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named service user over the age of 65. This individual can continue to be accommodated in the home until there is a change in their individual circumstances which means the home can no longer meet their assessed needs. 15th January 2007 Date of last inspection Brief Description of the Service: Gilby House is registered to provide nursing care to adults who experience mental health problems. The home is a converted Victorian building in the centre of the village set in its own grounds The home is situated in Winterton, a village close to Scunthorpe. Its location gives service users good access to local shops, pubs and other facilities within the village community. There is also a regular bus service into the town of Scunthorpe. The home has a web site and email address that has been included in this report. Gilby House Care Home DS0000002787.V352782.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection report is based on information received by the Commission for Social Care Inspection (CSCI) since the last key inspection of the home on 15th of January 2007 including information gathered during a site visit to the home. The site visit to the home was unannounced and took place on 16 October 2007. Ten people living in the home and three staff were spoken with during the visit. The manager was available throughout the visit. The main method of inspection used was called case tracking which involved selecting three residents and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. The premises were looked at and the records of three residents and two staff were inspected. An Annual Quality Assurance Assessment (AQAA) document asking for information about the home was sent out before this visit and information from this was included as part of the inspection process of this service. Forty-two surveys were sent out to people living in the home, relatives, professionals and staff seven of these were completed and returned. The comments from these and from discussions during the site visit are also included in the report. The range of fees charged is £367 — £900 per week. These fees are based on a standard fee and an additional package of care based on the individual’s needs. People living in the home pay for their own newspapers, chiropody treatment and hairdressing. What the service does well: The manager of the home understands the needs of the service users and the staff. The needs assessment process at the home is robust and thorough, enabling people who use the service to be confident that their needs can be met. The home provides a detailed plan of care for each individual and this is regularly updated. Residents are involved in the care planning process and are regularly consulted. Residents said they felt well cared for and that the staff were kind and helpful, but the best thing was that they were listened to. People living in the home are given the opportunity to make decisions about their lives and the day-to-day running of the home. They said that the manager and staff ask them what they think about things, through individual discussion, surveys and service users meetings. The home’s administration, handling and storage of medicines are well managed. The home is well organised and managed, with trained staff who are well supported and have a good knowledge of residents’ needs and how these should be met Gilby House Care Home DS0000002787.V352782.R01.S.doc Version 5.2 Page 6 Comments recorded in the visitors book were very complimentary about communication, the care provided, the manager and the staff in the home. What has improved since the last inspection? What they could do better: The carpet to the corridor outside of the managers’ office is badly stained and in need of thorough cleaning. The ceiling to bedroom 18 has experienced leak and although the leak has been repaired the ceiling needs to be redecorated. Three of the five relatives returning surveys about the home stated that they would not know how to make a complaint, the home should address this by sending copies of the homes complaints procedure to relatives for their information. The hours available for cleaning should be reviewed to ensure that there are enough hours available to complete all tasks necessary in the home on a daily basis. The manager and feedback from staff surveys indicate that they feel the care staff would benefit from additional specialist training relating to mental heath conditions. This should be considered by the organisational training department. People living in the home said that they would like more activities and outings made available to them. Please contact the provider for advice of actions taken in response to this Gilby House Care Home DS0000002787.V352782.R01.S.doc Version 5.2 Page 7 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. Gilby House Care Home DS0000002787.V352782.R01.S.doc Version 5.2 Page 8 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 Gilby House Care Home DS0000002787.V352782.R01.S.doc Version 5.2 Page 9 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): 2,3,4 & 5 People who use this service experience good quality outcomes in this area. A full needs assessment is carried out and people are given enough information about the home and its facilities before admission, for them to be confident that their needs can be met by the service. The judgement has been made using available evidence including a visit to this service. EVIDENCE: Each individual has a statement of terms and conditions with the home, which are signed by the individual or their representative and includes details of any third party payments due to the service users themselves in relation to the service and care provided to them. The manager or the deputy manager visits prospective service users and a full assessment is completed. At the time of the site visit there were twenty-two service users living at the home and the inspector observed all of the written documentation in the home relating to three of the service users. Most of the service users living at the home have lived there for some time. However all those spoken to by the inspector stated that they had been given the opportunity to visit the home before they had made the decision to move there on a more permanent basis. All of the care files that were seen by the inspector included full assessments of the service users’ needs. The assessments were a combination of those completed by the placing authority and the home’s pre-admission information. Where appropriate they were also supported with Care Programme Approach Gilby House Care Home DS0000002787.V352782.R01.S.doc Version 5.2 Page 10 assessments and risk management plans. The assessments identified service users’ social and healthcare needs. Interviews with the staff, staff training records and discussions with service users all supported the evidence that the home has the capacity to meet the assessed needs of the service users. Gilby House Care Home DS0000002787.V352782.R01.S.doc Version 5.2 Page 11 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): 6,7,8,9 and 10 People who use this service experience good quality outcomes in this area. People using the service are able to make decisions and everyday choices as part of an independent lifestyle. The judgement has been made using available evidence including a visit to this service. EVIDENCE: Individuals’ care files included care plans detailing how individual needs should be met within the home. Each care plan had been regularly monitored and evaluated and where appropriate new or changed care plans had been implemented. People spoken with by the inspector stated that the staff were able to look at them and that they believed that all of their care plans were being followed by the staff. Where appropriate Care programme Approach partners and their roles in the care of the service users were identified in the care plans. The staff complete a record of the daily lives for each person, detailing any patterns of behaviour or concerns around mental health problems. Any concerns are raised with the manager or qualified staff in order that appropriate support can be sought for the individual promptly. Where risks were identified in the daily lives of service users, their care plans were supported with risk assessment and risk management plans. These had Gilby House Care Home DS0000002787.V352782.R01.S.doc Version 5.2 Page 12 also been regularly evaluated to make sure that they were still relevant to the care of the individual service users. Direct observation by the inspector and examination of documents in the home supported the evidence that the service users are provided with choice throughout their daily lives. Regular service users meetings are held and minutes of these provided evidence that the service users are asked for their views on how the services provided in the home should be improved. People living in the home informed the inspector that they decide for themselves what time to rise from and retire to bed, they also said that they could choose to eat wherever they wanted. Since the last inspection the home has included a choice at all meal times. Several people commented that it was much improved with plenty of choice. On the day of the site visit four different types of vegetables were available with the two main dishes. The inspector had the opportunity to observe the meal being served, and alternatives being provided for some individuals who wanted a lighter meal. The records of the service user meetings showed that the quality of the meals being provided at the home had been a long running problem at the home. The home has a new manager in position and there was evidence that plans were being made to work with the kitchen staff to improve the quality of the meals provided to the service users. All of the confidential information held in the home was stored in accordance with the Data Protection Act 1998. Direct and indirect observations during the course of the site visit supported that when confidential information was being discussed between staff, or between staff and service users’ confidentiality was appropriately maintained. Gilby House Care Home DS0000002787.V352782.R01.S.doc Version 5.2 Page 13 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): 11,12,13,14,15 16 and 17 People who use this service experience good quality outcomes in this area. People using the service have opportunities to access a variety of leisure activities, are supported to maintain relationships and have their nutritional needs met. The judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection the home has included a choice at all meal times. Several people commented that it was much improved with plenty of choice. People living in the home stated that they are supported through a variety of ways to maintain and develop their social, emotional, communication and independent living skills. The care plans observed by the inspector supported that these areas were being addressed for all of the individual service users. This included identification of service users’ personal, religious and cultural needs. Part of this information included the recognition of the service users’ last wishes in the event of their deaths including the type of religious or nonreligious service that they would require. Gilby House Care Home DS0000002787.V352782.R01.S.doc Version 5.2 Page 14 Although none of the service users were involved in maintaining jobs (due to the problems associated with their mental health problems) they were supported to continue with training and education that is based in the community. This included adult education classes for art, craft, adult literacy and computer skills. The home also provides a range of in house activities including; pool, darts, embroidery, table top games, walks and bird watching. Other activities include shopping on a 1:1 basis, day trips, a Halloween party and meals out. Although people were observed engaging in a variety of activities, some spoken with said that they would like different things made available and that it was not always possible to cater for everyone at the same time. Individual ideas had been recorded at service users meetings, and had been introduced, however, staff spoken with said that the service users were not always motivated to get involved in anything much. The records and photographs eon display in the home provided evidence that the service users are regularly supported to go out to activities in the community. This included day trips to the coast and other places of interest. Throughout the home hand made tapestries were displayed, one of which had won second prize at the local fete. The home is situated in the centre of the local community and there are good relationships between the service users, staff and business people in the area. This includes a local café that service users like to visit, and the local public house that contact the staff at the home if they have any concerns for individual service users that live there. Individual service users’ records and discussions with the inspector supported the evidence that they are encouraged and supported to maintain their relationships with their family and friends. Service users’ care files showed that their preferred form of address and observations showed that these terms were used at all times by the staff. Gilby House Care Home DS0000002787.V352782.R01.S.doc Version 5.2 Page 15 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): 18,19,20 and 21 People who use this service experience good quality outcomes in this area. Residents receive appropriate health care and personal support. The judgement has been made using available evidence including a visit to this service. EVIDENCE: The home receives good support from outside agencies and can obtain consultant appointments immediately if required urgently. People living in the home have their healthcare needs met through the nurses that are employed at the home and support from their GP’s and other healthcare professionals that are based in the community. The service users spoken to by the inspector said that when they were seen by healthcare professionals they were always seen in private unless they asked for one of the care workers from the home to support them. An individual is being supported to stay in the home, with input from the Macmillan nurses, at their own request. Staff had their manual handling training updated to accommodate this and the necessary equipment provided in the home. Individuals’ care plans identified when there had been any changes in the service users’ healthcare needs and the support that they now required Gilby House Care Home DS0000002787.V352782.R01.S.doc Version 5.2 Page 16 maintaining as much independence as possible. Comments made by visiting professionals in the homes visitors book included: ‘staff very helpful’ ‘Glowing reception from all staff’ ‘I was made to feel welcome and the review was informative and thorough’ ‘Found the quality of the feedback excellent. Great empathy towards service users.’ None of the service users at the home administer their own medication. The nurses that are employed there administer all of the prescribed medication. However the care staff receive medication training to ensure that they understand the effects that the medication can have on the service users. The medication room was well ordered and the medication fridge and room temperatures were monitored on a daily basis. Medication records were all up to date and had been accurately recorded. This included the records for the controlled drugs in the home. The staff were observed administering medication to the service users by the inspector and all appropriate legislation and good working practice guidelines were followed. The home also has access to an optician that will visit the service users at the home. Again this is in the best interests of the service users when they do not have the confidence to see an optician in the community. Each of the service users that were case tracked by the inspector had their last wishes in the event of their deaths identified. This will ensure that all of the social, religious and cultural needs of the service users will be met through the home. Gilby House Care Home DS0000002787.V352782.R01.S.doc Version 5.2 Page 17 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): 22 23 People who use this service experience good quality outcomes in this area. People using the service feel able to air their concerns without any fear of repercussions. The staff vetting procedure is sufficiently robust to ensure the safety of the service users. The judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a clear complaints procedure and the service users spoken to by the inspector stated that they understood how to make a complaint if they had any in relation to the care that they receive at the home. Three of the five relatives returning surveys commented that they did not know how to make a complaint. A complaint was received directly by the Commission. This was regarding the soiled state of the toilets during a visit to the home. When the visitor raised this with staff, the toilets were cleaned, but the complainant was not satisfied with the action taken. On the day of the site visit the toilets were odour free and clean. Two appropriate references and a POVA first check had been received for a newly appointed staff member, however the home was still not in receipt of a Criminal Reference Bureau (CRB) check. In this situation a decision had been made to supervise the staff member while they completed their induction. The manager and the deputy did this. Examination of the home’s staff rota showed that this person was not included in the daily numbers required by the home and they had not been rositered for any shifts. Staff training records showed that they receive training in relation to the protection of vulnerable adults. This training was provided through National Gilby House Care Home DS0000002787.V352782.R01.S.doc Version 5.2 Page 18 Vocational Qualifications (N.V.Q’s), local authority training and internal training provided through the corporate body. Gilby House Care Home DS0000002787.V352782.R01.S.doc Version 5.2 Page 19 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): 24,25,26,27,28 and 30 People who use this service experience adequate quality outcomes in this area. The residents have been provided with a comfortable environment that is clean overall and has been decorated to a reasonable standard, with both private and communal space being suitable for their needs. The judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is generally safe for the service users, but there were two concerns in relation to the environment. The carpet in the corridor outside the managers’ office was heavily stained and unsightly and in need of a thorough clean or replacement, in comparison to the clean carpets and flooring throughout the remainder of the home. A bedroom ceiling had experienced a leak and although the leak had been repaired the area had not been re plastered or re decorated. A full tour of the building was made and the previous requirements made at the last inspection in relation to the environment had been addressed. There had also been some redecoration, new soft furnishings and furniture purchased, to provide a more comfortable environment for people living in the home. Gilby House Care Home DS0000002787.V352782.R01.S.doc Version 5.2 Page 20 Bedrooms were personalised and decorated to suit individual tastes. Each bedroom has a suitable lock that can be used for privacy. Some individuals had their own televisions and kettles installed in their rooms. In depth risk assessments had been completed for the use of kettles. Many individuals had personal belongings and furnishings in their rooms, making them feel homely and reflect the personalities of the occupants. Two of the bedrooms are for two people, with privacy screens in place. The service users stated that they were happy with their individual rooms and several of the service users invited the inspector to visit their rooms. One of the service users does not have what may be considered as conventional furniture and fittings in her rooms, however their care plan documented that this was their personal choice and the placing authority were satisfied with the provision of care in the home. The washing machines at the home are all programmable to disinfection and sluicing standards and the machines have automatic feeds on them so the laundry staff do not have to have any contact with any caustic materials. There is also a smaller laundry in the home where the service users can do their own washing to maintain their independence skills, or to improve their skills with the hope that this will lead them on to more independent living. A domestic is also employed in the home and although they provide an adequate service with the hours available, this does not allow them the additional time required for more in depth cleaning of the home. The home has a smoking lounge for service users use. This has been fitted with a new extractor fan to reduce the smoke and odour in this area. Policies and procedures are available for the control of infection. The home has several outside sitting areas, in well maintained gardens, which are accessible to the people living in the home. Gilby House Care Home DS0000002787.V352782.R01.S.doc Version 5.2 Page 21 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): 31,32,33,34,35 and 36 People who use this service experience good quality outcomes in this area. People living in the home are supported by staff who are supervised and undertake training. The staff vetting procedure is sufficiently robust to ensure the safety of the residents. The judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff spoken to by the inspector had all received a clear job description and interviews with the staff showed that they understood their own roles and responsibilities and those of their colleagues. New starters have an induction plan that follows the requirements of the Sector Skills Councils workforce strategy targets and all new staff to the home undertake an induction to the home, which must be completed within three months of their appointment. Staff training records and interviews with the staff show that they are effective in meeting the needs of the service users. The staff rotas indicate that there are always appropriate numbers of staff available to the service users. Three staff returned questionnaires to the Commission, these were all positive in relation to the care of the service users and the management of the home. One of the questionnaires identified that the home would benefit from a more structured approach towards activities. This may be considered by the home and discussed a service users meeting for their views on the matter. The recruitment procedures for the home are implemented. Two appropriate Gilby House Care Home DS0000002787.V352782.R01.S.doc Version 5.2 Page 22 references and a POVA first check had been received for a newly appointed staff member, however the home was still not in receipt of a Criminal Reference Bureau (CRB) check. In this situation a decision had been made to supervise the staff member while they completed their induction. The manager and the deputy did this. Examination of the homes staff rota showed that this person was not included in the daily numbers required by the home and they had not been roistered for any shifts. Staff supervision is held regularly and documented, the manager supervises the nursing staff and they in turn supervise the care staff. Service user opinions of the capabilities of the nursing and care staff were that they were good and had a good understanding of their needs. A great deal of professionalism and patience was seen to be offered by the homes staff to all of the service users, throughout the visit. Approximately 48 of the of care staff working at the home have achieved NVQ 2 or equivalent. Staff training records and interviews with staff supported that they receive all of the mandatory training and also receive specialist training to understand the needs of service users with mental health problems. This is an area that the manager would like to see further developed to support the staff team’s understanding and develop their skills further. Gilby House Care Home DS0000002787.V352782.R01.S.doc Version 5.2 Page 23 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): 37,38,39,40,41 and 42 People who use this service experience good quality outcomes in this area. People using the service benefit from a safe and well managed place to live. The judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager is a qualified Registered Mental Nurse and Registered General Nurse and has completed the Registered Managers Award. The manager of the home also attends all of the mandatory training with the staff group. Staff interviewed by the inspector, and discussions with service users supported the evidence that the management of the home is open, positive inclusive and service users focused. Regular staff and service user meetings are held by the management to allow both groups to be able to offer their views on the development of services in the home. Gilby House Care Home DS0000002787.V352782.R01.S.doc Version 5.2 Page 24 One service user said ‘the new manager listens to you, and changes things. He is interested in us as people.’ Staff spoken to confirmed that they received regular supervision and were involved in handovers and staff meetings. Direct and indirect observations made by the inspector during the site visit showed that the manager of the home does not restrict himself to an office, he walks around the home on a regular basis and integrates with the service users and staff. He was seen to be well received by all of the service users and the staff. Two service users spoken to by the inspector (together) stated that ‘the manager is very good, he has changed a lot of things here for the better, Tom is a good man.’ The home’s quality assurance and monitoring system is undertaken corporately and the results are returned to the home. The company’s quality assurance rates the home as providing ‘superior’ services. The information for the report includes questionnaires returned by service users and comments made by professional visitors when they visit the home. All visitors to the home are also encouraged to complete questionnaires and put their comments in the home’s visitors book. Policies and procedures are produced corporately. A small handbook with prompts in relation to the policies and procedures are also made available to all of the staff. The records that are maintained in the home were all up to date and had been accurately recorded. The management of the home ensures, as far as is reasonably practicable, the health safety and welfare of the service users and the staff. The gas systems in the home all had up to date safety certificates. The fire systems are regularly monitored and serviced and all of the mobility aids in the home are regularly serviced and maintained. Gilby House Care Home DS0000002787.V352782.R01.S.doc Version 5.2 Page 25 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 3 4 3 5 3 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 2 25 3 26 2 27 2 28 2 29 X 30 2 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 3 3 3 3 Gilby House Care Home DS0000002787.V352782.R01.S.doc Version 5.2 Page 26 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 YA30 Regulation 16(2)kj 23(2)d Requirement Timescale for action 30/10/07 2. YA24 23 3. YA33 18 The registered person must ensure that the carpet outside of the office and down the hallway is thoroughly cleaned or replaced. The registered person must 31/12/07 complete the repair and redecorate the ceiling of bedroom 18. The registered person must 31/12/07 ensure that the home has an effective domestic team, with sufficient numbers to maintain the provision of in depth cleaning within the home, over and above the daily cleaning routines that are met. 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. YA36 Gilby House Care Home Refer to Standard Good Practice Recommendations A wider range of specialist training should be developed and implemented, to improve staff knowledge of the client DS0000002787.V352782.R01.S.doc Version 5.2 Page 27 group and their mental health conditions Gilby House Care Home DS0000002787.V352782.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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. 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