Inspection on 25/07/07 for Gladstone House

This inspection was carried out on 25th July 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 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

Gladstone House 09/08/06

Gladstone House 09/08/05

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Gladstone House 28 West Street Scarborough North Yorkshire YO11 2QP Lead Inspector Gill Sample Unannounced Inspection 25th July 2007 10:40 Gladstone House DS0000063770.V343605.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 Gladstone House DS0000063770.V343605.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 Older People and 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. Gladstone House DS0000063770.V343605.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gladstone House Address 28 West Street Scarborough North Yorkshire YO11 2QP 01723 373638 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) Mrs Madoomatee Emambocus Mr Hessan Emambocus Mrs Elaine Blake Care Home 11 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (11), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (11) Gladstone House DS0000063770.V343605.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 9th August 2006 Brief Description of the Service: Gladstone House is registered to provide accommodation and personal care for up to 11 people who have or have had mental health problems who may also be over 65 years of age. The registered providers supply information to new and existing service users in a Service User Guide to the home detailing the accommodation, facilities and services provided. The weekly fee ranges from £290 to £410 per week depending on individual need. The average charge is £345 per week. Information about the weekly charge was supplied by the registered manager on 25th July 2007. The home is situated on the south cliff of Scarborough in walking distance of local shops and the seafront and close to a bus route to the centre of the town. Free on street parking is available close to the home. Two sitting rooms (one of which is for service users who smoke), the home’s dining room and kitchen are on the ground floor. The laundry is situated in the small yard at the rear of the property. Service users’ bedrooms, bathrooms and toilets are situated on the first and second floors, and the top floor accommodates an office cum staff sleeping in room. Gladstone House DS0000063770.V343605.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection has used information from different sources to provide evidence for this report. These sources include: ● ● ● ● ● Reviewing information which has been received about the home since the last inspection Information provided by the manager on a pre-inspection questionnaire Comment cards returned from people living at the home Discussion with the owners Mr and Mrs Emambocus A visit to the home on 25th July 2007 The visit to the home lasted five hours and twenty minutes. The inspector spoke to people who live at the home, the registered manager Elaine Blake and care staff on duty. Records relating to people living there, staff and the management activities of the home were inspected. Care practices and routines of the home were seen. This helped the inspector to gain an insight into what life is like at Gladstone House for the people who live there. The registered manager Elaine Blake assisted the inspector and the registered owners Mr and Mrs Emambocus were present at the end of the inspection. All were given verbal feedback at the end of the visit. What the service does well: The home continues to provide a homely place for people to live. People who live there are able to do as they wish and make their own choices. They describe staff as “our staff” rather than “the staff” and there is an apparent partnership between people living at the home and the staff who work there. People are able to look after themselves and others by helping with household chores such as washing pots, preparing drinks and setting tables, and several written comments from people reflected that they valued being involved “I like helping with the chores and being with our staff in the kitchen” “I like washing up with the staff”. The service is able to care for the people who live there as they grow older and give good support to people whose health is affected by illness. People who live at the home are able to influence their service and have direct access to the registered manager and owners. They praised the staff at the home “I am very happy with the staff and how they look after me”. “I’ve come to this home and enjoy it”. The registered manager has applied for and been granted money to provide level access bathroom and toilet facilities as part of the planned improvements Gladstone House DS0000063770.V343605.R01.S.doc Version 5.2 Page 6 to the building. Residents are aware of the proposals which may affect them while the building work is carried out. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Gladstone House DS0000063770.V343605.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Gladstone House DS0000063770.V343605.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 (Adults 18-65). Standard 3 (Older People). Standard 6 does not apply. People who use the service experience good quality outcomes in this area. They know what to expect from the service and can be confident that their needs will be met. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: Case records confirmed good practice. Assessment had been made of the person and their individual needs. Where admission had been made with the involvement of a care manager or psychiatric professionals, this information had been used as a basis to assess need and develop care plans. Gladstone House DS0000063770.V343605.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14 and 33 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 and 9 (Adults18-65). Standards 7, 14 and 33 (Older People). People who use the service experience good quality outcomes in this area. They are supported and encouraged to make their own decisions about how they live their lives. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: Written care plans were in place for people who live at the home. Care plans seen detailed the care needed based on individual aims and objectives. They included any physical care required and the need for support in social, emotional and behavioural issues. Formal reviews of care with the purchasing authority were on file. Monthly reviews had been made and recorded on files Gladstone House DS0000063770.V343605.R01.S.doc Version 5.2 Page 10 seen. Risks associated with the personal needs of people, the provision of care or activities had been recognised and recorded, and detailed how risks were to be minimised. The home operates a key worker system where a member of staff takes specific responsibility to make sure that people have everything they need and can be supported in making choices. Care staff spoken with said that they enjoyed this role and had formed good relationships with people who lived at the home. Reviews of care and achievements were recorded on a monthly basis. Observation showed that people did as they wished and were involved in the running of the house. Written comments included “I like having a lie in in the mornings.” “I go to bed when I want to.” The home operates as a house occupied by a number of people who have the help of staff. One person said they had moved to a room on a lower floor following an illness so that they did not have to climb as many stairs to their room. Gladstone House DS0000063770.V343605.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. 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. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Gladstone House DS0000063770.V343605.R01.S.doc Version 5.2 Page 12 Standards 12, 13, 15, 16 and 17 (Younger Adults 18-65). Standards 10, 12, 13 and 15 (Older People). People who use the service experience good quality outcomes in this area. They are supported to live meaningful lives and have good access to a wide range of both social and therapeutic activities. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: People said that they were happy with the activities provided at the home. They talked about plans for holidays in the summer and said that the manager was looking to hire a minibus for them to go out for days. One person who at the last inspection had said they wished to continue day centre services had started attending a local day centre. People described how they kept in regular contact with their families and one rang a family member during the inspection “I ring my brother every Wednesday”. One person said they went for a walk when their relative visited each Sunday. People said that they went to the local shops and Post Office, usually having coffee at a café while out. One said that she liked trips out with the registered manager in the car. The registered manager said that no restrictions are placed on people living at the home unless the risks for the individual were assessed as being too high. People are encouraged to work as volunteers if they wish. Written comments included “I like playing bingo on a Saturday and the Cinema Night on a Saturday when we have pop and sweets and watch a DVD, that’s my favourite”. “…they take me out for a walk or in the car”. Individual bedrooms can be locked for privacy. Systems are in place so that visitors to the home are known so that staff know who is on the premises at any given time. People have access to most areas of the home including the kitchen and laundry so that they can make drinks and do their own washing. People’s written comments about the food were complimentary “I like the food very much” “I get up at 10 most mornings and enjoy my breakfast”. People were seen making drinks for everyone in the house and eating fruit and biscuits. A cooked lunch was served during the inspection which looked and smelt appetising and used fresh meat and vegetables. People knew what was for lunch and said that a menu was posted in the hall so they could see what food was going to be served. Staff were attentive to people’s needs and paid special attention to someone arriving back from a hospital appointment. Gladstone House DS0000063770.V343605.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20 (Younger Adults 18-65). Standards 8, 9 and 10 (Older People). People who use the service experience good quality outcomes in this area. They can be assured that their health care needs will be recognised and addressed and that any care provided will be sensitive to their own preferences. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: Care records showed that people’s personal and health care needs are properly met. Written surveys said that staff respected people’s privacy, and bedrooms are fitted with locks. Where people share a bedroom this is with the agreement of both people “I share a bedroom with…. We get on very well and look out for each other”. People are encouraged to take responsibility for their Gladstone House DS0000063770.V343605.R01.S.doc Version 5.2 Page 14 own health care when they are able and one said, “I go myself to get an injection every three weeks”. People were seen doing what they liked and were relaxed with each other and the staff. Written surveys from people said that they felt well cared for. The way in which care is given reflects individual choices. The building has no level access and would be unsuitable for wheelchair users but has bath hoisting equipment so that people can be independent in personal care or can be safely assisted by staff. Staff at the home have supported people through serious illness and hospital admission since the last inspection by accompanying the people to medical appointments and hospital admission and providing additional personal care following their discharge. Records of the receipt and administration of medication were clear and accurate and recording was up to date. A monitored dosage system is used which allowed for the recording of short term medication. Storage of medication was secure and orderly and medication was administered using hygienic and safe handling methods. Care records detailed when staff had discussed medication with people living at the home and recorded individual choices about whether people wanted to manage their own medication. Gladstone House DS0000063770.V343605.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23 (Younger Adults (18-65). Standards 16, 18 and 35 (Older People). People who use the service experience good quality outcomes in this area. They have access to information if they wish to make a complaint or raise any concern about their service and are protected by the awareness of staff of potential abuse. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: Written survey information confirmed that people knew how to make a complaint if they wished. People said that they could speak to staff, the manager and the owners if they were unhappy about anything. There is a whistle blowing policy for staff so that they may disclose poor practice without fear of being victimised. Staff are aware of the forms of potential abuse and were aware that any suspected abuse needed to be reported to the manager. Written information is accessible to the manager and staff so that referral can be made properly to the local authority if abuse is alleged or suspected. Gladstone House DS0000063770.V343605.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30 (Adults 18-65). Standards 19 and 26 (Older People). People who use the service experience good quality outcomes in this area. They live in a safe and homely environment which is maintained to a good standard of comfort and safety. People will have increased independence once planned improvements have been made. We have made this judgement using a range of evidence including a visit to this service. Gladstone House DS0000063770.V343605.R01.S.doc Version 5.2 Page 17 EVIDENCE: All communal areas of the home were seen including people’s bedrooms, the kitchen and laundry facilities. The home’s laundry is not adequate for the needs of the home and this is acknowledged by the owners and manager. Plans have been drawn up to provide improved laundry facilities which will enable people to be independent in doing their own laundry if they wish. The plans also include the provision of ground floor bathroom and toilet facilities which will assist people as they get older to have level access and more space should they need the assistance of care staff. People who live at the home chose decorations and paint colour for their own rooms and are consulted when other areas of the home are decorated. Where wallpaper had been water damaged following a roof leak, plans were in place to redecorate the area. The registered manager ensures that the building is maintained in compliance with the regulations required by the Fire and Rescue Service and Environmental Health departments. All areas of the home seen were well decorated and furnished and was light and airy. The home has one sitting room in which people can smoke. Gladstone House DS0000063770.V343605.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34 and 35 (Adults 18-65). Standards 27, 28, 29 and 30 (Older People). People who use the service experience good quality outcomes in this area. They are supported by a caring staff team and are protected by recruitment processes which can be further improved. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: Information sent prior to the inspection showed that staffing hours are sufficient to meet the needs of people living at the home. The age range of staff matches the ages of residents. Some people receive one to one time as part of their care and development so that any problems can be worked on in Gladstone House DS0000063770.V343605.R01.S.doc Version 5.2 Page 19 the longer term. Residents surveys said that they felt the staff treated them well and they felt well cared for. Recruitment processes were seen on the records of three staff. These showed that the system for making all the proper checks on potential staff are in place, but that the process has become less clear since the introduction of new paperwork. For instance, the application form does not ask applicant for a full employment history so that the manager can take up the most appropriate references and question the applicant at interview about their previous employment experience. Other discussions with applicants relevant to the recruiting process were not recorded, so the registered manager could not demonstrate that the checks made during recruitment were thorough. Information sent to the Commission as part of the inspection confirmed that progress had been made by staff in achieving NVQ level 2 in care: three staff now have the qualification and two are still training towards it. Staff are trained in mandatory health and safety topics and those staff spoken with detailed the courses they had completed. Other subjects relevant to the work they undertake are available, such as dealing with challenging behaviour. The registered manager has submitted information to the national social care database for care staff. Gladstone House DS0000063770.V343605.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 and 42 (Adults 18-65). Standards 31, 33, 35 and 38 (Older People). People who use the service experience good quality outcomes in this area. The home is managed well and people who live at the home have a say about how the home is run. We have made this judgement using a range of evidence including a visit to this service. Gladstone House DS0000063770.V343605.R01.S.doc Version 5.2 Page 21 EVIDENCE: The manager Elaine Blake is registered under the Care Standards Act. Staff spoken with described the manager as “brilliant – best one I’ve had” and as being “very fair”. There is evidence of a good working relationship between the owners and the people who live and work at the home. They visit on a weekly basis and both residents and staff said they were able to speak directly to the owners if they wish to talk about any issues. A sample of health and safety related records were checked at the visit. These were: ● ● ● The environmental health officer’s report dated 11th July 2007 Bath hoist servicing records Electrical installation safety certificate dated August 2006 It was noted that the contractor had made recommendations as part of the check on the home’s electrical safety, one of which was coded as needing attention to make sure people remained safe. This was discussed with Mrs Blake and Mr and Mrs Emambocus who said they would follow this up with the contractor and take any necessary action. There is a quality assurance system in place based on the views of people who live at the home. This is assessed annually and views of residents and their relatives and visitors are included in the report. Gladstone House DS0000063770.V343605.R01.S.doc Version 5.2 Page 22 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT Standard No Score 37 3 38 X 39 3 40 X 41 X 42 2 43 X 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Gladstone House Score 3 3 3 X DS0000063770.V343605.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA34 Good Practice Recommendations Applicants should be asked to record their full employment history on application, so that any gaps can be identified and the most appropriate references taken up. Applicants should be asked to declare any criminal conviction they may have on application forms. Recruitment records should include discussion with applicants about any criminal convictions which are disclosed, including the reasons why a person is subsequently appointed or not. That interview questions follow equal opportunities principles and are recorded, dated and signed by the interviewer. 2 YA42 The recommendations made during following inspection of the home’s electrical installation should be checked with the electrical contractor to ensure that the installation is safe to use. DS0000063770.V343605.R01.S.doc Version 5.2 Page 24 Gladstone House Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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. Gladstone House DS0000063770.V343605.R01.S.doc Version 5.2 Page 25 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!