Inspection on 14/10/05 for Gleavewood

This inspection was carried out on 14th 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

Gleavewood 08/06/06

Gleavewood 21/04/05

Gleavewood 22/09/04

Gleavewood 22/04/04

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

CARE HOMES FOR OLDER PEOPLE Gleavewood Farm Road Weaverham Northwich Cheshire CW8 3NT Lead Inspector Bronwyn Kelly Unannounced Inspection 14th October 2005 09.30 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 Gleavewood DS0000006504.V257427.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. Gleavewood DS0000006504.V257427.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Gleavewood Address Farm Road Weaverham Northwich Cheshire CW8 3NT 01606 853395 01606 852781 phil.caine@clsgroup.org.uk www.clsgroup.org.uk CLS Care Services 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) Philip Caine Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (29), Physical disability (1) of places Gleavewood DS0000006504.V257427.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No more than 29 Service Users may be OP No more than 1 Service User may be PD Date of last inspection Brief Description of the Service: Gleavewood is a care home providing personal care and accommodation for up to 29 older older people and one adult with physical disabilities. The home is owned by CLS Care Servises, a not for profit organisation that runs a number of homes in the North West. It was purpose built in the 1980s and provides single bedroomed accommodation on two floors. Gleavewood is situated in the village of Weaverham, approximately three miles from the town of Northwich. The home is part of the local community, close to shops, a library, surgery, two churches, a public house and the local bus stop. The bedrooms are all comfortable but eight are smaller than 10.00 square metres in size. Two bedrooms have an en-suite toilet. There are sufficient bathrooms and toilets in the building. A passenger lift is available for access to the first floor. There are two lounge/dining areas, smoking lounge and a conservatory for use by residents. There is a pleasant garden and patio area that is furnished with chairs, tables and sunshades for use in the warmer weather. Gleavewood DS0000006504.V257427.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over a period of six hours, commencing at 09.30 am. A tour of the building took place, and with the permission of the residents, a number of bedrooms were seen. Five residents were spoken with individually and privately and general group discussions also took place in lounges and dining areas with a number of other residents. Two visiting relatives were spoken with during the day and both completed a comment card. Relatives’ comment cards were sent to the home prior to the inspection and nine were received back. The views of the staff on duty during the inspection were listened to. This included the manager, care team leader, two care assistants, domestic staff and the cook. What the service does well: The residents living in Gleavewood are very happy with the care they receive. Some comments they gave are: • “It’s friendly here. Nice people live in the home”. • “The staff are fantastic”. • “We have good food and are well looked after”. All the comment cards received from relatives were generally very positive. The staff team work well together and enjoy working in the home. There is a friendly, relaxed atmosphere in the home and communication between residents, staff and relatives was seen to be good. Residents have a choice of food from a daily menu, and they gave good comments about the quality of the food. Comfortable, homely accommodation is provided for the residents, who said they are pleased with the recent improvements to the lounges. The Commission for Social Care Inspection has not received any complaints regarding the home. Gleavewood DS0000006504.V257427.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. Gleavewood DS0000006504.V257427.R01.S.doc Version 5.0 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Gleavewood DS0000006504.V257427.R01.S.doc Version 5.0 Page 8 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 Gleavewood DS0000006504.V257427.R01.S.doc Version 5.0 Page 9 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): 1, 3 and 4. Standard 6 is not applicable, as intermediate care is not provided. Residents’ needs are assessed before they move into the home to ensure they can be met. Information provided to service users before they move into the home ensures that service users and their families know that the home will be able to meet their needs. EVIDENCE: The service user guide has been updated and is in the process of being printed and distributed to all residents in Gleavewood. A copy is available in the entrance hall for visitors. This guide provides information about what the home offers to residents living there and the range of facilities and lifestyle residents can expect. A copy of the previous CSCI inspection report is also on display in the entrance hall for visitors. The manager or a member of the senior staff visit each prospective resident in their own home or hospital and carry out an assessment, to ensure their needs can be met at the home. Social worker or medical assessments may also be used as part of this process. When the resident moves into the home, this information is used to develop a plan of care. Gleavewood DS0000006504.V257427.R01.S.doc Version 5.0 Page 10 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, 9 and 10 There is a clear care planning system in place to provide staff with the information they need in order to meet the needs of the residents, although further development is required in recording the social and leisure needs of residents. The medication system at the home is well managed. Personal support is provided in a way that ensures residents’ privacy, dignity and independence. EVIDENCE: Four residents’ plans of care were seen and each clearly showed what staff need to do to meet the majority of their needs. The recording of residents’ hobbies, interests and how their leisure needs could be met requires further development. Apart from this, the residents’ care plans were well written, up to date and reviewed on a regular basis. This ensured that residents’ changing needs were always recorded in the plans of care so that all staff are aware of these needs. Gleavewood DS0000006504.V257427.R01.S.doc Version 5.0 Page 11 Senior staff in the home that give out medication have all attended a medication training course. The policies and procedures for dealing with medication are good. A recommendation was made to ensure security of medication returned to the chemist. One service user looks after his own medication, and he has lockable facilities in his bedroom for this purpose. The residents’ view of the care they receive at Gleavewood is very positive. Some comments received were: • “Staff put themselves out for people” • “I feel safe here” • “We are well looked after” Staff were seen to communicate with residents in a sensitive, caring and individual way. Gleavewood DS0000006504.V257427.R01.S.doc Version 5.0 Page 12 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): 12, 14 and 15 Although social activities are provided in the home they could be better advertised so that residents know what is on offer. Meals are nutritious and balanced and offer a varied diet for residents, meeting individual needs. EVIDENCE: A variety of in-house activities and outings are arranged by an activities coordinator, but there is no information available for residents so that they know what is available and when. During discussions with a small group of residents, some spoken with said they could do with a little more information about activities. Residents gave a number of examples of the way in which they have choice and control over their lives. Some residents choose a relatively private lifestyle, living in their bedrooms for most of the time. Staff respect this. Other residents said they have choices about food, what time they get up and go to bed and whether or not they join in any activities. Residents said they liked the food and confirmed that they have a choice at each meal. A member of staff asked each resident individually each day what they would like from the choices available. Gleavewood DS0000006504.V257427.R01.S.doc Version 5.0 Page 13 The cook confirmed that she has flexibility within the menu choices and is able to meet the individual needs of residents. There are two dining areas in the home and food is served from a hot trolley. The food served for lunch looked appetising and well cooked, with plenty available for second helpings for those who wanted some more. On the day of inspection, the lunch served was fish – poached or fried – or sausages, with a vegetarian alternative. Chips, peas and Queen of puddings to follow were also served. One resident said “ I’m a diabetic and the staff watch me like a hawk, but the cook makes me special food” Another commented, “The food is very good” Gleavewood DS0000006504.V257427.R01.S.doc Version 5.0 Page 14 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): 16 and 18 Arrangements for protecting residents and responding to their concerns are satisfactory. EVIDENCE: There is a clear complaints procedure in place in the home. A copy is in the service users’ guide as well as on display in the entrance hall. Visitors spoken with said that communication in the home is good, and they feel comfortable talking to the staff about any concerns they may have. The Commission for Social Care Inspection has not received any complaints about Gleavewood. Staff receive training in adult protection during the induction process and as part of their NVQ training. This is updated by in-house training. During discussion, staff demonstrated an awareness of the issues surrounding adult protection and the actions to be taken if abuse was suspected. Gleavewood DS0000006504.V257427.R01.S.doc Version 5.0 Page 15 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): 19 and 26 Recent investment has improved the environment for residents, providing a comfortable, safe standard of accommodation with better facilities. EVIDENCE: The manager has overseen considerable changes to the shared living areas of the home over the past few months. This has been completed after full consultation with the residents, involving them in choices of carpets, wall coverings and colour schemes. An extra en-suite bedroom has been created and a new smoking lounge with direct access into the garden. The conservatory has been increased in size by the removal of an archway and recarpeted and decorated. New carpet has also been provided to the hall and some corridors on the ground floor. Some of the lounge chairs have been professionally steam cleaned. Bathrooms have been considerably improved, with a better choice of new bathing facilities. Gleavewood DS0000006504.V257427.R01.S.doc Version 5.0 Page 16 Residents spoken said they were pleased to see the improvements to their home taking place. They all agreed that the end result has provided a more comfortable home for them to live in. Gleavewood DS0000006504.V257427.R01.S.doc Version 5.0 Page 17 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): 27,28 and 29 Staff at the home are well trained and employed in sufficient numbers to meet the needs of the residents. The procedures for the recruitment of staff are robust providing safeguards to offer protection to people living in the home. EVIDENCE: Since the previous inspection, there have not been many changes to the staff group. There is still a core group of staff that have worked at the home for a number of years, providing continuity of care for the residents. The staff rotas showed that each day there is a minimum of one care team leader and two care assistants on duty from morning until late evening and two care staff on duty at night, one of whom is a senior member of staff. The staff group at Gleavewood have been continuing with their NVQ training, and now more than 50 of the staff group hold NVQ level 2 or 3. In-house training for staff continues on a regular basis according to need. The staff spoken with said they had good opportunities to attend training courses relevant to their jobs. They described the staff group as a ‘good team’. Staff files contained evidence of two references and the necessary CRB checks having been obtained before the staff member commenced duties. One visitor to the home wrote on a comment card, “Staff are always very helpful and very caring to both residents and relatives”. Gleavewood DS0000006504.V257427.R01.S.doc Version 5.0 Page 18 The residents also praised the staff team, describing them as friendly and caring. Gleavewood DS0000006504.V257427.R01.S.doc Version 5.0 Page 19 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): 31, 35 and 38 The home is well run by a qualified manager, ensuring the residents are safeguarded. Regular staff training in health and safety matters ensures the safety and welfare of residents and staff. EVIDENCE: The manager has now completed his training for the Registered Managers award. He has a number of years experience of managing at a senior level, ensuring the home is run to meet the stated aims and objectives. There are good policies and procedures in place to safeguard the residents’ financial interests. Health and safety matters are given good attention. There are policies and procedures in place and evidence that staff work in ways to promote the well being of residents.. Gleavewood DS0000006504.V257427.R01.S.doc Version 5.0 Page 20 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 3 X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 3 Gleavewood DS0000006504.V257427.R01.S.doc Version 5.0 Page 21 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 Standard OP7 Regulation 15 Requirement The residents’ care plans must contain information about how all the needs of each resident, in respect of their health and welfare, are to be met. This is in relation to their social needs. Timescale for action 31/12/05 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 2 Refer to Standard OP12 OP9 Good Practice Recommendations Up to date information about activities should be available to residents. Satisfactory procedures should be in place for the disposal of medication. Gleavewood DS0000006504.V257427.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Gleavewood DS0000006504.V257427.R01.S.doc Version 5.0 Page 23 - 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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