Inspection on 21/04/05 for Gleavewood

This inspection was carried out on 21st April 2005.

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

Gleavewood 08/06/06

Gleavewood 14/10/05

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 CW8 3NT Lead Inspector Bronwyn Kelly Unannounced 21 April 2005 9.30 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 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 F51 F01 S6504 Gleavewood V222348 210405 Stage 4.doc Version 1.30 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 CLS Care Services Limited Telephone number Fax number Email 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 Physical Disability (1) registration, with number Old age, not falling within any other category of places (29) Gleavewood F51 F01 S6504 Gleavewood V222348 210405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 No more than 29 Service Users may be OP. 2 No more than 1 Service User may be PD. Date of last inspection 22 September 2004 Brief Description of the Service: Gleavewood is a care home providing personal care and accommodation for up to 30 older older people. 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. Eight of the twenty nine bedrooms are smaller than 10.00 square metres in size. One bedroom has an en-suite toilet. There are sufficient bathrooms and toilets, close to bedrooms and lounges. A passenger lift is available for access to the first floor. There are two lounge/dining areas and a conservatory for use by residents. There is a garden and patio area that is furnished with chairs, tables and sunshades in the warmer weather Gleavewood F51 F01 S6504 Gleavewood V222348 210405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced. It started at 9.30 am and lasted for seven hours. The inspector walked round the home and saw a number of rooms. Six residents were spoken with in private and group discussions took place in two lounges with most of the other residents. Four relatives who were visiting and two community nurses were also spoken with. What the service does well: What has improved since the last inspection? Improvements continue to be made to the décor and furnishings. Some new carpets have been laid and some redecoration to corridors completed, making a more homely environment for residents. There is now a permanent group of staff to work in the home that will ensure residents are provided with care by staff who know what their needs are. Staff training has continued so that they can continue to do their jobs as well as possible. Gleavewood F51 F01 S6504 Gleavewood V222348 210405 Stage 4.doc Version 1.30 Page 6 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. Gleavewood F51 F01 S6504 Gleavewood V222348 210405 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Gleavewood F51 F01 S6504 Gleavewood V222348 210405 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3 and 5 Information is provided so that all residents and/or their relatives know what their rights and responsibilities are whilst living at the home. The manager assesses each resident’s needs before they move in, to make sure that they know their needs can be met at the home. Service users and their families are encouraged to visit Gleavewood to help them decide whether to move in. EVIDENCE: Steps have been taken to meet a recommendation made at the last inspection to make sure that all service users are given a copy of the terms and conditions of living at the home. The family of a new resident moving into the home were spoken with and confirmed that their mother had a full assessment of her needs done before she moved in. The individual records for four residents were inspected and contained copies of the needs assessments done before they moved in. Some senior staff confirmed that they are involved in the assessment process when necessary. Gleavewood F51 F01 S6504 Gleavewood V222348 210405 Stage 4.doc Version 1.30 Page 9 The family also said they felt well informed and had been able to visit the home to check whether it was suitable for their mother. They said they were satisfied with the way staff at the home had arranged for their mother to move in. Gleavewood F51 F01 S6504 Gleavewood V222348 210405 Stage 4.doc Version 1.30 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 standard(s) 7 and 8 The care plans show what staff need to do to meet every resident’s care needs but some minor improvements are needed to make sure that these are kept accurately. There are good working relationships with doctors, nurses and other health workers, ensuring the health care needs of residents are met. EVIDENCE: Four residents’ plans of care were seen and each clearly showed what staff should do to meet all their needs. Some had not been reviewed as often as others and there were minor problems in recording of dates, signatures and residents’/family agreement to the plan. There were no moving and handling or risk assessments in the care plan for one resident who had moved in nearly a month ago, which could result in staff not being able to provide the best possible care for them. The care plans showed that residents’ health needs were checked and that they were referred for medical treatment when necessary. Gleavewood F51 F01 S6504 Gleavewood V222348 210405 Stage 4.doc Version 1.30 Page 11 Two visiting community nurses, both from different surgeries, were spoken with. They were both very happy with the care given to their patients by the staff of the home. One said that there is very good communication and the staff ring her regularly for advice and consultation. Both said that their patients always looked clean and well cared for, and staff were always around to help when they visited. See Requirement 1 and Recommendation 1 Gleavewood F51 F01 S6504 Gleavewood V222348 210405 Stage 4.doc Version 1.30 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 standard(s) 12, 14 and 15 The varied activities programme provides interest and stimulation for service users. Staff encourage them to make choices about their daily life, enabling them to be as independent as possible. The meals in the home are good with a daily choice of food available so residents have food that they enjoy. EVIDENCE: On the day of the unannounced inspection, five residents and two members of staff went in taxis to Knutsford to listen to a dance band and singer. Residents spoke of a weekly tea dance at Winsford Civic Hall that some like to visit, and of theatre and shopping trips. Examples of other activities are card games, quizzes, dominoes, beetle drives, big screen cinema shows, visiting entertainers and regular visits from clergy of different denominations. An activities co-ordinator is employed for 20 hours each week to arrange the various activities. She also spends some of her time on a one-to-one basis with residents, enabling them to take part in individual activities. Residents said they were satisfied with the type and frequency of activities on offer. Some were pleased that they did not have to join in if they did not wish to. In one of the lounges, a group of residents agreed to talk about what it was like to live in the home. Gleavewood F51 F01 S6504 Gleavewood V222348 210405 Stage 4.doc Version 1.30 Page 13 The • • • • • • • • • following quotes are made with their permission: “Very kind staff who look after us well” “Good food” “Can have a cup of tea in bed” “Can have a cooked breakfast” “Can have more than one bath a week if you want to” “You can have a key to your bedroom door” “The optician and chiropodist visit the home” “You can have a ‘lie-in’ in the mornings” “You can see your GP in your own bedroom” The staff spoken with displayed a good understanding of the importance of residents being able to have choices in their lives. On the day of the inspection, the lunch menu was homemade chicken casserole, fresh cabbage and cauliflower and mashed potatoes. The alternative was steak pie or salad. This was followed by homemade rhubarb crumble and custard. All residents spoken with said they enjoyed the food on offer. The cook said she would always try to meet individual requirements, particularly if any resident was not well and only felt like small nourishing snacks. There are two dining areas in the home and the residents were not rushed at mealtimes, ensuring that eating a meal is a pleasant experience for them. Some residents were gently encouraged to eat by the staff, who were observed to be discreet and kind when helping residents to eat. Gleavewood F51 F01 S6504 Gleavewood V222348 210405 Stage 4.doc Version 1.30 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 standard(s) 16 The home has a satisfactory complaints procedure and a ‘comment card’ system, ensuring that any resident’s complaints and those of their families are acted upon promptly. EVIDENCE: The complaints procedure is available in the service user’s guide, and a copy is displayed in the entrance hall. This displayed copy should be together with the notice explaining to residents and their families how they contact the Commission for Social Care Inspection. Residents spoken with said they knew about the complaints procedure and would be happy to talk with the manager if they had any cause for concern. One resident said “I am very vocal and shout up at resident’s meetings if I have something to say”. From talking to families and staff, it is evident that good communication is encouraged within the home so the small ‘niggles’ can be sorted out quickly and easily without the need for the complaints procedure. The staff encourage families and residents to talk to them if they have any concerns. The daughter of one resident wrote on a comment card “ I call and see mum every day and she is always clean, happy and the staff are always very polite. I could not fault any aspect”. The son of another resident wrote, “It is a wonderful home – very happy with mother’s care”. The Commission for Social Care Inspection has received no complaints about Gleavewood. Gleavewood F51 F01 S6504 Gleavewood V222348 210405 Stage 4.doc Version 1.30 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 standard(s) 19,24 and26 Residents live in safe, comfortable bedrooms providing a homely environment, surrounded by their own belongings. The standard of the environment within this home continues to improve through maintenance and redecoration, providing a homely and comfortable environment for residents. Some areas will need attention in the near future so as to not detract from this comfortable environment. EVIDENCE: Residents spoken with are happy with their bedroom. They can bring their own possessions into the home when they move in and have used these to personalise their rooms. Each room has a call bell, and hot radiators and pipes are covered for safety. Staff are still trying to solve the problem of odours in one bedroom. Since the last inspection, new carpets have been laid in the hall, main stairs and the first floor lounge, much to the delight of the residents. There is still a problem with the carpet in the smoking lounge, which is badly damaged in one area with cigarette burns. Gleavewood F51 F01 S6504 Gleavewood V222348 210405 Stage 4.doc Version 1.30 Page 16 The arms on some of the chairs in the first floor lounge are now getting quite worn. Some redecoration has taken place in the corridors of the home but there are still some areas where the wallpaper/borders have been ripped and there is damage to the paintwork on doors and doorframes. See Recommendation 2 Gleavewood F51 F01 S6504 Gleavewood V222348 210405 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 30 Recent appointments of permanent staff will ensure that residents are cared for consistently by people who know them and their needs. Staff training in NVQ and other related areas continues, providing a competent staff team to care for the residents. EVIDENCE: The staff team has had to cope with a number of staff changes in recent months. In spite of this, there are a core group of staff that have worked at the home for a number of years, providing some continuity of care for residents. One member of staff described the staff team as a ‘happy group’ who worked well together. She also felt there was a good mixed age range within the staff group. Two Care Team Leaders have now completed their NVQ level 3 training and three have nearly finished. Three care assistants are continuing with level 2 training, while four have competed already. In-house training in areas such as MRSA, continence, foot care, first aid, and moving and handling continues on a regular basis. The residents, visitors and two community nurses spoken with were very complimentary about the staff and the care given to residents. A number of good examples were observed of appropriate and sensitive communication between staff and residents. Gleavewood F51 F01 S6504 Gleavewood V222348 210405 Stage 4.doc Version 1.30 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31and 33 The manager’s willingness to listen to service users’ views and act upon them ensure that their interests are taken into account in the way the home is run. EVIDENCE: The registered manager of Gleavewood has almost completed his training for the Registered Manager’s Award. He has had a number of years experience at a senior level in the care industry. The company that runs the home is working on a new questionnaire for residents/families to complete as part of their quality assurance. Meanwhile, feedback is obtained in a number of ways from residents meetings, resident’s reviews and ‘comment and compliment’ slips. Regular monthly visits are made to the home by managers to monitor the care. Residents and staff described the manager as being approachable and very willing to listen. Gleavewood F51 F01 S6504 Gleavewood V222348 210405 Stage 4.doc Version 1.30 Page 19 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 3 COMPLAINTS AND PROTECTION x x x x x 3 x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 x 3 x x x x x Gleavewood F51 F01 S6504 Gleavewood V222348 210405 Stage 4.doc Version 1.30 Page 20 No 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 7 Regulation 13 Requirement The care plans must contain the necessary risk assessments or moving and handling assessments to ensure the health and safety of residents. Timescale for action 30/05/05 2. 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 7 19 Good Practice Recommendations The quality of the recording in care plans should be monitored to ensure a consistent standard. Wear or damage to carpets and lounge chairs should be kept under review and action taken to ensure an acceptable standard is maintained. Gleavewood F51 F01 S6504 Gleavewood V222348 210405 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Unit D, Off Rudheath Way Gadbrook Park Northwich Cheshire 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 F51 F01 S6504 Gleavewood V222348 210405 Stage 4.doc Version 1.30 Page 22 - 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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