Inspection on 08/06/06 for Gleavewood

This inspection was carried out on 8th June 2006.

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 14/10/05

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 Key Unannounced Inspection 8th June 2006 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.V295591.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. 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.V295591.R01.S.doc Version 5.2 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.V295591.R01.S.doc Version 5.2 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 14th October 2005 Brief Description of the Service: Gleavewood is a care home providing personal care and accommodation for up to 29 older people and one adult with physical disabilities. The home is owned by CLS Care Services, 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. The range of fees for this home is £343.34 - £430.00 per week. This figure was given on 8 June 2006. Additional charges are made for newspapers, hairdressing and toiletries. Prospective residents are able to read the latest CSCI inspection report, which is available in a copy of the Service User Guide in the entrance hall. An updated copy of this guide is in the process of being placed in each resident’s bedroom. Other information about the home and CLS is available in leaflets on display in the hall. These outline the lifestyle that residents can expect when they move into the home. Gleavewood DS0000006504.V295591.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over six hours on one day. A tour of the building took place, and with the permission of the residents, a number of bedrooms were seen. A variety of records were examined as part of the inspection. Part of the process of the inspection is to listen to the views of the residents that live in the home and to the views of their relatives and visitors. On this occasion, four residents were spoken with privately and group discussions took place in the lounge, garden and dining areas with a number of other residents. Three visiting relatives were happy to give their views of the home during the inspection. The views of three care staff, care team leader, cook, domestic staff and the manager were listened to. A number of CSCI questionnaires were given to residents and relatives for completion. One resident card was completed and returned and three from relatives. 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 very nice living here – everybody is friendly”. • “I am very happy here”. • “Staff are champion – they can’t do enough for you”. Residents were pleased with the range of activities and outings that are arranged in the home with them. The staff team are well trained and able to meet the needs of the residents. The standard of care is good. The home has a friendly, informal atmosphere where visitors are welcome at any time. One visitor said, “The staff are a very jolly group. My mother-in-law has thrived on living here”. Residents live in a comfortable environment, with a choice of shared areas. CSCI has not received any complaints about Gleavewood during the last twelve months. Residents spoken with were complimentary about the food and the choices available. Gleavewood DS0000006504.V295591.R01.S.doc Version 5.2 Page 6 The care staff group have exceeded the government target of 50 staff trained to NVQ level 2 in care. 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. Gleavewood DS0000006504.V295591.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Gleavewood DS0000006504.V295591.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3. (Standard 6 does not apply, as intermediate care is not provided at this home.) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed before they move into the home. This ensures that the resident and their family know that these needs can be met when they move into Gleavewood. EVIDENCE: The files of four residents were checked, including the two residents who had been most recently admitted. The manager or a member of the senior staff visits each prospective resident before they move in and carry out an assessment, to ensure their needs can be met at the home. Written assessments from health and social care professionals are also used when necessary to give the home additional information about the care needs of new residents. When a resident moves into the home, this assessment information is used to develop a plan of care. The care plan of a resident admitted 10 days before the inspection was seen and this document contained sufficient information for staff to meet the care needs of this resident. Gleavewood DS0000006504.V295591.R01.S.doc Version 5.2 Page 9 The manager and senior staff on duty confirmed that each resident is visited before a decision is made for them to move into the home. Gleavewood DS0000006504.V295591.R01.S.doc Version 5.2 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, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a clear care planning system in place to provide staff with the information they need in order to meet the social and health care needs of the residents. Personal support is provided in a way that enables residents to have privacy and dignity in their lives. The medication is well managed, promoting good health. EVIDENCE: Service user plans seen have been improved since the last inspection. The manager has been auditing them on a regular basis and staff have been working hard to ensure the plans are accurate, up to date and contain all the relevent information. More information has been included on residents social needs and how these can be met. All plans seen had been reviewed on a monthly basis and updated with new information where necessary. Care plans show that health professionals visit Gleavewood on request and that referrals to health professionals are made when necessary. A separate section of each resident’s care plan is used for recording any medical interventions, which enables effective monitoring. Some residents are able to visit the local Health Centre, which is next door to the home. Gleavewood DS0000006504.V295591.R01.S.doc Version 5.2 Page 11 The staff spoken with displayed a good understanding of the importance of ensuring privacy and dignity when delivering personal care to the residents. Induction training for new members of staff includes privacy and dignity. Staff were observed to deliver care to residents in a sensitive, kind and appropriate way. Comments from visitors to the home were good. One visitor said, staff are a very jolly group and went on to say my mother-in-law has thrived on living here. Another visitor commented that the staff communicate very well with her about her mother. The home has a new robust medication policy. The manager has been auditing the medication procedures on a regular basis. The administration of medicines to residents was observed and seen to be good. The storage, returns and recording of medication was all in good order. Gleavewood DS0000006504.V295591.R01.S.doc Version 5.2 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, 13, 14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Social activities provided in the home and various contacts within the community are well organised and provide stimulation and interest for the residents. Routines at the home are flexible, enabling residents to have choice and control over how they spend their time. Residents receive a healthy, varied diet according to their assessed requirements and choice. EVIDENCE: The daily menus each have two or three choices at each meal, and the cook confirmed that he has flexibility within the menu choices to meet the individual needs of residents. There are two dining areas in the home and food is served from a hot trolley in one and directly from the kitchen in the other. Some residents choose to have their meals in their bedroom. The food served for lunch looked appetising and well cooked, with plenty available for second helpings for those who wanted some more. The residents spoken with said the food was good. One resident pointed out that the menu was displayed on the dining room wall for all to see, and that they were asked individually each day about their choice of food. The cook was seen sitting individually with each resident explaining about the choices of the day . Residents liked this. Gleavewood DS0000006504.V295591.R01.S.doc Version 5.2 Page 13 Family and friends can visit at any time, and residents know they can entertain visitors in their own room. Residents confirmed that they have a number of choices in their lives and the routines of the home are flexible. A number of the residents and staff have lived in the local area for many years, and continued contact with the local community is encouraged. A small group of residents were spoken with about activities and their general lifestyle in the home. The following are some of the comments they gave: “We love being here. We are all friendly and we have nice activities. We go to Winsford to watch the Tea Dance every week in the Civic Hall. We also do some baking. The activities co-ordinator takes us for a ride in a wheelchair to the shops. The staff are always jolly – we have a good laugh”. Another resident said, “This home meets my needs”. A ‘Churches Together’ monthly service and communion is held in the home, and some residents are able to attend local churches with help from the staff. A new activities co-ordinator has recently commenced, and she is working with individual residents to find out their hobbies and interests. Written evidence was seen of this. Gleavewood DS0000006504.V295591.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints procedure ensuring that any concerns of residents or their families are dealt with promptly and correctly. Arrangements for protecting residents from abuse are satisfactory so residents are not at risk from harm or poor practice. EVIDENCE: The complaints procedure is available in the service user’s guide and a copy is displayed in the entrance hall. Information regarding how to contact the CSCI is also displayed. CLS encourages residents and visitors to express any comments they have about the service provided, and comment cards are on display in the entrance hall. The staff spoken with displayed a good understanding of adult protection procedures. The manager has completed a training course on adult abuse and has recently arranged for staff to take part in a video and training pack exercise to update their knowledge. These training sessions will continue for new staff. CSCI has not received any complaints about the home since the last inspection. The pre inspection questionnaire indicated that the home has received six minor complaints in the past year and all were dealt with in an appropriate way. None of the residents spoken with has made any complaints, but all said they were comfortable in talking with the manager if they had any concerns. Gleavewood DS0000006504.V295591.R01.S.doc Version 5.2 Page 15 The manager has accessed the local advocacy service for older people in the past when required. Gleavewood DS0000006504.V295591.R01.S.doc Version 5.2 Page 16 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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 year. 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 re-carpeted 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. A small quiet lounge area has been developed in the dining room, providing more choice of seating areas for residents and their families. Gleavewood DS0000006504.V295591.R01.S.doc Version 5.2 Page 17 There is an accessible patio area to the rear of the home with raised garden areas, and seating. A number of residents were enjoying the summer sun in the garden, complete with sun brollies, sun hats and sun lotion. All those spoken with were pleased with the alterations to the home. A number of residents commented that the home was comfortable and met their needs. A tour of the building took place. The home was clean and tidy, with no noticeable odours. One resident commented that the home was “always clean”. Some parts of the home are in need of redecoration, but the manager is aware of this and has plans in hand for improvement. The fire prevention officer made his last visit on 31/08/2005 and the environmental health officer on 14/11/2005. All requirements or recommendations have been implemented. Gleavewood DS0000006504.V295591.R01.S.doc Version 5.2 Page 18 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, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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 people living in the home. EVIDENCE: There are sufficient numbers of staff on duty to meet the needs of the residents. In the two months prior to the inspection, agency staff were only required to cover twenty-six shifts at the home, due to staff vacancies. This situation should be resolved now, as new permanent staff have been recruited. The permanent staff in the home tend to cover for each other for holidays or sickness, and this provides better continuity of care for the residents. Residents spoken with gave many complimentary comments about the staff group. One residents said “The staff are champion – can’t do enough for you”. The staff group at Gleavewood have been continuing with their NVQ training, and now 59 of the staff group hold NVQ level 2 or 3. Five out of the six care team leaders hold NVQ 3. In-house training for staff continues on a regular basis according to need. Many of the general domestic staff are undertaking NVQ training in housekeeping. The staff spoken with said they had “lots of opportunity for training and most weeks there was something available”. One member of staff said Gleavewood DS0000006504.V295591.R01.S.doc Version 5.2 Page 19 “Communication is brilliant. We have a very good staff group who communicate well” All staff spoken with said the home was well managed, and one member, who has worked at the home for many years said, “This home has never been as nice to work in”. Good policies and procedures are in place for the recruitment of staff. Four staff files were seen and each contained evidence of an interview, two references and the necessary CRB checks having been obtained before the staff member commenced duties. Staff files also contained evidence that new staff members undertake an induction course. Evidence was seen to show that all staff working in the home have had a Criminal Records Bureau check completed. Gleavewood DS0000006504.V295591.R01.S.doc Version 5.2 Page 20 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, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is qualified and experienced and supported by a competent senior staff group who are working to improve the quality of life for residents in the home. Opportunities are given to residents to express a view on the running of the home and services received. Policies and procedures for safeguarding residents’ money provide security. EVIDENCE: The manager has 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. Gleavewood DS0000006504.V295591.R01.S.doc Version 5.2 Page 21 A quality assurance system is in place, and residents and/or their families completed a satisfaction questionnaire last year. The results of this survey are still being collated and a summary will soon be available in the new service users’ guide, which is currently being updated and printed. Residents’ meetings are held on a regular basis, enabling them to voice an opinion about their lives at Gleavewood. 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.V295591.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 Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 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 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Gleavewood DS0000006504.V295591.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 OP33 Good Practice Recommendations The results of residents’ surveys should be published and made available to current and prospective residents. Gleavewood DS0000006504.V295591.R01.S.doc Version 5.2 Page 24 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.V295591.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. 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