Inspection on 13/07/05 for Glebe House

This inspection was carried out on 13th July 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

Glebe House 07/09/06

Glebe House 29/11/05

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

CARE HOMES FOR OLDER PEOPLE Glebe House Stein Road Southbourne West Sussex PO10 8LB Lead Inspector Gill Davis Announced 13 July 2005, 09.30am, V229733 th 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. Glebe House H60-H11 S52212 Glebe House V229733 130705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Glebe House Address Stein Road, Southbourne, West Sussex, PO18 8LB 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) 01243 375198 01243 378379 glebe.house@Shaw-Homes.co Shaw Healthcare Ltd Ms Penny Atherton CRH 34 Category(ies) of OP-27, DE(E)-7 registration, with number of places Glebe House H60-H11 S52212 Glebe House V229733 130705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The total number of service users should not exceed 34 at any one time. Date of last inspection 10/08/04 Brief Description of the Service: Glebe House was a Local Authority owned home that has recently been transferred to Shaw Health Care Ltd. It is registered for thirty-four older people (over the age of 65), eight of whom have dementia. Mr Jeremy Nixey is the Responsible Individual. The registered manager, Mrs Penny Atherton has recently retired and the managers post will be vacant as soon as Mrs Atherton has informed the Commission for Social Care Inspection that she is no longer the Registered Manager. Ms Ida Bostrom has been appointed as Acting Manager and is responsible for the day to day running of the establishment. It is expected that an application will be made for Ms Bostrom to become the Registered Manager in due course. The property is on a single level and accommodation is provided in thirty-four single rooms. There is a large lounge area with three smaller lounges and two dining areas. The property is surrounded by garden. Glebe House is located within a residential area and is close to local amenities. A new purpose built home is being built on some of the land adjacent to the existing building and it is anticipated that the residents will move into the new build in the spring of next year Glebe House H60-H11 S52212 Glebe House V229733 130705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Glebe House H60-H11 S52212 Glebe House V229733 130705 Stage 4.doc Version 1.30 Page 6 Glebe House has recently been transferred from Local Authority ownership to the present registered provider Shaw Healthcare Ltd. This was the first inspection of the home under the new ownership and the first of the two inspections (minimum) that an inspector must make in a year. On this occasion this inspection was announced and took place over one day in July 2005. Prior to the inspection day the Manager had filled out a pre-inspection questionnaire and information from that has been used to inform this report. Comment cards were given to the residents and their relatives/visitors to find out what they think of the care provided at Glebe House. One response from a resident has been received to date. Information from that response has been included in the main body of the report. The aim of this inspection was to find out how the home cared for the residents and the residents’ opinions as to how well the home did this. During the Inspection the inspector was able to speak to a number of visitors who all spoke very highly of the service that the home provided. The inspector was informed by one of the visitors “ My Mother came last September, we were made to feel very welcome – we were given written information about the home that helped”. Another, who was the Community Nurse and also a relative of one of the residents said, “ The carers are always approachable, as a professional I think that they provide good communication and all my family and I are made very welcome ----- I can’t praise them enough and all my family are in accord”. Someone visiting her Mother told the inspector when asked for her opinions about the care her Mother received “ Words can’t describe my feelings, I can’t fault in any way the way my Mother is cared for”. Observation of the interaction between the staff members and residents and of the body language of those residents who were unable to give the inspector verbal opinions confirmed that they were content and comfortable with their surroundings and the people who were supporting them. Conversation with a number of residents indicated that they were very happy at the home; one person told the inspector “ I’ve been in three care homes prior to this and I didn’t like any of them, but this – I’m delighted with it and will be quite happy to stay here for the rest of my life if I have to”. When asked if they had ever had to complain they replied that they had but that it was a complaint about the behaviour of another resident and had been resolved by the care staff. Another said” I’m quite happy here, I get on well with the staff we have a laugh. I’m very comfortable in my room”. Out of ten indepth interviews with residents one person indicated that she experienced some difficulty with some members of the staff, “Very nice, people are very nice although some are not as nice as others” Information regarding this was given to the Manager at the time of the inspection to enable her to address the issues raised. Glebe House H60-H11 S52212 Glebe House V229733 130705 Stage 4.doc Version 1.30 Page 7 There was a light-hearted atmosphere and the home was busy with a large number of visitors coming and going, which tended to provide a stimulating environment for the residents. There was evidence that the home utilises local facilities and services such as the Age Concern Club, Country View Club and Companions Club, as well as providing a number of weekly/bi weekly in house activities including, movement to music, bingo, carpet bowls and visiting entertainers. The home’s layout lends itself to providing a number of areas for residents to sit and includes some areas where individuals can sit quietly and enjoy their own chosen pursuits. Each wing has its own dining room. The inspector joined the residents for lunch and enjoyed a delicious meal of liver casserole and fresh seasonal vegetables in a calm and serene atmosphere. There is a growing interest from the staff group in undertaking training in a number of work related topics as well as the National Vocational Qualifications; Three members of staff have achieved National Vocational Qualification level II and three are undergoing training currently, it is hoped that more of the staff group will be awarded places next year. Throughout the inspection the support workers were seen to be polite, respectful and discreet in their interactions with the residents and this was confirmed by the residents themselves, one of whom said “ They always knock on the door and speak to me in a polite and respectful way --------- I am very glad I am here, I have more fun and contact with others”. A tour of the home took place. Staff and care records were inspected as well as the Home’s Statement of Purpose, Service Users Guide and some of the Policies and Procedures. All of the staff on duty, and most of the residents were spoken to during the course of the inspection. What the service does well: The home has been undergoing a period of change that has been managed successfully by the staff members of Glebe House. The welfare of the residents is at the forefront of everything that staff members do at Glebe House and any upset that the change of manager, transfer of ownership and the imminent move to the new building may have created has not impacted on the residents. Conversations with some of the residents showed that the staff members were very helpful, one person said, “ The girls are lovely, so helpful they can’t do enough”. The good relationships between staff members and residents were shown during the course of the care staffs’ work with the residents, with much good humour and appropriate deference being shown to the residents. The residents who were able to communicate verbally said that the staff were kind and always willing to do anything no matter how small that might be. They also told the inspector that they considered that they were treated with respect. One person said, “ The staff are great, they will do anything for you. They are happy and joke with us”. Glebe House H60-H11 S52212 Glebe House V229733 130705 Stage 4.doc Version 1.30 Page 8 When asked if they knew how to complain, all who were able to talk to the inspector said that they did, although all of those spoken to did not consider they had anything to complain about. One person said, “ I don’t think there’s anything I would change”. Another, “I have nothing to complain about”. This appeared to be the opinion of the majority of the residents spoken to. Observed interaction between the care staff and those who were unable to converse with the inspector confirmed that the care staff treated the residents with respect and dignity in a discreet and unobtrusive manner. Shaw Health Care has introduced new policies, procedures and records and these provide excellent guidance for the care staff and protection for the residents. The new care plans are very detailed and contain information regarding the health and personal care needs as well as the interests, and identified preferences of the residents. It was seen that they were given choice in all that they did and that there were no petty rules to observe. Relatives and other visitors commented that they are made to feel welcome at all times and that the new registered provider had given good information about current changes and plans for the future. What has improved since the last inspection? What they could do better: There were no issues arising from most of the standards inspected on the day. From the feedback from relatives and residents there appeared to be very little that they considered needed changing or improvement. The home is showing the inevitable signs of wear and tear and in the main looks shabby. It is accepted that only essential maintenance to ensure the safety of the home will be undertaken because the residents will transfer into a new purpose built home in the spring of 2006. However some of the equipment being used by the residents i.e. commodes are in need of replacement. Glebe House H60-H11 S52212 Glebe House V229733 130705 Stage 4.doc Version 1.30 Page 9 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. Glebe House H60-H11 S52212 Glebe House V229733 130705 Stage 4.doc Version 1.30 Page 10 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 Glebe House H60-H11 S52212 Glebe House V229733 130705 Stage 4.doc Version 1.30 Page 11 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) 1.2.5 All prospective residents, or their representatives, have a number of opportunities to make an informed choice about whether they want to live at Glebe House. Those that choose to live at the home have a written contract/statement of terms and conditions with the home that they or their representative has agreed to. EVIDENCE: The home provides a comprehensive Statement of Purpose and Service User Guide to all prospective residents, their families and their Care Managers. Everybody concerned with the prospective resident is encouraged to visit as often as they like and a four-week trial period is used to allow the new resident to settle in and make sure that they are happy with the situation. A review of the placement takes place after six weeks and where possible the resident or their representative is fully involved and contributes to any changes to the care plan that might be made. A signed contract was seen on each of the resident’s personal files apart from those who are subject to an agreement with the local authority that have not responded to a request to sign the contract on behalf of the resident. Most of the residents were very positive about their experiences when first moved into the home. The relatives present at the time of inspection confirmed that they Glebe House H60-H11 S52212 Glebe House V229733 130705 Stage 4.doc Version 1.30 Page 12 and their relatives had been encouraged to visit as often as they wished and made to feel welcome at the time of admission. Glebe House H60-H11 S52212 Glebe House V229733 130705 Stage 4.doc Version 1.30 Page 13 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) 7.8.10 Where possible residents or their relatives/representatives are involved with the drawing up of their care plans, which contain detailed information of how the care and health needs of the residents should be met. From evidence gathered it would appear that the staff group respect the privacy and dignity of the people living at Glebe House. EVIDENCE: Residents are involved with the drawing up of a plan of their individual needs and preferences. Where a resident is not able to be involved with the drawing up of their care plans, then the residents relative or advocate is involved as far as possible. The care plans included up to date information regarding the residents’ current health status and had been reviewed on a monthly basis. A visiting Community Nurse informed, “ I can’t find any fault with them to be quite honest. If there are people who are extremely poorly they look after them very well under our guidance. They always defer to us and make very appropriate referrals”. Observation of care staff members interacting with the residents confirmed that they were respectful and considerate in their approaches to the residents. Some of the residents’ comments confirmed this view. “ They’re polite and treat me with respect”. Glebe House H60-H11 S52212 Glebe House V229733 130705 Stage 4.doc Version 1.30 Page 14 Glebe House H60-H11 S52212 Glebe House V229733 130705 Stage 4.doc Version 1.30 Page 15 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) 12.13.14.15 The residents are provided with the opportunity to follow their chosen lifestyle at all times. Where the resident is unable to make those choices and decisions for themselves, family or representatives are consulted to make sure that the person has as much control over their lives as possible. A wholesome and balanced diet is provided EVIDENCE: All preferences and interests are recorded on the care plans. Residents and relatives were complimentary about the staff group and the care that they and their relatives received. On the day of inspection several families visited and informed the inspector that they were always made to feel welcome whenever they visited. Staff members carry out activities with the residents and these vary between music and movement, bingo, bowls and the facilitation of activities in the larger community. The inspector was able to observe members of staff interacting with the residents and witnessed some sensitive management of potentially difficult behaviour. The inspector joined the residents for lunch and enjoyed a delicious meal. During the meal the inspector was able to observe the care staff carrying out their duties in a discreet and dignified manner. Glebe House H60-H11 S52212 Glebe House V229733 130705 Stage 4.doc Version 1.30 Page 16 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) 16.18 The residents or their representatives are sure that they can trust the home to protect them as far as possible from bad practice and unacceptable behaviour from others. EVIDENCE: Most of the residents are able to complain and were aware of who to complain to and relatives of those residents who were unable to complain confirmed that they would know who to complain to. The home has policies and procedures in place to ensure that action is taken if a resident or their representative was worried and records are maintained of any issue that might arise and the outcomes. The have been no complaints made to the home or the Commission for Social Care Inspection since the last inspection. The home has clear instructions for staff members as to what to do if abuse of a resident is suspected and the members of staff that were spoken to in depth were knowledgeable about the procedure to take and had received training. The recruitment files examined showed that all the checks to ensure proper security screening on all applicants had been carried out. Glebe House H60-H11 S52212 Glebe House V229733 130705 Stage 4.doc Version 1.30 Page 17 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) 19.20.24.26 The home is a safe and well-maintained building, which is generally decorated and furnished to a reasonable standard. As well as a choice of communal day space it provides each resident with a room that has been furnished to meet their wishes and needs, and suitable washing facilities and lavatories. There was a good standard of cleanliness. EVIDENCE: During the course of the inspection the majority of rooms were visited to make sure that the environment was safe and comfortable for people who live there. It was seen that many residents had brought personal possessions into the home, including small items of furniture, ornaments and photographs. Access to the rear garden is limited due to the building works taking place and the residents choose to sit in the front of the building. Some of the equipment used for the residents was in poor condition and in need of replacement. (e.g. commodes. Microwave) On the day of inspection, Glebe House was clean, and free from offensive odours. Risk assessments regarding the safety of the building were in place. Glebe House H60-H11 S52212 Glebe House V229733 130705 Stage 4.doc Version 1.30 Page 18 Policies and procedures were available for staff about the control of infection, and the safe disposal of clinical waste. Glebe House H60-H11 S52212 Glebe House V229733 130705 Stage 4.doc Version 1.30 Page 19 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) 27.28.29.30 Glebe House has an adequate number of staff members with appropriate training and skills to provide competent care to the residents at all times. EVIDENCE: A random selection of staff files was looked at including the most recently appointed member of staff. All the required security checks had been carried out and evidence of identity and qualifications and supervision notes were also on file. Appropriate induction training had been undertaken with the newest members of staff and some of the staff employed by the previous registered provider. The majority of the staff team have undertaken training in a number of work related topics and a course in Adult Abuse Awareness has been organised for the near future. Three members of staff have achieved National Vocational Qualification level II and three other s will soon complete the course. It is hoped that the home will be prioritised as far as training places are concerned to enable more of the team to train. The staff files contained all evidence required for the protection of the residents. A recent recruitment drive will ensure that a satisfactory number of staff members are employed during the daytime, as soon as the security checks have been cleared the new personnel will be able to start work. It is intended that the present situation of one senior staff member sleeping in will be changed in the near future to provide three waking staff at night, which will be more appropriate to the needs of the resident group and the constraints of the building. Glebe House H60-H11 S52212 Glebe House V229733 130705 Stage 4.doc Version 1.30 Page 20 Glebe House H60-H11 S52212 Glebe House V229733 130705 Stage 4.doc Version 1.30 Page 21 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) 31.33.35.36.38 The home is run in a manner that offers protection to all aspects of the residents’ interests. EVIDENCE: The registered manager has recently retired. An acting manager is working in her place. She holds the Registered Manager’s award and has all the skills and competence to discharge her responsibilities fully. A competent senior team and line management supports her. It is anticipated that an application to appoint the acting manager as the registered manager will be received in the near future. There are comprehensive policies and procedures in place to provide protection to the residents and guidance to staff members on how to carry out their duties; records were found to be accurate and up to date. In particular the individual care plans contained vital information regarding the residents’ health and welfare needs and promote a uniform approach to the care and protection of the residents. Glebe House H60-H11 S52212 Glebe House V229733 130705 Stage 4.doc Version 1.30 Page 22 The personal finances of the residents are managed by himself/herself or a representative and recorded appropriately. Staff members are encouraged to take up training opportunities and regular supervision is provided to the support workers bi-monthly. The support workers themselves confirmed this. The health, safety and welfare of the residents is promoted at all times and protected by the policies and procedures of the home. Glebe House H60-H11 S52212 Glebe House V229733 130705 Stage 4.doc Version 1.30 Page 23 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 3 3 x x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 2 x x x 2 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 Standard No 16 17 18 Score 3 x 3 3 x 3 x 3 3 x 3 Glebe House H60-H11 S52212 Glebe House V229733 130705 Stage 4.doc Version 1.30 Page 24 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 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 Good Practice Recommendations Glebe House H60-H11 S52212 Glebe House V229733 130705 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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. 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