Inspection on 17/01/08 for Glebe House

This inspection was carried out on 17th January 2008.

CSCI found this care home to be providing an Adequate service.

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 30/09/09

Glebe House 27/10/08

Glebe House 07/03/07

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

CARE HOME ADULTS 18-65 Glebe House 50 Radford Road Leamington Spa Warwickshire CV31 1LZ Lead Inspector Justine Poulton Key Unannounced Inspection 17th January 2008 10:30 Glebe House DS0000066054.V352374.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Glebe House DS0000066054.V352374.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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Glebe House DS0000066054.V352374.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glebe House Address 50 Radford Road Leamington Spa Warwickshire CV31 1LZ 01926 886 304 01926 886 504 glebehouse@ultimatecaregroup.co.uk 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) UCG Ltd T/A Ultimate Care Group vacant post Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Glebe House DS0000066054.V352374.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. There must be a learning disability and mental health skills, knowledge and mix within the management team working at the home. The registered persons must notify the Commission when service users move into the home. The registered person may provide personal care (excluding nursing) and accommodation for service users of both sexes whose primary care needs on admission to the home are within the following categories:learning disability, LD, 6. The maximum number of service users to be accommodated is 6. 4. Date of last inspection 7th March 2007 Brief Description of the Service: Glebe House is registered to provide care and accommodation for up to six adults with a learning disability and mental health needs. The home is not registered to provide nursing care. The large detached six bedded home is located on a busy main road with good access to the town centre and bus and rail services. A lounge, kitchen, dining room, office, two bedrooms and a communal WC are located on the ground floor. The remaining four bedrooms and a communal bathroom are located on the first floor. Five of the six bedrooms are spacious with the sixth bedroom being an acceptable size. All of the bedrooms benefit from an en-suite facility. The home also has a large basement and second floor. The basement houses a small laundry, staff room, sensory room and an activities/social room. One of the rooms on the second floor is kitchen and it is planned that this will be used to help the residents’ develop/ maintain their life skills in the future. There is a secure and secluded patio garden to the rear of the property. It should be noted that the home currently does not have a vertical or stair lift in place however the installation of both of these is scheduled for the near future. Glebe House DS0000066054.V352374.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This is because there are no service users currently living in the home which means that it has not been possible to test outcomes for service users. The service has the potential to be a 2 / 3 star service. This means the people who use this service could experience good / excellent quality outcomes. This inspection was carried out to establish the outcomes for people living in the home, and to confirm whether they are protected from harm. Identified key standards were looked at, along with a review of the organisations progress towards meeting any requirements made at the previous inspection of this service. The pre fieldwork inspection record was completed, as well as a site visit to the home. As there no one currently lives in the home and no staff are employed the manager were spoken with and it was not possible to identify any one for close examination. A completed annual quality assurance assessment was received from the service prior to the inspection. The inspector would like to thank the manager and director for their hospitality and co-operation during the inspection. What the service does well: Every indication from the information available is that this service would provide good / excellent outcomes for service users, however it is not possible to test this theory as currently there are no people resident in the home. The manager is proactive in liaising with social services with a view to generating appropriate referrals to the service, however to date this has been unsuccessful. The manager demonstrates a truly person centred ethos which runs through the completed annual quality assurance assessment and everything that it is stated the service is able to do to support people who are referred for a placement. Good practice has been demonstrated in seeking information regarding the needs and aspirations of a person recently referred to the home and with staff recruitment. The environment is homely, nicely decorated, clean and inviting. Glebe House DS0000066054.V352374.R01.S.doc Version 5.2 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. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Glebe House DS0000066054.V352374.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Glebe House DS0000066054.V352374.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. No residents have been admitted to the home at the time of this inspection. Procedures in place ensure that prospective residents aspirations and needs are assessed prior to admission. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of the inspection one person had been referred to the service for placement. Relevant and appropriate assessment documentation had been received by the home for this person. The manager said that she had visited the prospective service user to talk with him about his expectations of the home and to share with him what sort of service they could offer him. In addition the manager said that she had provided him with copies of the homes statement of purpose and service user guide. A detailed report was available of this visit. No dates for the person to visit the home had been scheduled at the time of the inspection, as funding for the placement had not been agreed, however the manager said that as soon as this happened visits would be arranged. The pre admission work undertaken by the manager following this Glebe House DS0000066054.V352374.R01.S.doc Version 5.2 Page 9 persons referral to the service was very thorough, and the manager said that any referrals to the home received would benefit the same level of input. Glebe House DS0000066054.V352374.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is adequate. No one had been admitted to the home at the time of this inspection. Procedures and information in place indicates that peoples assessed and changing needs would be reflected in their care plans, reviewed regularly and updated as necessary. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information provided in the annual quality assurance assessment (AQAA) completed by the manager and submitted to us indicates that the home has a completely person centred ethos in relation to care and support planning for anyone referred to the home for placement. Discussions with the manager and a brief look at the relevant paperwork at the previous inspection confirmed Glebe House DS0000066054.V352374.R01.S.doc Version 5.2 Page 11 that systems were in place to ensure that prospective residents will have individual person centred plans that will reflect their changing needs. This was not looked at on this occasion as the manager confirmed that there have been no changes made. Every indication from the information available is that this service would provide good / excellent outcomes for service users, however it is not possible to test this theory as currently there are no people resident in the home. This outcome group therefore can only be rated as adequate until such time as people move into the home and outcomes can be tested. Glebe House DS0000066054.V352374.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. Information available confirms that people will be offered varied, educational and stimulating activity opportunities based on their personal wishes and aspirations. Families and friends will be made welcome. The kitchen was clean and modern with domestic equipment in place. EVIDENCE: As recorded previously one person had been referred to the home at the time of the inspection. Information contained with this persons assessment documentation and the report generated from the managers visit to him confirmed that this persons aspirations regarding future education and employment had been discussed and a provisional plan of action drawn up Glebe House DS0000066054.V352374.R01.S.doc Version 5.2 Page 13 ready for when he moved into the home. The manager said that she had already been in contact with local colleges to find out what was on offer in line with the persons educational needs and wants. The information contained with the completed AQAA indicates that people living in the home will be supported to live the kind of lifestyle they wish with access to local and wider community facilities being facilitated as they wish. The home also has a sensory room and games activities / music room available which indicates that the intention is to enable people to participate in a variety of activities. The manager said that people resident in the home would be fully supported to maintain relationships with their families and friends. The kitchen was domestic in size with modern appliances and equipment available for use. Every indication from the information available is that this service would provide good / excellent outcomes for service users, however it is not possible to test this theory as currently there are no people resident in the home. This outcome group therefore can only be rated as adequate until such time as people move into the home and outcomes can be tested. Glebe House DS0000066054.V352374.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is adequate. No residents have been admitted to the home at the time of this inspection. Procedures are in place that should ensure residents receive appropriate personal and healthcare support. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information provided in the completed AQAA confirms that people resident in the home will be fully supported with maintaining their physical, mental and emotional health. Routine health checks such as dental and optical checks will be facilitated at the recommended intervals and more specialist healthcare needs will be facilitated through liaison with appropriate healthcare professionals. Glebe House DS0000066054.V352374.R01.S.doc Version 5.2 Page 15 Every indication from the information available is that this service would provide good / excellent outcomes for service users, however it is not possible to test this theory as currently there are no people resident in the home. This outcome group therefore can only be rated as adequate until such time as people move into the home and outcomes can be tested. Glebe House DS0000066054.V352374.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is adequate. No residents have been admitted to the home at the time of this inspection. Policies and procedures are in place for dealing with complaints and that will help to protect the residents from abuse, neglect and self-harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The completed AQAA provides details of how complaints to the home would be managed within the complaints procedure. The last inspection found that the home was committed to ensuring that procedures such as staff training and supervision would be utilised to minimise the risk of residents being placed at risk of abuse and neglect. No complaints have been received either by the home or by us. Every indication from the information available is that this service would provide good / excellent outcomes for service users, however it is not possible to test this theory as currently there are no people resident in the home. This outcome group therefore can only be rated as adequate until such time as people move into the home and outcomes can be tested. Glebe House DS0000066054.V352374.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is excellent. The home is clean, hygienic and decorated and furnished in a comfortable and homely manner. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Glebe House is a large detached six bedded home set back from a busy main road with good access to the town centre and bus and rail services. A lounge, kitchen, dining room, office, two bedrooms and a communal WC are located on the ground floor. The remaining four bedrooms and a communal bathroom are located on the first floor. Five of the six bedrooms are spacious with the sixth bedroom being an acceptable size. All of the bedrooms benefit from an ensuite facility. Glebe House DS0000066054.V352374.R01.S.doc Version 5.2 Page 18 The home also has a large basement and second floor. The basement houses a small laundry, staff room, sensory room and an activities/social room. One of the rooms on the second floor is a kitchen and it is planned that this will be used to help the residents’ develop/ maintain their life skills in the future. There is a secure and secluded patio garden to the rear of the property. The manager said that the owners / directors of the home have recently approved the installation of a shaft lift between the ground floor and the basement, and a stair lift from the ground floor to the first floor so that no parts of the home are inaccessible to people who may have physical disabilities. On the day of the inspection the home was warm and inviting. It was well lit, nicely decorated and clean. There no offensive odours apparent. All of the bedrooms were decorated in neutral colours and were nicely furnished in order to assist prospective residents with what their rooms could look like. The manager said that anyone referred to the home, who subsequently moved in would be encouraged to choose décor to their own taste in their bedrooms, and could also bring their own furniture if they wished. Facilities to ensure that the home remains clean and hygienic were in place. Glebe House DS0000066054.V352374.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality for this outcome area is adequate. Recruitment procedures are robust and ensure that anyone moving into the home would be safeguarded. There is a commitment to providing skilled and knowledgeable staff to support the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Although the home currently has no one resident the manager has been proactive in recruiting three members of staff ready for when the first people move in. Although these people have not been given start dates a thorough recruitment procedure has been undertaken that involved obtaining two written references, a full employment history and obtaining the relevant information in preparation for sending for Criminal Records Bureau checks. The manager said that these would be sent for as soon as there was a confirmed date for someone moving into the home. Glebe House DS0000066054.V352374.R01.S.doc Version 5.2 Page 20 The previously mentioned person centred ethos of the home was incorporated into the recruitment procedure in the form of a person centred “quiz” that candidates were asked to complete. The results of this “quiz” identified whether people were person centred or not in their approach to supporting people with learning disabilities and the manager said it was useful in assisting to recruit people with the same philosophies as the home. Information recorded in the AQAA states that as well as the mandatory subjects such as first aid, basic food hygiene and fire safety, staff will be provided with training that will equip them with specialist skills and knowledge necessary to support the people living in the home, which would include positive behaviour management /positive response training. All staff will also be supported and encouraged to obtain their NVQ in care. Every indication from the information available is that this service would provide good / excellent outcomes for service users, however it is not possible to test this theory as currently there are no people resident in the home. This outcome group therefore can only be rated as adequate until such time as people move into the home and outcomes can be tested. Glebe House DS0000066054.V352374.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 42 Quality in this outcome area is adequate. No residents have been admitted to the home at the time of this inspection. Future residents will benefit from a home that is managed by a qualified, competent and experienced person who has a person centred ethos that will ensure that their views and opinions are at the forefront of the homes development. Health and safety is managed safely. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The current manager has been in post for three months at the time of the inspection. She said that upon successful completion of her six month Glebe House DS0000066054.V352374.R01.S.doc Version 5.2 Page 22 probationary period she will be submitting her application for registration with us. In discussion the manager gave an overview of her considerable experience of working within the field of learning disability and confirmed that she is currently undertaking both NVQ 4 in Care and the Registered Managers Award. Policies and procedures were in place to ensure the health and safety of everyone who may move into or visit the home. Every indication from the information available is that this service would provide good / excellent outcomes for service users, however it is not possible to test this theory as currently there are no people resident in the home. This outcome group therefore can only be rated as adequate until such time as people move into the home and outcomes can be tested. Glebe House DS0000066054.V352374.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 4 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 2 33 x 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 x 2 x LIFESTYLES Standard No Score 11 x 12 3 13 2 14 x 15 2 16 2 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 2 x 3 x 2 x 2 x x Glebe House DS0000066054.V352374.R01.S.doc Version 5.2 Page 24 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. 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. Refer to Standard Good Practice Recommendations Glebe House DS0000066054.V352374.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection 1st Floor Chapter House South Abbey Lawn Abbey Foregate Shrewsbury SY2 5DE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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