Inspection on 26/05/05 for Glebe House

This inspection was carried out on 26th May 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 11/07/06

Glebe House 14/12/05

Glebe House 14/09/04

Glebe House 17/05/04

Glebe House 19/02/04

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

CARE HOMES FOR OLDER PEOPLE Glebe House 8 Mill Street Kidlington Oxford OX5 2EF Lead Inspector Carole Moore Announced 26 May 2005 10:00 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 H57-H08 S13155 Glebe House V219971 260505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Glebe House Address 8 Mill Street, Kidlington, Oxford, OX5 2EF 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) 01865 841859 manager.glebehouse@osjctoxon.co.uk The Orders of St John Care Trust Ms Elaine Ratcliffe Care Home 40 Category(ies) of Past or present alcohol dependence over 65 registration, with number years of age (3), Dementia - over 65 years of of places age (18), Learning disability over 65 years of age (3), Old age, not falling within any other category (40), Physical disability over 65 years of age (10). Glebe House H57-H08 S13155 Glebe House V219971 260505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 14 September 2004 Brief Description of the Service: Glebe House is a purpose built care home providing personal care and accommodation for 40 older people. The single storey building provides single rooms with shared bathroom facicilities and the care home is divided into five wings. Each wing has a small lounge/dining area and there is also a large communal dining area. The home is set in its own grounds within a quiet residential area of Kidlington, although local facilities are within walking distance, and the home has transport available to enable the residents to access the wider community. The home is very much part of life in the local community of Kidlington, and the majority of residents have family or other links with the area. Glebe House H57-H08 S13155 Glebe House V219971 260505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection carried out by two inspectors on Thursday 26th May 2005. The inspectors toured the building looking at all the communal areas of the home as well as individual bedrooms with the permission of the residents. Time was spent talking to residents and some family members and individual interviews with staff on duty that day. Glebe House has a new manager and time was spent in discussion with her on the improvements she intends to make in the future. Staff and residents’ records were also inspected. The senior care leader was accompanied on her lunchtime medication round and the inspectors joined the residents for lunch. Feedback from other professionals working within Glebe House was extremely positive. “Glebe House is excellent. They are kind, caring and know their residents well.” What the service does well: The environment was clean and bright and the residents were pleased with their surroundings. The home has a well-organised plan of activities that is related to the wishes and abilities of the residents. Those residents spoken to were pleased with the amount of activities that were currently on offer. The food was sampled and it was tasty and nutritious and it was pleasing to see the staff eating with the residents, assisting when necessary. Glebe House H57-H08 S13155 Glebe House V219971 260505 Stage 4.doc Version 1.30 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. Glebe House H57-H08 S13155 Glebe House V219971 260505 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 Glebe House H57-H08 S13155 Glebe House V219971 260505 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) 2,3,4 &5 All residents have the opportunity to visit Glebe House before admission and a full assessment of their overall needs is undertaken. All residents sign a contract following admission, EVIDENCE: The senior care leader confirmed that all residents have a comprehensive assessment carried out prior to their admission in order to ensure that Glebe House can meet their overall needs. The resident is encouraged to visit Glebe House for a day’s assessment with family or representatives. A fairly new resident confirmed that this did take place. Evidence of the assessments was seen in four residents’ records of care. Contracts were seen in residents’ files, however some had no signature or date signed. Staff have specialist training, such as dementia training, to meet the individual needs of each new resident. Glebe House H57-H08 S13155 Glebe House V219971 260505 Stage 4.doc Version 1.30 Page 9 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) 7,8,9 &10 The home meets the health, personal and social care needs of the residents. All staff respect the privacy and dignity of residents. Evidence of regular reviewing of residents’ needs was unclear. EVIDENCE: Six residents’ care notes were examined and all have reasonably clear care plans in place. The notes varied in quality and this is an area that needs improvement. Evidence of reviews of care taking place was apparent but it was unclear as to the frequency of some of these. The manager gave her assurance that new records were being put in place and training for all staff on how and what to record. The information was clear on the needs of residents but not so clear on actions taken to meet them. The medication trolley was clean and orderly and notes on each resident’s medication was clear with photographs of residents attached to their medication notes. There is no homely remedies policy and therefore there were large stocks of Paracetamol for individual residents, which does seem unnecessary. The manager is to discuss this with her line manager. Glebe House H57-H08 S13155 Glebe House V219971 260505 Stage 4.doc Version 1.30 Page 10 The privacy and dignity of the residents was seen to be respected by staff at all times and residents spoken to confirmed that staff upheld their privacy and dignity. Glebe House H57-H08 S13155 Glebe House V219971 260505 Stage 4.doc Version 1.30 Page 11 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&15 Residents confirmed that they had ample choice in the home and it matched their expectations and preferences. EVIDENCE: Residents were seen undertaking a variety of activities of their own choice. Some were gathering in the communal areas and some remaining in their rooms. Activities were planned for those who wished to partake and the notice board provided information of a variety of forthcoming events. A session of bingo was taking place in the afternoon. On the day of the inspection residents were having their hair done in a purpose built hairdressing room. The home has just employed an activities organiser and he was enthusiastic and hopes to plan daily activities for those residents who like group activities. For those who prefer their own company, he hopes to carry out one to one time with them after finding out their interests. It is also planned to take residents out weekly in the home’s minibus. Glebe House H57-H08 S13155 Glebe House V219971 260505 Stage 4.doc Version 1.30 Page 12 Also part of the planning will include guiding carers to carry out some small activities with residents in the evenings and weekends. Residents all expressed complete satisfaction with the food and choices of food. Lunch was a very unhurried affair with staff joining residents for lunch and helping those less able to enjoy their meal. Glebe House H57-H08 S13155 Glebe House V219971 260505 Stage 4.doc Version 1.30 Page 13 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 There is a clear complaints policy and residents are protected from abuse. EVIDENCE: The complaints policy was clearly seen on the notice board and in residents’ handbooks. All new handbooks will need to display the Commission for Social Care Inspection name and address. Residents spoken to were more than happy to raise any concerns with the staff or manager and said that concerns were acted upon promptly. The complaint log could be revised to show more clearly the action taken in response to a complaint with the outcome of the complaint clearly identified. Staff are all in the process of attending training on the protection of vulnerable adults and it is part of the induction for new staff and ongoing for existing staff. Glebe House H57-H08 S13155 Glebe House V219971 260505 Stage 4.doc Version 1.30 Page 14 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) 19.20.21&26 The home is clean, safe and well maintained and residents’ rooms are furnished and equipped to assure comfort and privacy for the resident. EVIDENCE: Cleaning was underway throughout the inspection and everywhere was clean, tidy and reasonably pleasant smelling. All bedrooms were individually styled with residents’ personal possessions and residents spoken to were completely satisfied with their rooms and surroundings. One resident praised the staff for keeping her room clean and tidy. The home has sufficient toilet and bathroom facilities close to bedrooms. The garden area is well maintained and accessible to those who wish to spend time in the garden. Glebe House H57-H08 S13155 Glebe House V219971 260505 Stage 4.doc Version 1.30 Page 15 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) 27,29 &30 On the day of the inspection there were sufficient trained staff to meet and protect the overall needs of the residents EVIDENCE: There were six carers, one care leader, three domestics, one cook, one kitchen assistant, an activities coordinator and the manager on duty, which met the needs of the residents. Staff spoken to were clear about the expectations of training particularly in relation to NVQ training and the manager is implementing a matrix of all training held and identifying those staff who require updating. Residents spoken to were clearly happy with the numbers of staff on duty. Six carers’ files were looked at to ensure that correct recruitment procedures had been followed and it was clear the manager operates a thorough procedure ensuring the protection of her residents. Glebe House H57-H08 S13155 Glebe House V219971 260505 Stage 4.doc Version 1.30 Page 16 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) 31,33,36 &38. The home is well managed and run in the best interests of the residents with their health and safety protected. EVIDENCE: The manager has implemented formal supervision for all staff which ensures that all areas of their practice are monitored and training put in place when necessary. Staff interviewed confirmed this. Risk assessments for the residents were seen in their records and the care notes showed evidence that the care planned is in the best interests of each individual resident. The manager has many new ideas for improvement and this will be looked at during the next inspection. Glebe House H57-H08 S13155 Glebe House V219971 260505 Stage 4.doc Version 1.30 Page 17 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 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 x x x x 3 STAFFING Standard No Score 27 3 28 x 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 x 3 x 3 Glebe House H57-H08 S13155 Glebe House V219971 260505 Stage 4.doc Version 1.30 Page 18 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 None. 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. 2. 3. 4. Refer to Standard 2 7 9 16 Good Practice Recommendations It is recommended that all residents or their family member or representative sign their contracts. It is recommended that the standard of care notes be improved with clear review dates in place. It is recommended that discussion takes place about the home implementing a homely remedies policy. It is recommended that the complaint log be revised to fully identify the outcome of a complaint. Glebe House H57-H08 S13155 Glebe House V219971 260505 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Burgner House, 4630 Kingsgate, Cascade Way, Oxford Business Park South, Cowley, Oxford OX4 2SU 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 Glebe House H57-H08 S13155 Glebe House V219971 260505 Stage 4.doc Version 1.30 Page 20 - 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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