Inspection on 27/10/08 for Glebe House

This inspection was carried out on 27th October 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 17/01/08

Glebe House 07/03/07

Extracts from inspection reports are licensed from CQC, this page was updated on 17/12/2008.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Glebe House 50 Radford Road Leamington Spa Warwickshire CV31 1LZ     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Julie McGarry     Date: 2 7 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 26 Information about the care home Name of care home: Address: Glebe House 50 Radford Road Leamington Spa Warwickshire CV31 1LZ 01926886304 01926886504 glebehouse@ultimatecaregroup.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: UCG Ltd T/A Ultimate Care Group care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 6. 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 registered persons must notify the Commission when sevice users move into the home. There must be a learning disability and mental health skills, knowledge and mix within the management team working at the home. Date of last inspection Brief description of the care home 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 Care Homes for Adults (18-65 years) Page 4 of 26 Over 65 0 6 Brief description of the care home 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. Care Homes for Adults (18-65 years) Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our 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, and the pre-fieldwork inspection record was completed, as well as a site visit Care Homes for Adults (18-65 years) Page 6 of 26 to the home. As there no one currently lives in the home, it was not possible to identify any one for close examination. As there are no staff are employed here, the owner was spoken with. A completed Annual Quality Assurance Assessment (AQAA) was received from the service prior to the inspection. The inspector would like to thank the owner for their hospitality and co-operation during the inspection. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. No people have moved to live at this home since the last inspection. Procedures are in place to ensure that prospectives residents aspirations and needs are assessed before admission. Evidence: As no new people have moved to live at Glebe House since the last inspection, the pre assessment process was not examined in detail as part of this inspection. Discussions with the owner and information contained within the AQAA evidence that systems are in place to ensure that prospective residents should only be admitted after their individual needs and aspirations are assessed. The service has a pre admission pack which includes the Service User Guide, Statement of Purpose and the complaints policy to provide people with information they need about the service. The information in the pack is in easy read format, and can be provided in other languages to be accessible to prospective residents. Care Homes for Adults (18-65 years) Page 10 of 26 Care Homes for Adults (18-65 years) Page 11 of 26 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. No one has moved into this service since the last inspection. Procedures and information in place indicate that peoples assessed and changing needs would be reflected in their care plans, reviewed regularly and updated as necessary. Evidence: Information provided in the annual quality assurance assessment (AQAA) completed by the owner, indicates that the home has a person centred ethos in relation to care and support planning for anyone referred to the home for placement. From discussions with the owner on the day of the inspection, we are informed that systems are in place to ensure that people will have individual care plans that reflect their changing needs. Every indication from the information available is that this service would provide good / excellent outcomes for people who live here, 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 Care Homes for Adults (18-65 years) Page 12 of 26 Evidence: and outcomes can be tested. Care Homes for Adults (18-65 years) Page 13 of 26 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Information available confirms that people will be offered varied, educational and stimulating activity opportunities based on their personal wishes and aspirations. Evidence: 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 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 owner informs us of how consideration is given to meet peoples spiritual and cultural needs. Care Homes for Adults (18-65 years) Page 14 of 26 Evidence: The owner tells us that people who will live at this home will be fully supported to maintain relationships with their families and friends. People will also be supported to seek employment opportunities should they wish to do so. The kitchen is 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 people who live here, 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. Care Homes for Adults (18-65 years) Page 15 of 26 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. No people have moved to this service at the time of this inspection. Procedures are in place that should ensure those who live here receive appropriate personal and healthcare suppport. 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. The owners tells us that the home has contacted the local GP surgery to ensure they have the capacity to take new patients so that peoples health needs can be addressed. Every indication from the information available is that this service would provide good / excellent outcomes for people who live here, however it is not possible to test this Care Homes for Adults (18-65 years) Page 16 of 26 Evidence: 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. Care Homes for Adults (18-65 years) Page 17 of 26 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. No people have moved to this service at the time of this inspection. Policies and procedures are in place for dealing with complaints that will help to protect the resident from abuse, neglect and self-harm. Evidence: The completed AQAA provides details of how complaints to the home would be managed within the complaints procedure. On the day of the inspection, a copy of the complaints procedure and policy were seen. Policies and procedures in realtion to safeguarding and whilstleblowing are also in place, which should mean that the service knows how to respond to concerns and keep people safe. No complaints have been received either by the home or by us since the last inspection. Every indication from the information available is that this service would provide good / excellent outcomes for people who live here, 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. Care Homes for Adults (18-65 years) Page 18 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is clean, hygienic and decorated and furnished in a comfortable and homely manner. Evidence: There have been no changes to Glebe House since the last inspection. The home 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 en-suite facility. One bedroom has kitchenette facilities to help promote independent living skills for the person who occupies that room. 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. There is a secure and secluded patio garden to the rear of the property. On the day of the inspection the home was warm and clean. It was well lit, nicely decorated and clean. There no offensive odours apparent. All of the bedrooms were Care Homes for Adults (18-65 years) Page 19 of 26 Evidence: decorated in neutral colours and were nicely furnished in order to assist prospective residents with what their rooms could look like. Facilities to ensure that the home remains clean and hygienic were in place. Care Homes for Adults (18-65 years) Page 20 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Recruitment procedures are robust and ensure that anyone moving into the service would be safeguarded. There is a commitment to providing skilled and knowledgeable staff to support the residents. Evidence: There are currently no staff employed at this service. The owner has identified a manager to take up the post before any peole move to live at the home. Care staff have also been identified. The owner explained the planned recruitment process, and showed their commitment to following safe recruitment practices of staff to ensure they are trained and competent to provide support to people who will live there. 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. Care Homes for Adults (18-65 years) Page 21 of 26 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. No residents have moved to this service at the time of this inspection. The residents will benefit from a home that is managed by a qualified, competent and experienced person. Evidence: As previously stated, there is currently no manager in post for this service. The owner informs us that a manager has been identfied, and is in agreement to take up this post once residents are ready to move into the service the service. Policies and procedures are in place to ensure the health and safety of everyone who may move into or visit the home. Ongoing maintenance checks are being carried out to ensure the home remains in good order. The owner however needs to ensure up to date records are kept of these checks, notably in relation to fire safety. 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 Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: 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. Care Homes for Adults (18-65 years) Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 42 The owner needs to continue to carry out all routine maintenance checks and ensure up to date records are maintained. This includes checks on fire safety equipment, such as fire extinguishers and the fire blanket. Care Homes for Adults (18-65 years) Page 25 of 26 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). 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