Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Glebe House 5 Sundays Hill Lower Almondsbury South Glos BS32 4DS one star adequate service 03/12/2008 The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Grace Agu Date: 0 5 0 6 2 0 0 9 Information about the care home
Name of care home: Address: Glebe House 5 Sundays Hill Lower Almondsbury South Glos BS32 4DS 01454616116 01454616118 angela.ryan@btconnect.com www.bristolcarehomes.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Helen Perkins Type of registration: Number of places registered: Conditions of registration: Category(ies) : Avonedge Limited care home 53 Number of places (if applicable): Under 65 Over 65 53 0 old age, not falling within any other category physical disability Conditions of registration: 0 5 Manager must be a RN on parts 1 or 12 of the NMC register. May accommodate one named person aged 32 years or over. The registration wil revert to 50 years and over when the person leaves the home. May accommodate up to 5 persons between 50 and 65 years of age. May accommodate up to 53 persons aged 65 and over, who are receiving nursing care. Of the total 53 persons, the home may accommodate up to 3 persons (who must be 65 years or over) requiring personal care only. Staffing notice dated 19/3/1998 applies Date of last inspection Care Homes for Older People 0 3 1 2 2 0 0 8 Page 2 of 10 Brief description of the care home Glebe House was first registered as a Care Home providing nursing in 1996. It is one of three homes in the same ownership. The other homes are Field House in Horfield and Beech House in Thornbury. Glebe House is in part a converted older building with a purpose built annexe. The home is situated in wooded grounds that are well maintained and accessible to residents and visitors. Accommodation is of a high standard and is arranged on three floors providing forty-one single bedrooms and six rooms for double occupancy. The majority of rooms have en-suite facilities and others have a washbasin and a toilet within a short walking distance and there are two large lounge areas and two smaller ones for quiet occupation if wished. There is access to all parts of the building provided by two passenger lifts. The fees for staying at the Home range from £585- £970 a week. Care Homes for Older People Page 3 of 10 What we found:
The reason for this inspection was to the review the action plan written by the home in relation to the last inspection requirements To enable us to verify that these requirements have been met we looked at the following records; the rota, two care files, staff training, accident records. We spoke with two staff and five residents and we also observed how care was being provided at the home. We also looked at the complaints procedure and complaints record to help us determine how the home handles complaints made by the people living in the home or their relatives and the outcome is as follows: In relation to Regulation 15 Standard 7. We reviewed the care files of two residents and we noted improvement in the in the care plans compared to the last inspection. However there were still some minor concerns in relation to writing care plans for residents specific needs and ensuring that risk assessments are in place for a person whose behavior affects others as recorded in the daily notes. We discussed this and other findings relating to care planning documentation with the registered manager and the home administration manager and it was agreed that the concerns need to be addressed to ensure that the residents needs are satisfactorily met. Requirement 15 Standard 7. The manager stated that four registered nurses attended Tissue Viability training at one of the National Health Service (NHS) hospitals and were able to use the knowledge acquired to treat a recent resident with hospital acquired pressure sore. The manager has made contact with the Tissue Viability Nurse within the South Gloucestershire area for future consultation if needed. Requirement 13 Standard 8. There was evidence to suggest that the individual identified at the last inspection had been transferred to a specialist care setting. The risk identified at the last inspection had been eliminated. Requirement 18 Standard 27. In relation to staffing levels we reviewed the staffing rota on the day; there were 45 residents on the day. The rota showed that there were three trained nurses from 8 am to 2pm and nine care assistants from 8am to 2pm excluding one new care assistant on induction. The rota also showed an additional care assistant from 7am-11am to help Care Homes for Older People Page 4 of 10 with breakfast. This was confirmed by staff. The rota also showed that there were two trained nurses from 2pm to 8 pm hours and six care assistants from 2pm to 8pm, two trained nurses from 8pm to 8am and three care assistants. There is care assistant on twilight shift from 7pm to 12 midnight to assist with drinks and support residents to go to bed. Requirement 8 Standard 31. Helen is the new manager for Glebe House. She was recently registered by the Care Quality Commission after a successful Fit Persons Interview. Staff told us that Helen is supportive, approachable and would listen to their concerns. One resident stated that Helen is a doer, she would usually come in early in the morning to see us. One staff member told us that things have improved since the new manager started at Glebe House. Requirement 26 Standard 33. The registered provider had made regular monthly visits to the home since the last inspection and from the reports sent to us there is evidence that all identified issues were dealt with satisfactorily. Requirement 18 Standard 36. We saw evidence that staff are being supervised. Two staff members that we spoke with confirmed that they are receiving supervision and it has helped to provide better care for the residents.The manager told us that the registered nurses have been given the responsibility of supervising the care assistants and that the registered nurses will receive regular supervision from the Home manager. This will lessen the work load on the manager and provide opportunity for the registered nurses to learn new skills. Other areas we looked at include:Complaints. Records kept at the home showed that there was one complaint in relation to communication with a relative. There was evidence to suggest that this was investigated inline with the complaints policy. The manager stated that it was satisfactorily resolved by the management. Training. There was enough evidence to suggest that staff are receiving training in areas that safeguard the welfare of the residents. For example, the organisation has comprehensive and intensive 3 week induction training for new carers to ensure that they have good understanding of the principles of care before supporting residents. In addition the individual continues with an induction module training package with supporting Mulberry DVD presentation. There is an ongoing training until they are ready to commence National Vocation a Qualification (NVQ). Records show that eight care assistants are currently undertaking this training. Care Homes for Older People Page 5 of 10 The manager stated that she recently obtained the South Gloucestershire training booklet for this year. This is so that staff can access more training to enhance their knowledge in order to provide better outcomes for the residents. Planned training courses include two staff to attend Safeguarding Adults alerter training course from South Gloucestershire in June, four in July. What the care home does well: 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 2. Care Homes for Older People Page 6 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 7 15 Care plans must be in place for identified residents. To ensure that their needs are met. 31/01/2009 2 8 13 Risk assessment must be in place after a fall. To prevent/minimise falls. 16/01/2009 Care Homes for Older People Page 7 of 10 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, 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 1 7 13 The home must ensure that appropriate strategy is in place to minimise the effect ofone residents medical condition to the individual and other residents. To protect the health and welfare of the individual and those around them. 30/06/2009 2 7 15 The home must ensure that 30/06/2009 care plans are in place to meet the assessed needs of two identified people living at the home. The care plans must be reviewed regularly and as needs change. To meet the individuals needs 3 8 13 All residents must have risk 30/06/2009 assessments based on individual circumstance. Residents with recent falls must have risk assessments and same reviewed regularly. To minimise falls Care Homes for Older People Page 8 of 10 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 Care Homes for Older People Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.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 © (2009) 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. Care Homes for Older People Page 10 of 10 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
