Inspection on 07/03/07 for Glebe House

This inspection was carried out on 7th March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 30/09/09

Glebe House 27/10/08

Glebe House 17/01/08

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 Maggie Arnold Key Unannounced Inspection 7th March 2007 10:00 Glebe House DS0000066054.V330196.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.V330196.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.V330196.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 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 Mrs Mary Watson Care Home 6 Category(ies) of Learning disability (6), Mental disorder, registration, with number excluding learning disability or dementia (6) of places Glebe House DS0000066054.V330196.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 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. This is the first inspection since the home was registered on 13th September 2006. Date of last inspection Brief Description of the Service: Glebe House is registered to provide care and accommodation for up to six adults between the ages of eighteen and sixty five 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. There is a secure and secluded patio garden to the rear of the property. It should be noted that the home does not have a vertical or stair lift in situ. At the time of the inspection visit the fees charged for a place in the home ranged from £1620 to £2500 depending on the needs of the resident. The fees include up to £400.00 a year towards holidays and external activities. Additional charges are made for services such as hairdressing, opticians, chiropody, toiletries and newspapers/ magazines. Glebe House DS0000066054.V330196.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspections (CSCI) is upon outcomes for residents and their views of the service provided. The process considers the care home’s capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects service provisions that need further development. This was an announced inspection and the first to be made since the home was registered in September 2006. The inspection took place between 10.00am and 12.35 pm. As this service has no residents at this time the areas inspected have been given a quality rating of adequate. It is felt that despite good policies and procedures these have not been tested. Other than the registered manager, no staff are employed by the home. The inspector has made judgements placed on discussions with the manager, a brief scrutiny of policies and procedures and a tour of the premises. The evidence collated by the inspector provides an insight to the policies and proceudres available and the concept of the manager regsrding the care of residents admitted. What the service does well: What has improved since the last inspection? What they could do better: It is recommended that consideration be given to reducing the gaps underneath the bedroom doors. In addition to help maintain the privacy of the residents it should also reduce noise levels and draughts. It is also recommended that the manager contacts the people previously interviewed as potential staff and formally establishes which prospective staff Glebe House DS0000066054.V330196.R01.S.doc Version 5.2 Page 6 no longer wish to be considered for any future vacancies. The staff files of those persons no longer wishing to be considered could then be processed in accordance with the home’s policies and procedures. This will help to give a clearer indicator of the availability of prospective staff members. 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.V330196.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.V330196.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): Standard 2: Quality in this outcome area is good. No residents have been admitted to the home at the time of this inspection. Procedures are in place to 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: Discussions with the manager and a brief look at the pre admission paperwork evidenced that systems are in place to ensure that prospective residents should only be admitted after their individual needs and aspirations are assessed. Glebe House DS0000066054.V330196.R01.S.doc Version 5.2 Page 9 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): Standard 6. 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 to ensure that residents assessed and changing needs are reflected in their care plans. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussions with the manager and a brief look at the relevant paperwork evidenced that systems are in place to ensure that residents will have individual care plans that reflect their changing needs. Glebe House DS0000066054.V330196.R01.S.doc Version 5.2 Page 10 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): Not assessed on this inspection. No residents have been admitted to the home at the time of this inspection. EVIDENCE: Discussions with the manager and a look at the sensory room and games activities room indicated that the home intends to enable residents to participate in a variety of activities. Glebe House DS0000066054.V330196.R01.S.doc Version 5.2 Page 11 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): Standard 19. 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: Discussions with the manager and a brief look at the relevant paperwork evidenced that systems are in place to ensure that residents receive appropriate personal and healthcare support. Glebe House DS0000066054.V330196.R01.S.doc Version 5.2 Page 12 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): Standard 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 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: Discussions with the manager indicated that she is committed to ensuring that procedures such as staff training and supervision will help to minimise the risk of residents being placed at risk of abuse and neglect. Additionall, records evidenced that the home had undertaken Criminal Record Bureau check on potential staff. Glebe House DS0000066054.V330196.R01.S.doc Version 5.2 Page 13 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): Standards 24 & 30. Quality in this outcome area is good. 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: The inspector and manager made a tour of the premises. All of the internal and external areas are in a good state of repair and furnished decorated to a good standard. At the time of the inspection only two of the bedrooms were fully furnished with bedding and curtains to help prospective residents imagine what the rooms might look like. It is planned that residents will be involved in choosing their own soft furnishings and personalise rooms to reflect their individual interests and own tastes. Glebe House DS0000066054.V330196.R01.S.doc Version 5.2 Page 14 During a tour of the premises it was noted that there were gaps, in some places up to 2.5 centimetres high, under all of the bedroom doors. The manager immediately contacted the home’s Fire Safety Officer who advised that this did not present a fire risk. In order to ensure the privacy of the occupants of the rooms, it is recommended consideration be given to reducing the gaps between the bottom of the bedroom doors and the floor. In addition to improving the privacy of the residents it would also help to reduce noise levels and draughts. The manager confirmed that she would consult with the Fire Safety Officer regarding how she proposed to reduce the gaps. Glebe House DS0000066054.V330196.R01.S.doc Version 5.2 Page 15 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): 34 Quality for this outcome area is adequate. There are suitable polices and procedures in place for staff recruitment, however, there are no staff actually working at this service as there are no residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has suitable policy and procedures pfor the employment of staff. The inspector looked at two staff files that evidenced that the home had adhered to the policy. For example, the files contained two references and evidence of Criminal Record Bureau checks. At the time of the inspection no staff were employed by the home. When the home was first registered prospective staff were interviewed for the vacant posts. However, a delay in the admission of residents has resulted in most of the prospective staff finding work elsewhere. The manager advised that she routinely contacts the prospective staff to check whether they are still interested in working in the home once residents are admitted. The manager said that she had contacted two specialist staffing agencies who would supply agency staff in the event of a short notice placement. Glebe House DS0000066054.V330196.R01.S.doc Version 5.2 Page 16 It is recommended that the manager contact all the interviewees and formally establishes which prospective staff no longer wishing to be considered for any future vacancies. The staff files of those persons no longer wishing to be considered could then be processed in accordance with the home’s policies and procedures. This would enable the manager to have a clearer indication of the potential availability of the staff already subject to the home’s recruitment procedures. At the time of the inspection all of the prospective staffs personal files were securely stored in a lockable facility. Glebe House DS0000066054.V330196.R01.S.doc Version 5.2 Page 17 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): 42, 43 Quality in this outcome area is adequate. No residents have been admitted to the home at the time of this inspection. The residents will benefit from a home that is managed by a qualified, competent and experienced person. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussions with the registered manager combined with a brief scrutiny of her personal file evidenced that she has thirty-five years, twelve of which have been in a managerial capacity, in the field of Social Care. Certificates were available to demonstrate that the manager has undertaken a wide range of training including City and Guilds National Vocational Qualifications (NVQ) in Care and a post- graduate Certificate in Management Studies in Health and Social Care. Other training includes NVQ Assessor, Abuse Awareness and Glebe House DS0000066054.V330196.R01.S.doc Version 5.2 Page 18 Abuse investigation as well as training in Epilepsy. Dementia, Autistic Spectrum Disorder and medication. Glebe House DS0000066054.V330196.R01.S.doc Version 5.2 Page 19 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 x 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 x 33 x 34 x 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 3 x x 3 x x x x x x Glebe House DS0000066054.V330196.R01.S.doc Version 5.2 Page 20 N0 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. 1 Refer to Standard YA24 Good Practice Recommendations In order to ensure the privacy of the occupants of the bedrooms, it is recommended consideration be given to reducing the gaps between the bottom of bedroom doors and the floor. In addition to improving the privacy of the residents it would also help to reduce noise levels and draughts. It is recommended that the manager contact all the interviewees and formally establishes which prospective staff no longer wishing to be considered for any future vacancies. The staff files of those persons no longer wishing to be considered could then be processed in accordance with the home’s policies and procedures. 2 YA34 Glebe House DS0000066054.V330196.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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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