Inspection on 14/08/05 for Glebe House (Charnwood) Limited

This inspection was carried out on 14th August 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 (Charnwood) Limited 30/11/07

Glebe House (Charnwood) Limited 14/06/06

Glebe House (Charnwood) Limited 03/07/05

Glebe House (Charnwood) Limited 04/11/04

Glebe House (Charnwood) Limited 07/08/04

Glebe House (Charnwood) Limited 13/02/04

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

CARE HOME ADULTS 18-65 Glebe House 190 Forest Road Loughborough Leicestershire LE11 3HU Lead Inspector Trisha Gibbs Unannounced Inspection Sunday, 14 August 2005 at 16:00 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 C51 C01 S1818 Glebe House (Charnwood) Limited V244348 STAGE 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Glebe House Address 190 Forest Road Loughborough Leicestershire LE11 3HU 01509 218096 01509 210881 annfolkes.glebe190@virgin.net Glebe House (Charnwood) Limited 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) Mrs Beverley Fern Care Home 3 Category(ies) of LD Learning disability(3) registration, with number of places Glebe House C51 C01 S1818 Glebe House (Charnwood) Limited V244348 STAGE 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No-one under the age of sixteen may be accommodated in the home. Date of last inspection 03/07/05 Brief Description of the Service: Glebe House provides a wide range of day and evening services for adults and children who have a learning disability, many of whom also have a physical disability. The residential element of Glebe House, which is the focus of this unannounced Inspection, provides respite care in the form of weekend breaks (Friday p.m. until Monday a.m.) for fourteen service users, who prefer to be referred to as guests. This provision is only open twelve weekends a year and there is a waiting list. The flat in which respite takes place is registered to accommodate three guests for each stay, having one double and one single bedroom. There is a well equipped large kitchen dining room, and a generous sized comfortable lounge, in addition to toilet and bathroom provision. Glebe House stands within attractive and secluded gardens, close to the town centre of Loughborough. The provision is registered to accommodate adults from the age of sixteen, however to date no young person under the age of eighteen has received the weekend break service. Glebe House C51 C01 S1818 Glebe House (Charnwood) Limited V244348 STAGE 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection took approximately two hours and was the second statutory unannounced Inspection this year. Since the weekend break system is available only twelve weekends a year (one a month) the Inspector attended a social event, having recently undertaken the first Inspection during a weekend break. This provided an excellent opportunity to talk to relatives and service users who would otherwise have not been seen, (referred to as guests within the report) plus additional members of the staff team. In addition to this the Inspector visited the flat, which was being used for weekend break. What the service does well: What has improved since the last inspection? What they could do better: No requirements or recommendations were made at this Inspection. Glebe House C51 C01 S1818 Glebe House (Charnwood) Limited V244348 STAGE 4.doc Version 1.40 Page 6 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 C51 C01 S1818 Glebe House (Charnwood) Limited V244348 STAGE 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Glebe House C51 C01 S1818 Glebe House (Charnwood) Limited V244348 STAGE 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) x N/A EVIDENCE: The above Standards were not assessed at this Inspection. Standard 2 was assessed at the last Inspection on July 2nd 2005 as being fully met. Glebe House C51 C01 S1818 Glebe House (Charnwood) Limited V244348 STAGE 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 Guests are positively supported to make decisions about their lives. EVIDENCE: • Both parents and guests described how they are regularly consulted about the service, and how prior to their weekend break, guests are personally contacted and invited to contribute to planning for the weekend. During the social event, the staff members were observed to communicate with guests, encouraging them to take part and to think about what they wanted to do, using their individual communication systems. Parents noted that the weekend breaks encouraged the guests to be more independent. • Glebe House C51 C01 S1818 Glebe House (Charnwood) Limited V244348 STAGE 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,14,15,16 Guests are enabled to enjoy an active and stimulating weekend break. EVIDENCE: • The Inspector talked to several weekend guests who were very enthusiastic about their weekend stays at Glebe house. Some were able to verbalise their thoughts more easily than others. One said ‘We go out swimming, I love swimming, that’s my favourite.’ Another talked about watching cricket on television, and another about going out shopping. Staff members also confirmed that guests are encouraged to undertake activities and hobbies that they are interested in. It was clear that the weekend break activities are service user led. Staff and parents said that positive friendships are developed and maintained through the scheme, and guests enjoyed telling the Inspector who their best friends were. Many guests request to have their breaks with their friends. C51 C01 S1818 Glebe House (Charnwood) Limited V244348 STAGE 4.doc Version 1.40 Page 11 • Glebe House • Parents said that they value the service highly and that it was good for their sons and daughters to be away from home and develop independent living skills. They praised the staff team for their commitment and encouragement. The guests and service users from the Glebe House day services were enjoying a barbeque and an evening of disco music at the time of the Inspection. It was also the occasion of a service user’s birthday party. It was very evident that they felt valued and confident. • Glebe House C51 C01 S1818 Glebe House (Charnwood) Limited V244348 STAGE 4.doc Version 1.40 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) x N/A EVIDENCE: The above Standards were not assessed at this Inspection and were assessed at the last Inspection on July 2nd 2005 as being fully met. Glebe House C51 C01 S1818 Glebe House (Charnwood) Limited V244348 STAGE 4.doc Version 1.40 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) x N/A EVIDENCE: The above Standards were not assessed at this Inspection and were assessed at the last Inspection on July 2nd 2005 as being fully met or exceeded. Glebe House C51 C01 S1818 Glebe House (Charnwood) Limited V244348 STAGE 4.doc Version 1.40 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 Guests enjoy their respite breaks in a comfortable, colourful, and homely flat. EVIDENCE: • The Inspector spent most of this visit with the guests and their friends and families, and the staff team, in the main body of the house. The guests sometimes undertake activities here during their weekend breaks. This accommodation is spacious, colourful and utilised for other Glebe House services during the week. Some of the guests also attend here for a day service. The accommodation is equipped to meet service user needs. The upstairs weekend flat was visited; all rooms were looked at and were clean and comfortable. Some of the guests had packed their bags, ready to go home after the social event, leaving them neatly placed in their rooms. • Glebe House C51 C01 S1818 Glebe House (Charnwood) Limited V244348 STAGE 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 A well-trained and committed staff team provides person centred care for the guests. EVIDENCE: • During the Inspection, the Inspector spoke to three members of staff. Some work within other areas of the Glebe House service. They were positive about their NVQ studies, and knowledgeable about working with people who have both a learning and physical disability. They said that they enjoyed working within the weekend break scheme. On the occasion of the previous Inspection one month ago the comprehensive training programme provided for the staff team was seen and commended. • Glebe House C51 C01 S1818 Glebe House (Charnwood) Limited V244348 STAGE 4.doc Version 1.40 Page 16 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) x N/A EVIDENCE: The above Standards were not assessed at this Inspection and were assessed at the last Inspection on July 2nd 2005 as being fully met and exceeded. Glebe House C51 C01 S1818 Glebe House (Charnwood) Limited V244348 STAGE 4.doc Version 1.40 Page 17 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x 3 x 3 3 3 x Standard No 31 32 33 34 35 36 Score x x x x 4 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Glebe House Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x C51 C01 S1818 Glebe House (Charnwood) Limited V244348 STAGE 4.doc Version 1.40 Page 18 NONE 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. Refer to Standard NONE Good Practice Recommendations Glebe House C51 C01 S1818 Glebe House (Charnwood) Limited V244348 STAGE 4.doc Version 1.40 Page 19 Commission for Social Care Inspection The Pavilions 5 Smith Way, Grove Park Enderby, Leicester LE19 1SX 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. 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