Inspection on 14/11/05 for Glebe, The Care Home

This inspection was carried out on 14th November 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, The Care Home 17/04/07

Glebe, The Care Home 06/06/06

Glebe, The Care Home 19/04/05

Glebe, The Care Home 19/10/04

Glebe, The Care Home 21/04/04

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

CARE HOMES FOR OLDER PEOPLE Glebe, The Care Home Church Street Alfreton Derbyshire DE55 7AH Lead Inspector Rose Veale Unannounced Inspection 14th November 2005 10:30 X10015.doc Version 1.40 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, The Care Home DS0000035739.V263223.R01.S.doc Version 5.0 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 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, The Care Home DS0000035739.V263223.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Glebe, The Care Home Address Church Street Alfreton Derbyshire DE55 7AH 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) 01629 580000 Derbyshire County Council Mrs Pearl Movita Lowe Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Glebe, The Care Home DS0000035739.V263223.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th April 2005 Brief Description of the Service: The Glebe is situated in the centre of the busy market town of Alfreton, close to local shops, facilities and public transport. The Glebe is owned by Derbyshire County Council and provides 24 hour personal care and accommodation for 32 older people. All accommodation for residents is in ground floor, single rooms. There are no en-suite facilities. There is a large, well maintained garden accessible to residents. Glebe, The Care Home DS0000035739.V263223.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced. There were 32 residents accommodated in the home on the day of the inspection, including 2 residents for short-term care and 3 for day care. Residents, visitors and staff were spoken with during the inspection. Records were examined, including care records. The communal areas, bathrooms and toilets and several bedrooms were seen. The manager and deputy manager were available and helpful throughout the inspection. The manager was due to retire in January 2006 after almost 30 years of working at the home. Interviews for a new manager were to take place in December 2005. What the service does well: 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, The Care Home DS0000035739.V263223.R01.S.doc Version 5.0 Page 6 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 Outcomes Statutory Requirements Identified During the Inspection Glebe, The Care Home DS0000035739.V263223.R01.S.doc Version 5.0 Page 7 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 the following standard(s): 4 On the whole, the assessment information was detailed to ensure the home was able to meet the needs of residents. However, further risk assessments were needed to ensure the safety of residents. EVIDENCE: Of the key standards, Standard 3 was assessed and met at the last inspection and Standard 6 does not apply to this service. There was a discussion regarding the risk assessment of residents as the current risk assessments did not include the risk of harm from other residents with challenging behaviour. Glebe, The Care Home DS0000035739.V263223.R01.S.doc Version 5.0 Page 8 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 the following standard(s): 7 and 9 Improvements had been made in care records and administration of medication since the last inspection ensuring residents’ needs were properly met. EVIDENCE: Care records were examined, including the records of residents admitted for short-term care. The records seen all had care plans which were detailed and had been reviewed monthly up to date. The care plans seen addressed all the assessed needs of residents. There were records of six monthly care reviews which involved the residents and / or their representative. Residents spoken with said the staff were well aware of their needs and how to meet them. Visitors spoken with said they were kept involved and informed by the home. At the previous inspection, requirements were made to ensure every resident had a care plan and that the care plans included all the assessed needs of residents. The requirements had therefore been met. The medication administration records, (MARs), were examined. All the MARs included a photograph of the resident and were correctly completed. To meet the requirements made at the last inspection, the home had changed the medication policy so that prescriptions were seen in the home before being Glebe, The Care Home DS0000035739.V263223.R01.S.doc Version 5.0 Page 9 dispensed, and also so that medication was only being given to the person it was prescribed for. Glebe, The Care Home DS0000035739.V263223.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 13 Residents were supported and encouraged to maintain contact with people significant to them. EVIDENCE: The home had an open visiting policy. There were several visitors to the home on the day of the inspection. The visitors spoken with said they were always made welcome and that they were able to see the resident in private if they wished. Residents spoken with had lived locally before moving to the home and were pleased to be able to maintain contact with family and friends. The activities records showed that residents were supported to use the local shops and facilities. The local church regularly held a service at the home and a volunteer church visitor visited the home. Glebe, The Care Home DS0000035739.V263223.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 16 Residents’ rights were protected and promoted by the systems in place in the home. EVIDENCE: The home kept a complaints book, though few entries had been made in this, and no entries in 2005. No complaints had been received by CSCI in 2005. Residents spoken with said they would take any problems or concerns to the staff and were happy to approach the manager. One resident said “I have every confidence in the staff” to sort out any problems. Residents and visitors spoken with said they knew about the complaints procedure in the home. Staff spoken with said residents often talked to them informally about any problems or complaints. Staff were aware of the complaints procedure. Glebe, The Care Home DS0000035739.V263223.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 19 and 21 In the main, the home provided a clean, comfortable and homely environment for residents. However, the bathrooms and toilets needed some refurbishment and redecoration to provide more pleasant surroundings for residents to use. EVIDENCE: The home was clean and generally well maintained and well decorated. A new carpet had been provided in one of the lounges since the last inspection. The home had sufficient toilets and bathrooms for the use of residents. However, one bathroom was out of use as the bath, (with integral hoist seat), was awaiting repair. According to staff spoken with and records seen, the bath had been awaiting repair for several weeks. One bathroom had been recently decorated. All the other bathrooms and toilets were in need of redecoration. The paintwork was dingy and had not been redecorated after new radiators were fitted some time ago. In two of the toilets the wood panelling to box in pipe work was in need of repair or replacement as it had split, and the flooring, although clean and undamaged, was stained. Glebe, The Care Home DS0000035739.V263223.R01.S.doc Version 5.0 Page 13 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 Although there were sufficient staff on duty in the home, a review of staffing hours provided should be undertaken to ensure the needs of residents can always be fully met. EVIDENCE: There were sufficient staff on duty to meet the needs of residents. Staff spoken with said they felt that the general range of needs of residents had changed over the last few years so that residents were more dependent now. Staff said there were very busy periods during the day. Residents spoken with said that staff were usually available when needed, though there were times when they were busy. Staffing levels at weekends were different from weekdays in that there were two care assistants rather than three working the afternoon shift and there was no afternoon kitchen help. Staff spoken with said it would hep with the workload if there could be a kitchen assistant working as there is during the week. The Residential Forum document Care Staffing in Care Homes for Older People provides guidelines for calculating the care hours required in a home based on the needs of the residents. Using this document and the information provided by the home, the calculation of hours needed is higher than that currently provided by the home. This should be reviewed by the providers in consultation with residents, staff and management at the home. Glebe, The Care Home DS0000035739.V263223.R01.S.doc Version 5.0 Page 14 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards were not assessed at this inspection. All of the key standards were assessed and met at the last inspection. Glebe, The Care Home DS0000035739.V263223.R01.S.doc Version 5.0 Page 15 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X 2 X X X X X STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Glebe, The Care Home DS0000035739.V263223.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? NO 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 OP4 Regulation 13(6) Requirement Risk assessments must be in place for all residents at risk of harm from the challenging behaviour of others The bathrooms and toilets must be decorated The Parker bath must be repaired or replaced and the bathroom put back into use Timescale for action 31/12/05 2 3 OP21 OP21 23(2)(b) (d) 23(2)(c) 31/03/06 31/01/06 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. Refer to Standard OP21 OP27 Good Practice Recommendations The stained floor covering in two of the toilets should be reviewed and replacement considered. There should be a review of staffing hours provided using the Residential Care Forum Care Staffing document for guidance. Glebe, The Care Home DS0000035739.V263223.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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, The Care Home DS0000035739.V263223.R01.S.doc Version 5.0 Page 18 - 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. 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