Inspection on 03/10/05 for Gledhow Wood Road

This inspection was carried out on 3rd October 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

Gledhow Wood Road 22/01/09

Gledhow Wood Road 02/02/07

Gledhow Wood Road 17/01/06

Gledhow Wood Road 08/02/05

Gledhow Wood Road 29/06/04

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

CARE HOME ADULTS 18-65 Gledhow Wood Road 68 Gledhow Wood Road LEEDS LS8 4DH Lead Inspector Kathleen Firth Unannounced 2.45pm. 3 October 2005 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. Gledhow Wood Road 20051003 Gledhow Wood Road UN Stage 4 S1455 V242051 J52.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Gledhow Wood Road Address 68 Gledhow Wood Road LEEDS LS8 4DH 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) 0113 217 9500 0113 217 9500 TACT Patrick Cassidy Care Home 5 Category(ies) of Learning Disability (5) registration, with number of places Gledhow Wood Road 20051003 Gledhow Wood Road UN Stage 4 S1455 V242051 J52.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 8th February 2005 Brief Description of the Service: The home is located in a residential area of Oakwood, north of Leeds. It is a detached building and does not look any different to the other houses within the road. The residents bedrooms are on the ground and first floor, with office space and the staff bedroom on the top floor. There are large attractive gardens to the rear of the building. Personal care is provided for five residents who all have a learning disability. The home is supported by the local healthcare team. The home is within walking distance of a supermarket, shops, bank and a post office and the residents are able to make use of these facilities. There is a car at the home to make sure the resdients are able to attend any appointments they have and to take them on trips out. A regular bus service to the city centre is available. Gledhow Wood Road 20051003 Gledhow Wood Road UN Stage 4 S1455 V242051 J52.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over 2.25 hours on Monday 3rd October 2005 by one inspector. The inspector looked around the building, spoke with the residents and staff, examined residents’ records including care plans, menus, staff rosters and contracts. Staff and residents were helpful throughout the inspection and were happy to join in. Four residents and two staff members were spoken to. What the service does well: What has improved since the last inspection? The manager has completed the work for the registered managers’ award and is awaiting assessment of this. Gledhow Wood Road 20051003 Gledhow Wood Road UN Stage 4 S1455 V242051 J52.doc Version 1.40 Page 6 The flooring is being replaced in the downstairs bathroom and should be completed by 10 October 2005. Some work has been done on the care plans to make sure they reflect the care offered. All records seen were signed and dated as appropriate. Dates for Adult Protection training have been set for all staff needing to attend. 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. Gledhow Wood Road 20051003 Gledhow Wood Road UN Stage 4 S1455 V242051 J52.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 Gledhow Wood Road 20051003 Gledhow Wood Road UN Stage 4 S1455 V242051 J52.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) 2, 4, 5 Prospective residents and their carers can be sure that the home will meet their needs and aspirations. Residents have an individual contract with the home. EVIDENCE: The manager assessed the needs of the present residents but there have been no admissions since 1997. All of the present residents visited the home prior to their admission and had meals there. They were also able to have overnight visits before moving in. All of the residents have a contract in a format that they can understand. These explain the terms and conditions of the home including what the residents can expect from the service offered at the home. These contracts were seen in the individual resident’s files. Gledhow Wood Road 20051003 Gledhow Wood Road UN Stage 4 S1455 V242051 J52.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) 6, 7, 8, 9 Good communication makes sure that the residents’ needs are met. Appropriate risk assessments with the coping strategies are in place. EVIDENCE: All of the residents have a comprehensive care plan that gives information about their needs. Evidence was seen that the residents and/or their carers are involved in drawing up the plans. There was nothing in the file to show that the plans have been reviewed but evidence was seen on the computer and staff confirmed that they are reviewed on a regular basis. Evidence was seen throughout the inspection that the residents are involved in the day-to-day decision making within the home. Several residents were asking questions about what was happening that night and where they were going later in the week. Some residents were involved in choosing the meal for that night. Residents are supported to follow their individual interest and appropriate risk assessments are in place detailing these. The staff showed a good awareness of the residents’ rights to take risks as well as their duty of care and are able Gledhow Wood Road 20051003 Gledhow Wood Road UN Stage 4 S1455 V242051 J52.doc Version 1.40 Page 10 to balance these. Staff know the residents well, four of them having worked with this group over many years. The residents are asked their views on anything connected to their life and evidence was seen that one resident had chosen not to attend day care. Regular discussions are held with the residents and there are plans to hold formal meetings with them every six weeks. Gledhow Wood Road 20051003 Gledhow Wood Road UN Stage 4 S1455 V242051 J52.doc Version 1.40 Page 11 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, 13, 14, 15, 16, 17 Appropriate activities are arranged for the residents. Residents are supported to keep in contact with their family and friends. The rights of the residents are respected at all times. EVIDENCE: Residents are supported to take part in valued activities such as going on train journeys, bike rides, shopping, listening to music, going to the pub and going out for meals. Three of the residents attend day centres and one of these helps at a Jeweller’s shop sometimes, as this is something that he enjoys doing. One resident is taken out three times a week by “Opportunities” which is part of the organisation that owns the home. Two residents go to the local pub each night and are seen as part of the community. The residents are encouraged to be independent whenever possible and are involved in household duties. Everyone brings their laundry to be washed, collects it afterwards and puts it away. They are involved in setting the table for meals and washing up afterwards. One resident who enjoys doing the laundry has taken responsibility for this. Gledhow Wood Road 20051003 Gledhow Wood Road UN Stage 4 S1455 V242051 J52.doc Version 1.40 Page 12 The home does not have menus but everyone is involved in the choice of meals. Alternatives are offered if anyone does not like what is being served. Excellent records of what each individual has eaten are kept each day and residents are weighed as appropriate. These records showed that the home offers a good, health nutritious diet that takes into account the individual likes and dislikes. Fridge and freezer temperatures are recorded correctly. The staff shop locally and use fresh food to prepare meals. Families can visit the home when they wish and are able to go out with the residents or stay at the house. One resident goes home to stay with his parents every weekend. Residents who do not have any family have been offered an Advocate but they have chosen not to use this service. Gledhow Wood Road 20051003 Gledhow Wood Road UN Stage 4 S1455 V242051 J52.doc Version 1.40 Page 13 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) 18, 19, 20 Residents are treated with respect and their privacy and dignity are maintained at all times. Staff are aware of the residents’ needs. EVIDENCE: Individual healthcare needs are monitored through discussion and watching body language. Communication and support is given for residents to receive healthcare. All of the residents are registered with one GP who offers very good support to them and the staff. Evidence was seen that arrangements are in place for chiropody services. Residents are taken to the optician and dentist as required. Most of the residents have a psychiatric review every six months at which time their medication is reviewed although this can be done with the GP at anytime. None of the residents are able to manage their own medication and the home has a policy and procedure in place to do this. The Boots system is used that has different coloured cards for different times of the day. All medication records seen were correctly maintained and storage was appropriate. Varying degrees of personal support is required and residents are offered this in the privacy of their own room or in the bathroom. Two residents ask for help if and when they need it. There are sufficient bath and toilet facilities available at the home. Gledhow Wood Road 20051003 Gledhow Wood Road UN Stage 4 S1455 V242051 J52.doc Version 1.40 Page 14 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) 22, 23 Residents and their relatives have their views listened to, taken seriously and action is taken to resolve them. Residents are protected from abuse. EVIDENCE: All of the residents have a copy of the complaints procedure and there is one available for visitors to see. The present residents are able to voice their concerns/worries with the manager and staff and do not hesitate to speak out. Staff also use body language and behaviour as indications that someone is unhappy. The staff at the home are able to talk regularly with staff at the day care centres and will be told about any problems that arise there. The home has an Adult Protection policy and procedure in place. All of the staff have watched a video about Adult Protection and the ones who have not attended a formal training session have dates to do so. One person manages his own personal allowance with support from the staff and they manage the others’ monies. Financial records seen were correctly maintained and all monies were seen to be kept in the safe. Gledhow Wood Road 20051003 Gledhow Wood Road UN Stage 4 S1455 V242051 J52.doc Version 1.40 Page 15 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, 25, 28, 30 The home offers a safe environment for the residents and provides them with suitable accommodation. EVIDENCE: The home offers a welcoming, safe and comfortable environment, with the fixtures and fittings along with the décor being of a good standard. It was found to be clean and hygienic throughout. The bedrooms are of a good size and there was evidence that residents are able to personalise their rooms. One resident rents a fish tank to keep in his own room. There is only one bathroom in use at present as the floor is being repaired in the other. Residents said that they will be happy when this is finished. None of the present residents require any specialist equipment. No smoking is allowed in the lounge/dining room or bedrooms. Gledhow Wood Road 20051003 Gledhow Wood Road UN Stage 4 S1455 V242051 J52.doc Version 1.40 Page 16 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) 32, 35, 36 Staffing numbers and skill mix make sure that the residents’ needs can be met. Staff are trained to do their job. EVIDENCE: All of the staff are working on or have completed an NVQ at varying levels. They have easy access to appropriate training. There is good communication amongst the staff team who work well together. Staff spoken to said that they receive good support from the manager. There was evidence that regular staff supervision sessions are in place as are staff meetings. There was enough staff on duty at the time of the inspection and rosters confirmed that this is the normal practice. They always have a driver on duty and sufficient staff to allow for residents to be taken out. At present there has been absenteeism due to sickness amongst the staff and some people are working over-time and bank staff can be called on if there is a need. There is a key worker system in operation at the home and residents are aware whose theirs is. Gledhow Wood Road 20051003 Gledhow Wood Road UN Stage 4 S1455 V242051 J52.doc Version 1.40 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 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) 37, 39, 40, 42 The home is well managed, the interests of the residents are seen as important to the manager and staff and are safeguarded at all times. EVIDENCE: The manager has many years experience working in this field and offers good leadership to the staff. He has completed the work for the registered managers’ award and is waiting for this to be assessed. The manager insists that residents are consulted before any changes are made and they are involved whenever possible in the way the home is run. All records seen were properly maintained and stored correctly. Residents and their families are aware that they can see their records. They are all involved in any reviews of their care. Fire alarms are tested weekly with records kept. Staff are aware of health and safety issues and have training in this area. The manager has delegated responsibility for some of the health and safety practices. All laundry is washed on the premises at the correct temperature and the home has a Gledhow Wood Road 20051003 Gledhow Wood Road UN Stage 4 S1455 V242051 J52.doc Version 1.40 Page 18 control of infection policy in place. Nothing was seen during the inspection that could cause danger to the residents, visitors or staff. Gledhow Wood Road 20051003 Gledhow Wood Road UN Stage 4 S1455 V242051 J52.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x 3 N/A 3 Standard No 11 12 13 14 15 16 17 x 3 x 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 x x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Gledhow Wood Road Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x 3 x 20051003 Gledhow Wood Road UN Stage 4 S1455 V242051 J52.doc Version 1.40 Page 20 NO 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 Requirement There are no requirements from this inspection. 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 YA 20 Good Practice Recommendations The registered person should sypply the home with a locked storage box that can be stored in the domestic fridge for medications that require cold storage. (Not done from previous inspection) Gledhow Wood Road 20051003 Gledhow Wood Road UN Stage 4 S1455 V242051 J52.doc Version 1.40 Page 21 Commission for Social Care Inspection Aire House Town Street Rodley LS13 1HP 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 Gledhow Wood Road 20051003 Gledhow Wood Road UN Stage 4 S1455 V242051 J52.doc Version 1.40 Page 22 - 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. 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