Inspection on 01/09/05 for Glen Cottage

This inspection was carried out on 1st September 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

Glen Cottage 09/01/07

Glen Cottage 19/04/05

Glen Cottage 16/09/04

Glen Cottage 26/04/04

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

CARE HOME ADULTS 18-65 Glen Cottage 2a Glen Road Sarisbury Green Southampton SO31 7EL Lead Inspector Gina Pickering Unannounced 1 September 2005 10:00am st 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. Glen Cottage H54 S12366 Glen Cottage V245554 010905.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Glen Cottage Address 2a Glen Road Sarisbury Green Southampton SO31 7EL 01489 574214 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) Community Integrated Care Mrs Samantha Smith CRH - PC 1 Category(ies) of LD - 1, PD - 1 registration, with number of places Glen Cottage H54 S12366 Glen Cottage V245554 010905.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th April 2005 Brief Description of the Service: Glen Cottage is a purpose built care home providing personal care for one service user. The house is owned by Knightstone Housing Association who are responsible for the maintence of the home. Community Intergrated Care (CIC), a national organisation, is the registerd provider and is responsible for the care provided. Accomodation consisits of one bedroom a large ensuite bathroom, lounge/ dining room and a kitchen as well as level access to the garden. Aids and adaptations have been put in place to meet the needs of the lady living at the home. The home is situated in a residential area with easy access to community facilities and the larger towns and cities. Transport is provided by the home by the provision of a car and several staff that are able to drive. Glen Cottage H54 S12366 Glen Cottage V245554 010905.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over a three-hour period on the 1st September 2005. The inspector had the opportunity to speak to the member of staff on duty, inspect various documents and observe the interaction of the staff member with the client. Discussion with the member of staff evidenced that the service user likes to be known as a client. The client exercised her choice not to join in the inspection process. The client appears settled and happy living at Glen Cottage. What the service does well: What has improved since the last inspection? What they could do better: The home could continue to explore means to reduce the wheel chair damage to walls and doors of the home. Glen Cottage H54 S12366 Glen Cottage V245554 010905.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. Glen Cottage H54 S12366 Glen Cottage V245554 010905.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 Glen Cottage H54 S12366 Glen Cottage V245554 010905.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) These standards were assessed during the inspection dated 19th April 2005. EVIDENCE: Glen Cottage H54 S12366 Glen Cottage V245554 010905.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) 9 The client is encouraged to achieve an independent life style as possible with the effective use of comprehensive risk asessments. EVIDENCE: Comprehensive risk assessments are in place for the client about all aspects of daily routines, leisure activities and accessing the community. The information gathered from the risk assessments is used to able the client achieve an independent life as possible. Glen Cottage H54 S12366 Glen Cottage V245554 010905.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) 15,16 & 17 The management of the home ensures that the client’s rights and decisions are respected and that she is able to retain contact with her family. The dietary needs of the client are met with flexibility allowing her choice about her meals. EVIDENCE: Inspecting the client’s documents and discussion with the member of staff on duty evidenced that the client is encouraged and supported to retain contact with her family. The staff member discussed that although many attempts have been made for the client to socialise with peers with the support of staff, she chooses not to. The member of staff discussed that daily routines are influenced by the wishes of the client. On the day of the inspection it had been planned for the client to go shopping and out for lunch, however her decision was respected that on the day she did not wish to do this. It was discussed that the client is given responsibilities such as putting her laundry in the laundry basket and taking part in the weekly supermarket shop. Such responsibilities encourage her Glen Cottage H54 S12366 Glen Cottage V245554 010905.doc Version 1.40 Page 11 independence. Unopened post addressed to the client was noticed, evidencing that staff do not open the clients post without her. Menu plans are flexible to allow the client choice whether have meals in the house or eat out. Discussion with the staff member evidenced that the staff group encourage the client to eat a healthy diet. Glen Cottage H54 S12366 Glen Cottage V245554 010905.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) 18, 19 & 20 Staff are able to deliver personal support to the client in the manner that she wishes. The health and welfare of the client is assured with effective links with the multidisciplinary health care team. The administration of medications to the service users is handled in a safe manner ensuring that health care needs of the service users are met as well as ensuring their safety. EVIDENCE: The client’s documents contain comprehensive details about how the client likes to be supported in her personal care including details of how to maintain privacy and dignity for the client. These include details about personal hygiene, dressing and assistance with eating. The documents also give details of how the client expresses her wishes by verbal and non-verbal actions. Equipment such as an assisted bath and grab rails help to promote the independence of the client as much as possible in personal care. The client’s documents indicate her health care needs and the actions to be taken to ensure these are met. Information is included about her physical Glen Cottage H54 S12366 Glen Cottage V245554 010905.doc Version 1.40 Page 13 health and her emotional health. Contact with healthcare professionals such as dentist, psychiatrist, GP and occupational therapist are documented in the client’s documents evidence that the multidisciplinary health care team is involved in ensuring her healthcare needs are fully met. A medication policy is included within the client’s documents. Looking at the medication administration records, drug cupboard, and ordering and returns book evidenced that these policies and procedures are adhered to. Glen Cottage H54 S12366 Glen Cottage V245554 010905.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 The client and her relatives are made aware that they can express concerns and complaints and these will be acted upon promptly. All staff are aware of issues about the protection of vulnerable adults ensuring that the client is protected from the effects of abuse. EVIDENCE: The client is made aware of whom to address any concerns and complaints with recorded information on an audiotape. An advocate is available for the client to help voice any concerns. The complaints procedure is included in the statement of purpose that is available for any one to see if they wish. The home has not received any complaints in the last year. Adult protection polices and procedures are in place. Discussion with the member of staff on duty indicate that staff are aware of the different forms of abuse, how to recognise them and then action to be taken in the event of a suspected case of abuse. Glen Cottage H54 S12366 Glen Cottage V245554 010905.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) 30 Good hygiene and infection control practices within the home contribute to the health and well being of the service users. EVIDENCE: Information is available in the home about hygiene and the control of infection and staff have received training in this subject. Care staff are responsible for the cleaning and laundering in the home. The client is encouraged to assist with cleaning as much as her abilities allow her. The home at the time of the inspection was clean and free from offensive odours. Glen Cottage H54 S12366 Glen Cottage V245554 010905.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) 35 A training programme is in place to ensure a competent workforce is in place that promotes the client’s well being and safety at all times. EVIDENCE: CIC employ a training officer who is responsible for the co ordination of staff training within the local CIC homes. The training manual indicates that all staff receive mandatory training about fire safety, moving and handling, food hygiene, first aid and other health and safety issues. Other training is tailored to meet the needs of the individual client at the home such as visual impairment and epilepsy. Discussion with the staff member on duty suggested that staff feel supported and able to meet the client’s needs with the training they receive. Glen Cottage H54 S12366 Glen Cottage V245554 010905.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) 39 Staff at the home recognise that Glen Cottage is the home of the client and consequently her views and wishes are an integral part of the running of the home. EVIDENCE: No formal gathering of the client’s view is undertaken but her ability to express her likes and dislikes is used to influence plans for the management and development of the home. The client has access to an advocate if required. Family, health professionals, and care managers views are gathered in review meetings, the information from which is used in planning the development of the service. Monthly audits of the service provided by the home assist in the quality auditing procedure. Glen Cottage H54 S12366 Glen Cottage V245554 010905.doc Version 1.40 Page 18 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 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x 3 Standard No 11 12 13 14 15 16 17 x x x x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Glen Cottage Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x x x H54 S12366 Glen Cottage V245554 010905.doc Version 1.40 Page 19 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 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 Good Practice Recommendations Glen Cottage H54 S12366 Glen Cottage V245554 010905.doc Version 1.40 Page 20 Commission for Social Care Inspection 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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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