Inspection on 16/05/05 for Glen Eldon

This inspection was carried out on 16th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Eldon 24/10/06

Glen Eldon 02/11/05

Glen Eldon 01/11/04

Glen Eldon 20/07/04

Glen Eldon 06/10/03

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

CARE HOME ADULTS 18-65 Glen Eldon Bighton Road Medstead Alton Hampshire GU34 5NA Lead Inspector Pat Hibberd Unannounced 16May 2005 - 9:00am 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 Eldon H54 S12391 Glen Eldon V218684 160505.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Glen Eldon Address Bighton Road Medstead Alton Hampshire GU34 5NA 01420 563864 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) Iliace Limited CRH 9 Category(ies) of LD - Learning disability (9) registration, with number of places Glen Eldon H54 S12391 Glen Eldon V218684 160505.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 1 November 2004 Brief Description of the Service: Glen eldon was registered in 1995 and is owned by Iliace a private company.The Home provides for nine Services Users who have a learning disability. The manager was appointed in October 2004 . The Home is a nine bedded detached property and one of a number owned by Iliace. All Service Users have their own bedroom , there is ample communal space , bathrooms and garden area. The Home is situated in a rural location within a few miles from the market town of Alresford and Alton which have a range of leisure, shopping and recreational facilities. The Home have their own vehicles which are unmarked and provide transport for Service Users to access both the local and wider community. Glen Eldon H54 S12391 Glen Eldon V218684 160505.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 4.5 hours and was the first unannounced inspection of the 2005/2006 inspection programme. Fifteen of the forty three Standards relating to Younger Adults were assessed. There were no requirements identified on this occasion. The inspection included a tour of the Home; including five Service Users bedrooms and the garden. Discussions were held with the majority of Service Users , three staff members on duty and the Home’s manager. Due to the limited verbal communication of some Service Users accommodated the inspector also endeavoured to gain an understanding of practices and Service User views through observation and case tracking. Two Service Users files were viewed and care provided by the Home in all areas of their life assessed and discussed with both the manager and staff. What the service does well: What was evident throughout the inspection was the commitment to ensuring Service Users are central to all care provided and lead a full and positive life style. The knowledge of Service Users needs demonstrated by staff is commendable. The Home has two Communication Coordinators who are responsible for ensuring the methods of communication in the Home are appropriate for each individual. The staff team were seen to communicate appropriately with Service Users using makaton/symbols and verbal communication. The Home is keen to ensure Service Users interests are identified and a range of both in house and community activities are provided. The Organisation have their own “activities (DAP) team” who, alongside the management and staff assess and provide individual programmes for all Service Users. Glen Eldon H54 S12391 Glen Eldon V218684 160505.doc Version 1.30 Page 6 There is a range of training provided and staff confirmed that they receive regular supervision and daily support from the manage of which they find to be of much benefit to their daily practice. 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. Glen Eldon H54 S12391 Glen Eldon V218684 160505.doc Version 1.30 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 Eldon H54 S12391 Glen Eldon V218684 160505.doc Version 1.30 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 There is a comprehensive assessment process ensuring Service Users needs are identified by the Home prior to admission. EVIDENCE: The Home has an extremely comprehensive process of assessment which includes four areas of need. The first is a personal profile of the individual, the second skills maintenance , the third work placements and finally behavioural guidelines . There have been no new admissions to the Home since the last inspection. However, the manager confirmed that there are systems in place to ensure any prospective Service Users needs are assessed by a suitably experienced and competent person. The manager is currently undertaking an assessment with a prospective Service User. Documentation viewed confirmed that the Service User has been fully involved in the process with contributions from family and professionals to ensure the Home can meet the individual’s needs. Glen Eldon H54 S12391 Glen Eldon V218684 160505.doc Version 1.30 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 and 9 The arrangements for care planning are consistent for all Service Users ensuring their care needs are met. EVIDENCE: Two Service Users files were viewed and the care was discussed with staff and Service Users. Observations were also made about how the care was delivered. The care plans had a range of information relating to the individual and the support required to ensure their needs are being met including risk assessments which are constantly monitored and reviewed . Service Users views as to care provided has been captured through a continuous process of monitoring /observation by the staff team. Details of which were found in reviews held in files. Time was spent with two Service Users to enable the inspector to observe practices in the Home. Glen Eldon H54 S12391 Glen Eldon V218684 160505.doc Version 1.30 Page 10 Particular emphasis was placed on staff communication with the individual in relation to how they were to spend their day and how it reflected identified needs in their care plan. It was evident that staff were aware of Service Users needs and care plans were being implemented. Service Users were able to verbally confirm or indicate through pictures in their daily planner how they were to be spending their day. The manager confirmed that Care Management assessments had been provided for a number of Service Users and that Social Services and Community Health Teams were involved with individuals as necessary. Discussions with staff confirmed that they were aware of Service Users needs , were involved in the review of their care and felt confident in the support they provided. Daily records are completed for all Service Users with shift “handovers” taking place with a view to ensuring continuity of care. Glen Eldon H54 S12391 Glen Eldon V218684 160505.doc Version 1.30 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 and 17 Links with the local community are good with Service Users having opportunities for appropriate activities based on their interests. Menus are well balanced, creative and offering choice ensuring the dietary needs of Service Users are met. EVIDENCE: The Organisation has an ‘activities ‘ team and together with the home staff they endeavour to ensure Service Users have a community presence by devising programmes of activities for Service Users. These include swimmimg, trampolining, cooking, horticulture and music and movement. One Service User has a voluntary job and is supported by staff. Two files viewed confirmed that Service Users interests are pursued through planned programmes. Glen Eldon H54 S12391 Glen Eldon V218684 160505.doc Version 1.30 Page 12 The Home’s two Communication Coordinators have developed in house programmes which are compiled in pictorial formats to ensure Service Users can identify how they are to spend their day. Two Service Users were able to indicate what they were doing on the day and who was supporting them. Rotas confirmed there are sufficient staff on duty during the evening and weekends to support activities identified. The Home has two unmarked vehicles with the majority of staff insured to drive Service Users to their activities or community events. The manager advised that there are currently no Service Users accommodated who would understand the concept of voting. The manager confirmed that this would be pursued if appropriate for an individual. Menus were seen to be well balanced with a dietician having been consulted as to their nutritional value. The menus are in a pictorial format with Service Users actively involved in the planning/shopping and preparation. One Service User was able to indicate what they were having for their lunch with staff confirming that an alternative would always be made available. The manager has produced a newsletter for parents/representatives with a view to ensuring they are kept informed of the general activities within the Home. Glen Eldon H54 S12391 Glen Eldon V218684 160505.doc Version 1.30 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 and 19 The health needs of Service Users are well met with evidence of good multidisciplinary working taking place on a regular basis. Personal support is offered in such a way as to promote and protect Service Users’ privacy and dignity. EVIDENCE: All Service users have access to a GP with two care care plans viewed confirming that Service Users have access to health professionals as required including the local Community learning disability health team. Details of preferred personal support needs for Service Users were found in the two files viewed and must be commended for their detail given that the information is based on observation and knowledge of individuals by the staff team. Staff were observed supporting Service Users with their personal care in a dignified and respectful manner. Glen Eldon H54 S12391 Glen Eldon V218684 160505.doc Version 1.30 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 and 23 The complaints policy and procedure is accessible to all Service Users and relatives, ensuring their concerns are addressed. Arrangements for protecting Service Users are satisfactory. EVIDENCE: The Home has produced a complaints procedure in a pictorial format of which individual Service Users have a copy. Due to their needs parent and representatives are also provided with a copy. There has been one complaint made to the Home since the last inspection which based on records viewed was seen to be appropriately responded to. The Manager demonstrated that she is aware of the Hampshire Adult Protection policy and procedure and her role in the event of an allegation of abuse. Staff spoken to were also aware of their role and responsibilities and had undertaken Adult protection training . Due to there being Service Users accommodated who exhibit challenging behaviour Strategies in crisis for prevention and intervention training is undertaken by all staff. Details of approaches to be taken were detailed in Service User files viewed. Service Users monies are held securely in the safe with the accounts audited yearly by the Organisations Finance Manager. Glen Eldon H54 S12391 Glen Eldon V218684 160505.doc Version 1.30 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 and 30 The Home is clean, well maintained , decorated and suitably furnished and provides a comfortable environment to meet the needs of Service User’s. EVIDENCE: The Home was clean, bright and hygienic with policies and procedures and systems in place including infection control /Control of Hazardous to Health ( COSHH )/food hygiene and moving and handling training for staff . Staff spoken to confirmed that they were aware of their responsibilities in relation to hygiene in the Home , were provided with gloves and aprons as required and had received infection control training. Hand washing facilities were seen all around the Home. There is a separate laundry . Glen Eldon H54 S12391 Glen Eldon V218684 160505.doc Version 1.30 Page 16 The Home has had new carpets fitted throughout the communal areas , has been re decorated and had new curtains fitted in some areas. The manager confirmed that Service Users have been involved in the choices made. There has been no recent visits made by the Environmental Health department or Statutory Fire officer. Glen Eldon H54 S12391 Glen Eldon V218684 160505.doc Version 1.30 Page 17 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 and 36 The Home has a well trained and supervised staff team to ensuring Service Users needs are appropriately met . EVIDENCE: The Home has a staff development and training programme with the manager and alongside the Organisations Training officer having responsibility for the budget and training programmes. All new staff receive a thorough induction with the Learning Disability Award Framework (LDAF) being integral to the process. All staff are currently completing the six induction packs based on the LDAF. Staff have undertaken a range of training which includes : autism, moving and handling, first aid , fire safety, food hygiene, medication administration , COSHH, infection control, epilepsy, Person Centred Planning, SCIP, Makaton, Adult Protection , health and safety and continence. All staff are required to undertake a Criminal Record Bureau check before commencing work in the Home. Glen Eldon H54 S12391 Glen Eldon V218684 160505.doc Version 1.30 Page 18 Staff spoken to confirmed that they feel well supported , receive regular supervision, yearly appraisals and ample training opportunities. The manager confirmed that she felt well supported by her Line Manager. Glen Eldon H54 S12391 Glen Eldon V218684 160505.doc Version 1.30 Page 19 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) 42 The health and safety practices in the Home are generally satisfactory ensuring the safety and protection of Service Users and staff. EVIDENCE: The Organisation have designated two personnel responsible for undertaking health and safety risk assessments in the Home alongside the manager. Health and safety in the Home is generally satisfactory with a range of training in place (as previously detailed )and policies and procedures available for staff guidance. Due to the majority of Service Users accommodated having little concept of risk, a range of risk assessments have been undertaken of the environment which are shared with staff and regularly reviewed by the team. Glen Eldon H54 S12391 Glen Eldon V218684 160505.doc Version 1.30 Page 20 The inspector met with the Maintenance Manager who confirmed that he is scheduled to install a number of radiator covers in the Home and replace an airing cupboard door with a fire door. The patio area to the rear of the property is to be altered due to there being uneven surfaces. This will be followed up at the next inspection. The Home manager confirmed that appliances are maintained and fire safety checks carried out on a regular basis. Staff confirmed that they were aware of their responsibilities in the event of a fire. The inspector was unable to confirm with Service Users their understanding of a fire evacuation . However, there are risk assessments in all files in relation to fire evacuation for individuals which are shared with all staff and regularly reviewed. Cleaning materials were securely stored and clinical waste appropriately disposed of. The manager confirmed that there is a routine for securing the building at night undertaken by night staff. Glen Eldon H54 S12391 Glen Eldon V218684 160505.doc Version 1.30 Page 21 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 x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x x 3 Standard No 31 32 33 34 35 36 Score x x x x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Glen Eldon Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 x H54 S12391 Glen Eldon V218684 160505.doc Version 1.30 Page 22 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 Eldon H54 S12391 Glen Eldon V218684 160505.doc Version 1.30 Page 23 Commission for Social Care Inspection 4 Floor, Overline House Blechynden Terrace Southampton Hampshire 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. Extracts may not be used or reproduced without the express permission of CSCI Glen Eldon H54 S12391 Glen Eldon V218684 160505.doc Version 1.30 Page 24 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!