Inspection on 22/11/07 for Glen Pat Homes

This inspection was carried out on 22nd November 2007.

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 Pat Homes 09/05/06

Glen Pat Homes 09/02/06

Glen Pat Homes 29/09/05

Glen Pat Homes 14/10/04

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

CARE HOME ADULTS 18-65 Glen Pat Homes 10 Elm Park Road Winchmore Hill London N21 2HN Lead Inspector Tony Brennan Key Unannounced Inspection 22nd November 2007 11:00 Glen Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 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 Glen Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 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 Adults 18-65. 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. Glen Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glen Pat Homes Address 10 Elm Park Road Winchmore Hill London N21 2HN 020 8805 9371 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) glenpat@blueyonder.co.uk Mr Michael Glen Woodstock Vacant Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Glen Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No emergency admissions can be made. Admissions can be made only in line with the agreed Statement of Purpose. 9th May 2006 Date of last inspection Brief Description of the Service: Mr & Mrs Woodstock own Glen Pat Home. Mr Michael Woodstock is the responsible person for the home. The home consists of a large house in a quiet street in Winchmore Hill. The home is close to shops and public transport links. There are seven large single bedrooms, a dining and a sitting room. The home is appropriately furnished and there is a garden to the rear of the house. The home’s stated aim is to support people with learning disabilities to live in the community. The home also aims to provide care and support service users who may have challenging behaviour, and to support service users tailored to their individual needs. The fees are between £550 and £750 a week. This report is available through the internet. Copies may also be obtained from the provider of this service. Glen Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection was undertaken as part of the annual inspection programme. I sought to confirm that the two areas for improvement identified at the last inspection had been addressed. Prior to the inspection the home had completed its annual quality assurance assessment. The annual quality assurance assessment provided me with information about the home and how it was seeking to provide the best outcomes for people. The inspection took place over one day. I was assisted by Jennifer Woodstock, the registered person, with the inspection. I spoke with the three people who live at Glen Pat Home, and two members of staff. I observed care practice and interaction between staff and people living at the home. I toured the building and examined a number of records relating to the care, health and safety and management of the home. I would like to thank the staff that assisted me by answering questions about the running of the home. I would also like to thank the three people who live at the home who discussed their views of the service they receive. What the service does well: Glen Pat home has provided consistently good outcomes for people. The statement of purpose clearly sets out the philosophy and objectives of the home. The statement of purpose positively promoted the rights of people living at the home to express their diversity. Initial assessments identified the needs of people living at the home. Admissions to the home are made on the basis of a detailed assessment. This ensures the best outcomes for people. Care plans were found to provide detailed information on the support provided to meet the needs of people. One person told me, “ staff treat me fine.” The home involves individuals in the planning of care that affects their lifestyle and quality of life. People said that they could choose from a range of activities. One person spoken to told me, “ theres a lot to do here, go into the church or the pub.” People who live at the home are involved in meaningful daytime activities of their own choice, according to the individual interested and capabilities. Glen Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 Page 6 The menu is prepared at a weekly meeting of people living at home. A variety of meals are provided that reflect the individual preferences of people live at the home. I spoke with people who explained that staff provided support and encouragement to maintain their personal hygiene. Personal support is responsive to the varied individual needs and preferences of people who live at the home. Medical needs had been identified as part of the initial assessment and were referred to in care plans and risk assessments. Peoples health needs are addressed to ensure their well-being. People who live at the home told me that they could challenge and raise concerns about the way they were treated. The home understands the procedures for safeguarding adults. There were separate dining and sitting rooms. People were able to choose where they wish to sit or spend time in their bedrooms. The home provides a physical environment that is appropriate to the specific needs of people who live there. Sufficient staff are provided to meet the changing needs of people living at home. A system is in place to monitor the quality of the service provided by the home. Theres a strong emphasis on being open and transparent in all areas of running the home. People are consulted about how the home is run. The registered person ensures that all safety risks are identified. People living at the home are aware of safety arrangements and have confidence in the safe working practices of staff. Glen Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Glen Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 Page 8 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 Outcomes Statutory Requirements Identified During the Inspection Glen Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The statement of purpose is an accurate description of the service provided. People’s needs are assessed prior to admission to the home to ensure they receive the care and support required. EVIDENCE: The registered person had commented in the annual quality assurance assessment that the homes statement of purpose was “ available on request” to people and their relatives. The statement of purpose clearly sets out the philosophy and objectives of the home. I found that the needs of the people case tracked were within a range of those specified in the statement of purpose. The statement of purpose also identified the skills and staffing resources that are available to meet the needs of people living at home. As is outlined in the following outcome areas these resources effectively meet the needs of people living at the home. The registered person stated in the annual quality assurance assessment that the home provides, “food based on the dietary needs of people (e.g. a Hindu vegetarian).” I found that this was reflected in the person’s care plan. The care plan and daily notes also showed that the home was, with the support of Glen Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 Page 10 the individual’s relatives, trying to encourage her to attend the Hindu temple. The statement of purpose positively promoted the rights of people living at the home to express their diversity. I discussed the issue of equalities and diversity with registered manager who demonstrated that she would respond positively to people’s diverse and varied needs. The annual quality assurance assessment stated, “we support residents to access religious centres (e.g. church).” A person commented, “I like living here, I can go to church.” I found that this was reflected in Person’s care plan. The registered person had stated in the annual quality assurance assessment, “pre admission assessment ensures the home can meet the identified needs of service users.” I case tracked three people who live at the home and found that there were assessments from the home and care management. A person commented that the home was a “ good” place to live. Initial assessments identified the needs of people living at the home. This included a history of their needs and any resulting behavioural management issues. People’s needs were identified prior to their admission to the home. Admissions to the home are made on the basis of a detailed assessment. This ensures the best outcomes for people who live at the home. There have been no new admissions since the last key inspection. I found that the needs of the people case tracked had been reviewed both by the home and by their social workers. Records showed that people had been consulted about the outcomes of their reviews. Glen Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 679 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Care plans provided detailed information on the needs of people living at home. People are supported to make decisions about their lives. Risks to service users are assessed to ensure their safety and independence. EVIDENCE: The home has continued to improve care plans so that they are more person centred. In the annual quality assurance assessment it was stated, “ all residents have comprehensive personal care plans which identify their individual needs.” The care plans of the three people case tracked were personalised and detailed how the individual needs would be met. The registered person had noted in annual quality assurance assessment that more staff had been trained in person centred planning. Care plans were found to Glen Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 Page 12 provide detailed information on the support provided to meet the needs of people. Care plans were personalised and referred to the cultural needs of people. This included whether or not they wish to take part in religious activities. It also included how people were to be supported to express their sexuality. I spoke with a registered person and staff who understood the importance of supporting people to express their sexuality. All people living in the home had a key worker to make sure that the individual needs are met. People I spoke to told me that they felt staff understood their needs. A person said, “ staff are nice and helpful.” I found that care plans had been developed with the involvement of people living at home. I observed that staff took time to understand people and do things in the way they had been asked. When people returned from the day centre they were offered a hot drink and encouraged to be involved in the preparation of the evening meal. The home involves individuals in the planning of care that affects their lifestyle and quality of life. Details of people’s behaviour that might challenge the service was identified in their risk assessments and care plans. Actions to address and manage these behaviours are outlined in detail. This included giving detailed guidance on how to respond to specific behaviours. People had been consulted about how they wished to be assisted to manage their behaviour. Staff spoken to understood both the general principles, and specific needs of people living at the home with regards to managing challenging behaviour. Risk assessments were found to cover all areas that affected the people’s daily life. Risk assessments identified the specific risk facing people. These are reflected in care plans. Risk assessments had been reviewed to ensure changes to the level of risk were addressed. Staff were able to describe how they prevented risks to make sure that people were safe and were supported to exercise control over how they live. Risks relating to behavioural issues were identified and actions to lessen the level of risk were discussed in team meetings. I observed that staff engaged with people living at home in an appropriate adult way. A comprehensive risk assessment that is reviewed regularly is in place to ensure the safety and independence of people living at the home. Glen Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 15 16 17 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are supported to engage in a range of activities that meet their needs. People have community contacts and are supported to maintain personal relationships. People are supported to have a nutritious diet that reflects their personal choice. EVIDENCE: People said that they could choose from a range of activities. The registered person said in the annual quality assurance assessment, “ service uses attend day centres or college throughout the week. In the evenings they are assisted by staff to attend community activities such as clubs, pubs, cinema and swimming.” on the day of the inspection all people living at the home either Glen Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 Page 14 attended a day centre or college. People spoken to gave examples of activities. These consisted of going to the pub or other local community groups and listening to music. Daily notes and care plans confirmed that people were regularly involved in activities both in and outside of the home. People spoken to told me that they had been consulted and could choose from a range of activities. An activities plan had been drawn up as part of the house meeting held each week. All the people case tracked had an individual activities are plan. This outlined what activities they are involved in throughout the week. The support they needed to participate in these activities was outlined in their care plans and risk assessments. People who live at the home are involved in meaningful daytime activities of their own choice, according to their individual interests and capabilities. Records show that people living at the home had been registered to vote. People are fully involved in planning their lifestyles and the activities that they participate in. People spoken to confirmed that they were involved in the cleaning of their bedrooms and cooking. People are able to make hot drinks, with the support of staff, whenever they wish to. I observed two people living at home assisting staff to make the evening meal. One person explained that she regularly makes cakes. Daily records showed that people were supported to maintain contacts with family and friends. People living at home were enabled to develop contacts in the local community. The menu is prepared at a weekly meeting of people living at home. I saw minutes of these meetings that confirmed people’s suggestions for meals were recorded. People spoken to confirmed that they had been involved in preparing the menu. The menu is varied and reflected the cultural and dietary needs of individuals. One person living at the home is vegetarian and she had been supported to prepare a vegetarian menu. A person told me, “ the food is lovely.” I observed that there were fresh vegetables and fruit available. I saw that meals were well presented and were provided in a relaxed and supportive environment. A variety of meals are provided that reflect the individual preferences of people who live at the home. Glen Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 20 People who use this service experience good outcomes in this area. This judgement has been made using available evidence, including a visit to this service. People are supported with their personal care needs to maintain their independence. People are able to access the medical care they need. People are protected by safe procedures for handling medication. EVIDENCE: Care plans outlined the support people require to maintain their independence in doing their personal care. I spoke with people who explained that staff provided support and encouragement to maintain their personal hygiene. Male and female carers are employed in the home to ensure that people have same gender care. Peoples preference to have same gender care is reflected in their care plans. The annual quality assurance assessment highlighted that, “ staff are recruited from various ethnic and gender backgrounds and support is based on their individual assessed needs of people.” I observed that staff from various cultural backgrounds were available to meet the needs of people. Glen Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 Page 16 Staff were able to explain the personal support needs of people living at Glen Pat. Personal support is responsive to the varied individual needs and preferences of people who live at the home Medical needs had been identified as part of the initial assessment and were referred to in care plans and risk assessments. I spoke with people living at the home who told me that staff supported them to follow a healthy diet. Two people have specific health-related dietary needs. I found that clear guidance was available on how these needs should be met. People confirmed that they had been supported by staff to attend hospital appointments. I observed that a person was supported to go and visit her general practitioner. Daily notes recorded that people had access to the opticians, dentists and chiropodists. People are supported to access the healthcare they need. Peoples health needs are addressed to ensure their well-being. The medication policy contained all the required information. I found that records for the administration of medication were complete. Records of medication received and returned were also complete. All medication was held securely. People’s medication had been reviewed regularly to ensure their continued well-being. There is clear guidance on the use of medication as part of managing peoples challenging behaviour. This outlined when it was appropriate to use this medication. It clearly stated the types of behaviour that would indicate that it was appropriate to use medication. Medication is only used to manage peoples behaviour when it is clearly required to meet their needs. Daily notes showed that health professionals had been consulted to ensure that people were receiving the medicines they required. Training records and discussions with staff confirmed that since the last inspection they had received training on the safe administration of medicines. Advice was available for staff on the side effects of medication. Medication is administered by staff that are properly trained to ensure the safety of people living at home. Glen Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 23 People who use this service experience good outcomes in this area. This judgement has been made using available evidence, including a visit to this service. People can be confident that their complaints are listened to and acted upon. Adult protection procedures protect people from abuse. EVIDENCE: The complaints policy explained how to make a complaint and how it would be dealt with. The complaints policy is available in a pictorial format. People who live at the home are supported to share their concerns. Copies of the complaints policy were available around the home for people to consult. The complaints procedure is available in a number of formats to help anyone living at home, or involved with, the service to complain or make suggestions for improvement. Staff explained that people are encouraged to discuss their views of the service at weekly meetings. The home has an open culture that allows residents to express the views and concerns in a safe and understanding environment. Since the last inspection there has been one adult protection issue. The registered person responded proactively and appropriately in addressing this. All the relevant professionals have been notified. The home understands the Glen Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 Page 18 procedures for safeguarding adults and will always attend meetings or provide information to external agencies. People who live at the home told me that they could challenge and raise concerns about the way they were treated. I observed the way that staff approach people. This was done appropriately and sensitively. There were policies on handling abuse and adult protection. Training records showed that staff had received training in adult protection. I spoke with staff and they demonstrated their understanding of adult protection issues. Other training around dealing with physical and verbal aggression has been made available to staff. People living in the home feel safe and well supported by an organisation that has their protection and safety as a priority. Glen Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 30 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People live in a home that provides a safe and homely environment. The home is clean and hygienic. EVIDENCE: I walked around the home and found that the home was clean throughout. There were separate dining and sitting rooms that were comfortably furnished. People were able to choose where they wish to sit or spend time in their bedrooms. Discussions with the registered person and the annual quality assurance assessment confirmed that the kitchen would be improved to provide a more homely environment for people living at the home. Maintenance records showed there were no outstanding repairs. Glen Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 Page 20 The home provides a physical environment that is appropriate to the specific needs of people who live there. I observed that toilets and bathrooms had been adapted to ensure people could access them easily. The home has a well maintained environment that provides specialist aids and equipment to meet the needs of people. Bedrooms were personalised with items of furniture and pictures belonging to people who live at the home. People living at home had chosen how they wanted their bedrooms decorated. A person spoken to told me, “ my bedroom is how I like it.” I observed that one persons bedroom had been adapted with soft corners on all furnishing. His care plan showed that this was to ensure his safety in the event of him having an epileptic seizure. People spoken to were pleased with their bedrooms. They had chosen items of furniture for their rooms. People who use the service are encouraged to personalise their bedrooms. Appropriate measures are in place to prevent cross infection. The home has detailed policies on the prevention of cross infection. Staff spoken to understood how to work to minimise the possibility of cross infection. Staff confirmed that they had access to disposable gloves and aprons. Liquid soap and paper towels were available throughout the home. Glen Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 Page 21 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32 34 35 People who use this service experience good outcomes in this area. This judgement has been made using available evidence, including a visit to this service. Sufficient staff with the necessary skills are available to meet the needs of people. A training plan is in place that identifies all areas of training needed to meet the needs of people living at home. People are protected by the home’s recruitment procedures. EVIDENCE: I found that the rota showed that a consistent staffing level was maintained. The rota also showed that staff were on duty to provide escorts to appointments and support with activities when this was necessary. Staff spoken to told me that they felt sufficient staff were available to support peoples needs. Most staff hold key worker responsibilities. This is monitored each month to enable key workers to spend time on a one-to-one basis with people. I Glen Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 Page 22 observed that on the day of the inspection staff were available to provide escort for one person to go to college and for another to attend an appointment with her general practitioner. People living at home told me that there is enough staff to provide them with the support and care they need. Sufficient staff are provided at busy times of the day and to meet the changing needs of people living at home. The registered person explained that since the last key inspection staff had received training on fire safety and infection control. I was able to confirm that this training had taken place, as there were certificates available to show that staff had been on these courses. Records showed that staff had received training on person cantered planning and the management of challenging behaviour. The registered person provided me with a copy of the current training plan. This identified future training needs and how these would be addressed. Training records confirmed that all staff now have all the statutory required training. In the annual quality assurance assessment stated that new staff are given a full induction including being enrolled on the learning disabilities award framework. Records were available to confirm that staff had been on the necessary induction training. Staff commented that the registered person positively encouraged them to go on training to develop their skills and understanding of the needs of people. Training records showed that 75 of staff has either level 2 or 3 in the National Vocational Qualification in care. The home ensures that all staff receives relevant training that is focused on delivery of improved outcomes for people using the service. I looked at three staff files and found they contained all the necessary documentation relating to their recruitment and appointment. Staff go through a detailed interview process. I found there were notes in staff files to confirm this. People can be confident that they are protected by the home’s recruitment procedures. Glen Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 Page 23 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37 39 42 People who use this service experience good outcomes in this area. This judgement has been made using available evidence, including a visit to this service. Effective management systems are in place to make sure that people’s will being and safety is promoted. People’s views of the service are sought and used as the basis for improvement. People who live at home and staff’s health and safety is always promoted and safeguarded. EVIDENCE: Since the last key inspection the registered manager has ceased work at the home. A temporary manager was appointed. The registered person explained that she works at her home on a daily basis to provide support to staff and people living in the home. The registered person explained that she has Glen Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 Page 24 started the process to appoint a new registered manager. On the day of the inspection interviews were taking place for this post. The registered person subsequently phoned me to explain that she was about to make a decision to offer the post to one of the successful candidates. The registered person has made sure that there is consistent management support to ensure the safety and well being of people. A system is in place to monitor the quality of the service provided by the home. The registered person explained that she carries out quality monitoring on a regular basis. The registered person explained that an action plan is developed to address any areas for improvement that are identified. I was able to see these action plans and confirmed that issues raised were addressed. Ideas for improvement are sought. People are consulted about how the home is run. Minutes were seen of meetings held with people who live at the home to discuss the quality of the service provided. People said that they are encouraged to discuss their views of the service in weekly meetings. Action to improve the service had been agreed with people who live at the home. Theres a strong emphasis on being open and transparent in all areas of the running of the home. The registered person ensures that the safety risks to people living at the home and staff are identified. Measures are put in place to provide a safe living and working environment. Records showed that fire equipment was tested regularly and maintained. Drills were taking place. The fire risk assessment provides details of potential risks of fire. All health and safety policies were available. Certificates for gas and electrical testing were in date. COSHH guidance is in place and chemicals were stored safely. Training on health and safety topics was complete. People living at home have been involved in identifying safety issues. People living at the home are aware of safety arrangements and have confidence in the safe working practices of staff. Glen Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 Page 25 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 Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 x Glen Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 Page 26 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. 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. Refer to Standard Good Practice Recommendations Glen Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Pat Homes DS0000050726.V350828.R01.S.doc Version 5.2 Page 28 - 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!