Inspection on 29/09/05 for Glen Pat Homes

This inspection was carried out on 29th 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Glen Pat Homes 22/11/07

Glen Pat Homes 09/05/06

Glen Pat Homes 09/02/06

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 Unannounced Inspection 29th September 2005 11:00 Glen Pat Homes DS0000050726.V249524.R01.S.doc Version 5.0 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.V249524.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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.V249524.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Glen Pat Homes Address 10 Elm Park Road Winchmore Hill London N21 2HN 020 8805 9371 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) Mr Michael Glen Woodstock Ms Esther Adebambo Amachree Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Glen Pat Homes DS0000050726.V249524.R01.S.doc Version 5.0 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. 14th October 2004 Date of last inspection Brief Description of the Service: Mr and 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. Glen Pat Homes DS0000050726.V249524.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken as part of the annual inspection process. The inspector also sought to confirm that the ten areas for improvement found at the last inspection were addressed. The inspection took place over one day. The registered person assisted the inspector. The inspector spoke with two service users and two staff. The inspector observed practice. The inspector toured the building and examined a range of records relating to the care and management of the home. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Glen Pat Homes DS0000050726.V249524.R01.S.doc Version 5.0 Page 6 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.V249524.R01.S.doc Version 5.0 Page 7 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 the following standard(s): 235 Service users needs are assessed prior to admission to the home to ensure they receive the care and support they require. The home meets the needs of service users. Service users are given a contract outlining their rights and responsibilities. EVIDENCE: The inspector observed staff interaction with those who use the service and found that this supported and demonstrated that staff understood the needs of service users. Service users have been assessed prior to admission and assessments from other professionals were seen. The needs identified at assessments were addressed in the care plans. Staff spoken to understood the needs of service users. Appropriate professional support had been obtained to ensure the needs of service users would be met. Since the last inspection the statement of terms and conditions had been modified to include all the information required in the standard. Glen Pat Homes DS0000050726.V249524.R01.S.doc Version 5.0 Page 8 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 the following standard(s): 69 Care plans provided detailed information on how the needs of service users would be met. Risks to service users were assessed. EVIDENCE: Service users said that staff understood their needs. The care plans identified the actions required to meet the needs of the service users. The registered person explained that care plans had been updated and made more detailed. The registered person explained that the home is putting care plans into a pictorial format that service users may find more accessible. The staff spoken to understood the needs of service users. The inspector found that service users had signed to confirm they had been involved in the regular reviews of their care plans. Risk assessments outlined the actions to be taken to prevent risks. The risk assessments were cross-referenced to the care plans and were discussed in the daily notes. Glen Pat Homes DS0000050726.V249524.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 17 The Service users are provided with a choice of varied and balanced meals. EVIDENCE: Service users spoken to said that they enjoyed the meals provided. The registered person explained that the menu is prepared with service users involvement each week. The inspector saw that the dietary requirements of service users were recorded and reflected in the menu. Professional support had been followed where service users had special dietary needs due to health issues. The cultural diversity of service users was reflected in the meals provided. Glen Pat Homes DS0000050726.V249524.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 19 20 Service users have access to the medical care they need. Service users are protected by safe procedures for handling medication. EVIDENCE: Records seen showed that service users were receiving the medical care that they needed. Care plans outlined the medical needs of service users and the support they required. Service users were supported to access medical services that meet their needs. The medicine records for receiving, administering and return of medicines to the pharmacist were found to be complete. Medication profiles are up to date and record when medication had been reviewed. Service users said that they had been involved in the review of their medicines. Staff have undergone medicines training. Glen Pat Homes DS0000050726.V249524.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 22 23 The service users are confident that their complaints will be listened to, taken seriously and acted upon. The service users are protected from abuse. EVIDENCE: Service users said that they felt confident in making their concerns known to staff. The complaint policy explained how to make a complaint and how it would be dealt with. The complaints record showed actions taken to resolve complaints. There were comprehensive policies on handling abuse and protection. Staff spoken to by the inspector were able to show that they understood issues to do with adult protection. Training had taken place on adult protection. Glen Pat Homes DS0000050726.V249524.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 24 30 Repairs need to be made to ensure that the home is safe and comfortable for service users. The home is clean and hygienic. EVIDENCE: The inspector found that the home was generally in a good state of repair. The bathroom on the second floor needs redecorating. The inspector found that the home was clean and hygienic. Staff spoken to understood how to prevent cross infection and equipment was provided for this purpose. The home has a detailed infection control policy and staff spoken to understood how to prevent cross infection. Glen Pat Homes DS0000050726.V249524.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 33 34 36 Staff do have all the skills to meet the needs of service users. There are sufficient staff to meet the needs of the service users. Service users are protected by the home’s recruitment procedures. Staff are appropriately supervised to protect service users. EVIDENCE: A service user commented that staff understood their needs and took time to ensure that appropriate support is given. 50 of staff have achieved NVQ in care. All staff have completed the Learning Disabilities Award Framework training. Records showed that staff had completed all the required statutory training. The rota showed that the staffing level was maintained at all times. The inspector examined six staff files and found that they contain all the required documentation relating to the recruitment of staff. Staff spoken to said that they had received supervision and that this provided them with the support they needed. Records showed that supervision was happening six times a year. Glen Pat Homes DS0000050726.V249524.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 40 42 Records are maintained to ensure the safety of service users. Service users and staff health and safety is promoted. EVIDENCE: The inspector found that all the records examined were clearly written and contained the necessary information. The inspector saw that the appropriate checks and drills were taking place to prevent fire. There were records that confirmed that the fire equipment had been maintained and the fire risk assessment was in place. Staff had the necessary health and safety training. The inspector saw that the first aid box contained all the required items. The required certificates for gas and electrical safety were in place. Staff spoken to understood the procedures relating to safety. There were general risk assessments of all working practices in place. Glen Pat Homes DS0000050726.V249524.R01.S.doc Version 5.0 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 3 X 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Glen Pat Homes Score X 3 3 X Standard No 37 38 39 40 41 42 43 Score X X X X 3 3 X DS0000050726.V249524.R01.S.doc Version 5.0 Page 16 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 YA24 Regulation 23 Requirement The registered person must ensure that the upstairs bathroom is redecorated. Timescale for action 01/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Glen Pat Homes DS0000050726.V249524.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Pat Homes DS0000050726.V249524.R01.S.doc Version 5.0 Page 18 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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