This inspection was carried out on 9th February 2006.
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 there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.
CARE HOME ADULTS 18-65
Glen Pat Homes 10 Elm Park Road Winchmore Hill London N21 2HN Lead Inspector
PTony Brennan Unannounced Inspection 9th February 2006 15:00 Glen Pat Homes DS0000050726.V271281.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.V271281.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.V271281.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.V271281.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. 29th September 2005 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.V271281.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 areas for improvement found at the last inspection were addressed. The inspection took place over one day. The staff assisted the inspector, as the registered manager was unavailable at the time of the inspection. The inspector spoke with three 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. The inspector would like to thank people living and working at the home for their assistance with the inspection. Since the last inspection there has been an adult protection investigation the inspector was asked to check that appropriate procedures and training were in place so that service users behaviour could be managed safely. A number of issues relating to this are highlighted in this report. What the service does well: What has improved since the last inspection? What they could do better:
Six areas for improvement have been identified at this inspection. There needs to be detailed information on how people living at the home can be supported to manage their behaviour. Detailed guidance needs to be available on when ‘as required’ medicines can be administered to manage challenging behaviour. Two people living at the home do not have regular activities to support them to integrate in to the wider community. The bathroom window Glen Pat Homes DS0000050726.V271281.R01.S.doc Version 5.0 Page 6 must be repaired and the light switch on the second floor hallway replaced. The bathroom on the first floor must be redecorated. 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.V271281.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Glen Pat Homes DS0000050726.V271281.R01.S.doc Version 5.0 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 the following standard(s): N/A None of these standards were inspected on this occasion. EVIDENCE: Glen Pat Homes DS0000050726.V271281.R01.S.doc Version 5.0 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 the following standard(s): 6, 7 The actions required to support the needs of service users are not clearly stated in their behavioural management risk assessments and care plans. Staff do not have clear guidance on when to administer ‘when required’ medicines. Service users are supported to make decisions about their lives. EVIDENCE: The inspector examined care plans and risk assessments that dealt with how service users behaviour needed to be supported. The inspector found that where general description of service users behaviour, but no guidance on how what approaches should be used to manage behaviour. There was also a need for clear guidance on the administration of ‘when required’ medicines use in the management of service users behaviour. Service users spoken to said that they were offered choices of food and that staff listened to them. The inspector observed interaction between staff and service users on their return from the day centre and found that they involved service users in decisions about what would be happening in the evening. Service users personal preferences were recorded. Glen Pat Homes DS0000050726.V271281.R01.S.doc Version 5.0 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 the following standard(s): 12, 13, 16 Not all service users are supported to participate in activities that are to meet their needs. Service users are supported to determine their own routines and can choose to live the way they wish. EVIDENCE: Service users records showed that six service users attend day centres through out the week. The inspector found that two service users had not attended college since before Christmas and had been spending their time at home. Staff spoken to and records seen did not show when these service users would resume their college. Given the needs of these service users the home must ensure that they have appropriate daily activities. Service users said and records confirmed that they were involved in range of community based activities. Records showed that service user were integrated in to the local community by regular shopping trips walks and going to the pub. Those who use the service said that they did not feel restricted and were encouraged to be as independent as possible. Staff were observed listening to service users and supporting them to take decisions. Glen Pat Homes DS0000050726.V271281.R01.S.doc Version 5.0 Page 11 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): 18 Service users are supported with their personal care needs to ensure they are as independent as is possible. EVIDENCE: Staff spoken to understood the support that service users needed with their personal care. The support needed was recorded in the service users care plan. This included information on same sex care where this was appropriate. Glen Pat Homes DS0000050726.V271281.R01.S.doc Version 5.0 Page 12 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): N/A None of these standards were inspected on this occasion. EVIDENCE: Glen Pat Homes DS0000050726.V271281.R01.S.doc Version 5.0 Page 13 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 Repairs need to be made to ensure that the home is safe and comfortable for service users. EVIDENCE: The bathroom on the second floor still needs redecorating. The window in the bathroom was broken and needs repair. Staff informed the inspector that it had been broken for three days with broken glass left in it. The light switch on the third floor was broken and is in need of repair. The heating system was working on the day of the inspection. The inspector asked that the registered manager inform him of any developments regarding the heating. Glen Pat Homes DS0000050726.V271281.R01.S.doc Version 5.0 Page 14 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 Staff need training in how to safely manage the behaviour of service users. EVIDENCE: Three new staff were spoken to and generally they understood the needs of service users. They had not had training in how to manage challenging behaviour. The registered manager explained that the training would be provided. Glen Pat Homes DS0000050726.V271281.R01.S.doc Version 5.0 Page 15 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): 39 Service users views of the service are sought and used as the basis for improving the service. EVIDENCE: The home has a system to monitor the views of the service that is provided. Service users had been consulted about the service and their views are being used to develop the service. Glen Pat Homes DS0000050726.V271281.R01.S.doc Version 5.0 Page 16 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 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 x x x Standard No 24 25 26 27 28 29 30
STAFFING Score 2 x x x x x x LIFESTYLES Standard No Score 11 x 12 2 13 3 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score x 2 X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Glen Pat Homes Score 3 x x x Standard No 37 38 39 40 41 42 43 Score X X 3 X X X x DS0000050726.V271281.R01.S.doc Version 5.0 Page 17 yes 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 YA6 Regulation 15(1) Requirement The registered persons must ensure that there are detailed care plans on how the challenging behaviour of service users must be responded too. The registered persons must ensure that there is detailed guidance on when staff must administer ‘when required’ medicines. The registered person must ensure that all service users have activities that support their integration with the wider community. The registered persons must ensure that the window in the second floor bathroom is repaired. The registered persons must ensure that the light switch on the third floor landing is replaced. The registered persons must ensure that the upstairs bathroom is redecorated. (The timescale of 01/01/06 was not met). Timescale for action 01/05/06 2 YA6 15(1) 01/05/06 3 YA12 16(2)(m) 01/05/06 4 YA24 23 01/04/06 5 YA24 23 01/04/06 6 YA24 23 01/04/06 Glen Pat Homes DS0000050726.V271281.R01.S.doc Version 5.0 Page 18 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.V271281.R01.S.doc Version 5.0 Page 19 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
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