Inspection on 15/09/05 for Glen View

This inspection was carried out on 15th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Glen View 09/10/07

Glen View 05/10/06

Glen View 20/04/05

Glen View 19/10/04

Glen View 29/06/04

Glen View 01/03/04

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

CARE HOME ADULTS 18-65 Glen View 54 Gravel Hill Ludlow Shropshire SY8 1QS Lead Inspector Michael Moloney Unannounced 15 September 2005 1.30 th 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 View E56 E01 S20654 Glen View UAI V202475 150905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Glen View Address 54 Gravel Hill Ludlow Shropshire SY8 1QS 01584 876262 01584 876262 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) MacIntyre Care Mrs Julie Romeo Care Home 6 Category(ies) of 4 Learning Disabilities registration, with number 2 Physical Disabilities of places Glen View E56 E01 S20654 Glen View UAI V202475 150905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th April 2005 Brief Description of the Service: Glen View is one of four care homes, operated in Shropshire, for Adults with Learning Difficulties by the MacIntyre organisation. The national headquarters is in Milton Keynes and the regional office is based at Lasyard House, Underhill Street, Bridgnorth, Shropshire.The manager of Glen View is Julie Romeo. The home was established in 1992, as part of a resettlement scheme for Shropshire people who were, at that time, resident in long stay hospitals. The project was the outcome of a joint initiative between Shropshire Health Authority, Shropshire Social Services and MacIntyre Care.Glen View is a three storey building sited near the centre of Ludlow in a residential area, within close proximity of all the local facilities and services, in accordance with the objective of community integration. Each service user has a single bedroom, there are spacious communal areas and a pleasant and secure garden. Glen View E56 E01 S20654 Glen View UAI V202475 150905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place at short notice and started just after lunch and lasted for two hours. This was the second inspection of this home this year and as the bulk of the Key Standards had already been assessed this inspection was focussed on those that had not. The inspection was carried out by talking with the manager, observing activity within the home, looking at records and case tracking. The nature of the needs and disabilities of the service users concerned made ascertaining their views by direct means very difficult. Therefore the views of the staff had to be relied on to a great extent. However, observation confirmed that the service users were calm and relaxed in their company approaching them freely when the need arose. 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 View E56 E01 S20654 Glen View UAI V202475 150905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Glen View E56 E01 S20654 Glen View UAI V202475 150905 Stage 4.doc Version 1.40 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 standard(s) 2 The home has a pre-admission assessment procedure that would identify the needs of any prospective resident. EVIDENCE: No new service users have been admitted to the home since the last inspection and therefore this standard could not be fully verified, however, the home was seen to have access to appropriate policies and procedures that would be followed should the need arise and this would ensure that anyone coming to stay at the home would find the process as smooth and stress free as possible. Glen View E56 E01 S20654 Glen View UAI V202475 150905 Stage 4.doc Version 1.40 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 standard(s) x EVIDENCE: These standards had been fully assessed at the last inspection. The records were examined on this occasion and it was seen that they had been reviewed on a regular basis since then during staff meetings, supervisions sessions with staff and at formal reviews. Glen View E56 E01 S20654 Glen View UAI V202475 150905 Stage 4.doc Version 1.40 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 standard(s) 13 and 17 Not enough staff have been available recently to allow residents to access the community as much as they should. However, the service users are offered a healthy diet. EVIDENCE: The daily records for the home were examined and it was found that there were very few occasions that the residents had been able to go out over the last few weeks. The manager explained that during that time they had experienced staff shortages that had made it difficult to maintain the level of staffing that was required to allow people to be escorted outside of the home. She explained that these shortages had been due to a combination of staff taking annual leave and vacancies. New staff have been recruited recently which should improve the situation now that the holiday season is over. Although there was no meal being eaten during this inspection it was clear from the records, both the daily feedback sheets and the menus, that the residents are offered a healthy diet. Glen View E56 E01 S20654 Glen View UAI V202475 150905 Stage 4.doc Version 1.40 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 standard(s) x EVIDENCE: The key standards in this section were fully assessed during the last inspection. As mentioned elsewhere the care of the service users was seen to have been reviewed on a regular basis and this would have included a review of their physical and emotional health needs. Glen View E56 E01 S20654 Glen View UAI V202475 150905 Stage 4.doc Version 1.40 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 standard(s) 22 and 23 The service users continue to be protected from abuse and the staff enable their views to be taken into account despite the nature of their disabilities. EVIDENCE: This section was fully assessed at the last inspection. However, the manager reported that they have received no complaints or had any incidents of abuse reported to them. Glen View E56 E01 S20654 Glen View UAI V202475 150905 Stage 4.doc Version 1.40 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 standard(s) x EVIDENCE: The key standards were fully assessed during the last inspection. Glen View E56 E01 S20654 Glen View UAI V202475 150905 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 34 The home has an appropriate recruitment process which has had to be used due to there not being enough staff to meet all of the needs of the residents. EVIDENCE: The manager explained that they had recently been recruiting staff and, with the aid of various records, explained the process that they had followed. These records showed when the references and Criminal Records Bureau checks had been received with these documents being kept at the area office in Longdon Rd, Shrewsbury. Attached to the summary were photographs of the individual staff. This recruitment programme had been initiated due to the staff shortages that are currently causing difficulties in the meeting of the social needs of the residents. Glen View E56 E01 S20654 Glen View UAI V202475 150905 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 and 42 The premises are maintained in a safe manner and the home has a quality assurance process that endeavours to help to provide information about how to improve the care given by the home. EVIDENCE: Accident and fire prevention records were seen to be appropriately maintained and records showed and the manager confirmed that Portable Appliance Testing had taken place ensuring a safe environment for the service users. The organisation requires that the manager sends a monthly return of the numbers of staff who receive supervision during the month. Visits by senior managers required by Regulation 26 of the Care Homes Regulations 2001 were seen to have been carried out. The manager confirmed that the home was about to send out a questionnaire to the families of the residents to find out their views of the service which is an exercise that they carried a year ago. Glen View E56 E01 S20654 Glen View UAI V202475 150905 Stage 4.doc Version 1.40 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 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x x 2 x x x 3 Standard No 31 32 33 34 35 36 Score x x 2 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Glen View Score x x x x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x E56 E01 S20654 Glen View UAI V202475 150905 Stage 4.doc Version 1.40 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 13 & 33 Regulation 18(1) Requirement the home must employ adequate numbers of staff to meet the social needs of the residents. Timescale for action 31/10/05 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 View E56 E01 S20654 Glen View UAI V202475 150905 Stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection 1st Floor, Chapter House South Abbey Lawn Shrewsbury SY2 5DE 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 View E56 E01 S20654 Glen View UAI V202475 150905 Stage 4.doc Version 1.40 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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