Inspection on 17/02/06 for Glenbank Care Home

This inspection was carried out on 17th 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 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

Glenbank Care Home 03/04/07

Glenbank Care Home 03/05/05

Glenbank Care Home 24/09/04

Glenbank Care Home 20/04/04

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

CARE HOMES FOR OLDER PEOPLE Glenbank Care Home 803 Chorley Old Road Bolton Lancashire BL1 5SL Lead Inspector Rukhsana Yates Unannounced Inspection 17th February 2006 09:30 X10015.doc Version 1.40 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 Glenbank Care Home DS0000039726.V270990.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 Older People. 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. Glenbank Care Home DS0000039726.V270990.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Glenbank Care Home Address 803 Chorley Old Road Bolton Lancashire BL1 5SL 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) 01204 841349 01204 848853 Glenbank Care Home Limited Mrs Glenys Hughes Mrs Glenys Hughes Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27), Physical disability (1) of places Glenbank Care Home DS0000039726.V270990.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should at all times employ a suitably qualified and experienced Manager who is registered by the NCSC Within the total registered number of 27 OP places, there can be up to 1PD place under pensionable age (service user specific) 3rd May 2005 Date of last inspection Brief Description of the Service: Glenbank is a ladies only, privately owned care home offering residential care and support for up to 27 older people. Glenbank is situated on one of the main roads out of Bolton and is on the local bus route for Horwich and Bolton town centre. It is close to churches, pubs, shops and other amenities. The home is built on three floors and includes a purpose-built extension. There are 9 single and 9 shared rooms. Some rooms have en-suite facilities. The home has well maintained gardens and overlooks a conservation area and lodge. Parking space is available in a small car park and on the main road at the front of the home. Glenbank Care Home DS0000039726.V270990.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 5 hours. During the day discussions took place with three residents, two staff members, a visitor and the manager. Some time was also spent watching the ways in which staff assisted residents. Paperwork relating to residents’ care and safety, and staff records were examined. What the service does well: What has improved since the last inspection? What they could do better: One recommendation has been made for minor improvements to staff recruitment information. Glenbank Care Home DS0000039726.V270990.R01.S.doc Version 5.0 Page 6 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. Glenbank Care Home DS0000039726.V270990.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Glenbank Care Home DS0000039726.V270990.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Each person considering moving to Glenbank has their needs assessed, and is given information about the home, before admission. The admission process ensures that new residents know what to expect of the service from the outset. EVIDENCE: Records and discussions show that the manager visits prospective residents, in their own homes or in hospital, to assess whether the home can meet their needs, and introduction visits are organised if possible. When this is not possible, she shows the person photographs of the home as one way of letting them know what to expect. The file of a resident new to the home contained a photograph of the resident, and a preliminary assessment that covered physical, social, and mental health needs. The assessment had been signed and agreed by a relative and a care plan developed. Staff members demonstrated a good understanding of residents’ needs, likes and preferences. Glenbank Care Home DS0000039726.V270990.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 10 Each resident’s personal, health, social care needs and risk assessments are reflected in their care plan. Care staff involvement in reviewing care plans ensures that they have a good knowledge of each person’s changing needs and how to meet them. Residents felt they are treated with respect and their right to privacy upheld. EVIDENCE: Three care plans were examined. Care plans were well organised and presented, and contained clear information about needs, how they are to be met, and each area was reviewed each month. The plan is developed from a comprehensive pre-admission assessment. Staff also work in partnership with the resident or relative to complete a document entitled “Lets Work Together”. This ensures that the resident’s preferences are known in respect of diet, activities, sleeping habits, daily routines and assistance required. The care plan covers washing and dressing, bathing, toileting, eating and drinking, pressure areas, mobility, medication, social needs, and relevant risk assessments. Where risks are identified written guidelines are in place for staff in order to minimise the risk and these are reviewed every three months. Each resident has a keyworker who takes responsibility for ensuring that care plans and risk Glenbank Care Home DS0000039726.V270990.R01.S.doc Version 5.0 Page 10 assessments are up to date and relevant. It was evident from records and discussions that residents’ mental health and psychological support needs are addressed. All residents’ consulted were very positive about the care. One said “they really look after people here. They listen to you and all the staff are extremely helpful”. The principles of care such as respect, privacy and dignity are covered in training, supervision and the home’s policies and procedures. Staff were observed to be respectful in their interactions with residents throughout the day. A resident said “there isn’t one of them who I could grumble about and they always come quickly when I press the buzzer for help”. Glenbank Care Home DS0000039726.V270990.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 and 14 Residents benefit from open visiting arrangements and good contacts with the local community. The home promotes residents’ rights to have choice and control in their daily routines. EVIDENCE: The home has a welcoming atmosphere and relatives are welcome to visit the home at any reasonable time and take part in activities. The home organises a wide range of activities, the details of which are clearly displayed in large print on a noticeboard. These include indoor activities such as singing, crafts, keepfit, manicures, movie nights, entertainers, art and bingo. There are also community activities such as trips to places of interest, shopping and lunches out. Religious needs are met through services held at the home, and one resident attends a church community group. The manager and staff try to introduce new ideas, and residents are looking forward to a forthcoming visit from Smithills Farm whereby animals including lambs, an owl, a snake and others will be brought to the home. Residents confirmed that have the choice to participate in activities and in other aspects of their daily lives, such as where to have their meals, where to spend their time, and in rising and retiring times.l Glenbank Care Home DS0000039726.V270990.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Residents and their relatives feel able to air their views, confident that the managers and staff will listen and respond to their satisfaction. Written guidelines and staff training help to ensure the protection of residents from abuse. EVIDENCE: Information about how to complain is included in the service user’s guide, copies of which are available in all the bedrooms. Residents and relatives are aware of the complaints procedure. In discussions, it was clear that people felt comfortable in raising issues informally with staff members or the management. Residents said they feel they are listened to and the manager always addresses any issues to their satisfaction. There have been no complaints received by the home or the CSCI since the last inspection. The manager records residents’ views about the home to plan and bring about improvements in practice. Staff have a good understanding of the home’s adult protection and whistle blowing guidelines. Most members of staff have attended a training course covering these topics. The remainder are being booked on future courses. Glenbank Care Home DS0000039726.V270990.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed during this visit. EVIDENCE: These standards were not assessed during this visit. Glenbank Care Home DS0000039726.V270990.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28, 29 and 30 Good staff training arrangements help to protect the well-being of residents. Recruitment procedures are robust and ensure residents are protected, although minor record keeping improvements in recruitment records were identified. EVIDENCE: Discussion and staff records confirmed that all staff receive the mandatory training they need to work safely. This includes training in moving and handling, first aid, food hygiene and medication. 10 of the 14 care staff have achieved the NVQ qualification at Level 2 or above, with the remainder working towards this. Staff recruitment files showed that the necessary background checks are carried out for new staff members and two references taken up. The manager was advised to ensure a new CRB check is carried out, although in the file examined, the last check from a concurrent employer was very recent, and to ensure that all references are signed by the referee. Residents spoke highly of the manager and staff, and the staff team itself was stable with good morale and teamwork reported to be in place. Glenbank Care Home DS0000039726.V270990.R01.S.doc Version 5.0 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 35 and 38 Residents benefit from living in a home that is very well run and managed. Residents’ personal finances are managed by their relatives. Regular equipment and environmental checks ensure the safety of residents and staff. EVIDENCE: The manager has over 15 years of relevant managerial experience and is a registered nurse. She has also completed the Registered Manager’s Award. The manager has fostered a warm and friendly atmosphere in the home, and an open approach that is appreciated by staff and residents. Each person consulted felt the manager listens, has a clear belief in choice and good quality of life for residents, and is supportive. She seeks ways to improve quality, and responds well to suggestions for improvement. For example, since the last inspection, staff supervision arrangements and records have been improved. The format has been changed to include evaluations of training and direct Glenbank Care Home DS0000039726.V270990.R01.S.doc Version 5.0 Page 16 observations of practice, as well as written comments from the manager and staff member. Areas covered during supervision include the caring role, policies and procedures, training, performance and teamwork. Regular health and safety checks are carried out at the home. Current and satisfactory inspection certificates and records were seen in respect of gas, electrical and portable appliance testing. The fire precautions register was up to date. Fire drills take place periodically, and regular water temperature checks are carried out. Glenbank Care Home DS0000039726.V270990.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 3 Glenbank Care Home DS0000039726.V270990.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? No 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. 1 Refer to Standard OP29 Good Practice Recommendations The manager should ensure that staff employment references are signed by the referee. Glenbank Care Home DS0000039726.V270990.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Glenbank Care Home DS0000039726.V270990.R01.S.doc Version 5.0 Page 20 - 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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