Inspection on 03/04/07 for Glenbank Care Home

This inspection was carried out on 3rd April 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

Glenbank Care Home 17/02/06

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 Stuart Horrocks Unannounced Inspection 3rd April 2007 09:10 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.V308234.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 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.V308234.R01.S.doc Version 5.2 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.V308234.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Within the total registered number of 27 OP places, there can be up to 1PD place under pensionable age (service user specific) The service should at all times employ a suitably qualified and experienced Manager who is registered by the NCSC 17th February 2006 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. A passenger lift provides access to all floors. There are 11 single and 8 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. A Service User Guide that describes the home’s services is readily available in the home (in all bedrooms and in the foyer) and the staff gives other information about the home to new and prospective residents and their families verbally. A copy of the latest inspection report, the home’s Statement of Purpose and a copy of the latest quality assurance survey are also displayed in the home. As of April 2007 the weekly charge for accommodation and services is between £315:00 and £330:00. Additional charges are made for hairdressing, outings and personal magazines and newspapers. Glenbank Care Home DS0000039726.V308234.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection, which included a site visit that was started at 9:10am on the 3rd April 2007. It took place over one day and it lasted for about seven hours. The time was split between talking to the Manager and checking records, looking around the home, watching what was happening and talking to residents and other staff. Three residents and three staff were spoken with. A completed pre-inspection questionnaire was received along with feedback surveys from residents, relatives and doctors. Of the surveys sent out one was returned by a resident, eight by relatives and two by GP’s. The care services (case tracking) provided to two specific residents were used a basis for the process of the inspection. What the service does well: The residents said that they were well looked after by the staff who they described as being “helpful”, “nice”, “friendly” and “easy to get along with”. The residents looked well cared for and the paperwork kept for each person showed that their health and personal care needs were being met. During the inspection the staff were seen to deal with the residents in a comfortable, caring and natural manner. Before admission to the home new residents needs are properly checked so that the home can be sure that these people can be properly cared for. The home has a natural, friendly and homely feel about it with staff spending time talking to the residents. The residents are treated with respect and their privacy and dignity is upheld and they are helped to make choices and decisions. The home offers a good range of leisure activities, which help to keep the residents interested and stimulated The residents enjoy the meals, special food is provided for those people who need it and those residents who cannot eat by themselves are given help. Visitors are welcome and the residents have choice about their daily routines, spending their time doing whatever they prefer. The staff are properly recruited and they are offered a good range of training so making sure that a good standard of care is maintained. The building is well looked after and clean, and it is safe. Glenbank Care Home DS0000039726.V308234.R01.S.doc Version 5.2 Page 6 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. Glenbank Care Home DS0000039726.V308234.R01.S.doc Version 5.2 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.V308234.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this outcome area is excellent. Pre-admission visits, and the initial assessment process, enable all parties, including potential residents and their relatives, to reach a decision as to whether the home will be able to meet their needs. This judgement has been made using available evidence including a visit to this service. The home does not provide intermediate (rehabilitative) care so Key Standard 6 does not apply. EVIDENCE: The care files of two residents relatively recently admitted to the home were checked for the required pre-admission needs assessment information. Dependent upon the funding arrangements one of these contained a local Social Services needs assessment whilst the other (privately-funded) had a satisfactory and detailed in-house needs assessment. The inspector was informed that all new residents have an in-house preadmission needs assessment done no matter who is paying for their care. This was seen in the above checked files. Glenbank Care Home DS0000039726.V308234.R01.S.doc Version 5.2 Page 9 The manager usually visits new residents either at home or in the hospital as a part of the assessment and admission process. Checking of the above-described documents demonstrated that the admission procedure was thorough and these records showed that a full assessment of these peoples care needs had been completed prior to their admission to the home. From the above information the home is then able to assess whether these people’s needs can be met and a care plan and a range of other care delivery information is then put together. The manager said that new residents and their families are welcome to visit the home where they can spend some time, meet the residents and the staff, and have a meal before deciding to live there. This visiting opportunity is described in the useful and informative Service User Guide (Residents Information Guide) and was confirmed in discussion with residents’ and staff. Glenbank Care Home DS0000039726.V308234.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is good. Individual care plans and care programmes are in place, which were up to date, regularly reviewed and provided the staff with the information they needed to give a good standard of care. The home’s medication systems are satisfactory in ensuring that residents received medication as prescribed and care practices in the home ensure that the residents are treated with respect and their privacy and dignity is upheld. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care files of the two case tracked residents were looked at. These contained care plans that had been kept up to date monthly as is required The care plans are properly laid out and they are easy to read and follow. Each plan contained details of health, personal and social care needs for the resident and day and night progress reports about each resident are regularly recorded. The staff work in partnership with the resident or relative to complete a document entitled “Lets Work Together”. This ensures that the resident’s Glenbank Care Home DS0000039726.V308234.R01.S.doc Version 5.2 Page 11 preferences are known in respect of diet, activities, sleeping habits, daily routines and assistance required. A number of risk assessments were in place. These included an up to date and regularly reviewed moving and handling assessment and a recently introduced dietary needs (nutritional) care plan. Nutritional wellbeing is also assessed by regular and up to date weight checks and when necessary by body measuring. Pressure sore risk is assessed by direct observation by the staff with any problems being referred to the community nursing staff for advice and treatment and with a pressure area care plan being available if required. Each resident has a key worker who takes responsibility for ensuring that care plans and risk assessments are up to date and relevant. Talking to residents, the manager and the staff and looking at records and survey documents showed that the resident’s health care needs are taken care of and that when necessary health workers such as doctors, nurses and opticians are called. All medicines are safely and securely stored. The residents’ medicines are provided in pre-filled blister packs with pre-printed prescription/recording sheets also provided. These records were found to be properly completed and to be up to date. The medications supplied are checked in to the home , and medicines returned to the pharmacy are also recorded. Identification photographs of each resident are kept with the medication administration records. Those staff that give out medicines have been given the necessary training for this task. The home has a satisfactory medicines policy and procedure that includes guidance for the self-administration of medicines and the use of homely remedies. The homes Service User Guide and various other documents reinforced the importance of staff treating residents with respect and dignity. Residents spoken with were all complimentary about how staff assisted them with personal care tasks and felt their privacy and dignity was respected at all times. This was also observed during the inspection. The care assistants interviewed were able to give good examples of how they promoted privacy and dignity in their daily care routines, for example knocking on bedroom doors before entering. The residents said that the staff had a “kind and considerate” manner and that the staff spoke to them in a “civil and polite” way. The staff were seen to have a good relationship with the residents, speaking to them in a natural, thoughtful and warm manner. Glenbank Care Home DS0000039726.V308234.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area is excellent. Residents have choice about their daily routines thus they are able to spend their time as they wish. Visitors are welcomed and the meals provided are good, offering choice and variety, and catering for special dietary needs. The activities offered within the home mean that residents have opportunities to participate in stimulating and motivating activities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a good social recreational activities programme that includes events such as crafts, bingo, dominoes, outings and a monthly “movie night”. The staff do these activities with the residents with one worker taking the lead on making the arrangements. The activities programme is displayed and forthcoming events include a trip on a canal barge and a magician is booked to attend the home. Those residents spoken with were well aware of the available activities, which they regularly joined in with. A record is kept of when residents have taken part in an activity. Preparation was underway at the time of the inspection to celebrate Easter with an Easter Bonnet competition to be held. Glenbank Care Home DS0000039726.V308234.R01.S.doc Version 5.2 Page 13 The home regularly publishes a newsletter, the latest edition gave information such as the proposed refitting of the dining area and lounge, forthcoming outings and congratulating three staff on achieving NVQ awards. A full church service is regularly held in the home at monthly intervals with Easter Communion to be held on the 4th April. The home has recently installed a computer in the conservatory. This is to be provided with an Internet connection and a web camera so that residents will with assistance be able to contact and sees their families in places such as New Zealand and North America. From talking with residents and staff the inspector confirmed that the visiting arrangements are flexible with these being described in the resident’s Service User Guide. Those residents spoken with said that they “were free to see their visitors wherever they wanted to”. They described taking visitors to their bedrooms for privacy or seeing them in the main lounge. The residents said that visitors are made welcome and that they (the visitor) can have a warm drink and a meal if they so wish. Residents felt their routines were flexible and that they had choices in where to sit in lounges and dining rooms, whether or not to take part in activities, what to wear and times of rising and retiring. For those residents who may have a limited ability to make decisions and choices about their day-to-day living arrangements the staff said that they try to assist them with this by offering choices about such things as what clothing to wear, when to rise and retire and helping to choose from the menu. The residents are able to, and do bring personal items in to the home such as televisions, radios, photographs, pictures and ornaments. Some residents have telephones in their bedrooms. The home has a four weekly menu that offers a variety of good nourishing traditional food with the main meal served at lunchtime and a lighter meal at teatime with warm food being available at both mealtimes. In discussion with the cook it became clear that he knew the residents likes and dislikes and was well able to cater for individual food preferences. The residents praised the food served generously saying that the food was “good”, “appetising”, that “you get enough to eat” and that “you can have something else” if you don’t want what is on the main menu. The residents also said that drinks and snacks were available at most times of the day. The dining tables are provided with blue tablecloths and matching serviettes and the dinning area provides a comfortable and attractive setting. Glenbank Care Home DS0000039726.V308234.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. The home has a clear complaints system that ensures that concerns are properly dealt with and good protection of vulnerable adults guidance and staff training in this topic makes sure that residents are protected from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a satisfactory complaints procedure that states how a complaint is to be made, who to and that an initial response will be provided within two days with a final outcome forwarded within 28 days. The facility of making concerns known directly to the CSCI is also included in this paperwork. The complaints procedure described above is included in the Service User Guide, a copy of which was available in the home’s entrance area and copies of this document were seen to be present in the residents’ bedrooms. Discussion with residents and information obtained from the survey questionnaires showed that these people would have no hesitation in making their concerns known to the staff or the manager, and they believed that their anxieties would be listened to and acted upon. It was clear in discussion with staff that they knew what steps to take should a resident make a complaint. A number of staff said that if “they couldn’t sort things out at the time” then they would inform the manager about the problem. A complaints file is kept which records the details of any complaints made but no complaints log or register is currently kept. The inspector suggested that such a record should be put together so that the frequency and nature of any Glenbank Care Home DS0000039726.V308234.R01.S.doc Version 5.2 Page 15 concerns can be monitored and of any action that may have been needed to be taken. This issue was dealt with during this inspection. No complaints have been made either to the home or to the CSCI since the last inspection in February 2006. There are written procedures and policies covering adult protection, whistle blowing, the none acceptance of gifts, borrowing money and legacies and the home has a full copy of the Bolton inter-agency safeguarding adult protection guidelines. All staff receives training on the protection of vulnerable adults during the induction period and NVQ Level 2 training in care has a unit on adult abuse with 11 staff having competed this instruction. Further staff training about this topic has been arranged for the 16th May 2007. Those staff spoken with demonstrated an awareness of the different sorts of abuse and they understood what they should do if they suspected that someone was being abused. Glenbank Care Home DS0000039726.V308234.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is excellent. The standard of furnishing and fittings within Glenbank is good providing a homely, safe, well adapted, clean and comfortable environment for residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Glenbank is well maintained both to the inside and to the outside. The home is bright and welcoming. Decoration, furnishing and lighting is to a high standard and is domestic in style. In the period since the last inspection some bedrooms have been redecorated and some have had new carpets fitted. Good practice was noted in that the residents living in these bedrooms were asked to choose the wallpaper for their rooms. The kitchen is about to be refurbished. The two case-tracked resident’s bedrooms and a number of others were checked. All were found to be decorated, furnished and equipped to a high standard and these residents said that they were satisfied with the level of the accommodation provided. Glenbank Care Home DS0000039726.V308234.R01.S.doc Version 5.2 Page 17 There is good accessibility around the building with ramps,assisted baths and other equpment provided. Aids and adaptation are provided in bedrooms, bathroom and toilets. The home has a properly equipped laundry and information regarding the control of infection is available. Residents clothing is marked to enable easy identification and the residents had no complaints about the laundry service provided by the home. The home was clean and tidy throughout and was free from any offensive odours therefore providing a pleasant place to live. Glenbank Care Home DS0000039726.V308234.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Quality in this outcome area is good. Staffing levels are satisfactory, staff training is sufficient to make sure that the residents are provided with a good standard of care and a proper recruitment method ensures that the residents are looked after by staff that are suitable to carry out care work. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with the manager confirmed that as well as employing care staff; the home also employs domestic, catering and maintenance staff. Those staff interviewed described a settled staff team, staff moral appeared to be good with the staff saying that “there is a good atmosphere” and that “we work together well as a group” and they said that the enjoyed working at the home and providing care for the residents. The residents said that the staff are “kind”, “happy to help” and that they were “patient and considerate”. Looking at rotas showed that that the manager, deputy manager and three care staff are on duty during the day, and two care staff on duty through the night. The staff and the manager were clear in stating that in their opinion that the above staffing provision was enough to meet the needs and dependency levels of the people living at the home. The home was required to have 50 of the care staff with NVQ level 2 qualifications or above by the end of 2005. Of the 16 care staff employed at Glenbank Care Home DS0000039726.V308234.R01.S.doc Version 5.2 Page 19 the home 11 have got a National Vocational Qualification at Level 2 or above with three other members of staff presently undertaking NVQ assessment at these Levels. 69 of the staff are therefore trained to the required level with the above target being exceeded. The files of three recently employed staff were checked for the required safe recruitment information. All of these showed that the home’s recruitment systems were safe and sound. Appropriate job application forms had been completed, two written references obtained, identification had been confirmed and criminal convictions and health declarations were in place and in all instances full CRB checks had been obtained. Discussions with the staff also confirmed that they had been properly and safely recruited. A recommendation made at the previous inspection was that “The manager should ensure that staff employment references are signed by the referee”. This issue has now been fully dealt with. Good practice was seen in that the home has recently asked the residents if they would like to become involved in the staff recruitment process. A number of responses have been received and the home has now to decide how and when to take this forward. Discussion with the staff and looking at records showed that there is a strong commitment to staff training within Glenbank Care Home. The staff gave examples of the wide range of training that they had done. This included induction to the job training, NVQ assessment, the giving out of medicines, safe moving and handling, fire safety, food hygiene and first aid. The provision of this training was confirmed when looking at staff training paperwork. However a shortfall was noted in that not many staff had done infection control training. This was discussed with the manager who said that such training was due to be arranged shortly. The inspector therefore requires that the proposed dates for this training be sent to the CSCI. The provision of this instruction is necessary in making sure that the people both using and providing the service are protected from infection and they’re well being ensured. As required the home uses a comprehensive training programme for the induction of new staff that complies with the recommended Scils for Care Common Induction Standards. The provision of this particular training was confirmed when talking to staff and from looking at records. Glenbank Care Home DS0000039726.V308234.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. The manager of the home provides leadership and support for the staff to ensure that the residents receive a good standard of care and the residents are asked about their satisfaction with the service provided. Procedures and practices within the home promote and safeguard the health, safety and welfare of the people living and working in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home manager has been approved and registered by the CSCI and has over 19 years of relevant managerial experience and is a registered nurse. She has also completed the Registered Manager’s Award. The home is well run and discussion showed that the manager knows the residents and the staff well. The residents and the staff said that the manager operates the home in an open and inclusive way and that she is fair-minded, approachable and easy to get along with. Glenbank Care Home DS0000039726.V308234.R01.S.doc Version 5.2 Page 21 A requirement of Standard 33 is that care homes must use quality assurance systems that are largely based on seeking the views of residents to measure their success in meeting the home’s aims and objectives. This information can then be used if necessary to bring about changes or improvements to the service. The home presently does this by the use of a survey document that asks 48 questions about the home’s services and facilities. Such a survey was last used in January 2007 with residents, relatives and visiting professionals. The responses are then brought together and analysed and displayed in the home in the form of a report with good points noted and action being taken to deal with any issues raised. The report for January 2007 showed largely positive responses with the people surveyed being overall satisfied with the care and services provided. The home holds regular staff meetings with the next one being due on the 17th April 2007. A number of survey questionnaires were sent out by the CSCI to the residents, relatives and health workers (GP’s, district nurses etc) before the inspection. These questionnaires give these people the opportunity to comment upon various aspects of the services provided by a care home. At the time of writing this report 11 questionnaires had been returned; all of these were generally complimentary about the accommodation, the services and the care provided at Glenbank. One person said, “I really can’t fault the staff at Glenbank. They are cheerful, kind and always listen to any concerns I have, and act upon them promptly”. Another person said, “My mum is very well looked after, the home is very clean and mum always looks clean and she says she enjoys her food. I feel the staff are very caring and enjoy their jobs very much”. The inspector was informed that the home does not handle or deal with any residents’ personal monies and that no member of the staff is identified as an appointee with regard to residents’ pensions. Should the home ever need to deal with residents’ money then detailed records of financial transactions must be kept. The home is safely maintained with fire precautions tests done regularly and a random check of the accident book showed that the details of accidents are properly recorded. Information obtained from the pre-inspection questionnaire showed that the homes fixtures, fitting and equipment is properly maintained and regularly serviced. The examination of paperwork and conversations with staff confirmed that they had been provided with the required training in safe moving and handling,fire safety and first aid,food hygiene and but that as mentioned previously some staff needed training in infection control topics. Glenbank Care Home DS0000039726.V308234.R01.S.doc Version 5.2 Page 22 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 4 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 Glenbank Care Home DS0000039726.V308234.R01.S.doc Version 5.2 Page 23 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. 1 Standard OP38 Regulation 13 (3) Timescale for action The home must notify the CSCI 31/05/07 of the proposed date of the staff control of infection training. The provision of this training is necessary in making sure that the people both using and providing the service are protected from infection and they’re well being ensured. Requirement 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 Glenbank Care Home DS0000039726.V308234.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Glenbank Care Home DS0000039726.V308234.R01.S.doc Version 5.2 Page 25 - 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. 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