Inspection on 03/05/05 for Glenbank Care Home

This inspection was carried out on 3rd May 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

Glenbank Care Home 03/04/07

Glenbank Care Home 17/02/06

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 Announced 03 May 2005 09:30 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 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 F56 F06 S39726 Glenbank V216959 030505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Glenbank Care Home Address 803 Chorley Old Road Bolton Lancashire BL1 5SL 01204 841349 01204 848853 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) Glenbank Care Home Limited Mrs Glenys Hughes CRH Care Home 27 Category(ies) of OP Old Age : 27 Places registration, with number PD Physical Disability : 1 Place of places Glenbank Care Home F56 F06 S39726 Glenbank V216959 030505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The service should employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. Within the total registered number of 27 OP Places, there can be up to 1PD place under pensionable age (service user specific). Date of last inspection 24 September 2004 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 F56 F06 S39726 Glenbank V216959 030505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place over 8 hours. Most of the day was spent talking with the manager, deputy manager, two staff members, six residents, three visiting relatives, and watching what went on in the Home. Lunch was taken with residents, key records examined, and a tour of the Home undertaken. Completed questionnaires were received from 10 residents, 2 relatives, 2 GPs, a District Nurse and a Social Services Review Officer. What the service does well: What has improved since the last inspection? The home has listened to residents and relatives and made improvements based on their views. One example of this is changes to menus resulting in more compliments about meals since the last inspection. Medication arrangements are better organised following a requirement made at the last visit. The range of activities and how these are recorded have also changed to better meet the needs of residents who want something to do. The new deputy manager is keen to improve things further and is bringing positive ideas into the home. Glenbank Care Home F56 F06 S39726 Glenbank V216959 030505 Stage 4.doc Version 1.30 Page 6 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. Glenbank Care Home F56 F06 S39726 Glenbank V216959 030505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Glenbank Care Home F56 F06 S39726 Glenbank V216959 030505 Stage 4.doc Version 1.30 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 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. The files of residents new to the home include the manager’s written assessment, from which a care plan is developed. The assessment includes needs and preferences as described by the resident and their relatives. The manager said that introduction visits are organised. When this is not possible, she shows the person photographs of the home as one way of letting them know what to expect. Two residents said that they had looked around the home, felt assured their needs could be met, and that they had made a good choice. Staff members demonstrated a good understanding of residents’ needs, likes and preferences. Glenbank Care Home F56 F06 S39726 Glenbank V216959 030505 Stage 4.doc Version 1.30 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 standard(s) , 8 and 9 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. EVIDENCE: Care plans detail the actions to be taken by care staff to meet needs. They are reviewed monthly, with changes recorded and acted on. Risk assessments cover moving and handling and falls. If needed, risk assessments are carried out for areas such as pressure sores and nutrition. A District Nurse Specialist Practitioner has carried out training for staff on pressure area care. She said that “staff have taken this on board and are now contacting district nurses earlier and at an appropriate time.” This has been effective in preventing residents from developing pressure area problems. Residents and relatives said, in questionnaires and in discussions, that the standard of care is very good. One resident wrote “In my opinion it couldn’t be better”. They felt that their social, emotional and physical health needs were known and met. This knowledge was apparent in records that now reflect recreational needs as well as personal care needs, and in discussions with the Glenbank Care Home F56 F06 S39726 Glenbank V216959 030505 Stage 4.doc Version 1.30 Page 10 manager and staff. The Social Services Review Officer said that “residents are always happy at their review”. The manager has much improved the systems for managing medication since the last inspection. Medication is safely stored and administered by trained staff. Residents able to self-medicate are encouraged to do so to promote independence, provided the risk assessment showed this would be safe. The file of one resident who self-medicates confirmed this. Glenbank Care Home F56 F06 S39726 Glenbank V216959 030505 Stage 4.doc Version 1.30 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 standard(s) 12 and 15 Residents’ needs, likes and dislikes are reflected in a good variety of activities offered and enjoyed at the home. Residents feel they have flexible daily routines and mostly enjoy the meals. An alternative to the main lunchtime meal should be offered to increase residents’ food choices. EVIDENCE: Residents said they have a choice in their daily routines, including what time they get up and go to bed, where to spend their time, and which activities to take part in. Three residents were able to describe craft and exercise activities they enjoyed and were looking forward to a planned barge trip. Since the last inspection, the home has introduced a written activities programme, and records of trips and activities enjoyed. These records are useful in making sure future activity plans are based on the known likes, preferences and abilities of residents. Community facilities are used as much as possible, and arrangements for church services in the home have been successfully introduced. Some residents said they are going to the local polling station to vote in the forthcoming election. From discussions with residents, it was clear that meals have improved since the last inspection. Menu changes show that residents’ views about meals have been sought and acted on by the manager. Although residents described choices at breakfast and teatime, they said the main meal at lunchtime was Glenbank Care Home F56 F06 S39726 Glenbank V216959 030505 Stage 4.doc Version 1.30 Page 12 set, and did not know beforehand what the meal would be. The right to choice would be improved if residents were told of the daily menu in advance giving them an opportunity to request, and be served, an alternative. The manager has agreed to address this recommendation. It was clear during lunch that care staff are aware of residents’ needs and able to offer help and encouragement in a sensitive manner. Glenbank Care Home F56 F06 S39726 Glenbank V216959 030505 Stage 4.doc Version 1.30 Page 13 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 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. Questionnaires received show that 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. 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. Some members of staff have attended a training course covering these topics. The remainder have places booked on future courses. The process for recruiting staff includes robust background checks to ensure residents’ welfare is protected. Glenbank Care Home F56 F06 S39726 Glenbank V216959 030505 Stage 4.doc Version 1.30 Page 14 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 standard(s) 19 and 26 Glenbank provides a safe, clean and comfortable environment for residents. The home and grounds are well maintained. Not every shared room has a screen to ensure privacy for residents when needed. This should be addressed. EVIDENCE: Residents said they are very satisfied with the standards in the home, describing their surroundings as “clean, comfortable and very nice”. Residents are consulted about styles and colours when their rooms are redecorated. The safe and attractive garden and patio areas are enjoyed by residents and their visitors in fine weather. There is a good choice of lounge areas, including a large conservatory with views over a local conservation area and lodge. Regular safety checks are carried out throughout the home, including fire safety, water temperatures and equipment checks. A variety of aids and adaptations are provided to assist residents, including grab rails, assisted baths and showers. The passenger lift and ramps enable wheelchair users to access all floors of the building. Glenbank Care Home F56 F06 S39726 Glenbank V216959 030505 Stage 4.doc Version 1.30 Page 15 Residents in shared room were satisfied with their rooms. One said she was waiting to move to a single room when one became available. Consideration is being given to increasing the number of single rooms. In the meantime, the manager was advised to ensure privacy screens are available in all shared rooms, and used by care staff when providing personal care. Glenbank Care Home F56 F06 S39726 Glenbank V216959 030505 Stage 4.doc Version 1.30 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 The staff group has the knowledge, skills, training and management support it needs to effectively meet the care needs of residents. EVIDENCE: The staffing rota shows that the manager, deputy manager and three care staff are on duty during the day, and two care staff on duty through the night. Staff members interviewed felt able to carry out their duties effectively within these staffing levels, and confirmed that their training needs are met. The manager is a qualified nurse and able to give staff the guidance they need to provide a good standard of care, and the newly appointed deputy is looking at more ways in which care delivery can be improved. The home employs housekeeping, laundry and catering staff. This allows care staff to concentrate on supporting residents. Residents and relatives spoke highly of the managers and staff, describing them as “lovely and kind”. They were confident in the ability of staff to provide a good quality of care. The Social Services Review Officer described the staff as “very knowledgeable”. Glenbank Care Home F56 F06 S39726 Glenbank V216959 030505 Stage 4.doc Version 1.30 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 36 Glenbank has good systems for seeking residents’ views and improving the service. Staff feel well supported in their roles, but would benefit from having regular, individual supervision meetings with the manager to ensure that each person’s development needs are identified, met and reviewed. EVIDENCE: Since the last inspection, the quality assurance system has been developed and used to assess residents’ views of various aspects of the home. Questionnaire responses from residents and relatives have been collated. The results have been summarised and displayed in the entrance to the home. The summary shows that improvements have been made as a direct result of the information received from questionnaires. For example, menus have been changed to include more variety, a shower chair has been replaced, and the format of the questionnaire itself is being changed to make it clearer and the results easier to understand. Glenbank Care Home F56 F06 S39726 Glenbank V216959 030505 Stage 4.doc Version 1.30 Page 18 Staff at the home feel their views are listened to, and confirmed that they have staff meetings and annual appraisals. Supervision usually involves the manager observing practice and discussing training courses attended. The manager was advised to arrange regular meetings with each staff member individually. This will enable each person to discuss and develop their practice, and assure the manager that staff are working in line with the philosophy of the home. Glenbank Care Home F56 F06 S39726 Glenbank V216959 030505 Stage 4.doc Version 1.30 Page 19 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x x 3 x x Glenbank Care Home F56 F06 S39726 Glenbank V216959 030505 Stage 4.doc Version 1.30 Page 20 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 Regulation None 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. 2. 3. Refer to Standard 15 19 36 Good Practice Recommendations Residents should be provided with the option of an alternative to the set main meal. The manager should ensure that privacy screens are available and are being used in shared rooms when personal care is being provided. Each staff member should have regular, recorded one to one supervision meetings. Glenbank Care Home F56 F06 S39726 Glenbank V216959 030505 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 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 F56 F06 S39726 Glenbank V216959 030505 Stage 4.doc Version 1.30 Page 22 - 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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