Inspection on 11/05/05 for Glenbrooke House

This inspection was carried out on 11th 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

Glenbrooke House 13/12/07

Glenbrooke House 25/10/06

Glenbrooke House 26/10/05

Glenbrooke House 10/11/04

Glenbrooke House 19/05/04

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

CARE HOME ADULTS 18-65 Glenbrooke House Glenbrooke House Chowdene Bank Low Fell, Gateshead, Tyne and Wear NE9 6JR Lead Inspector Andrea Goodall Unannounced 11 May 2005 at 13:00 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. Glenbrooke House B52-B02 S47308 Glenbrooke House V217639 110505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Glenbrooke House Address Chowdene Bank, Low Fell, Gateshead, Tyne Wear NE9 6JR 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) 0191 388 3717 0191 388 2808 Gainford Care Homes Limited Mrs Norma Catherine March Care Home 10 Category(ies) of LD Learning Disability 10 - PD Physical Disability registration, with number 4 of places Glenbrooke House B52-B02 S47308 Glenbrooke House V217639 110505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 10 November 2004 Brief Description of the Service: Glenbrooke House is a large, detached Victorian house that has been restored and extended to provide accommodation for up to 10 people with a learning disability. The accommodation for service users is over 3 floors. Staff facilities are on a fourth floor.The home provides 4 bedrooms for people who may have mobility or physical disabilities. These bedrooms are on the ground floor where there is level access into the building, good access into lounges and dining areas and there are assisted bathing facilities. The bedrooms on the lower ground floor, first floor and mezzanines can only be used by people with good mobility. Decoration and furnishings are of a very good standard, and the home is warm and comfortable. It is suitable for its stated purpose and it meets the needs of the people who currently live here. The house is set in its own large private grounds. It is close to various local amenities, such shops, library, restaurants and clubs, and is close to public transport routes. Glenbrooke House B52-B02 S47308 Glenbrooke House V217639 110505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit and took place over around 6 hours in the afternoon and evening. Time was spent talking with a visiting relative and most of the 9 people who live here. The Inspector joined all residents and staff for a tea-time meal. Residents showed the Inspector around parts of the house, including bedrooms, lounges and bathrooms. Time was also spent looking at care records and talking to the Manager and staff about the progress of the home. What the service does well: What has improved since the last inspection? At the last inspection visit residents said they wanted a pet dog, and they have recently got one, which they are involved in looking after. People have been asked if they want to manage their own medication, where they are able. Although no-one can do this at the moment, it is not ruled out for the future. Glenbrooke House B52-B02 S47308 Glenbrooke House V217639 110505 Stage 4.doc Version 1.30 Page 6 The Manager continues to improve care records and has developed a new system for making sure people get a good service, which includes the suggestions from the people who live here. 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. Glenbrooke House B52-B02 S47308 Glenbrooke House V217639 110505 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Glenbrooke House B52-B02 S47308 Glenbrooke House V217639 110505 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 & 5. The assessment process ensures that only people whose needs can be met by the home are admitted here. Residents have clear information about the terms and conditions of their accommodation and this is in suitable formats to support the different communication skills of the residents. EVIDENCE: One new resident has moved the home since the last inspection visit. Before they moved here a full assessment of their needs was carried out to make sure that the home could meet their needs. The assessment process is led by a Care Manager of the Social Services Department, and involves the potential resident, their relative/representative, any other relevant health or social care professional involved in their care and the home Manager. The Manager also carries out an assessment and writes to the potential resident and the Social Services Department to confirm whether the home is a suitable for them. Assessment documents were in place in individual residents care files. Glenbrooke House B52-B02 S47308 Glenbrooke House V217639 110505 Stage 4.doc Version 1.30 Page 9 All the residents have been given a copy for the Residents’ Contract, which outlines in easy language the terms and conditions of their accommodation here. Some of the information is in pictorial form to support the residents communication needs. The Contracts have been signed by the residents and are kept in their individual care files, which are accessible to them. However Contracts have not been dated for future reference. Glenbrooke House B52-B02 S47308 Glenbrooke House V217639 110505 Stage 4.doc Version 1.30 Page 10 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) 7 & 9. Residents are consulted on and make decisions about their own lives and are supported to take acceptable risks to maximise their independence. EVIDENCE: The home has a written Decision Making policy, which supports residents rights to make their own decisions and choices about their lives. There was clear evidence in records and in discussions with residents that their rights to make decisions are promoted. They have regular Residents Meetings where they make decisions as a group, and this has resulted in them getting a pet dog. The people who live here also make individual decisions on a daily basis and they talked about their choices, for example menus, activities, where to go on trips and holidays. Residents are fully involved, as far as their capabilities allow, in their own care planning. Glenbrooke House B52-B02 S47308 Glenbrooke House V217639 110505 Stage 4.doc Version 1.30 Page 11 Most of the people who live here can, and do, independently carry out some activities of daily living that could incur an element of responsible risk taking. These activities include bathing without support, making hot drinks and travelling independently. It is good practice that such skills are encouraged and developed. There are recorded risk assessments in place that outline the residents capabilities in these areas and how the home supports them to minimise the risks involved. Risk assessment records are signed by residents to show their involvement in the decision-making process. Glenbrooke House B52-B02 S47308 Glenbrooke House V217639 110505 Stage 4.doc Version 1.30 Page 12 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) 12, 13 & 16. Residents have many opportunities to take part in appropriate and fulfilling activities. Residents are supported to use local facilities and become part of the local community. The home promotes residents rights to choose their own daily lifestyles. EVIDENCE: Glenbrooke House B52-B02 S47308 Glenbrooke House V217639 110505 Stage 4.doc Version 1.30 Page 13 Most of the people who live here already had fairly structured daytime occupations before moving to the home. These included long-standing arrangements with local day centres and specialist clubs. Other people have chosen to take part in activities within the local community with the support of home staff. It is good practice that one resident now attends a local college and has also had some temporary paid employment. Residents and staff talked about the many local community facilities that they make good use of. The home is a short walking distance from several local shops, pubs, library, restaurants and other amenities. It is also a short ride from the Metro Centre and cinema. Residents and staff spoke of the good relationship they have built up with a neighbouring club and often use this for parties and nights out. Some residents decided they were going there on the evening of this inspection visit. The home promotes the daily living skills of the people who live here who are all involved in household tasks with staff support. Staff stated that there are no fixed routines in the home other than to support people to get to their daytime occupations on time, and mealtimes are at usual times so that people can plan their day. In discussions residents confirmed that they choose how to spend their free time, can choose to come and go as they wish, and get up and retire to bed at their own choice. Glenbrooke House B52-B02 S47308 Glenbrooke House V217639 110505 Stage 4.doc Version 1.30 Page 14 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) 18 & 20. Residents personal care needs are met in the way they require and prefer. EVIDENCE: Due to their physical disabilities or learning disabilities, four people need physical support from staff with their personal care, such as washing, dressing, bathing, shaving and toileting. This is carried out in the privacy of their own bedroom or in locked bathrooms. Other people need some prompts and guidance but do not need physical support. The support needs are outlined in peoples care files so that staff know how to support each person. Discussions with staff indicated that they are very aware of peoples individual needs and how they prefer to be supported. The Manager has assessed all the residents to see if any can manage their own medication. One person had tried to do this but found it difficult then requested for staff to manage it for them. One other person may be able to manage their medication with training and support in the future, and it good practice that staff do not rule out peoples possible progress towards independence in this task in the future. At this time staff manage residents medication on their behalf. Seven staff have achieved accredited training in Safe Handling of Medication to support Glenbrooke House B52-B02 S47308 Glenbrooke House V217639 110505 Stage 4.doc Version 1.30 Page 15 them in this responsibility. Medication is securely stored in a suitable medication cabinet and medication records were in good order. Glenbrooke House B52-B02 S47308 Glenbrooke House V217639 110505 Stage 4.doc Version 1.30 Page 16 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) 23. Residents have clear information about how to make a complaint and feel that their views are listened to. EVIDENCE: The Complaints Procedure is widely advertised in different formats so that residents know how to make a complaint. Copies of the pictorial procedure are in the Service Users Guide information pack, in each residents care files and displayed in the hallway. Residents are also reminded of how to make a complaint at Residents Meetings. The Complaints Procedure is on cassette tape and copies have been given to people with a visual impairment. Discussions with residents confirmed that they know how to make a complaint and feel comfortable about raising any comments with staff. Residents stated that they had made a complaint about the television in one lounge not working, and this had been fixed quickly. They also made a complaint about wanting a dog at the home, and this too has been dealt with. Glenbrooke House B52-B02 S47308 Glenbrooke House V217639 110505 Stage 4.doc Version 1.30 Page 17 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) 24, 27 & 30. The homes premises are suitable for its stated purpose and provide good quality, comfortable and homely accommodation for the residents. There is a good range of private and communal toilet and bathing facilities, and the home is clean and hygienic. Some premises issues need to be addressed to make the home as safe as possible for the residents. EVIDENCE: The standard of decoration and furnishings is very good at Glenbrooke and the accommodation is warm, comfortable and suited to age and lifestyle of the people who live here. It is a large detached Victorian building but has been converted to feel like a cosy family house. All of the 10 bedrooms are large enough for residents to use them for their own hobbies, and all have been highly personalised by the people who live here to suit their interests. Before the home opened, bedrooms were painted in a neutral colour. The Manager stated that there are future plans for bedrooms to be redecorated to residents own preferred colour schemes. All residents have a key for their own bedroom and residents were seen to make good use of these to keep their rooms private if they wanted. Glenbrooke House B52-B02 S47308 Glenbrooke House V217639 110505 Stage 4.doc Version 1.30 Page 18 All the bedrooms have en-suite facilities, some with shower units. There are also 2 bathrooms, one of which has specialist equipment for the people with physical disabilities. The parts of the home that were inspected during this visit were seen to be clean and hygienic. The household tasks are carried out by residents and support staff. The Manager stated that a part time domestic post is being advertised. It is intended that this will support residents to keep this large house clean rather than taking support staff away from care duties. There were 3 health & safety issues that need attention : * * * The temperature of hot water in the den (previously a staff room) is very high and could cause a risk of scalding to residents who use this room. There is no window restrictor in one persons room on the first floor. Also a window pane is badly cracked in this room. The flooring into the shower in one en-suite is peeling which could cause a tripping hazard. There were a small number of premises issues that also need attention, which were reported to the Manager. Glenbrooke House B52-B02 S47308 Glenbrooke House V217639 110505 Stage 4.doc Version 1.30 Page 19 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) 32, 33 & 36. The staff team is sufficient to provide the level of support required to meet the needs of residents. The home falls short of the required number of staff with NVQ qualifications, but staff are actively engaged in training towards this. EVIDENCE: The staff team comprises the Manager, 2 senior staff and 8 support staff. There is a good mix of age and experience amongst this small staff team. The Manager acknowledged that it would be beneficial to have more than the one male staff as the majority of residents are male, but the care posts typically attract female applicants. There are 2 staff vacancies at this time for a parttime support worker and a part-time domestic staff. At this time 3 support workers have achieved NVQ level 2 and the 2 senior staff have completed NVQ level 3. This number falls very slightly short of 50 of the staff team with NVQ level 2 or above. However a further 4 staff are undertaking training towards NVQ 2. The staffing levels are sufficient to meet the number and needs of the people who live here. The home provides a minimum of 3 support staff on duty through the day (8am-8pm). There are 2 support staff through the evening Glenbrooke House B52-B02 S47308 Glenbrooke House V217639 110505 Stage 4.doc Version 1.30 Page 20 and night (8pm-8am) and the staffing rota is flexible to allow residents to attend planned late evening social events. The Manager carries out supervisions sessions with staff but is planning for senior staff to takeover some of this responsibility after they complete Supervision/Appraisal training. The home aims for at least 6 supervision sessions for each staff over a year. However the home is slightly short of this target at this time. Glenbrooke House B52-B02 S47308 Glenbrooke House V217639 110505 Stage 4.doc Version 1.30 Page 21 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) 37 & 39. Residents benefit from a well run home. Residents views are used to review and develop the service. EVIDENCE: The Registered Manager is a qualified SEN (MH) and has many years experience at a senior and managerial level of working in care services for people with learning disabilities. She has been responsible for the daily operations and development of the home since it opened. She has recently completed training towards NVQ level 4 in Care the Registered Managers Award. The Responsible Individual on behalf of the registered organisation carries out the required monthly Regulation 26 visits, which also provide the opportunity for the supervision and support of the Manager. Since the last inspection the Manager has developed a quality monitoring system, which will be used to continually review the service provided at this home. The system includes regular audits of care records, medication, premises checks, health & safety and other areas. The views of residents are Glenbrooke House B52-B02 S47308 Glenbrooke House V217639 110505 Stage 4.doc Version 1.30 Page 22 also sought through the use of questionnaires, Residents Meetings, complaints and care reviews. Their suggestions will be added to an annual development plan, with timescales for completion, to ensure that their requests are included in the homes future plans. In discussions with residents they were not fully aware of the actual quality assurance processes but did state that their views are respected, and listened to and, wherever possible, acted upon. Glenbrooke House B52-B02 S47308 Glenbrooke House V217639 110505 Stage 4.doc Version 1.30 Page 23 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 3 x x x 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x 3 x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x 3 x Standard No 31 32 33 34 35 36 Score x 2 3 x x 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Glenbrooke House Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x x x B52-B02 S47308 Glenbrooke House V217639 110505 Stage 4.doc Version 1.30 Page 24 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 24 Regulation 23 Requirement Timescale for action 1/7/05 2. 3. 24 24 13(4) 13(4) 4. 24 13(4) The toilet in the first floor bathroom does not flush properly and this could lead to a blockage and odour problem. The light in the second floor toilet needs permanently fixing. The extractor fan in the basement toilet is not working. The porch inside the rear entrance has damp walls and peeling paintwork. The cracked window pane in a Immediate bedroom must be replaced, and a window restrictor fitted. The hot water to the den must Immediate be fitted with a thermostatic mixing valve, and meanwhile risk assessments must be carried in respect of the residents who use this room. The peeling floor in the en-suite Immediate shower in the basement bedroom must be fixed down to prevent a tripping hazard. Glenbrooke House B52-B02 S47308 Glenbrooke House V217639 110505 Stage 4.doc Version 1.30 Page 25 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 5 32 36 Good Practice Recommendations Residents Contract should be dated. At least 50 of the staff team should attain NVQ level 2 or above. Staff should receive supervision sessions at least 6 times per year. Glenbrooke House B52-B02 S47308 Glenbrooke House V217639 110505 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection Baltic House Port of Tyne South Shields Tyne & Wear 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 Glenbrooke House B52-B02 S47308 Glenbrooke House V217639 110505 Stage 4.doc Version 1.30 Page 27 - 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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