Inspection on 26/10/05 for Glenbrooke House

This inspection was carried out on 26th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Glenbrooke House 13/12/07

Glenbrooke House 25/10/06

Glenbrooke House 11/05/05

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 Chowdene Bank Low Fell Gateshead Tyne and Wear NE9 6JR Lead Inspector Miss Andrea Goodall Unannounced Inspection 26th October 2005 13:00 Glenbrooke House DS0000047308.V253336.R01.S.doc Version 5.0 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 Glenbrooke House DS0000047308.V253336.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 Adults 18-65. 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. Glenbrooke House DS0000047308.V253336.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Glenbrooke House Address Chowdene Bank Low Fell Gateshead Tyne and Wear NE9 6JR 0191 388 3717 0191 388 2808 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) Gainford Care Homes Ltd Mrs Norma Catherine March Care Home 10 Category(ies) of Learning disability (10), Physical disability (4) registration, with number of places Glenbrooke House DS0000047308.V253336.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th May 2005 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 DS0000047308.V253336.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one afternoon and evening. Some time was spent talking with most of the people who live here, and looking around the home. Time was also spent looking at care records, health & safety records and staff records. Discussions were held with the Manager and staff about the progress of the home. Residents also gave their comments to help to complete this summary. What the service does well: What has improved since the last inspection? Residents said that since the last inspection there has been some new decoration in the house. At this time the hallway was being painted. This helps to keep the house at its very good standard of décor. Glenbrooke House DS0000047308.V253336.R01.S.doc Version 5.0 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. Glenbrooke House DS0000047308.V253336.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Glenbrooke House DS0000047308.V253336.R01.S.doc Version 5.0 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 the following standard(s): 4 and 5. Potential new resident are offered as many trial visits as they need before making a decision about moving here. Each resident has an individual written contract that explains the terms and conditions of their residence. EVIDENCE: Since the last inspection one new resident has moved to the home, so the home is now full. The new resident confirmed that they had several visits to Glenbrooke for meals, to meet other residents and staff, and to look around the home before they moved here. The resident said that they had liked it from the first visit and was very pleased to have moved here. In discussions other residents also recalled having lots of visits and a trial period so that they could see what the home was like. Each resident has a Residents Contract which outlines the terms and conditions of their residence at Glenbrooke. The contract is written in plain language and large print, with some pictorial information, to support the communication skills of the people who live here. The contract has also been verbally explained to residents and has been voiced onto cassette tape for people with a visual impairment. In this way the home helps residents to understand their rights and responsibilities. The contracts have been dated and signed, and are kept in residents files which they can access with support. Glenbrooke House DS0000047308.V253336.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 6 and 10. Residents are included in their own care planning and their individual goals are outlined in a support plan. Residents have access to the own records where capabilities allow. EVIDENCE: Glenbrooke House DS0000047308.V253336.R01.S.doc Version 5.0 Page 10 There are care files in place for each resident. These include very detailed assessment information about each person’s skills, capabilities and needs. There are also support plans in place for each resident. These include clear details of care goals where a resident needs specific support from staff. The support plans guide staff as to how and when to support each person with their goals. Support plans have been signed by residents to show that they have been included in their own care planning. The home has a clear Confidentiality Policy for staff, which is accessible in the homes policy file in the office. Although there is an expectation that staff will have read and understood this, there is currently no demonstration of whether they have. Residents know that their records are held securely in the office. There is information for residents about their rights to access their own records and it is clear from care plans and other records that they are involved in these, as far as their capabilities allow. Glenbrooke House DS0000047308.V253336.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 15 and 17. Residents are supported to maintain contact with family and friends, although the homes telephone does not currently enable residents to make calls in private. Residents are fully involved in menus and mealtimes and enjoy a healthy, nutritious diet. EVIDENCE: All of the people who live here have contact with relatives and friends outside of the home. There are regular visits by relatives to the home, as on this day, and several residents have visits to the family home. Residents also meet up with their own friends at social events outside the home. Residents can use a pay telephone, with support, to contact relatives. However the telephone is sited in the main hallway so does not allow for privacy when residents are making calls. One resident has been supported to learn how to use a mobile phone so can make and receive calls from family and friends when in or out of the home. Residents had many positive comments to make about the quality of the meals at Glenbrooke, such as the food here is really good and we can have what Glenbrooke House DS0000047308.V253336.R01.S.doc Version 5.0 Page 12 we want. Meals and mealtimes are very flexible as different people are in or out of the home at different times. There is a more structured menu for evening meals when most residents and staff are in. The evening meal menus are devised using residents suggestions and known preferences, as well as being healthy and nutritious. At other mealtimes and for snacks residents choose their own individual preferences at that time. Residents also enjoy a Saturday take-away and occasional meals out. One resident and the Manager tend to do the bulk of the grocery shopping and most other residents are also involved in shopping for smaller items at local grocery shops. Most residents are also involved in preparing meals, with staff support, unless a risk assessment determines otherwise. There are dining tables in the large lounge and a smaller lounge where residents and staff can dine together. Glenbrooke House DS0000047308.V253336.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 19 Residents physical and emotional health care needs are met by the appropriate health care services. EVIDENCE: All the residents have their own GP and are supported by staff to use local community health care services. Some people also have the input of Occupational Therapy services, which assess and supply equipment to support of their physical disabilities. Some people have the input of clinical psychiatry or psychology services to support their emotional needs. Health care records demonstrate that the home staff ensure that residents have access to the right health care services when required. Glenbrooke House DS0000047308.V253336.R01.S.doc Version 5.0 Page 14 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 the following standard(s): 23 Residents are protected from potential abuse by the homes procedures and staff training. EVIDENCE: The home has adopted the Gateshead Council POVA (Protection of Vulnerable Adults) policy and procedures. These are robust procedures for dealing with suspected abuse within all adult care services in the borough. The Manager is familiar with her responsibilities within these procedures, and most staff have had training in this area. The Manager stated that there are no occasions where staff at the home would carry out physical interventions, and such support is not necessary for the current resident group. One person has recently displayed some behavioural needs and the home has contacted the appropriate health care services in support of that resident. There are incident reports to record these occasions, but these do not record the name of the resident nor fully describe the behaviour, which might be needed for future reference. Glenbrooke House DS0000047308.V253336.R01.S.doc Version 5.0 Page 15 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 the following standard(s): 24, 26 and 28. The homes premises are suitable for its stated purpose and provide good quality, comfortable and homely accommodation for the residents. There are some minor premises shortfalls that can be quickly addressed. Residents bedrooms are suited to their needs and lifestyle. The bedrooms promote their independence and privacy. EVIDENCE: Overall the standard of decoration and furnishings is of good quality at Glenbrooke. The accommodation is warm, comfortable and suited to the 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. A sample of the building was inspected and a few premises defects were noted during this visit. Two-ventaxia extractor fans were not working, one in a residents en-suite facility and one in a communal toilet. This meant that there was an unpleasant odour in the en-suite, which is not satisfactory for anyone living at this home. The Manager stated that the odour is actually caused by a problem with the roof above the en-suite. Also there is no lock on the basement WC, no paper towels or soap, and no doorstop so the door handle has damaged the wall. In the main bathroom on Glenbrooke House DS0000047308.V253336.R01.S.doc Version 5.0 Page 16 the ground floor there is still a broken drawer from the last inspection, which detracts from an otherwise well-decorated room. There was an unmarked jar of ointment and a toothbrush in these drawers, which could be used by the wrong resident. 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. All of the bedrooms have private en-suite facilities. Residents can use their bedrooms whenever they want for privacy, or their own interests such as listening to music or watching television. All the bedrooms doors are lockable from the inside and 7 residents also keep a key for their own bedrooms. The other 3 residents are unable to manage a key due to their physical or learning disability and this limitation is clearly outlined in their care files. One person said that they would like blinds for their bedroom window. All residents were asked if they would like blinds when they moved in, but that was some time ago so some people may have changed their minds. Glenbrooke House DS0000047308.V253336.R01.S.doc Version 5.0 Page 17 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 and 35. Residents are supported by trained, competent staff. Staffing levels are sufficient to meet the current needs of the people who live here. Residents are involved in the selection of new staff, and the recruitment processes protect the people who live here. Staff have good training and development opportunitities. EVIDENCE: The staff team comprises the Manager, 2 Team Leaders, 7 support staff and one housekeeping staff. There are currently 2 vacant support staff posts. There is a good mix of age and experience amongst this small staff team. Some residents said, it would be good to have more male staff because most of us are men. The Manager acknowledged that it would be beneficial to have more than the two male staff, but that care posts typically attract female applicants. At this time the 2 Team Leader have attained NVQ level 3, and 4 support workers have completed NVQ level 2 or above. In this way over 50 of the staff team have a care qualification, and more staff are to complete this in the future. The staffing levels are sufficient to meet the number and needs of the people who live here. The Manager and a minimum of 3 support staff are on duty Glenbrooke House DS0000047308.V253336.R01.S.doc Version 5.0 Page 18 through the day (8am-8pm). There are 2 support staff through the evening and night (8pm-8am). The staff are commended for being flexible to allow residents to attend planned late evening social events. The home uses robust recruitment & selection processes before appointing new staff. These include application form, interview by the Manager, meeting with residents, references, health declaration, and all necessary clearances and checks. In this way the home ensure that residents are protected by employing only suitable staff. In addition to on-going NVQ training, some staff have recently attended training in Fire Safety, Control of Infection and Moving & Assisting. The Manager has also completed a Workforce Development course. There are individual training and development plans in place for each member of staff. The home has almost completed work to achieve the Investors In People award. The Manager is commended for this work, as this demonstrates the homes commitment to a well-trained, supervised and supported staff group. Glenbrooke House DS0000047308.V253336.R01.S.doc Version 5.0 Page 19 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42. The residents premises are mainly safe, and staff are trained in health & safety matters. Residents are not protected by the practices of propping open fire doors. EVIDENCE: Staff received training in all health and safety matters, and most areas of the home were safe for use by the people who live here. However, the hot water outlet to the Den is still not fitted with a thermostatic mixing valve so the water is still well above a safe temperature for use by residents. In the meantime the potential dangers of scalding have been explained to those people who use this 2nd floor games room. The fire doors to the laundry and to the smokers lounge, both in the basement, were propped open with furniture during this visit even though noone was using them. These rooms both contain significant ignition sources, so this practice significantly compromises fire safety in this home. This situation is compounded by the fact that there is no handle to the smokers lounge door so it cannot be pulled tightly shut. Glenbrooke House DS0000047308.V253336.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x 3 3 Standard No 22 23 Score x 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x x 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x 3 x 3 x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 2 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Glenbrooke House Score x 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 x DS0000047308.V253336.R01.S.doc Version 5.0 Page 21 YES 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 2 Standard YA15 YA24 Regulation 16(2)b 23(2)p Requirement The home must ensure that residents can make and receive telephone calls in private. The ventaxia extractor fans to the en-suite facility and to the basement WC must be in working order. (Previous timescale of 1/7/05 not met). A lock must be fitted to the basement WC; soap and paper towels provided; and a doorstop fitted. The drawers to the main bathroom must be repaired or replaced. Staff must support residents to keep their creams, toiletries and personal grooming equipment in their own rooms. These must not be kept in bathrooms in case of potential cross-infection. The hot water to the den must be fitted with a thermostatic mixing valve. (Previous timescale of 11/05/05 not met). Staff must ensure that fire doors are not propped open. Timescale for action 25/12/05 01/12/05 3 YA24 23(2)c 01/12/05 4 YA24 13(3) 26/10/05 5 YA42 13(4) 01/12/05 6 YA42 13(4) & 23(4)a 26/10/05 Glenbrooke House DS0000047308.V253336.R01.S.doc Version 5.0 Page 22 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 YA10 YA23 YA26 Good Practice Recommendations The home may wish to consider how it can demonstrate that staff have read and understood the Confidentiality Policy. Incident records should include the name of resident involved and details of the actual behaviour. Residents should be offered the choice of having blinds or similar for their bedroom windows. Glenbrooke House DS0000047308.V253336.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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 DS0000047308.V253336.R01.S.doc Version 5.0 Page 24 - 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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