Inspection on 24/11/05 for Glendale

This inspection was carried out on 24th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Glendale 21/11/07

Glendale 06/03/07

Glendale 09/05/05

Glendale 01/12/04

Glendale 30/06/04

Glendale 13/01/04

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

CARE HOME ADULTS 18-65 Glendale 138 Stockton Road Hartlepool TS25 5AX Lead Inspector Stephen Willcock Unannounced Inspection 10:00 24 November and 2nd December 2005 th Glendale DS0000021746.V267788.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 Glendale DS0000021746.V267788.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. Glendale DS0000021746.V267788.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Glendale Address 138 Stockton Road Hartlepool TS25 5AX 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) 01429 271366 Milbury Care Services Limited Sonia Morrell Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Glendale DS0000021746.V267788.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. For younger adults up to the age of 65 years Date of last inspection 9th May 2005 Brief Description of the Service: Glendale is a detached bungalow set in its own large gardens in a residential area close to the centre of Hartlepool. The property blends in well with other houses in the road. Accommodation is provided in single bedrooms. The home is registered to provide residential care and support for up to 4 persons with a learning disability. Glendale DS0000021746.V267788.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 24th November and the 2nd December 2005 and lasted about 6 hours. Time was spent talking to the manager, staff and service users. We looked around the building and at files and documents It was seen that a number of improvements had been made in the way information is relayed to service users, in formats that could be more easily accessed. The Service User Guide had been updated to be more easily read ands there were some good examples of engaging service users in communicating with family and friends, in the form of a newsletter, written by individual service users, detailing their experiences at the home and while doing the various activities on offer. Planned refurbishment of the bathing and showering area had not yet taken place but considerable improvement had been made to the rear of the home in providing a pleasant garden area and walkway for service users to enjoy in the warmer weather. Glendale continued to provide a warm and welcoming atmosphere in which service users could gain much enjoyment from life at the home. What the service does well: The service is well managed and care is provided in a dignified and respectful manner. The manager works well to bring forth new ideas and ways to implement current good practice within the field of learning disability. It was clear that the staff team worked well together and encouraged the involvement of service users in the running of the home through domestic arrangements and employment and recruitment activity. Activities are varied and arranged on an individual or group basis. Service user records are kept well including records for medication and service user finances. Service user friendly documents have been introduced in pictorial formats including an up to date virtual tour of the home on DVD, highlighting the managers commitment to provide service users with material that is accessible and informative. Glendale DS0000021746.V267788.R01.S.doc Version 5.0 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. Glendale DS0000021746.V267788.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 Glendale DS0000021746.V267788.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): 3, 4 and 5 The home can demonstrate that it can meet the needs of service users and offers the opportunity to visit the home prior to admission. Contracts between the home and the service user are provided. EVIDENCE: Service users needs were well documented within individual care plans and regular review of the plan ensured that changes in need were acted upon. Staff training was specifically organised to meet the identified needs and the manager had updated the Service Users Guide using colour and large print, making it available on CD. The manager was also preparing a DVD, showing a virtual tour of the home, further adding to prospective service users choice in deciding where to live. There had been no admissions to the home as the current client group had lived there since the home opened. However, the manager said, service users would be invited to stay at the home after a process of trial visits including staying for tea and overnight stays before moving in. Transition assessments would be carried out and further assessments conducted to ensure that service users needs were met by the home. Service users contracts or statements of terms and conditions were in place and signed by the service user or representative on their behalf. The contract had been prepared in a picture format. Glendale DS0000021746.V267788.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): 7 and 8 Service users are consulted and assisted to make decisions about the running of the home. EVIDENCE: Evidence was available to show that staff involved service users in making decisions about the running of the home especially in buying items for entertainment and choosing holiday destinations. Staff are able to communicate effectively using methods learnt over time as some service users have verbal communication impairments. Home meetings are held monthly and Person Centred Planning is in place to ensure service users needs are met. A Life book has also been prepared, detailing events and wishes of each individual service user. There is good contact with families and they are invited to be involved in all aspects of the running of the home. Glendale DS0000021746.V267788.R01.S.doc Version 5.0 Page 10 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): 13, 15 and 16 Service users are encouraged to be part of the local community, maintain contact with family and be responsible for their daily lives. EVIDENCE: Service users have a varied and extensive social life, meeting friends and taking part in social activities. One service user had until recently, been employed in a local shop, and by developing contacts with Employment Link, the manager hoped this could be put in place again. Contact with family and friends, was maintained and regular. Staff encourage visits by family and arrange transport when needed. Service users are encouraged by staff to carry out domestic tasks and to assist with their own laundry and personal care. Staff were seen to carry out their roles in a dignified and respectful manner, maintaining a good rapport with each service user. Glendale DS0000021746.V267788.R01.S.doc Version 5.0 Page 11 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): 18 and 19 Service users preferred way of receiving care is respected and health and emotional needs are met. EVIDENCE: Details of the personal support that each service user needs are recorded in the care plans and staff have full knowledge of service users preferred way of giving their care. Some service users have impaired verbal communication skills and staff have developed an understanding of their needs through eye contact and body language. Person Centred Planning has been developed with each service user and families have been invited to take part in the process. Every three months a psychiatric review is held for each service user and there is regular contact with local doctors and other health agencies. Staff were also implementing individual health programs and in one case the use of coffee was being monitored for one service user as it was affecting his sleep patterns. Specialised health areas such as dementia care had also been looked into, and the manager had arranged an outside speaker to give information to staff. Glendale DS0000021746.V267788.R01.S.doc Version 5.0 Page 12 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): 22 Arrangements are in place at the home to deal with complaints. EVIDENCE: A complaints procedure and policy was available at the home and the manager said she was to look at the format to make it more accessible to service users. Glendale DS0000021746.V267788.R01.S.doc Version 5.0 Page 13 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): 25 and 28 The home offers comfortable surroundings for service users and improvements to the environment are in hand. EVIDENCE: Service users bedrooms were pleasantly decorated to service users individual tastes and needs. There was good use of sensory lighting in one service users bedroom and others were provided with good quality furnishings. All rooms were of a good size and met service users space requirements. Since the last inspection the manager had arranged the installation of a new roof aerial for the television, with much improvement to viewing pleasure. The manager also said that planned refurbishments to the home were to take place in 2006, including redecoration where needed. The rear garden area had already been completed providing an improved area for service users to enjoy in the warmer months. Glendale DS0000021746.V267788.R01.S.doc Version 5.0 Page 14 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 and 34 Staff at the home are competent and provide effective care to service users. The homes recruitment policies and procedures are appropriate. EVIDENCE: Staff training is ongoing and further training is arranged in areas of food hygiene and moving and handling. Studies’ leading to NVQ2 in care has been undertaken and some members of staff have progressed to NVQ3. A new trainer has recently taken up post in the organisation and the manager hoped that new courses would be made available. Currently the home almost meets the target of 50 of care staff with at least NVQ2 in care by the end of 2005. Recruitment to the home was carried out using the company’s corporate policy on recruitment. Staff files held at the home were examined and found to contain appropriate information and were in order. Glendale DS0000021746.V267788.R01.S.doc Version 5.0 Page 15 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): 37 and 38 The home is well managed by a competent and capable manager acting in the best interests of service users. EVIDENCE: The manager demonstrated forward thinking and planning in the care provided at the home and was able to access up to date information currently available from many other sources. The manager has many years experience with the client group and has completed NVQ4 in care and the Registered Managers Award. It was observed that an open door policy was operated, and the manager was able to effectively communicate and understand the needs of the service users. The manager had also implemented a regular newsletter, written by service users on an individual basis to keep families updated on their activities and lives at the home. An “activity thoughts” book, showing if the service user liked certain activities, and if not, why not, added to the understanding of the service user’s needs, and complemented the newsletter. Glendale DS0000021746.V267788.R01.S.doc Version 5.0 Page 16 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 3 3 3 Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score X 3 X X 3 X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Glendale Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 4 4 X X X X X DS0000021746.V267788.R01.S.doc Version 5.0 Page 17 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. Standard YA27 Regulation 23 Requirement The shower facility must be redesigned to allow staff access to assist service users (Previous timescales of 1st September 2004 and 1st August 2005 not met) The bathing facilities must be redesigned to allow staff safe access to assist service users. (Previous timescale of 1st August 2005 not met) Timescale for action 01/06/06 2. YA27 23 01/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA24 Good Practice Recommendations The garden areas would benefit from lighting at night. Glendale DS0000021746.V267788.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Glendale DS0000021746.V267788.R01.S.doc Version 5.0 Page 19 - 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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