Inspection on 09/05/05 for Glendale

This inspection was carried out on 9th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Glendale 21/11/07

Glendale 06/03/07

Glendale 24/11/05

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 9th May 2005 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. Glendale v224763 b54_s21746 glendale v224763 090505_stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Glendale Address 139 Stockton Road Hartlepool TS25 5AX 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) 01429 271 366 Milbury Care Services Limited Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Glendale v224763 b54_s21746 glendale v224763 090505_stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 For younger adults up to the age of 65 years 01/04/2002 Date of last inspection 12th December 2004 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 bedroooms. The home is registered to provide residential care and support for up to 4 persons with a learning disability. Glendale v224763 b54_s21746 glendale v224763 090505_stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 9th and 10th of April 2005 and lasted around 6 hours. Time was spent talking to staff and the manager. We looked around the building and at a number of records and documents. Since the last inspection a new manager has been appointed and she is awaiting registration with the Commission for Social Care Inspection. The home was very pleasant and the service users who were at the home on the day appeared happy and well cared for. The rear of the home could be made a lot better for service users as the uneven surface restricts its use. The manager said that there were plans to build a garden at the rear What the service does well: What has improved since the last inspection? Since the last inspection a new manager is in place and she is keen to develop the service provided. Staff training is being expanded to include courses to care for people with a learning disability. Glendale v224763 b54_s21746 glendale v224763 090505_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. Glendale v224763 b54_s21746 glendale v224763 090505_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 Glendale v224763 b54_s21746 glendale v224763 090505_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) 1 and 2 The home provides service users with satisfactory information to base a decision about whether to live at the home. Appropriate assessment of individual service users needs is undertaken. EVIDENCE: A Statement of Purpose was made available to service users and their representatives, enabling informed choice about living at the home. The manager said the Service User Guide was being reviewed to be more accessible to service users. Assessment documents for individual service users were seen to be in place. The documents contained original assessments from social workers and also the homes own assessments conducted prior to admission. Glendale v224763 b54_s21746 glendale v224763 090505_stage 4.doc Version 1.30 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 standard(s) 6 and 9 The care planning system is satisfactory and being further developed. Service users are supported to enhance their lifestyle within a risk assessment framework. EVIDENCE: Individual service user care plans were looked at and found to be informative and up to date. The manager said the care planning format was under review and that a new system of Person Centred Planning was to be introduced shortly. Service user case files showed that risk assessments were in place for a variety of activities and included specific assessments relating to personal care and everyday activity. One service user was engaged in employment and was supported by staff within a risk assessment framework. Glendale v224763 b54_s21746 glendale v224763 090505_stage 4.doc Version 1.30 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 standard(s) 12 and 17 Service users are provided with a range of opportunities for personal development. Meals and mealtimes are varied and arranged according to service user preference. EVIDENCE: In discussion, the manager was able to demonstrate the varied activities, educational, employment and social, on offer to service users. These included college placements, work in a charity shop and outings to local amenities. Arrangements for forthcoming holidays were being discussed with the service users, families and care managers. Menus were also looked at and found to be appropriate and made from service user preference and displayed in a picture format. The manager said service users would often choose what to eat on a daily basis but any dietary need or special diets would be considered. Glendale v224763 b54_s21746 glendale v224763 090505_stage 4.doc Version 1.30 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 standard(s) 20 Procedures are in place to assist a service user to control their medication if requested. EVIDENCE: Examination of medicine administration records found them to be well kept and accurate. There were no service users who were self-medicating but the manager was able to outline the homes procedures of risk assessment and monitoring should a service user wish to develop self-medicating skills. Staff at the home had undergone college training in the administration of medication along with the homes policies and procedures on medication. Glendale v224763 b54_s21746 glendale v224763 090505_stage 4.doc Version 1.30 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 standard(s) 23 Arrangements are in place at the home to protect service users from abuse. EVIDENCE: The home operates an adult abuse policy and staff have undertaken training in abuse awareness and the Adult Protection strategy “No Secrets”. Although no incidents had occurred at the home, the manager was able to outline the procedures to be followed in the event of an adult protection referral. Glendale v224763 b54_s21746 glendale v224763 090505_stage 4.doc Version 1.30 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 standard(s) 24, 27, and 30 The home provides suitable accommodation for the service user group but is in need of improvements to the exterior yard and to the bathing facilities to further meet the assessed need of the service users. EVIDENCE: The home provides spacious accommodation that is generally well maintained and pleasantly decorated. The gardens to the front are large and to the rear, a large area is secluded and would benefit from lighting at night. The surface of the rear area is uneven and at the last inspection this was highlighted. Toilets and bathrooms at the home are sufficient in quantity but the manager said that staff have expressed difficulty when bathing service users as the bath is low. A more specialised and suitable arrangement should be considered to better meet the service users needs. A shower area was also presenting problems as staff had difficulty in assisting service users. This was also highlighted at the last inspection but has not been attended to. A clothes dryer was at the home but had not been installed and could not be used. The home was clean, tidy and free from odour. Glendale v224763 b54_s21746 glendale v224763 090505_stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 and 36 EVIDENCE: Staff training at the home was continuing and the Learning Disability Awareness Foundation (LDAF) course was to be undertaken shortly. Staff had recently completed training in Epilepsy Awareness this was to be provided to newly employed staff also. Studies leading to the achievement of at least NVQ2 in care were ongoing and some staff members were continuing to NVQ level 3 in care. Staff supervision records were in place and sessions were well established and arranged on a monthly basis. Glendale v224763 b54_s21746 glendale v224763 090505_stage 4.doc Version 1.30 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 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) 39 and 42 Records in relation to Health and Safety are satisfactory and the manager conducts review of the service provided through Quality Assurance methods. EVIDENCE: Quality Assurance monitoring is carried out at the home in the form of a twiceyearly questionnaire to service users families and healthcare professionals involved in the service users care. The manager said that frequent meetings are held with relatives to appraise and review the care provided at the home. Records of maintenance and fire safety were held at the home and were found to be satisfactory. The manager demonstrated that as far as reasonably practicable the health, safety and welfare of service users, staff and visitors to the home, were maintained. Glendale v224763 b54_s21746 glendale v224763 090505_stage 4.doc Version 1.30 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 3 3 x x x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x 2 2 x 3 Standard No 11 12 13 14 15 16 17 x 3 x x x x 3 Standard No 31 32 33 34 35 36 Score x x x x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Glendale Score x x 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x v224763 b54_s21746 glendale v224763 090505_stage 4.doc Version 1.30 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 27 Regulation 23 Requirement The shower facility must be redesigned to allow staff access to assist service users (Previous timescale of 1st September 2004 not met) The bathing facilities must be redesigned to allow staff safe access to assist service users The uneven concrete surface in the rear garden must be repaired (Previous timescale of 1st Sepember 2004 not met) Timescale for action 1st August 2005 2. 3. 27 28 23 23 1st August 2005 1st August 2005 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 24 Good Practice Recommendations The garden areas would benefit from lighting at night. Glendale v224763 b54_s21746 glendale v224763 090505_stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection 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 v224763 b54_s21746 glendale v224763 090505_stage 4.doc Version 1.30 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. 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