CARE HOMES FOR OLDER PEOPLE
Glendale Court Third Drive Landscore Road Teignmouth Devon TQ14 9JT Lead Inspector
Peter Wood Unannounced Inspection 03 March 2006 10:00 X10015.doc Version 1.40 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 Court DS0000003705.V278213.R01.S.doc Version 5.1 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 Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Glendale Court DS0000003705.V278213.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Glendale Court Address Third Drive Landscore Road Teignmouth Devon TQ14 9JT 01626 774229 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) Mrs Gloria Jean Taylor Glenn Taylor Mrs Gloria Jean Taylor Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Glendale Court DS0000003705.V278213.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 06/09/05 Brief Description of the Service: Glendale Court is registered as a Care Home providing Personal Care for twenty-four elderly service users who need care by reason of old age, in the category of OP. The home is a detached property in a quiet residential area of Teignmouth, is well kept and managed and is sufficiently adapted and equipped to meet the needs of its service users, most of whom are comparatively less dependent than many service users in other care homes. Most service users have ensuite single bedrooms, while the public rooms include a dining room, lounge, atrium and sun lounge. The owners / manager have a newly built office which doubles as a staff locker room. Glendale Court DS0000003705.V278213.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over part of one day in March 2000. The focus of this inspection was to visit as many residents as possible in the privacy of their own rooms whom had been admitted to the home since the last inspection, to ascertain their views of living in the home. Some time was also spent with the owners / manager discussing changes since the previous inspection. What the service does well: What has improved since the last inspection? What they could do better:
The owners have met all the National Minimum Standards. There are no requirements. However, the National Minimum Standards require that registered managers achieve the new qualification of Registered Managers Award plus level 4 NVQ in care by the end of 2005. The owners are recommended to obtain clarification that their current qualifications are acceptable equivalents to meet the standard. Glendale Court DS0000003705.V278213.R01.S.doc Version 5.1 Page 6 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 Court DS0000003705.V278213.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Glendale Court DS0000003705.V278213.R01.S.doc Version 5.1 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4, 5, 6 Good information and systems for admission allow service users and their relatives to be confident that their needs can be met. EVIDENCE: Residents reported that they and their relatives were able to visit the home prior to admission to assess the quality, facilities and suitability of the home. The home has a good Service Users’ Guide and a Statement of Purpose, so that prospective residents and their relatives know what the home offers. The manager undertakes an assessment prior to a resident’s admission by visiting the prospective resident at his or her own home or hospital. This is followed by good assessments. This ensures that the home admits residents only when they are confident that they can meet their needs. The home does not offer intermediate care. Glendale Court DS0000003705.V278213.R01.S.doc Version 5.1 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 10 Residents are treated with respect and their right to privacy is upheld. EVIDENCE: Residents were observed to be, and reported that they were, treated with respect by staff. The home has a competent and experienced staff team whom the service users described as being very kind and caring “without fussing all over me”. Residents made positive comments about the staff, including that “they leave me alone when I want just my own company”. Glendale Court DS0000003705.V278213.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13, 14 Residents are able to maintain contact with their family, friends and the local community as they wish, and to exercise as much choice and control over their lives as possible. EVIDENCE: It was a focus of this unannounced inspection to consult particularly with as many comparatively new residents as possible. Newly admitted residents reported that they were enabled to retain contact with family and friends, and to continue to attend local community associations. Those with relatives who lived locally enjoyed being visited and taken out by them. Visitors are made welcome at more or less any time. The manager and staff are careful to enable residents to do as much as possible for themselves whilst residents appreciated the dignity of being as independent as possible with only the level of support as necessary. Glendale Court DS0000003705.V278213.R01.S.doc Version 5.1 Page 11 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 Complaints and suggestions from service users, relatives or other visitors to the home, are treated seriously. Residents are listened to and issues resolved promptly. EVIDENCE: The home has a brief complaints procedure prominently displayed in the hall. In accordance with the standards the owners resolve issues before they become formal complaints. Previous discussions with the owners and staff evidence that they are aware of issues surrounding Adult Abuse leading to confidence that residents are safeguarded from abuse at this home. Residents consulted reported that they were listened to and expressed confidence that appropriate action would be taken if they were to make a complaint. Glendale Court DS0000003705.V278213.R01.S.doc Version 5.1 Page 12 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 23, 24, 25, 26 Residents live in a very pleasant, well-maintained home that is safe and comfortable and provides sufficient facilities to meet their needs. EVIDENCE: The location and layout of the home is suitable for the client group. Several extensions and many other alterations have improved the home. All bedrooms meet the revised National Minimum Standards spatial requirements, and residents who wish to are able to bring their own furniture and other possessions with them. All hot water taps in the baths and wash hand basins are now thermostatically controlled to reduce the risk of scalds. All radiators have been assessed for the risk they may pose to scalding residents, and those considered at risk have been covered or otherwise made safe. The whole house was clean and free from offensive odours. Since the last inspection new carpet and decoration throughout the hall, stairs and corridors helps to make the home a more pleasant place for residents to live in. Glendale Court DS0000003705.V278213.R01.S.doc Version 5.1 Page 13 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): As these standards have been inspected recently they were not specifically examined on this occasion. EVIDENCE: Previous inspections have evidenced that these standards have been met, though were not examined on this occasion. Glendale Court DS0000003705.V278213.R01.S.doc Version 5.1 Page 14 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, Residents live in a well managed home that is run in their best interests. EVIDENCE: The owners have demonstrated their ability to operate the home professionally and for the wellbeing of service users. The manager is a Registered General Nurse, has a diploma in Higher Education, including management and professional development, and is an NVQ Assessor. However, the National Minimum Standards require that registered managers achieve the new qualification of Registered Managers Award plus level 4 NVQ in care by the end of 2005. The manager needs to obtain clarification from a competent training provider that her current qualifications are acceptable equivalents, or obtains any necessary additional qualifications. Glendale Court DS0000003705.V278213.R01.S.doc Version 5.1 Page 15 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X 3 3 3 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X X X X Glendale Court DS0000003705.V278213.R01.S.doc Version 5.1 Page 16 Are there any outstanding requirements from the last inspection? NO 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP31 Good Practice Recommendations The manager should obtain clarification that her current qualifications are acceptable equivalents to meet the standard which became effective at the end of 2005. Glendale Court DS0000003705.V278213.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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