Inspection on 10/08/06 for Glendale House

This inspection was carried out on 10th August 2006.

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

Glendale House 20/10/08

Glendale House 17/01/06

Glendale House 23/08/05

Glendale House 08/09/04

Glendale House 13/05/04

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

CARE HOMES FOR OLDER PEOPLE Glendale House Rose Avenue Blackhall Hartlepool TS27 4JQ Lead Inspector Mr Leonard Hird Unannounced Inspection 10 August 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 House DS0000031229.V299901.R01.S.doc Version 5.2 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 House DS0000031229.V299901.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glendale House Address Rose Avenue Blackhall Hartlepool TS27 4JQ 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) 0191 5871188 0191 5871188 Durham County Council Ms Catherine Mary Gibson Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Glendale House DS0000031229.V299901.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th January 2006 Brief Description of the Service: Glendale House provides residential care services for up to 32 people in the Category of Older Persons (OP). The home is owned by Durham County Council and managed on their behalf by Adult and Community Services. Glendale House is located in a residential area of Blackhall, close to local amenities. It is a large two-storey unitised building with the benefit of a passenger lift to the first-floor. All bedrooms are single accommodation without the benefit of en suite facilities. There are a number of different communal lounges and dining areas throughout the home. The home has a secure and well-kept garden area for the use of residents and visitors. Car parking spaces are located at the front and side of the home for relatives and visitors. Glendale House DS0000031229.V299901.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection of Glendale House took place on the 10th August 2006 between 10 00 and 1530 hrs. The inspection process considered all of the Key standard areas as identified by the Commission for Social Care Inspection within the Care Homes for Older People National Minimum Standards. These Key standards are: Choice of Home (NMS 3), Health and Personal Care (NMS 7, 8, 9 and 10), Daily Life and Social Activities (NMS 12, 13, 14 and 15) Complaints and Protection (NMS 16 and 18), Environment (NMS 19 and 26), Staffing (NMS 27, 28, 29, 30,) and Management and Administration (NMS 30, 31, 33, 35 and 38). The Commission for Social Care Inspection received some 3 written responses from residents in response to the Commission for Social Care Inspections survey ‘Have your say about Glendale House’. Verbal comments were received on the day of inspection from residents, relatives, and visitors. Comments were also received from members of the care staff and the Registered Manager. What the service does well: Glendale House was clean, tidy, well decorated and comfortably furnished in a pleasant and homely way. Residents and relatives spoken with during the inspection commented, “Glendale House and the staff were meeting their needs”, “they look after my mother very well ” “ everything is fine ” and “ a very happy home to live in ”. A written comment received stated that, I am perfectly satisfied with the love and care given to me during my stay here nothing is any trouble to any of the staff. The health and safety of residents was being well managed and staff had received appropriate training to enable them to look after the residents. Glendale House DS0000031229.V299901.R01.S.doc Version 5.2 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 House DS0000031229.V299901.R01.S.doc Version 5.2 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 House DS0000031229.V299901.R01.S.doc Version 5.2 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): NMS 3 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service Glendale House had ensured that prior to admission, an assessment of the needs of the prospective resident seeking to be admitted to the home had been undertaken by suitably qualified staff. EVIDENCE: Evidence was being maintained on individual residents files that before coming to live at Glendale House there had been assessments of needs undertaken by suitably qualified staff. Both the Local Authority and the home had carried out assessments of needs. Where the Local Authority had undertaken the assessment of need a copy of this documentation was being maintained on the residents file. Residents spoken with confirmed that the home was meeting their current needs. Glendale House DS0000031229.V299901.R01.S.doc Version 5.2 Page 9 A relative spoken with during the inspection commented that, ‘they had received sufficient information for them to assist their relative in coming to live at Glendale House’. Glendale House DS0000031229.V299901.R01.S.doc Version 5.2 Page 10 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): NMS 7 NMS 8 NMS 9 and NMS 10 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service Individual residents health, personal and social care needs were being set out in their care plan. The homes medications policies, procedures, guidance and training programme enabled care staff to dispense medication to residents safely. Residents were able to make decisions about how they could lead their lives and were being treated with respect and dignity. EVIDENCE: Residents living at Glendale House had individual plans of care in place and information had been maintained about individual residents health and personal care needs. Glendale House DS0000031229.V299901.R01.S.doc Version 5.2 Page 11 Care plans reviewed during the inspection-contained information about personal care, mobility and health requirements. Assessments of risk were included in the plans and took account of the individual residents views e.g. whether to self-medicate or not. No residents were self-medicating at the time of the inspection. Staff had reviewed the care plans regularly and reviews had also being undertaken by the Local Authorities Reviewing team. Where any changes had been identified during these reviews they had been responded to by the home. Records were maintained by the home of the individual residents health needs as well as when GPs and other health professionals had visited their patients at the home. Care staff had undergone training in the safe handling and administration of medication and first aid. Records of this training were being maintained on the individual member of staffs files. A verbal comment received from a resident indicated that, ‘they saw the doctor when they needed to’ whilst others indicated that they got the medical support they needed. It was observed during inspection that when the local doctor visited the home residents spoke with the doctor in their own room. A relative commented that, ‘the home always kept them up-to-date as to the health of their relative’. It was observed during the inspection that the staff had a very friendly, caring and positive working relationships with residents. All of the residents were being treated in a respectful and dignified manner by staff. Glendale House DS0000031229.V299901.R01.S.doc Version 5.2 Page 12 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): NMS 12 NMS 13 NMS 14 and NMS 15 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service The routines of daily living and activities available at Glendale House were varied and flexible and meeting the needs of the residents. The independence and personal choices of residents at Glendale House were being actively encouraged by the home. The dietary needs of residents were being well catered for with a balanced and varied selection of food readily available throughout the day. EVIDENCE: It was observed that the daily routines of living were very flexible and meeting the needs of the residents. Residents spoken with during inspection confirmed that they could opt to do different activities if they so wished. Glendale House DS0000031229.V299901.R01.S.doc Version 5.2 Page 13 Activities were arranged for residents within the home and residents had been consulted as to the type of activities they wanted to take part in. Records were being maintained of activities undertaken by residents in the home as well as of those organised by the CREATE program. Residents spoken with during inspection confirmed that they could opt to do different activities if they so wished. A relative visiting the home spoke highly of the homes visiting policy and stated that, ‘the carers were always very willing, helpful and cheerful at all times’ A resident commented that, I have many visitors, and I can see them in my own room. Menus were being displayed in the home of the different choices of food available during the day and special diets were being catered for. Verbal comments received from residents about the food ranged from ‘the meals were excellent ’ ‘ there is always plenty of good food to eat at Glendale’ to ‘if I dont like something on the menu, I can have something different just by letting the staff know’ Records were being maintained of the choice of food being made by residents as well as records of the homes Menus. Records of training undertaken by the catering staff including Food Hygiene training were being maintained on their personnel file. Regular residents meetings were being held and the choices of food and activities being made available at home to residents were nearly always discussed and minutes of these meetings were kept. The registered manager also spoke on a daily basis with residents for their input into the daily life of the home. Glendale House DS0000031229.V299901.R01.S.doc Version 5.2 Page 14 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): NMS 16 and NMS 18 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service The complaints and adult protection policies and procedures currently being used in Glendale House provide for a safe environment for residents to live in. EVIDENCE: Glendale House had appropriate corporate policies and procedures provided by Durham County Council for the Protection of Vulnerable Adults. From discussions with staff it was confirmed that they were aware of the importance of acting quickly in cases of suspected abuse and that they would follow the homes policy and procedures. Staff confirmed that they had received training on dealing with the Protection of Vulnerable Adults in a care home environment, and records were being maintained of this training. Glendale House used the Durham County Councils corporate policies and procedures on how to complain in the home. Information on how to complain was being displayed on the notice boards in the home as well as being contained in the residents guide to the home. Glendale House DS0000031229.V299901.R01.S.doc Version 5.2 Page 15 Relatives and residents spoken with during the inspection confirmed that they knew about the homes complaints procedure and how to complain if they need to. Glendale House DS0000031229.V299901.R01.S.doc Version 5.2 Page 16 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): NMS 19 and NMS 26 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service Glendale House is clean, pleasant and hygienic and provides a safe and comfortable environment for its residents to live in. EVIDENCE: Glendale House has a well maintained environment, providing aids and equipment to meet the needs of the residents. The layout and design of Glendale House is suitable to meet the needs of the residents living there. Glendale House meets the requirements of the Disability Discrimination Act. Maintenance work undertaken on the homes equipment and facilities by the handyman as well as by Durham County Councils Service Direct had been recorded appropriately. Glendale House DS0000031229.V299901.R01.S.doc Version 5.2 Page 17 Glendale House was clean, tidy and free from unpleasant odours. The homes infection control policies and procedures were written in accordance with relevant legislation and professional guidance. Staff had received training in infection control. A relative commented that, ‘ the home was always beautifully clean and free from any unpleasant odour’. A resident commented that, their room and the home were kept spotlessly clean Other residents spoken with on the day of inspection indicated that they were also pleased with the homes physical environment. Glendale House DS0000031229.V299901.R01.S.doc Version 5.2 Page 18 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): NMS 27 NMS 28 NMS 29 and NMS 30 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service Glendale House through Durham County Councils corporate recruitment, employment and training procedures had ensured that only suitably qualified care staff were employed at the home. Staffing levels at the home were sufficient to meet the current assessed needs of residents. EVIDENCE: From a review of the staff rota provided it was noted that care staff were being deployed in sufficient numbers as to ensure that the needs of residents were being met. There was a commitment to training for care and ancilliary staff at the home with over 60 of the care staff qualified at NVQ level 2 in care or above. Staff had received appropriate induction training and there were ongoing training programmes operating in the home e.g. moving and handling, safe handling and administration of medication, first aid, diversity and equality, infection control and fire awareness. Records were being maintained of all training being given to staff in the home. Glendale House DS0000031229.V299901.R01.S.doc Version 5.2 Page 19 Staff spoke positively of the different types and levels of training being offered to them by Durham County Council. All care and ancillary staff employed at the home had being recruited in accordance with the homes policies procedures and that of Durham County Councils. Appropriate employment checks including an enhanced level Criminal Records Bureau check had been undertaken on staff employed by Durham County Council before starting to work at the home. This confidential information had been recorded on the individuals personnel file and the files were being kept securely. There was, however, a number of visiting professional staff to the home who either worked with or directly came into contact with the residents at the home. It was confirmed by the Registered Manager that Durham County Council did not directly employ these visiting staff and that it could not be confirmed that all of the appropriate employment and Criminal Records Bureau checks had been undertaken on these staff. Glendale House DS0000031229.V299901.R01.S.doc Version 5.2 Page 20 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): NMS 31, NMS 33 NMS 35 and NMS 38. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service Glendale House had an established management structure ensuring that the home was promoting the health, welfare and safety of residents and staff. EVIDENCE: The Registered Manager had the required qualifications and experience to run the home. Residents and relatives spoken with confirmed that the registered manager was resident focused and lead a staff team that was trying to ensure that residents received a high quality of care at the home. Glendale House DS0000031229.V299901.R01.S.doc Version 5.2 Page 21 Formal supervision sessions were being given to all members of the care staff, ancillary staff and management team. Records of staff supervision sessions were being maintained securely and staff confirmed that they had received copies of their formal supervision sessions. From discussions with staff it was confirmed that they were aware of the management structure within the home and that of the Local Authorities Adult and Community Team. Comments received verbally from residents, relatives and visitors during the inspection were all positive and Minutes were being kept of the regular residents meetings. Records and receipts are kept of all transactions made by residents and signed for accuracy by two members of staff. Glendale House is the subject of regular financial audits undertaken by the Durham County Council’s internal audit team. Glendale House is also the subject of a regular monthly audit visit by a senior member of the Adult and Community management team. Regular fire training, fire alarm tests and fire drills had been undertaken at the home and records were being maintained accordingly. Records were being maintained of when equipment had been serviced and who had undertaken and completed the work e.g. the handyman or Durham County Council Service Direct Team. Glendale House DS0000031229.V299901.R01.S.doc Version 5.2 Page 22 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Glendale House DS0000031229.V299901.R01.S.doc Version 5.2 Page 23 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. 1 Standard OP29 Regulation Regulation 19 Schedule 2 Requirement The Registered Manager must be able to confirm that those staff not employed by Durham County Council and who have regular contact with residents living at, Glendale House have the appropriate employment and Criminal Records Bureau checks in place. Timescale for action 31/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Glendale House DS0000031229.V299901.R01.S.doc Version 5.2 Page 24 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 House DS0000031229.V299901.R01.S.doc Version 5.2 Page 25 - 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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