Inspection on 20/10/08 for Glendale House

This inspection was carried out on 20th October 2008.

CSCI found this care home to be providing an Good service.

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 10/08/06

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 20/03/2009.

CARE HOMES FOR OLDER PEOPLE Glendale House Rose Avenue Blackhall Hartlepool TS27 4JQ Lead Inspector Ray Burton Key Unannounced Inspection 20th October 2008 11:00 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.V372743.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.V372743.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 mary.gibson@durham.gov.uk www.durham.gov.uk 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.V372743.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th August 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.V372743.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This report gives the findings of an unannounced inspection covering all of the key standards of the National Minimum Standards for Care Homes for Older People. The inspection was conducted on 20th October 2008. During the inspection a tour of the building was conducted, records and care plans examined and the inspector spoke to people using the service, visiting relatives, the registered manager and members of staff; in addition we looked at information received, or asked for, since the last inspection including the Annual Quality Assurance Assessment (AQAA). What the service does well: What has improved since the last inspection? What they could do better: All of the standards assessed during this inspection have been met; however the manager, in the AQAA returned to the Commission for Social Care Glendale House DS0000031229.V372743.R01.S.doc Version 5.2 Page 6 Inspection, identifies areas she considers can be improved and has shown ways in which they can be made. 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. The summary of this inspection report can be made available in other formats on request. Glendale House DS0000031229.V372743.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.V372743.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4, 5. People who use this service experience good quality outcomes in this area. Prospective residents are given information prior to admission to enable them to make an informed decision about the suitability of the home and its ability to meet their needs. The homes assessment procedure ensures no one will be admitted unless his/her needs can be met. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The service users guide, given to prospective residents and their family, provides good information about the facilities available at the home. Glendale House DS0000031229.V372743.R01.S.doc Version 5.2 Page 9 Examination of care plans showed that prior to admission, an invitation is extended to each prospective resident and his/her family to visit Glendale so that they can look around the home, meet members of staff and the people already living there - during this, and any subsequent visits, assessments are carried out to determine needs and to ascertain if they can be met at Glendale. If the prospective resident is unable to visit, a member of staff will where possible visit the person in his/her own home or hospital. Following admission there is a trial period during which time new residents are able to decide if they wish to continue to live in Glendale. The home does not offer intermediate care; therefore standard 6 does not apply. Glendale House DS0000031229.V372743.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. People who use this service experience good quality outcomes in this area. The homes care planning process ensures the needs and wishes of people living in the home are identified and met in a manner that upholds a person’s dignity. Systems are in place to ensure the safe handling of medication. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: Monitoring of health is undertaken and healthcare needs addressed by community-based professionals e.g. the person’s own doctor, District Nursing Service and Chiropodists etc. Care plans are well maintained and up-to-date and contain information about the general health of the person and details of any specific medical condition or ailment. Risk assessments and risk management strategies have been developed in areas such as: mobility, risk of Glendale House DS0000031229.V372743.R01.S.doc Version 5.2 Page 11 falls etc. Regular monitoring and reviews ensure changing needs are identified and appropriate action taken. Medicines held on behalf of residents are administered, according to the homes policies and procedures, by members of staff who have received appropriate training in the safe handling of medicines; however those people who have been assessed as being able to self-medicate are encouraged to look after their own medication. All medicines are stored appropriately in a secure facility. Medication records are accurately maintained. It was observed during the inspection that people living in the home are treated with respect and addressed courteously and appropriately. Needs and preferences about such things as diet, times of getting up and going to bed, personal care etc are carefully noted in care planning documentation so that members of staff are able to address care needs as the individual wishes and in a manner that preserves dignity. Glendale House DS0000031229.V372743.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. People who use this service experience good quality outcomes in this area. The routines of daily living and activities made available are flexible and varied and suit individual expectations and preferences. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: There is a relaxed, informal and friendly atmosphere in the home. Routines are flexible and allow the people living at Glendale House to make decisions about everyday things such as when to rise and retire to bed. Care plans and conversation with residents showed how people are encouraged and supported to be as independent as possible, subject to their individual plan and risk assessments; the small kitchen in each unit provides opportunity to prepare drinks and snacks etc. Glendale House DS0000031229.V372743.R01.S.doc Version 5.2 Page 13 Meals are served at set times although there is a great deal of flexibility to suit individual needs and wishes. Records of food served show a varied and balanced diet is provided with alternatives always being available should someone wish not to have the dish of the day. The home is currently taking part in a Government funded programme, in conjunction with Newcastle University, to encourage healthier eating. People living in the home said the food is very good; they said they were often consulted about menus. People living in the home are encouraged and supported to lead meaningful and stimulating lives and are offered a range of activities: bingo; board games; race nights; handicrafts; gardening; trips out e.g. shopping and visits to the coast. In addition to activities organised by staff, the home receives a monthly visit under the “CREATE” programme. Residents said “there is always something going on, however we needn’t take part if we don’t want to.” The views of people living in the home are sought on a daily basis through informal conversation and at regular residents meetings, during which people are consulted about the general running of the home, and suggestions for improvements are sought. Following recent discussions a large screen television set has been purchased for the main lounge. Residents told the inspector they are happy living at Glendale House and commented about the friendly and homely atmosphere. They made many very positive comments about the staff and said they were always cheerful and eager to please. Local clergy visit so that people living in the home can take part in an act of religious worship if they wish. Two visitors spoke to the inspector; each made very positive comments about the home and expressed satisfaction with the way that their relative was being cared for. They said they always received a warm welcome from members of staff, and a cup of tea and biscuits, whenever they visited. Glendale House DS0000031229.V372743.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 People who use this service experience good quality outcomes in this area. The home has appropriate policies and procedures in relation to the protection of vulnerable adults and for dealing with complaints. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: Policies and procedures are in place to protect people living in the home and to respond to any suspicion or allegation of abuse. All members of staff have received training in adult protection. The home has a suitable complaints procedure stating how complaints can be made, who will deal with them, the timescale for the process and what to do if not satisfied with the way in which the matter has been handled. Copies of the complaints procedure are available throughout the home and are contained in the service users guide. Records show there have been no complaints received since the last inspection. People living in the home said they were happy with their life at Glendale House DS0000031229.V372743.R01.S.doc Version 5.2 Page 15 Glendale House, but said should they be concerned about any aspect of their care they would know how to make a complaint. Glendale House DS0000031229.V372743.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 23, 24, 25, 26 People who use this service experience good outcomes in this area. The environmental standard is good, providing people with a comfortable, homely and safe place in which to live. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: Glendale House provides a pleasant, comfortable and homely environment for the people who live there. The house is nicely decorated and furniture is comfortable and domestic in design. A walk around the home revealed it to be Glendale House DS0000031229.V372743.R01.S.doc Version 5.2 Page 17 clean and hygienic and free from offensive odours. The fabric of the building is well maintained and records show equipment is regularly checked and serviced. Bedrooms are comfortably furnished and have been individualised by the inclusion of personal effects brought from the occupant’s own home. The home is currently undergoing a programme of refurbishment. Work so far completed includes: newly installed kitchens in each unit; new carpets fitted in various communal areas; redecorating of communal areas; various health & safety measures, including new fire safety equipment. There is a well-kept garden providing a pleasant outside area for people to enjoy. Health & safety documentation is up-to-date. Records are kept showing fire safety equipment is regularly maintained, fire safety checks take place weekly and there are monthly fire drills. All members of staff receive fire training. Glendale House DS0000031229.V372743.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. People who use this service experience good quality outcomes in this area. Staff are employed in sufficient numbers and with suitable skills and training to meet the needs of the people living in the home. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: On the day of the inspection there were sufficient numbers of staff on duty to meet the needs of the people living in the home. Examination of duty rosters showed the home is always suitably staffed to meet assessed needs (there has been a recent increase in staffing levels). Examination of personnel files evidenced that prior to a new member of staff commencing employment two suitable references are obtained and all necessary checks, including Criminal Records Bureau (CRB), are conducted. Glendale House DS0000031229.V372743.R01.S.doc Version 5.2 Page 19 Training record show the staff team has the necessary skills and experience to meet the assessed needs of the people living in the home. Newly appointed staff receive appropriate induction training and all members of staff are encouraged to undertake training to aid their professional development and to help them meet the needs of the people living in the home. Mandatory training is up-to-date and 68 of staff are qualified to a minimum of NVQ level 2; two members of staff have recently successfully completed NVQ level 3. Refresher moving & handling and First Aid are currently being undertaken. Glendale House DS0000031229.V372743.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38. People who use this service experience good quality outcomes in this area. A well managed home with a competent staff team. The health, safety and welfare of the people living in the home are protected by the homes record keeping and policies and procedures. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: Glendale House DS0000031229.V372743.R01.S.doc Version 5.2 Page 21 The registered manager has the necessary experience and the required qualifications in both care and management. The manager and staff are aware of their responsibilities under Health & Safety legislation. Regular checks of the building and equipment are conducted and maintenance and servicing undertaken to maintain a safe environment. Records are maintained in a satisfactory manner and are stored appropriately. Policies and procedures are in place covering all aspects of the management of the home and the health, safety and welfare of staff and the people living in the home. There is a supervision programme ensuring all members of staff receive a minimum of six formal supervision sessions a year. Any money held for safekeeping on behalf of a resident is held securely and an accurate record kept of all financial transactions. Financial audits are regularly undertaken by Durham County Council Internal Audit Team. There are systems both formal and informal to measure success in meeting the homes aims and objectives and statement of purpose; and to ensure the rights and best interests of the people living in the home are safeguarded: regular staff and resident meetings, monthly Regulation 26 visits by The Councils Team Manager. Glendale House DS0000031229.V372743.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 3 X 3 3 3 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 3 X X 3 3 3 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.V372743.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. 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. Refer to Standard Good Practice Recommendations Glendale House DS0000031229.V372743.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V372743.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. 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