Inspection on 23/08/05 for Glendale House

This inspection was carried out on 23rd August 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 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 10/08/06

Glendale House 17/01/06

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 County Durham TS27 4JQ Lead Inspector Belinda Parker Announced 9:15AM 23 August 2005 rd 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 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 B54 S31229 Glendale House V220265 230805 Stage 2.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Glendale House Address Rose Avenue Blackhall County Durham ts27 4jq 0191 5871188 0191 5871188 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) Durham County Council Catherine Mary Gibson CRH 32 Category(ies) of OP - 32 registration, with number of places Glendale House B54 S31229 Glendale House V220265 230805 Stage 2.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 8th September 2004 Brief Description of the Service: Glendale House provides residential care services in the category of older persons for up to 32 persons. The home is owned by Durham County Council and managed on their behalf by County Durham Care. The home is situated in a residential part of Blackhall and is close to local amenities. It is a large two-storey unitised building with the benefit of a passenger lift to the first-floor. The home has pleasant and well-maintained garden areas that are readily accessible to service users. Glendale House B54 S31229 Glendale House V220265 230805 Stage 2.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on 23/8/05 over a period of 4.5 hours. During the inspection the inspector talked to service users and staff. The inspector toured the home and a number of records where examined. There were no requirements or recommendations from the last inspection. What the service does well: 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Glendale House B54 S31229 Glendale House V220265 230805 Stage 2.doc Version 1.20 Page 6 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 Standards Statutory Requirements Identified During the Inspection Glendale House B54 S31229 Glendale House V220265 230805 Stage 2.doc Version 1.20 Page 7 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 standard(s) 1 and 2 The home’s Statement of Purpose and Service User Guide are good in providing service users and prospective service users with details of the services the home provides enabling an informed decision about admission to be made. EVIDENCE: On the day of the inspection the manager had available a revised and reprinted Statement of Purpose and Service User Guide. The information included in these documents was comprehensive, printed in an appropriate format and is available in other languages if requested by prospective service users and their relatives of another culture. The information in these documents was good and would enable prospective service users to decide if they wished to live in the home. The Service User Guide included a copy of the Statement of Terms and Conditions, which sets out for prospective service users the conditions of residency. The manager said on admission to the home service users are given a copy of this document and are asked to sign as to their agreement. Glendale House B54 S31229 Glendale House V220265 230805 Stage 2.doc Version 1.20 Page 8 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 standard(s) 7, 8 and 9 There is a clear and consistant care planning process in place to adequately provide care staff with the information they need to satisfactorily meet service users needs. The medication in this home is well managed promoting good health. EVIDENCE: Three care plans examined had been compiled from a full pre-admission assessment carried out by persons trained to do so. The information included in the plan of care for service users provided staff with the information required to meet the individual needs of the people living in the home. Evidence is available to show that service users are involved in the care planning process. A record of visits from other health care professionals contained in the care plans showed that the assessed health needs of service users were met. A policy and procedure was in place for the safe handling of medication for the protection of service users. Glendale House B54 S31229 Glendale House V220265 230805 Stage 2.doc Version 1.20 Page 9 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 standard(s) EVIDENCE: This standard section was not assessed at this inspection. Glendale House B54 S31229 Glendale House V220265 230805 Stage 2.doc Version 1.20 Page 10 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 standard(s) EVIDENCE: This standard section was not assessed at this inspection. Glendale House B54 S31229 Glendale House V220265 230805 Stage 2.doc Version 1.20 Page 11 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 standard(s) 19, 20,21, 22, 23, 24, 25 and 26 The standard of the environment in this home is good providing service users with an attractive and homely place to live. EVIDENCE: On touring the home it was observed to be safe, clean, accessible and suited to its stated purpose. A range of disability aids and equipment is available to meet the collective needs of the people who live in the home. Communal and personal accommodation was spacious and comfortable. Service users spoken to during the inspection commented that they were pleased with the accommodation provided and were able to bring their bits and pieces from their own home to make their room nice. Health and Safety records viewed showed that water temperatures where tested for the protection of service users and were documented as being within the recommended temperature guidelines to prevent the risk of scalding. The home was observed to be clean, light, airy and free from any offensive odour. Glendale House B54 S31229 Glendale House V220265 230805 Stage 2.doc Version 1.20 Page 12 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30 The staff have a good understanding of the support needs of the people who live in the home and this is evident from the positive relationships, which have been formed between staff and service users. EVIDENCE: Duty rotas examined during the inspection showed that staff where employed in adequate numbers to meet the collective needs of the service users. Staff spoken to during the inspection said they worked as a team to deliver a good service to the people who lived in the home. A service user spoken to commented “No complaints , the staff are marvellous, plenty of time for chat”. The manager said since the last inspection the home has now achieved 50 of staff gaining NVQ2 in Care. Staff spoken to said they were positive towards training to enable them to build their knowledge, skills and abilities within their role of responsibility to enable them to deliver a good standard of care. Staff personnel files examined showed that a thorough process of recruitment was followed ensuring service users were protected. Staff spoken to where able to demonstrate that they attend regular training to update their skills and knowledge. A record of training attended by individual staff is recorded and a copy of certificates obtained was available in personal staff files. Glendale House B54 S31229 Glendale House V220265 230805 Stage 2.doc Version 1.20 Page 13 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 36, 37 and 38 The manager is supported well by the staff in the home and provides clear leadership in the management and efficent running of the home for the protection of service users, as well as providing a homely and friendly environment for service users to live in. EVIDENCE: The manager is a qualified nurse with many years experience in working with older people. Staff spoken to said the management of the home was good. One staff member commented, “ I have worked in four homes and the management of this home is the best where I have worked”. Staff personnel files contained evidence to show that staff receive formal supervsion covering all aspects of care practice, philosophy of care and career development. Staff said this was a beneficial process in assessing their performance and ability to deliver a good service to the people who live in the home and other visitors to the home. Glendale House B54 S31229 Glendale House V220265 230805 Stage 2.doc Version 1.20 Page 14 Records examined during the inspection were comprehensive and up to date ensuring the protection of service users. Health and safety is monitored and maintained within the home for the protection of service users, staff and other visitors. Glendale House B54 S31229 Glendale House V220265 230805 Stage 2.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 3 3 3 3 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 Standard No 16 17 18 Score x x x 3 x x x x 3 3 3 Glendale House B54 S31229 Glendale House V220265 230805 Stage 2.doc Version 1.20 Page 16 NA 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 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 Good Practice Recommendations Glendale House B54 S31229 Glendale House V220265 230805 Stage 2.doc Version 1.20 Page 17 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 House B54 S31229 Glendale House V220265 230805 Stage 2.doc Version 1.20 Page 18 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!