Inspection on 25/02/06 for Glendyke Road 54

This inspection was carried out on 25th February 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Glendyke Road 54 02/03/09

Glendyke Road 54 23/08/07

Glendyke Road 54 23/08/06

Glendyke Road 54 09/12/05

Glendyke Road 54 18/11/04

Glendyke Road 54 11/06/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Glendyke Road 54 54 Glendyke Road Allerton Liverpool Merseyside L18 9TH Lead Inspector Lynn Sharples Unannounced Inspection 25th February 2006 09:30 Glendyke Road 54 DS0000057717.V284297.R01.S.doc Version 5.1 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 Glendyke Road 54 DS0000057717.V284297.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 Adults 18-65. 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. Glendyke Road 54 DS0000057717.V284297.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Glendyke Road 54 Address 54 Glendyke Road Allerton Liverpool Merseyside L18 9TH 0151 420 3637 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) www.c-i-c.co.uk. Community Integrated Care Mrs June Dunne Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Glendyke Road 54 DS0000057717.V284297.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th December 2005 Brief Description of the Service: 54 Glendyke Road is a care home registered with the CSCI to provide care for three adults with a Mental Health /learning disability. Community Integrated Care have been the registered provider for this service since December 2003. The home is situated in the Allerton area of Liverpool and is close to local amenities, bus and rail routes. The care home is a bungalow and all facilities for the service users and staff is situated on the ground floor. The home is accessible for wheelchair users and is generally well maintained. Glendyke Road 54 DS0000057717.V284297.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home did not know about the visit and took two and half hours. The inspector spent time with the service users and staff on duty. The files in the home were examined and the inspector toured the premises. What the service does well: What has improved since the last inspection? What they could do better: The home should ensure that the Statement of Purpose is up to date and that the Service User Guide is available and staff know where it is kept. A record should be kept of all the paracetamols in stock. The light should be replace in the bathroom. Glendyke Road 54 DS0000057717.V284297.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. Glendyke Road 54 DS0000057717.V284297.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Glendyke Road 54 DS0000057717.V284297.R01.S.doc Version 5.1 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 the following standard(s): 1,2,3,4,5 The homes Statement of Purpose is adequate providing service users and prospective service users with details of the services the home provides. The Service User Guide must be made available and the staff know where it is kept. EVIDENCE: The Statement of Purpose should include all the details listed in Schedule 1 of the Care Homes Regulations 2001 and the Service User Guide could not be found. The current service users have been resident at the home since 1995/1997. The inspector was informed that a service user admitted to the home would only be done so following an assessment of their needs undertaken by the service manager, home manager and any relevant professionals. Inspection of the two service user’s file indicates that each has an up to date care plan in place. The home is able to demonstrate that the service users needs are being met. Specialist services are accessed where appropriate and good records are kept in relation to any health care interventions. Information that has been provided to the inspector indicates that service users would have a phased introduction to the home according to their needs and preferences. Sample files inspected confirms that service users are provided with a contract that meets this standard. Glendyke Road 54 DS0000057717.V284297.R01.S.doc Version 5.1 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 the following standard(s): 6,7,9 There is a clear care planning system in place to provide staff with the information they need to meet service users needs. Service users would benefit from an Essential Lifestyle Plan to assist with making decisions. The risk assessment process is good at the home. EVIDENCE: Glendyke Road 54 DS0000057717.V284297.R01.S.doc Version 5.1 Page 10 The care plans sampled were reviewed regularly and indicated that these were observed to reflect the needs of individual service users and provide good detail as to how any identified need is to be met. Since the last inspection there has been no further progress in the developing of service user Essential Lifestyle Plans. Service users rights to make decisions are limited due to their levels of understanding. However, from discussions with staff and observation during the inspection it is evident that the staff team have built up an awareness of services users methods of communication and in consultation with professionals and relatives support service users in making some decisions affecting their lives. This could be greatly improved using a speech and language therapist to advise about the use of pictures to aid communication and choice. There was no record of the services users likes and dislikes. The staff where observed to interact with the service users in an inclusive atmosphere with the service user as the focus. From discussions with the staff it is evident that service users are supported in terms of taking responsible risks. Where there are identified risk staff have acted appropriately to minimise the risk. The records indicated that an occupational therapist has recently reviewed the use of bed rails and recommended that one service user does not require bed rails, these were still being used. The other service user needs to purchase another bed and then does not require bed rails. Staff said that the bed rails need to be unattached from the one bed and a new bed is being purchased. The risk assessments have been adapted to include the issue of entrapment. Glendyke Road 54 DS0000057717.V284297.R01.S.doc Version 5.1 Page 11 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 the following standard(s): 12,13,15,16,17 Service users engage in appropriate activities and links with the community are good. Visitors are welcomed at the home and people do call in at the home. Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets service users tastes and choices. EVIDENCE: Glendyke Road 54 DS0000057717.V284297.R01.S.doc Version 5.1 Page 12 One service user accesses a day centre three days per week and undertakes daily living skills. The other two service users have begun to attend college one day per week. Staff at the home support the service user’s at college, where service users are provided with opportunities to participate in various types of activities including trips out. Discussions with staff on duty indicate that service users are provided with opportunities to be involved in the local and wider community. Service users have regular trips out to local cafes, eateries and pubs. Regular planned and unplanned trips are undertaken. Each service user has an activity plan in place and all the staff team have responsibility in relation to ensuring that service users have opportunities to undertake individual activities. Staff informed the inspector that each activity plan is used flexibly and may change according to circumstances. Activities undertaken include: day centre, visits to the local shops, aromatherapy, occasional meals out, board games, music sessions and watching T.V. These are recorded in daily diairies. Service users families can visit and if the service users wishes they can see them in the privacy of their own room. During the inspection staff were observed to spend time interacting with service users and spending quality time with them. Staff did not speak exclusively to each other and the main topics of conversation focussed on the service users. Staff where observed to treat service users with respect and dignity throughout the inspection. Service users have unrestricted access to all parts of the home including the garden area. Each bedroom has an over rideable lock although due to service users levels of understanding and dexterity they are unable to access this facility. A menu is maintained and indicates that service users are provided with a balanced and nutritious diet. Service users have individual needs and the food provided reflects these needs. A pictorial representation of meals could help the service users to indicate a choice of preference each day. The inspector spent time with the service users at lunch time, this was relaxed and appeared to be a positive experience for the service users. Glendyke Road 54 DS0000057717.V284297.R01.S.doc Version 5.1 Page 13 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 the following standard(s): 18,19,20 The staff have a good understanding of the service users’ support needs. This is evident from the positive relationships, which have been formed between the staff and service users. The records to indicate the health needs of service users are good. The systems for the administration of medication are good with clear and comprehensive arrangements being in place to ensure service users medication needs are met. A record of the medication in stock should be started. EVIDENCE: Glendyke Road 54 DS0000057717.V284297.R01.S.doc Version 5.1 Page 14 All of the service users require full support in relation to personal support, although the staff team encourage independence where possible. The Inspector was informed and observed during the inspection that the support provided to ensures service users privacy and dignity. A bath hoist is used to support service users according to individual service user’s needs. Service users are supported in choosing their clothes etc. and this is facilitated according to their personality and levels of communication. Service users receive specialist support from professionals according to assessed need. Each service user has a key worker and a co worker. The home fully supports each service user in relation to healthcare needs and arrangements are in place in order that service users receive chiropody, dental and optical services. In one file there was no record of visit to an opticians. Good clear records are kept in relation to any health care intervention or contact with health care professionals. Specialist health care is sought where appropriate. The home has a metal, lockable and secure medication storage facility bolted to the wall. Inspection of a sample of MAR records indicate that staff sign to indicate if medication has been administered to service users and there were no gaps apparent. The inspector was informed that all staff had undertaken medication training. There was no record of the paracetamols in stock. A photograph of each service user is on file and a record of staff signatures is provided. The manager has obtained agreement from the service users G.P in relation to the administration of homely remedies. Glendyke Road 54 DS0000057717.V284297.R01.S.doc Version 5.1 Page 15 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 the following standard(s): 22,23 The staff team have a sound knowledge and understanding of Adult protection issues, which protects service users from abuse. EVIDENCE: The home has a complaints procedure in place that meets this standard. A copy of this procedure is also contained within service users personal care files. The inspector was informed by staff on duty that no complaints had been made since the last inspection. The complaints book could not be found. The home has a copy of the organisations whistle blowing procedure that includes contacting the CSCI within 24 hours. Most of the staff have undertaken the organisations five day induction programme that includes discussion in relation to adult protection and abuse. A copy of Liverpool City Council policy and procedures in relation to adult protection is held in the home for reference purposes. The staff spoken with had a good knowledge of how to protect service users from abuse. Glendyke Road 54 DS0000057717.V284297.R01.S.doc Version 5.1 Page 16 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 the following standard(s): 24,25,27,29,30 The overall quality of the furnishings and fittings is good The home is comfortable and creates a pleasing and pleasant environment for the service users to live in. EVIDENCE: Glendyke Road 54 DS0000057717.V284297.R01.S.doc Version 5.1 Page 17 A re decoration programme within the home has been completed which includes service users bedrooms, kitchen, hallway and communal areas. The carpets have still not been replaced with a type of floor covering that colour co ordinates with the redecoration of the house. The carpet in the lounge needs replacing, it is threadbare in places. Each of the service user’s bedrooms is individually and tastefully decorated and furnished. None of the bedrooms has a hand wash facility. The home provides toilet and assisted showering and bathing facilities. There are ongoing plans in place for the assisted bath to be replaced with a more appropriate type of assisted bath. A separate W.C facility is also provided that provides good wheelchair access. The toilet and bathroom has an over rideable lockable facility. The home provides a bath hoist to assist in the bathing of service users when necessary. There are plans to replace the bath hoist with a type of hoist that will further benefit the service users. On the day of the inspection the light in the bathroom did not work, this has been reported and should be fixed as a matter of urgency. The home provides domestic style programmable laundry facilities that are situated in the utility room and includes a separate washer and dryer. The utility room has adequate impermeable flooring. The home has a policy in relation to infection control. The home has adequate arrangements in place to ensure that clinical waste is adequately stored and disposed of. On the day of the inspection the home was free from malodour and was clean. Glendyke Road 54 DS0000057717.V284297.R01.S.doc Version 5.1 Page 18 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35,36 Staff morale appears high resulting in an enthusiastic workforce that works positively with service users to improve their whole quality of life. EVIDENCE: The registered manager was not on duty on the day of the inspection, therefore, staff records could not be examined. Speaking with staff, they indicated that they received regular supervision and attended staff meetings. They explained that the manager was very supportive and approachable. The staff spoken with indicated that they had only received two days training last year. Glendyke Road 54 DS0000057717.V284297.R01.S.doc Version 5.1 Page 19 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 The home regularly reviews aspects of its performance through a good programme of self review. EVIDENCE: The manager was appointed to manage the home in December 2003. She has seven years management experience, managing a mental health care home. The manager is currently undertaking the NVQ 4 and has two units to complete. Monthly Regulation 26 visits are undertaken and a report of such visits are forwarded to the CSCI. As a result of these visits the person carrying out the visit provides an action plan to the manager where necessary. Records held at the home indicate that the last monthly audit undertaken by the service manager was undertaken in January Glendyke Road 54 DS0000057717.V284297.R01.S.doc Version 5.1 Page 20 The fire book indicates that the fire alarm and emergency lighting systems are tested regularly. All staff receive regular fire drills. A fire risk assessment of the premises was undertaken in March 2005. Health and safety risk assessments are in place. The inspector was informed that all staff have undertaken first aid training as part of their recent induction training, although no records were available for inspection in relation to updated staff training. Accident records inspected appeared satisfactory. Copies of the electrical and gas servicing tests were available and found to be satisfactory. Glendyke Road 54 DS0000057717.V284297.R01.S.doc Version 5.1 Page 21 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 Standard No Score 1 2 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 X 27 2 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 2 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Glendyke Road 54 DS0000057717.V284297.R01.S.doc Version 5.1 Page 22 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 YA1 Regulation 4,5 Requirement Timescale for action 31/03/06 2 3 YA20 YA27 13 23 The registered person must ensure that the Statement of Purpose includes all the items listed in schedule 1 of the Care Homes regulations. (This requirement remains unmet timescale 06/01/06). The staff must be aware of the location of the Service User Guide. The registered person must 03/03/06 ensure that a record is kept of all the paracetamols in stock. The registered person must 27/02/06 ensure that the light is replace in the bathroom. 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 2 Refer to Standard YA7 YA27 Good Practice Recommendations It is recommended that service users are involved in making choices and record instances when decisions are made by others, and why. It is recommended that the bathroom/shower room DS0000057717.V284297.R01.S.doc Version 5.1 Page 23 Glendyke Road 54 3 YA35 furnishings and fittings be updated. It is recommended that staff receive 5 days paid training per year. Glendyke Road 54 DS0000057717.V284297.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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. 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