Inspection on 18/07/05 for Glenfield House Nursing Home

This inspection was carried out on 18th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 but made no statutory requirements on the home.

Other inspections for this house

Glenfield House Nursing Home 29/01/07

Glenfield House Nursing Home 12/10/05

Glenfield House Nursing Home 11/10/04

Glenfield House Nursing Home 29/06/04

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

CARE HOMES FOR OLDER PEOPLE Glenfield House Nursing Home Middle Lane Wythall, Birmingham West Midlands B38 0DL Lead Inspector Chrissy Presley Unannounced 18 July 2005 2.00pm 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. Glenfield House Nursing Home E52 S4110 Glenfield V236259 180705.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Glenfield House Nursing Home Address Middle Lane, Wythall, Birmingham West Midlands B38 0DL 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) 01564 823795 Mr Cahal Joseph Grant Mr James Noel Walsh Mrs Barbara Hancock Care Home 30 Category(ies) of OP Old age both genders (30) registration, with number PD physical disability both genders (30) of places Glenfield House Nursing Home E52 S4110 Glenfield V236259 180705.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11 October 2004 Brief Description of the Service: Glenfield House Nursing Home was first registered in1994. It is a purpose built home and provides 24 hour nursing care for 30 elderly service users.The accommodation is provided in 22 single rooms, some with en-suite toilet facilities and 4 shared rooms.There is a spacious lounge and dining room. The home has a lift, which enables service users to access all floors of the home. The gardens are pleasant, well maintained and are accessible to service users weather permitting.Laundry and Kitchen facilities are located in the basement and are accessible to staff only.The home is located in a semi-rural area of Wythall.Parking is available for several vehicles in the homes car park.The home’s registered manager is Mrs Barbara Hancock and she is a registered nurse. Glenfield House Nursing Home E52 S4110 Glenfield V236259 180705.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place during an afternoon and lasted four hours. The inspection was carried out as part of the regular planned programme of inspections. A tour of the premises took place. Care records of three residents were examined. Health and safety documents and policies and procedures were also seen. Care staff on duty and eight residents and two visitors were spoken to during the course of the inspection. Time was spent with the registered manager. What the service does well: What has improved since the last inspection? The home continues to improve the care plan documentation and ensures policies and procedures are kept up to date and reviewed regularly. Glenfield House Nursing Home E52 S4110 Glenfield V236259 180705.doc Version 1.40 Page 6 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. Glenfield House Nursing Home E52 S4110 Glenfield V236259 180705.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Glenfield House Nursing Home E52 S4110 Glenfield V236259 180705.doc Version 1.40 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 standard(s) 3 & 5 Resident’s needs are assessed prior to admission to ensure the home is able to accommodate them. EVIDENCE: The registered manager confirmed that she or her deputy visited all prospective residents before admission to the home to carry out a full assessment of need. Documents and information from these assessments was seen in three care records and was appropriate. Enough information had been collated to ensure a care plan could be formulated on admission. Residents are invited to spend time in the home before admission and for those residents unable to visit the home prior to admission the registered manager has a book containing photographs of the home which she takes out with her on the initial visit. Glenfield House Nursing Home E52 S4110 Glenfield V236259 180705.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 & 8 The health care needs of residents are well met, with evidence of multidisciplinary team working. Care plans contained appropriate information to ensure care needs of residents are met. Personal care is offered to residents in a manner, which maintains their privacy and dignity. EVIDENCE: Three care plans were examined during the inspection. Information contained in these focused on specific care needs that related to the daily activities of living and also took into account other medical conditions specific to the resident. Staff spoken to during the inspection said they were given enough information to care for residents safely. There was evidence of resident and family involvement in individual care plans. A General Practitioner was seen during the course of the inspection carrying out her weekly round and other members of the multidisciplinary team visited on request. Glenfield House Nursing Home E52 S4110 Glenfield V236259 180705.doc Version 1.40 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 &15 Residents were offered a stimulating programme of activities on a regular basis. EVIDENCE: The home employed an activities coordinator who worked regularly each week in the home. Other activities were sourced externally. Residents were observed during the course of the inspection taking part in a crossword puzzle. Records seen for these activities were not up to date. Staff felt at times that residents who required 1:1 activities were not offered these on a regular basis and staff felt they did not have time to spend with residents. Staff told the inspector the home was based on choice and residents chose when they went to bed and got up. Residents spoken to during the course of the inspection said ‘I am very happy here’ and ‘just like home’. The kitchen and dietary needs of residents was not fully inspected during this inspection, although staff spoken to said liquefied meals were not appropriate for residents and the inspector was told that the previous days lunch was liquefied for suppers. This is not appropriate and was discussed with the registered manager. Glenfield House Nursing Home E52 S4110 Glenfield V236259 180705.doc Version 1.40 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 The policies and procedures with regard to the protection of the Vulnerable Adult are robust and ensure residents rights are protected EVIDENCE: The registered manager said there had been no complaints to the home since the last inspection. A recent event, which was referred to, the Commission for Social Care Inspection remains unresolved after a thorough investigation carried out by the home; neither the home or the Commission is taking any further action. Policies and procedures are robust and staff are aware of their responsibilities in protecting the vulnerable adult and staff receive training in this field. Residents spoken to said they understood the complaints procedure and would voice any concerns to senior staff on duty and the registered manager. Glenfield House Nursing Home E52 S4110 Glenfield V236259 180705.doc Version 1.40 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,23,24,25 & 26 Despite there being some areas of the home in need of refurbishment, residents have a comfortable standard of accommodation. EVIDENCE: A tour of the premises was undertaken all communal rooms and some bedrooms were inspected. Residents are able to personalise their bedrooms and the home is clean and warm. Some environmental issues which related to general refurbishment and health and safety were discussed with the registered manager and have become requirements of this report. Glenfield House Nursing Home E52 S4110 Glenfield V236259 180705.doc Version 1.40 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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 There were enough staff on duty to meet the needs of residents. EVIDENCE: The duty rota was inspected and there were enough staff to meet the needs of the residents throughout a 24 hour period. The registered manager continues to attempt to employ a twilight shift in the home but is experiencing difficulties in recruiting. It was noted that one member of staff had not attended moving and handling training and an immediate requirement was left with the home. Glenfield House Nursing Home E52 S4110 Glenfield V236259 180705.doc Version 1.40 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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) 38 The home is managed well. The registered manager and her staff have created an atmosphere where residents feel well cared for and safe in a homely environment. EVIDENCE: The registered manager is a registered nurse and has the experience, knowledge and qualifications to run the home. Staff were observed handling residents appropriately although during the course of the afternoon the inspector witnessed a staff member pushing a resident without footplates on the wheelchair and an immediate requirement notice was left with the home. Records, which ensured the health and safety of residents, visitors to the home and staff were in order and regular fire drills take place and records kept. Glenfield House Nursing Home E52 S4110 Glenfield V236259 180705.doc Version 1.40 Page 15 Glenfield House Nursing Home E52 S4110 Glenfield V236259 180705.doc Version 1.40 Page 16 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 2 COMPLAINTS AND PROTECTION 2 3 3 3 3 2 3 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x 2 Glenfield House Nursing Home E52 S4110 Glenfield V236259 180705.doc Version 1.40 Page 17 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. 2. Standard OP12 OP12 Regulation 16 16 Requirement A record of activities offered to residents must be up to date and open to inspection A programme of activities must be offered to those residents who are unable to join in communal activities Arrangements must be made for liquefied meals offered to residents in the evening being fresh and appropriately served Worn beds must be replaced All the items of furniture specified in Standard 24.2 must be provided in rooms occupied by residents. If the provision of any item poses an unacceptable risk to the resident or they decline the provision, details of the discussions and decisions about this should be recorded in the assessment of the residents needs. Residents must be provided with a key to their bedroom door unless a risk assessment suggests otherwise Residents must be provided with lockable storage space for medication, money and valuables and a key which he or Timescale for action 30/08/05 30/08/05 3. OP15 16 Immediate 4. 5. OP19 OP24 16 16 30/09/05 30/09/05 6. OP24 12,13 30/09/05 7. OP24 12,13 30/09/05 Glenfield House Nursing Home E52 S4110 Glenfield V236259 180705.doc Version 1.40 Page 18 8. OP37 26 9. OP37 26 10. OP38 23 11. 12. 13. OP38 OP38 OP38 13 23 13 she can retain (unless the reason for not doing so is explained in the care plan). Visits to the home by the registered provider must take place at least once a month in accordance with the requirements of Regulation 26 The person carrying out the monthly visit on behalf of the registered provider must prepare a written report on the conduct of the care home and supply copies to the Commission, the registered manager and the registered provider in accordance with the requirements of Regulation 26. There must be evidence that all staff have been involved in and/or received instructions on what to do in the event of a fire every three months. All staff must moving and handling training before commencing work in the home Fire doors must not be wedged open Wheelchairs must have foot plates on when residents are being pushed in them 31/10/05 31/10/05 Immediate Immediate Immediate Immediate 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. 3. Refer to Standard OP38 OP38 OP38 Good Practice Recommendations It is recommended the accident book is audited monthly It is recommened the home purchase some nursing style beds It is recommended the registered manager develop a fire instruction training matrix to evidence that all staff have been involved in a fire drill or received instructions at least 3 monthly. E52 S4110 Glenfield V236259 180705.doc Version 1.40 Page 19 Glenfield House Nursing Home Glenfield House Nursing Home E52 S4110 Glenfield V236259 180705.doc Version 1.40 Page 20 Commission for Social Care Inspection The Coach House, John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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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