Inspection on 02/08/06 for Glenfield Woodlands

This inspection was carried out on 2nd August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Glenfield Woodlands 27/04/07

Glenfield Woodlands 06/01/06

Glenfield Woodlands 16/08/05

Glenfield Woodlands 08/02/05

Glenfield Woodlands 22/06/04

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

CARE HOMES FOR OLDER PEOPLE Glenfield Woodlands 11 Holmwood Drive Glenfield Leicester Leicestershire LE3 9LG Lead Inspector Kim Cowley Unannounced Inspection 2nd August 2006 12:30 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 Glenfield Woodlands DS0000006397.V304890.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. Glenfield Woodlands DS0000006397.V304890.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glenfield Woodlands Address 11 Holmwood Drive Glenfield Leicester Leicestershire LE3 9LG 0116 2871696 0116 2871696 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) Holmwood Residential Care Limited Mrs Rena Lewis Mrs Linda Streather Care Home 17 Category(ies) of Dementia - over 65 years of age (5), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (5), Old age, not falling within any other category (17), Physical disability over 65 years of age (5) Glenfield Woodlands DS0000006397.V304890.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service user numbers. No person falling within category PD(E) to be admitted to the home when there are 5 persons of that category already accommodated in the home. Service user numbers. No person to be admitted to the home in categories MD(E) or DE(E) when 5 persons in total of these categories/combined categories are already accommodated in the home. 6.01.06 2. Date of last inspection Brief Description of the Service: Glenfield Woodlands is a privately owned residential home situated off the A50 Groby Road between County Hall and Glenfield Hospital. The home, which was built in the 1920s, caters for older people, some of whom may have mental health needs and/or physical disabilities. The home has 15 single bedrooms and one double, all of which have en-suite facilities. Downstairs there are two lounges and a dining room. To the rear of the home is nearly an acre of landscaped gardens with places to walk and sit. Shops, a post office, bus stops and parks are close to the home. Fees range from £425 to £482 per week. Glenfield Woodlands DS0000006397.V304890.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included a visit to the home and inspection planning. Prior to the home visit, the inspector spent half a day reviewing the last inspection report, and information relating to the home received since that inspection. During the course of the inspection, which lasted four hours, the inspector checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means that the inspector looked at the care provided to three residents living at the home by talking with the residents themselves; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were inspected. Three further residents, the Manager, the Operations Manager, two carers, and two visitors, were also interviewed. The premises, staff team, and Manager were commended. What the service does well: Glenfield Woodlands is a well run home, which offers a high standard of accommodation to residents. The premises are immaculate, being maintained, decorated, and furnished to a high standard. On the day of inspection the home had a relaxed and peaceful atmosphere. Residents were sitting in the lounges socialising and reading the papers. All residents interviewed said they were happy living at Glenfield Woodlands. Their comments included: ‘You’d have to go a long way to find a home as good as this.’ ‘I couldn’t find anything to fault here.’ ‘I’m very happy here and I wouldn’t want to go anywhere else.’ ‘You couldn’t beat this home.’ ‘This home is the “crème de la crème”!’ Residents’ care needs are met by a team of warm and professional care workers. The staff team is established and therefore able to provide continuity of care. All residents interviewed made many positive comments about the home including, ‘The staff work hard, all of them’, and ‘The staff treat me like a lady.’ A relative said, ‘The staff are kind with good attitudes.’ All staff interviewed said they liked working at the home. One said, ‘There is a friendly atmosphere here. All the staff get on and the residents are wonderful.’ Glenfield Woodlands DS0000006397.V304890.R01.S.doc Version 5.2 Page 6 The Manager is well organised and efficient and the routine in the home is flexible, with residents encouraged to determine their own lifestyles. One resident said, ‘We go to bed when we like and get up when we like.’ Another said, ‘No-one tells us what to do here, we please ourselves.’ What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Glenfield Woodlands DS0000006397.V304890.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 Glenfield Woodlands DS0000006397.V304890.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents’ needs are assessed prior to admission to ensure the home is suitable for them. EVIDENCE: Prospective residents and other interested parties are sent a brochure on request. This provides basic information about the home and facilities, and includes directions and a map. A copy of the Terms and Conditions is included with this. Residents who are considering coming to Glenfield Woodlands are invited to visit with their relatives prior to making a decision. Some prospective residents come for respite or day care before moving in so they can get used to the home. Glenfield Woodlands DS0000006397.V304890.R01.S.doc Version 5.2 Page 9 The Manager assesses all prospective residents in their own homes, in hospital, or during a visit to Glenfield Woodlands. Information is sought from health and social care professionals where appropriate. One relative commented, ‘My (relative) came here for respite care first. The staff made her very welcome. We liked it because it is small and homely. My (relative) is now a permanent resident and I think this is the right place for her.’ The home has a waiting list, which is periodically reviewed. Standard 6: This home does not provide intermediate care. Glenfield Woodlands DS0000006397.V304890.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents’ health and social care needs are met. EVIDENCE: Detailed care plans, based on residents’ assessments, are written and referred to on a daily basis by care staff. These are updated as necessary and at least once a month. Risk assessments are carried out using the home’s risk assessment forms. The Manager said staff always sit and talk to residents about their care plans before they are implemented. Once they give their agreement they have the opportunity to sign the plans if they are able to. Three plans of care were inspected in detail and found to be comprehensive with clear instructions to staff about how best to meet care needs. Daily care needs were summarized and appropriate risk assessments in place. Glenfield Woodlands DS0000006397.V304890.R01.S.doc Version 5.2 Page 11 Care plans are kept in the Manager’s office and are accessible to care staff. Other residents’ records are kept in the home’s main office. The home has an allocated District Nursing Team who work from a local health centre and visit every week or when necessary. The Manager said staff have a good relationship with the District Nurses and go to them for advice whenever they need to. District Nurses provide staff training when required. If residents are unable to keep their former GPs on admittance to the home, they are registered with a local GP practice. New residents have a full audit of their health needs carried out, and every resident is seen routinely every three months for a further health audit. Their medication is reviewed at the same time. One visitor commented that the staff had been quick to refer her relative to the GP due to a health problem. And records showed that a resident with a specific medical condition receives good specialist care in the home. The home has a range of equipment to relieve pressure sores. All staff receive training in pressure sore care during induction and have access to a specialist training video to enhance this. The emphasis in the home is on the prevention of pressure sores, and advice is sought from health care professionals where necessary. Residents are weighed on admission, and then as required. The Manager said staff weigh residents regularly if their weight appears to be fluctuating All residents are seen by a chiropodist (private or NHS depending on their preference) at least every three months. A dentist and optician also visit the home when necessary. Staff are trained to administer medication during their six weeks induction. When the Manager is satisfied they have reached an appropriate level of competency they take a test. If they pass they are ‘signed off’ as fit to administer medication. The contract pharmacist provides additional training in medication administration. The Manager said she checks medication records weekly to make sure they are being properly kept. Medication is supplied by the home’s contract pharmacist who provides advice to staff on request. Staff receive training during their induction on maintaining residents’ privacy and dignity. This is first done through discussions with the Manager or another senior member of staff, and then by giving staff the opportunity to shadow experienced members of staff on duty. When staff have completed their induction they fill in an Induction Training Questionnaire, which includes sections of promoting choice, independence, dignity and respect, and awareness of professional boundaries. Glenfield Woodlands DS0000006397.V304890.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 The quality outcome for this area is good. This judgement has been made using the available evidence including a visit to the service. Daily life and social activities enable residents to lead full lives. EVIDENCE: Occasional activities are provided including visiting entertainers, bingo, and an annual barge trip. Since the last inspection a set of jigsaw puzzles has been purchased. The Manager said these are popular with the residents as they were designed for older people with limited dexterity and have large pieces, which are easier to manoeuvre. Some residents said they enjoyed reading books and newspapers. One resident knits. A hairdresser visits once a week. The home has a small library. Communion is held once a month. Residents appear to enjoy each other’s company. One commented, ‘There’s always someone to talk to. That’s what I like about living here.’ However one resident said, ‘There’s not a lot for us to do here.’ This comment was discussed with the Manager. She said that staff did try and organise more activities but it could be difficult to get the residents interested. It is suggested that staff meet with residents and ask them if there are any other activities Glenfield Woodlands DS0000006397.V304890.R01.S.doc Version 5.2 Page 13 they would like, and then try to provide them where possible. And a designated member of staff, for example one of the carers, could be put in charge of overseeing activities in the home. The Manager said visitors are welcome at the home at any time, although they may wish to avoid mealtimes. Residents receive visitors in their own rooms or in one of the lounges, the dining room, or the garden. Residents take an interest in each other’s families and enjoy watching children who visit playing in the garden. Residents are encouraged to make choices about their lifestyles while in the home. For example, with regard to bedtimes, getting up times, and how they spend their time. The Manager said some residents like to have an identified chair in one of the lounges, which is ‘theirs’. This is agreed by negotiation. A new full-time cook has been appointed and was due to start work at the end of August. Until then care staff are doing the cooking. All have their Basic Food Hygiene certificate. There is a five-weeks rotating menu based on residents’ preferences. Menus were inspected and the home was found to offer a varied and wholesome diet with most food being homemade. Special diets are catered for and diabetic alternatives provided where required. A list of residents ‘likes and dislikes’ is displayed in the kitchen. Most residents have their meals in the dining room, which overlooks the garden. This room is furnished with small dining tables which seat four and residents choose where they sit. The dining room is well presented with flowers and menus on each table and coordinated place settings. Residents who wish to can dine in one of the lounges or in their own rooms. Meal/refreshment times are as follows: 6am – 7.45am Hot drink in own room 8.15am – 9.30am Breakfast 11am Morning coffee 12 noon Sherry 12.30pm Lunch 3pm Afternoon tea 5.15pm Tea 8pm Evening drink Lunch was served during the inspection and consisted of chicken with stuffing, roast and creamed potatoes, broccoli, and peas, followed by chocolate mousse with mandarin oranges and cream All residents interviewed praised the food. One resident said, I can’t fault the meals,’ and another commented, ‘We eat very well here.’ Glenfield Woodlands DS0000006397.V304890.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents feel able to talk to staff about any concerns they might have. EVIDENCE: All residents and their representatives receive a copy of the home’s complaint procedure at the point of admission. The Manager said the procedure is also explained to them verbally. The inspector asked residents what they would do if there were something they were not happy about in the home. All said they would speak to staff. The Manager said relatives are also encouraged to talk to staff if there was a problem or speak to herself or the Owners. The home has a policies and guidance on preventing abuse and whistle blowing. These explain the different forms abuse might take, and advises staff on how to respond to allegations. Staff are trained in-house to protect residents from abuse. The Manager demonstrated a good understanding of the relevant issues and how to proceed should an allegation be made. There have been no complaints made about this service since the last inspection. Glenfield Woodlands DS0000006397.V304890.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Residents live in an environment that is safe and well maintained. EVIDENCE: Glenfield Woodlands provides a high standard of accommodation. The premises are homely, comfortable and well decorated and furnished. It is evident that great care has been taken to make the home attractive and pleasant. The garden is a feature of the home, being nearly an acre in size. It is professionally landscaped and maintained. It has a number of walking and seating areas, extensive lawns, mature trees, and well-stocked flowerbeds. Residents’ comments about the premises included: ‘This home is like a hotel.’ ‘The decoration suits me because it’s like I’d have it at home.’ Glenfield Woodlands DS0000006397.V304890.R01.S.doc Version 5.2 Page 16 ‘I like to walk round the garden and look at the trees.’ ‘My favourite thing here is the garden.’ ‘The bedrooms are lovely.’ This was an unannounced inspection and all areas of the home inspected were clean and tidy. The home has a part-time housekeeper and care staff also help with the cleaning. The Manager said cleanliness is a top priority in the home and residents’ rooms are cleaned every morning. A window cleaner is employed for two hours per week. Residents’ comments included: ‘This home is very clean.’ ‘My room is spotless.’ ‘This home is always immaculate.’ The standard, quality and cleanliness of the premises and the extensive, well-maintained gardens are commended. Glenfield Woodlands DS0000006397.V304890.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Well-trained and professional staff meets residents’ needs. EVIDENCE: The home has an established staff team who are able to provide continuity of care. Relationships between staff and residents were seen to be excellent in that they were warm, caring, and respectful. Recruitment procedures were discussed. Vacant posts are advertised in the local newspaper. Candidates are interviewed by the Manager and if successful references are applied for including one from the most recent employer. CRB/POVA checks are applied for once a new member of staff starts work. While waiting for clearance, staff sign a criminal records declaration form and work under supervision at all times. These procedures help to safeguard residents. A comprehensive staff induction-training programme is in place. This covers fire safety, food hygiene, moving and handling, health and safety, first aid, and infection control. Staff are encouraged to gain NVQs and other qualifications and the certificates they have gained are displayed in the home. One member of staff said, ‘The training here is top notch.’ Glenfield Woodlands DS0000006397.V304890.R01.S.doc Version 5.2 Page 18 All residents interviewed praised the staff and the following comments were made: ‘The staff work hard, all of them.’ ‘All the staff pull their weight.’ ‘The staff are very kind.’ ‘We are looked after well.’ ‘The staff treat me like a lady.’ A relative said, ‘The staff are kind with good attitudes.’ All staff interviewed said they liked working at the home. One said, ‘There is a friendly atmosphere here. All the staff get on and the residents are wonderful.’ The staff team are commended. Glenfield Woodlands DS0000006397.V304890.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents live in a home that is safe and well managed. EVIDENCE: The Manager is well organised and efficient. She has NVQ Level 4 and has been employed at Glenfield Woodlands for eight years. She works closely with the Operations Manager who oversees the administrative side of the home. Good systems are in place to enable the home to run smoothly and consultation with residents is central to this process. The Manager is commended for running the home effectively. Glenfield Woodlands DS0000006397.V304890.R01.S.doc Version 5.2 Page 20 The routine in the home is flexible and residents are encouraged to determine their own lifestyles. One resident said, ‘We go to bed when we like and get up when we like.’ Another commented, ‘No-one tells us what to do here, we please ourselves.’ Residents look after their own money or have their representatives look after it for them. The Manager will take care of small amounts of cash (for example, for hairdressing/chiropody) and appropriate double-signed records are kept when this happens. Good systems are in place to maintain the health and safety of staff and residents. One of the Owners works in the home overseeing the care and maintenance of the premises with records kept. Since the last inspection staff have had comprehensive in-house health and safety training. This should help them to maintain a safe environment for residents where risks are minimised. The home’s fire risk assessment was updated on 05.07.06. A fly-screen, recommended by the home’s Environmental Health Officer, has still to be fitted in the kitchen. This should be done as soon as possible so staff do not have to work with the kitchen windows shut. Glenfield Woodlands DS0000006397.V304890.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X 3 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 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Glenfield Woodlands DS0000006397.V304890.R01.S.doc Version 5.2 Page 22 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 Glenfield Woodlands DS0000006397.V304890.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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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