CARE HOMES FOR OLDER PEOPLE
Glenfield Woodlands 11 Holmwood Drive Glenfield Leicester Leicestershire LE3 9LG Lead Inspector
Kim Cowley Unannounced Inspection 11:00 6 January 2006
th 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.V265728.R01.S.doc Version 5.0 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.V265728.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Glenfield Woodlands Address 11 Holmwood Drive Glenfield Leicester Leicestershire LE3 9LG 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 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.V265728.R01.S.doc Version 5.0 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. 16th August 2005 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. Glenfield Woodlands DS0000006397.V265728.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on a weekday. When undertaking inspections the Commission for Social Care Inspection (CSCI) focuses on the outcomes for residents living in a home. In order to do this, the inspector ‘case tracked’ four residents. This means the inspector checked their care records and, where appropriate, met with them. In addition the inspector met a further two residents, and interviewed the Manager and one carer. Further care and other records were examined. The Manager and staff are commended for running the home so effectively. No recommendations or requirements were made. What the service does well:
Glenfield Woodlands is a friendly and well-run home. Is maintained, decorated, and furnished to a high standard. It is evident that great care has been taken to make the premises and the extensive gardens attractive and pleasant. Residents’ care needs are met by a team of warm and professional care workers. All residents interviewed made many positive comments about the home including: ‘This is a very happy place.’ ‘It’s a very good home and I’ve got no complaints.’ ‘The staff are very particular and that’s why the home is so clean.’ ‘This home is immaculate.’ ‘Everyone’s very nice here.’ ‘The staff are very nice and very patient.’ ‘My relatives love visiting me here.’ ‘I love it here and I’ve been very happy since I moved in.’ ‘You couldn’t find one fault with this home.’ ‘All the staff are wonderful.’ During the inspection lunch was served. Prior to this residents were offered a sherry in the lounges. One resident commented, ‘Isn’t this lovely. We have sherry together every day before lunch.’ Residents then went through to the dining room, which overlooks the garden. Lunch consisted of chicken casserole with herb dumplings, Lyonnaise potatoes, and peas, followed by chocolate mousse with cream and mandarin oranges. The meal was unhurried and the atmosphere friendly and relaxed. It was observed during the inspection that the Manager and staff work effectively together. The Manager said ‘I have an excellent staff team at the moment and we all pull together to get things done.’ A care worker said ‘This is
Glenfield Woodlands DS0000006397.V265728.R01.S.doc Version 5.0 Page 6 a nice place to work and the Manager’s always there for us. You can go and see her at any time.’ Team spirit was much in evidence and the Manager and staff are commended for running the home so effectively. 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.V265728.R01.S.doc Version 5.0 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.V265728.R01.S.doc Version 5.0 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): EVIDENCE: These Standards were inspected at the last inspection on 16.08.05. Glenfield Woodlands DS0000006397.V265728.R01.S.doc Version 5.0 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 the following standard(s): EVIDENCE: These Standards were inspected at the last inspection on 16.08.05. Glenfield Woodlands DS0000006397.V265728.R01.S.doc Version 5.0 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 the following standard(s): EVIDENCE: These Standards were inspected at the last inspection on 16.08.05. Glenfield Woodlands DS0000006397.V265728.R01.S.doc Version 5.0 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 the following standard(s): 16, 18 There is a user-friendly complaints procedure for residents and their representatives to follow. Good systems are in place to protect residents from abuse. 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 out. Comments included, ‘I’d tell the Manager if something was wrong’, and ‘I’d tell the staff on duty.’ The home has a policies and guidance on preventing abuse and whistle blowing. These explain the different forms abuse might take, and advise 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. Glenfield Woodlands DS0000006397.V265728.R01.S.doc Version 5.0 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 the following standard(s): EVIDENCE: These Standards were inspected at the last inspection on 16.08.05. Glenfield Woodlands DS0000006397.V265728.R01.S.doc Version 5.0 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 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): EVIDENCE: These Standards were inspected at the last inspection on 16.08.05. Glenfield Woodlands DS0000006397.V265728.R01.S.doc Version 5.0 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 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 The home is well run by a friendly and approachable Manager. Residents’ views are listened to and taken into account. Residents’ financial interests are safeguarded. Good health and safety policies and procedures are place. EVIDENCE: The management team consists of the Owners, the Manager, and the Operations Manager. The Manager said the Owners are supportive and on call 24 hours a day for advice and support. The Manager is friendly and approachable. One resident commented, ‘You can talk to the Manager about absolutely anything.’ It was observed during the inspection that the Manager and staff work effectively together. The Manager said, ‘I have an excellent staff team at the moment and we all pull together to get things done.’ A care worker said, ‘This
Glenfield Woodlands DS0000006397.V265728.R01.S.doc Version 5.0 Page 15 is a nice place to work and the Manager’s always there for us. You can go and see her at any time.’ Team spirit was much in evidence and the Manager and staff are commended for running the home so effectively. Residents’ views are taken into account. The Manager said ‘We are constantly consulting with our residents and we talk to them before we make any major decisions about the home.’ Residents’ meetings are held (with minutes taken) and surveys of residents’ views carried out. Residents choose what activities they would like staff to organise. 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 in the home. One of the Owners works in the home overseeing the care and maintenance of the premises with records kept. Staff receive inhouse training on health and safety. The Manager reported that one of the bath hoist seats is in need of replacement. A new one has been ordered and until this arrives a temporary repair has been carried out of the old one. Glenfield Woodlands DS0000006397.V265728.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 X 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.V265728.R01.S.doc Version 5.0 Page 17 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.V265728.R01.S.doc Version 5.0 Page 18 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
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