Inspection on 02/02/06 for Glengariff Residential Home

This inspection was carried out on 2nd February 2006.

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

Glengariff Residential Home 04/06/09

Glengariff Residential Home 18/06/08

Glengariff Residential Home 05/06/07

Glengariff Residential Home 06/06/06

Glengariff Residential Home 17/03/05

Glengariff Residential Home 24/11/04

Glengariff Residential Home 10/12/03

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

CARE HOMES FOR OLDER PEOPLE Glengariff Residential Home 45 Freeland Road Clacton On Sea Essex CO15 1LX Lead Inspector Kay Mehrtens Final Unannounced Inspection 10:30 2nd February 2006 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 Glengariff Residential Home DS0000017831.V277375.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 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. Glengariff Residential Home DS0000017831.V277375.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Glengariff Residential Home Address 45 Freeland Road Clacton On Sea Essex CO15 1LX 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) 01255 220397 01255 220880 Glengariff Company Limited Manager post vacant Care Home 56 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (56) of places Glengariff Residential Home DS0000017831.V277375.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 56 persons) Five persons aged 65 years and over, who require care by reason of dementia, whose names were made known to the Commission in July 2004 The total number of service users accommodated in the home must not exceed 56 persons 7th July 2005 Date of last inspection Brief Description of the Service: Glengariff is a care home for older people accommodating a maximum of 56 service users. The property is a three storey converted hotel close to the town centre and seafront. The upper floors are accessed via a passenger lift. Most bedrooms are single occupancy and all have en-suite facilities. There is a choice of communal areas and a large garden at the rear of the building. Glengariff Residential Home DS0000017831.V277375.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection that took place on the 3rd February 2006, lasting 6.5 hours. This was the second statutory inspection of the year and focussed on the remaining key standards not inspected at the last inspection, as well as a review of the requirements and recommendations from the last inspection. The inspection process included: discussions with the manager, staff and residents. There were 41 residents accommodated at the time of the inspection. The fees range from £365.00 to £460.00 per week. There are additional charges for hairdressing, newspapers and personal items. The premises were inspected, including the grounds. Samples of records and residents care plans were inspected. The inspector had the opportunity to meet many residents and would like to thank them for their time and hospitality. The inspection covered ten standards. The home was clean and well maintained. The staff were observed to be very respectful and caring with residents. The acting manager approached the inspection in a positive and cooperative manner that was focused on achieving best practice to meet the needs of the residents. The commission has yet to receive an application for a registered manager and this has been raised at previous inspections. What the service does well: Residents’ comments were very positive regarding the care provided at the home. Several residents told the inspector that they “were very happy here…felt it was there home… and staff spoil us”. Relatives spoken to at the inspection were equally pleased with the care provided and said that the home was “always clean and the staff friendly.” Glengariff Residential Home DS0000017831.V277375.R01.S.doc Version 5.1 Page 6 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. Glengariff Residential Home DS0000017831.V277375.R01.S.doc Version 5.1 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 Glengariff Residential Home DS0000017831.V277375.R01.S.doc Version 5.1 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 The arrangements for pre-admission assessments are good so staff are aware of residents’ needs prior to their placement. EVIDENCE: The manager and deputy undertake the pre-admission assessments on all new referrals. The documentation seen was very detailed and covered all aspects of the residents’ care needs and history. It provided a good picture of the person being assessed and enabled them to feel part of the process, as the information is gathered from the prospective resident, their family and other agencies, as appropriate. The assessments provided good information to enable the development of useful initial care plans and consistent care on admission to the home. Glengariff Residential Home DS0000017831.V277375.R01.S.doc Version 5.1 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): 7 and 8 Care plans provided sufficient information to assist staff in meeting the needs of residents. The health care needs of residents were well met. EVIDENCE: Two care plans were sampled and were of a good standard. The care plans addressed all the identified needs as stated in the pre-admission assessment and from discussion with the residents concerned. They were well written and provided detailed information so that new staff would know exactly what to do to meet the needs of the residents. The plans included clear information with regard to the individual health care needs and difficulties as well as residents’ comments and requests with regard to private time and independence. Daily recording was noted to comment more on physical than social and emotional issues for residents and so lacked a balanced view. Glengariff Residential Home DS0000017831.V277375.R01.S.doc Version 5.1 Page 10 Risk assessments and monitoring of residents’ pressure areas and nutritional needs were clear and were regularly reviewed, as were all the care plans for each resident. Records of specialist health appointments and outcomes were well maintained. There was detailed information regarding medical interventions, outcomes of hospital visits and advice sought from relevant health care professionals. The monitoring records on residents’ nutritional, dietary and weight needs were well maintained. There was good evidence of input and advice from health care professionals with regard to pressure care, diabetes and falls prevention. Additional support and advice had been sought from local health care services to reduce hospital admissions. The manager told the inspector that she and her staff team had found this input and support very useful. Residents told the inspector that the staff look after their health needs and keep them well. There was good evidence of residents’ involvement in their health care plans and interventions. The manager and staff came across as well informed about the individual health needs of the residents. The inspector was impressed by the response by staff to the needs of one resident who was in pain and they addressed their needs gently and efficiently. Glengariff Residential Home DS0000017831.V277375.R01.S.doc Version 5.1 Page 11 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): 14 Residents’ choice is respected in many aspects of their life in the home. EVIDENCE: The standard with regard to activities (12) was not fully inspected, at this visit. However, the inspector noted that the activity worker spent most of her allocated hours for the day sorting out hairdresser payments. This is not a good use of activity hours, as residents had no access to any meaningful activity during the day due to this action. This was brought to the attention of the manager. Several residents told the inspector that they are supported in maintaining their independence as much as possible whilst living in the home. Some of them go out regularly to meet friends and family. They told the inspector that the staff respect their choices in many areas of their life in the home. They felt well supported by the manager and staff to go to different activities both in and out of the home. One resident said that their choice to “be left alone” with their papers and television was respected. Records examined showed that residents are encouraged to maintain their own finances with support provided when required. Records were well maintained and risk assessments undertaken with residents should they choose to Glengariff Residential Home DS0000017831.V277375.R01.S.doc Version 5.1 Page 12 manager their own affairs. The manager had worked well with residents and the commission to ensure that the residents’ finances are protected. Residents told the inspector that they could bring their own possessions with them when they moved in. There was information available to residents with regard to accessing advocacy services, if required. Glengariff Residential Home DS0000017831.V277375.R01.S.doc Version 5.1 Page 13 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): 18 Staff training was not sufficient to ensure the protection of residents. EVIDENCE: The home has relevant policies and procedures with regard to Protection of Vulnerable Adults. The manager was very aware of the need to check the Protection of Vulnerable Adults (POVA) register with regard to staff employment. There was relevant and accessible information for staff with regard to the local Protection of Vulnerable Adults referral process. The manager has taken positive steps with regard to recent incidents of theft in the home and worked well with residents, staff and the local police to address the issue. The staff training records showed that several members of care staff required Protection of Vulnerable Adults training. Protection of Vulnerable Adults training should also be provided for catering and domestic staff and this needs to be addressed. Glengariff Residential Home DS0000017831.V277375.R01.S.doc Version 5.1 Page 14 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 Residents are provided with a safe, well maintained and pleasant home. EVIDENCE: Relatives and residents spoken to during the inspection were very complimentary regarding the cleanliness of the home. The inspector visited during the morning and there was no evidence of any odour throughout the home. The inspector did a tour of the premises and the standard of hygiene was very good. The home was warm and bright. The provider had done a lot of work raising the standard of the décor and fittings. New carpets had been laid in many areas and several bedrooms redecorated. Glengariff Residential Home DS0000017831.V277375.R01.S.doc Version 5.1 Page 15 The large “garden room” had been tidied and redecorated and provided a more inviting space for residents and their visitors to sit and chat. There is a small kitchen area for residents and their visitors to make tea. Several relatives told the inspector that they had noted the improved décor and were looking forward to using the “garden room” in the warmer weather. Glengariff Residential Home DS0000017831.V277375.R01.S.doc Version 5.1 Page 16 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): 29 and 30 Staff recruitment practices are sufficient to ensure residents’ protection. Staff training ensures that the needs of the residents are well met. EVIDENCE: Staff recruitment records were well managed and all required checks and information, on staff files sampled, were in place. The manager informed the inspector that she had undertaken discussions and risk assessments with staff following CRB returns, as appropriate. She was advised to ensure that any discussions were recorded on individual staff files. The manager had worked hard to produce a spreadsheet detailing staff training achievements and requirements. This clearly showed the need for some staff to do Protection of Vulnerable Adults training. It also highlighted the development of training in areas relevant to the residents’ needs such as manual handling and infection control. Additional training had been sought from health care specialist on topics that included diabetes, continence, health and catheter care. The inspector spoke to some recently recruited care staff. They said that they had enjoyed the training provided. There was a good record of evidence for their induction training on their individual files. Glengariff Residential Home DS0000017831.V277375.R01.S.doc Version 5.1 Page 17 The staff training records showed that approximately 49 of staff had achieved National Vocational Qualification level 2. An additional two members of staff were undertaking level 3 and the deputy was awaiting the result of her level 3 submissions of work. During the inspection, the inspector observed an incident in which staff took a long time to respond to a call bell. The manager was with the inspector when a resident, who was in pain and uncomfortable in their chair, called for assistance. The manager pressed the call bell but after 3 minutes the staff had not responded. The manager went to find the staff on duty to assist the resident. This took her several minutes before she could find sufficient staff to assist the resident. Once sufficient staff arrived their response was positive and caring and the residents’ needs were assessed and dealt with. However, the incident did raise concerns regarding the systems in place for staff to respond to the call bells in an efficient manner. Glengariff Residential Home DS0000017831.V277375.R01.S.doc Version 5.1 Page 18 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): 33 and 38 There is no quality assurance process in place as yet. Practices and procedures ensure that the health and safety of residents are protected. EVIDENCE: The manager informed the inspector that she had not achieved the standard with regard to quality assurance. She had not sent out survey forms to any residents or other interested parties. The inspector advised her of the need to seek residents vies and involve them in the quality process. This standard will be monitored at the next inspection. The inspector observed an incident of good practice, with regard to infection control, by a member of staff. They explained to a resident that they would help them once they had washed their hands as they had previously assisted another resident with personal care. This member of staff and her colleague Glengariff Residential Home DS0000017831.V277375.R01.S.doc Version 5.1 Page 19 were also observed to carefully explain what they were doing and so reassured the resident and put them at ease whilst attending to their personal care needs. Health and safety records were well organised. The required checks with regard to electrics, hoists, lift, gas and water temperatures are maintained and monitored. Staff training with regard to manual handling, food hygiene and infection control was recorded and monitored for refresher training. Glengariff Residential Home DS0000017831.V277375.R01.S.doc Version 5.1 Page 20 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 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 2 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 3 X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X X X X 3 Glengariff Residential Home DS0000017831.V277375.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 OP18 OP33 Regulation 13 & 18 24 Requirement The registered person must ensure that all staff receives Pova training. The registered person must ensure that a quality assurance system is developed for the home, based on seeking the views of service users and other interested parties. This was not fully inspected and will be monitored at the next inspection. Timescale for action 21/04/06 21/04/06 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 OP12 OP27 Good Practice Recommendations The registered person should ensure that allocated activity worker hours are used to provide meaningful activities for residents. The registered person should ensure that there is sufficient time alloted for adequate staff handover. Glengariff Residential Home DS0000017831.V277375.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Glengariff Residential Home DS0000017831.V277375.R01.S.doc Version 5.1 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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