Inspection on 24/03/06 for Glengarry Court

This inspection was carried out on 24th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Glengarry Court 27/06/07

Glengarry Court 18/08/05

Glengarry Court 21/12/04

Glengarry Court 06/07/04

Glengarry Court 19/02/04

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

CARE HOMES FOR OLDER PEOPLE Glengarry 16 Victoria Road Poulton Le Fylde Lancashire FY6 7JA Lead Inspector Mrs Jennifer Dunkeld Unannounced Inspection 24th March 2006 10:00 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 Glengarry DS0000009677.V270587.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. Glengarry DS0000009677.V270587.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Glengarry Address 16 Victoria Road Poulton Le Fylde Lancashire FY6 7JA 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) 01253 883387 01253 883387 Mrs Christine Hepwood Mr Ronald George Hepwood Ms Susan Anne Cottell Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Glengarry DS0000009677.V270587.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered provider must at all times employ a suitably experienced and qualified manager who is registered with the NCSC 18th August 2005 Date of last inspection Brief Description of the Service: Glengarry is a care home providing personal care and accommodation for 15 older people. The home has a no smoking commitment. There are 15 single bedrooms, all of which have en-suite facilities. The home is owned by Mr and Mrs Hepwood and managed by Ms Susan Anne Cottell. The home is located in Poulton close to the shops and other facilities. There are 2 communal lounges, one facing the front of the home and one with views across the rear garden both are well maintained and in good decorative order. The home is tastefully furnished throughout. Glengarry DS0000009677.V270587.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This home has been inspected against the National Minimum Standards for older people introduced in April 2002. This year, all registered Care Homes were to be inspected at least twice. This inspection was unannounced in that the homeowner, staff and residents were unaware the visit was going to take place on 30/03/06. During the inspection various aspects of care were looked at. In the report there are references to the “tracking process”, this is a method whereby the inspector focuses on a small group of residents. All records relating to these individuals are examined, along with the rooms they occupy in the home. Residents are invited to discuss their experiences of the home with the inspector; this is not to the exclusion of the other residents who contributed in many ways. This inspection included discussion with residents and staff, in addition to viewing the home’s required written information such as policies and procedures about various issues for instance ‘Health and Safety’. The residents written plans of care were viewed for 3 people. The plan of care is a document outlining the needs of the individual resident and how these are to be met. The plans of care cover all aspects of the individual’s life including health, personal care and social activities thereby ensuring people are content in the care they receive. The residents the inspectors spoke with were very happy with life at Glengarry Court. The staff enjoyed their work at Glengarry Court and spoke to the inspector in a professional manner about the residents. What the service does well: Glengarry Court is a well maintained Care home, which has a very homely atmosphere. The people who live at Glengarry Court are full of praise about the care they receive. The Commission for Social Care Inspection sent written questionnaires to residents, their relatives and friends. Glengarry DS0000009677.V270587.R01.S.doc Version 5.1 Page 6 A very good response was received from the written survey. In total 9 responses were received and the feedback from them was generally very positive. In the responses received from the residents or their representatives; • • • • • • All respondents said that they were satisfied with the overall care provided all of the time. All respondents said that they liked living at the home all of the time. All respondents said that they felt well cared for all of the time. All the respondents said that their privacy was respected all of the time. All the respondents said that the home provided suitable activities all of the time. All of the respondents said that they liked the food provided most of the time. Additional positive comments were made in writing to the Commission for Social Care Inspection, which are referred to later in the report but included; ‘Very efficient and caring staff’ ‘ ‘Always a very cheerful atmosphere and homely’ ‘Staff are very approachable and pleasant.’ The management team listen to advice offered by the Commission for Social Care Inspection and act upon the advice to ensure the home continues to offer an excellent service. They encourage staff training and team working. The home maintains a fairly consistent staff team and is well managed. What has improved since the last inspection? The management team continuously strive to maintain their good standard of care and seek ways to further improve. This is evident from the comment cards received by the CSCI, see above. Glengarry DS0000009677.V270587.R01.S.doc Version 5.1 Page 7 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. Glengarry DS0000009677.V270587.R01.S.doc Version 5.1 Page 8 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 Glengarry DS0000009677.V270587.R01.S.doc Version 5.1 Page 9 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): None of this group of standards were assessed during this visit as the key standards were met during the previous inspection. EVIDENCE: Glengarry DS0000009677.V270587.R01.S.doc Version 5.1 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): 8&9 Arrangements to meet the health care needs of the residents are good. Policies/procedures and staff training ensure the residents medication is stored securely and administered safely, resulting in people being healthily cared for. EVIDENCE: 3 Care plans were viewed as part of the ‘tracking process’. These reflected that the health care needs of the residents were identified and how they were being met. Each plan of care includes a record of appointments with/visits from health professionals such as G.P’s; District nurse; opticians; and dentists. The residents are weighed on a monthly basis to monitor any excessive weight gain or loss and take action to identify the cause. Risk assessments form part of the care plan. Glengarry DS0000009677.V270587.R01.S.doc Version 5.1 Page 11 Each person has a full pre-admission assessment to ensure the home is aware of the individuals needs and are confident that they can be met at Glengarry Court. One resident said ‘I have been here for 8-10weeks and it is home from home. I am now selling my house as I intend to live here permanently.’ The medication administration Records (MAR sheets) were viewed and reflected that medication is signed for at the time of administration. Medication is pre packed into doses by the pharmacist. The medication records have a photo of the resident to ensure medication is given to the person it is prescribed for. The staff administering medication are trained to do so. People in receipt of medication should sign a medication declaration record, stating whether they wish to self medicate or have it administered by the staff. A sample of such a record is being sent to the home. Glengarry DS0000009677.V270587.R01.S.doc Version 5.1 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): 13 The resident’s benefit from being able to see their family and friends as they wish to. EVIDENCE: The residents care plans reflect that family and friends are made welcome at Glengarry court and the residents spoken with confirmed this. The residents stated that their family can visit at any time and are always made welcome and offered refreshments. Residents who choose are enabled to go shopping in the local community or go out for a meal. A comment card received from one friend of a resident made very positive comments about the home and the kindness of the staff. Glengarry DS0000009677.V270587.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 The homes policies and procedures are robust and ensure people are protected from abuse. EVIDENCE: The homes policies and procedures are in line with the Department of Health Guidance ‘No Secrets’ and as such ensure that the correct actions would be taken should an allegation of abuse be made. The outer doors of the home have appropriate locks installed to prevent intruders. All staff would normally undergo Criminal Records Bureau clearance prior to commencing employment. Where it was necessary for the person to commence prior to this the homes Manager would consult with then Commission for Social Care Inspection and would obtain a Protection of Vulnerable Adults First clearance prior to the person starting employment. The residents said that they felt safe at Glengarry and that Susan (homes manager) would ensure that they were protected from abuse. Glengarry DS0000009677.V270587.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): None of the standards were assessed during this visit as the key standards were met during the previous inspection. EVIDENCE: Glengarry DS0000009677.V270587.R01.S.doc Version 5.1 Page 15 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 The recruitment procedure of the home is good and ensures that people are protected from unsavoury characters. The calibre of staff is good. A dedicated staff team cares for the residents. EVIDENCE: The homes policies and procedures in relation to staff recruitment are robust ensuring appropriate people are employed. In addition to two written references being taken up all potential employees have to have Criminal Records Bureau clearance prior to employment in the home. The home is well managed and as a result staff rarely leave. The senior carer on duty during this inspection has worked at the home for 13years. Should it be necessary to have a person commence employment prior to receiving a Criminal Records Bureau clearance this should be in exceptional circumstances and agreed by the Commission for Social Care Inspection , following the home having received a Protection of Vulnerable Adults First check. The residents made positive comments about the staff such as; “The staff are wonderful” “They are kindness itself” “Nothing is too much trouble for them” Glengarry DS0000009677.V270587.R01.S.doc Version 5.1 Page 16 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): 38 The residents live in a safe environment where their health and welfare is promoted. The residents live in a well managed EVIDENCE: Risk assessments are carried out in relation to health and safety in the home. The building is checked daily and any necessary repairs/maintenance required are recorded. The action taken to rectify the fault is also recorded, thereby ensuring the safety of the home. The fire alarm is sounded on a weekly basis to ensure it is in working order. Staff receive training in relation to Health and Safety. The residents said they feel safe at Glengarry Court. The home is well maintained and has a homely feel to it. Glengarry DS0000009677.V270587.R01.S.doc Version 5.1 Page 17 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 x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 3 x x x x x x x 2 STAFFING Standard No Score 27 x 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x x x x 3 Glengarry DS0000009677.V270587.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP29 Regulation 19 Schedule 2 Requirement The registered manager must ensure that Criminal Records Bureau clearance is sought prior to person(s0 commencing employment. Timescale for action 01/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Glengarry DS0000009677.V270587.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Glengarry DS0000009677.V270587.R01.S.doc Version 5.1 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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