Inspection on 18/10/05 for Glenholme Residential

This inspection was carried out on 18th October 2005.

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

Glenholme Residential 16/02/09

Glenholme Residential 21/03/07

Glenholme Residential 27/04/05

Glenholme Residential 13/12/04

Glenholme Residential 04/05/04

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Coopers Mill Ltd

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Paradise Lodge

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Upaya Ananda

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Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Glenholme Residential 20/22 Cabbell Road Cromer Norfolk NR27 9HX Lead Inspector Ann Catterick Announced 18 October 2005, 14:00 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Glenholme Residential I55 s49178 Glenholme v246923 AN 181005(4).doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Glenholme Residential Address 20/22 Cabbell Road, Cromer, Norfolk. NR27 9HX. 01263 511101 01263 517098 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) D & D Care Services Ltd Mrs Debbie Hales Care Home 17 Category(ies) of Learning disability (17) registration, with number of places Glenholme Residential I55 s49178 Glenholme v246923 AN 181005(4).doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Seventeen (17) people of either sex with learning disabilities may be accommodated. Date of last inspection 27th April 2005 Brief Description of the Service: Glenholme is a care home providing personal care and accommodation for 17 adults with learning disabilities. The home is owned by Mr David Hales and Mrs Debbie Hales. The manager is Debbie Hales. On the day of inspection 16 service users were accommodated. The home is located in the coastal town of Cromer and is close to the sea and all other local facilities including pubs, shops and local transport. The home comprises of a pair of large three storey Edwardian terraced houses that are connected to make one home. There are in practice two distinct groups of residents that are only linked at ground floor level. Each group has their own communal areas. The home has 11 single rooms and 3 double rooms. Some of these rooms have en suite facilities. Glenholme Residential I55 s49178 Glenholme v246923 AN 181005(4).doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and took place on Tuesday the 18th of October in the afternoon and lasted 5. 75 hours. Prior to the inspection feedback forms were received from some service users and their families. The inspector was able to speak with service users, staff and management, look at files, care plans and other documents as well as have a tour of the building. All service users spoken to spoke very highly of the home, staff and management. The overall quality of care in the home is good with service users being very satisfied with the care they receive. What the service does well: What has improved since the last inspection? Some new furniture has been purchased and the lounge furniture in one of the lounges has been re upholstered. Some decoration has taken place in the bedrooms and improvements have been made to one of the dining areas. Glenholme Residential I55 s49178 Glenholme v246923 AN 181005(4).doc Version 1.40 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Glenholme Residential I55 s49178 Glenholme v246923 AN 181005(4).doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Glenholme Residential I55 s49178 Glenholme v246923 AN 181005(4).doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2 and 5 The Statement of Purpose and Service Users Guide offer prospective service users and their families all of the information that they need to make an informed choice about whether or not they would choose to live in the home. Prior to admission prospective service users have their needs assessed to ensure that their needs can be met within the home. All service users have individual contracts with relevant information about their placement. EVIDENCE: The home has a comprehensive Service Users Guide that is written and also on audio -cassette. Since the last inspection the manager has included feedback from service users within the Service User Guide as recommended within the standard. The home has a vacancy and a prospective service user was due to be admitted to the home in the near future. The manager was awaiting the assessment from the placement professional. The prospective service user had visited the home and a further visit was planned. If the placement were deemed suitable the assessment would continue throughout the first four Glenholme Residential I55 s49178 Glenholme v246923 AN 181005(4).doc Version 1.40 Page 9 weeks of the placement whereupon the placement would be reviewed and made permanent, if appropriate. Some service files were inspected and these all had a contract of a statement of terms and conditions placed on file and these were signed by the service user and included the number of the room to be accommodated and the cost of the placement. Glenholme Residential I55 s49178 Glenholme v246923 AN 181005(4).doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 and 9 Service users can be confident that their assessed and changing care needs will be identified within their individual care plans. Service users are supported and encouraged to take reasonable risks to enable them to be as independent and empowered as possible. EVIDENCE: Several care plans were seen and these were comprehensive including all relevant and required information that is needed in a plan of care. They were easy to understand and signed by the client. Several included a life style plan book that enabled service users to identify what was important to them in their lives and how they would want these issues, preferences or needs dealt with. All care plans are reviewed on a regular basis. Individual risk assessments were seen as well as general risk assessments and risk about the environment. Evidence showed that risk assessments were being used in a responsible and useful way. This was evident when looking at Glenholme Residential I55 s49178 Glenholme v246923 AN 181005(4).doc Version 1.40 Page 11 risk assessments relating to radiators. All communal radiators were covered and those of service users who were at some risk. However for those service users where there was no risk this was identified in the risk assessment. These risk assessments would be revisited every time a new service user was admitted into a room. Glenholme Residential I55 s49178 Glenholme v246923 AN 181005(4).doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 17 All service users are enabled to take part in peer and culturally appropriate activities within both their work and leisure time. Service users access services and facilities within the local community. Service users are offered a healthy diet and food is eaten in pleasant surroundings. EVIDENCE: All of those service users who are of working age are involved in different activities relating to their skills and preferences. This includes work placements, voluntary work and adult education. When talking with service users they speak very positively about staff saying that staff are encouraging and empowering enabling them to reach their full potential. When required staff would help service users with benefits advice. Glenholme Residential I55 s49178 Glenholme v246923 AN 181005(4).doc Version 1.40 Page 13 The home is well established within the Cromer area and several service users can access facilities in the local community independently. The manager has recently changed both optician and dentist to local providers and this enables service users to access services in their local community thus promoting independence. The home uses local pubs, restaurants and social clubs as well as swimming pools and other leisure facilities. The home does not employ a cook and care and support staff provide the meals for service users. Menus are varied and offer choice. Most service users are out during the day and take a packed lunch to work, having a main meal in the evening. Service users are also encouraged to develop their own cooking skills and often get involved with cooking meals and snacks. Service users spoke very positively about the food provided within the home. Glenholme Residential I55 s49178 Glenholme v246923 AN 181005(4).doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 20 Most service user need limited personal care but when this is needed it is provided in a way that is appropriate to the needs of the service user. The homes policy and procedure for all matters concerning medication protect service users. EVIDENCE: Most of the service users are relatively independent. When support and guidance is offered service users said that staff worked with them very well and were kind and supportive. The most dependent service user was met and he appeared to be having his needs met in a way that her preferred. The home were liaising with the health service with regard this persons needs. This person chose to spend much of his time in his room and this was respected and supported. The concern with regard medication that was identified at the last inspection had been dealt with. Glenholme Residential I55 s49178 Glenholme v246923 AN 181005(4).doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 The home has a complaints policy. Service users feel that their views are listened to and that they can have an influence on matters that affect their daily lives. EVIDENCE: The home has a complaints procedure and this is within the Service User Guide. No complaints have been made since the last inspection. Staff work very closely with service users and the relationship and communication between them is good. The home has a key worker concept but service users feel that they have a good relationship with all staff and could discuss matters with them. Glenholme Residential I55 s49178 Glenholme v246923 AN 181005(4).doc Version 1.40 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30 Service users live in a homely, comfortable and safe environment that meets their needs and preferences. The home was clean and hygienic on the day of inspection. EVIDENCE: The home has a maintenance and renewal plan. Since the last inspection further decoration and replacement and restoration of furniture has taken place and this has left the home looking bright and revitalised. Some bedrooms have also been redecorated. Overall the home provides good quality accommodation. Those service users rooms that were seen reflected the lifestyle and preferences of the service users. The home has a domestic for three hours a day and care and support staff complete some cleaning tasks whilst on duty The home was clean and hygienic on the day of inspection. Glenholme Residential I55 s49178 Glenholme v246923 AN 181005(4).doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33 and 34. The staff working in the home have the competence and skills to fulfil the roles and responsibilities of their job description. Service users are supported by an effective staff team who provide a good quality of care and support. The home has an adequate recruitment and selection programme. EVIDENCE: The staff within the home are appointed following an interview that aims to ensure that they have the skills and attributes to fulfil the job description. New staff are offered induction training and go through a probationary period before becoming permanent staff. Those staff spoken to on the day of inspection were clear with regard their roles and responsibilities clearly enjoying the their role. Service users were spoken to and spoke very positively about all staff saying that their independence was encouraged and staff treated them with respect Glenholme Residential I55 s49178 Glenholme v246923 AN 181005(4).doc Version 1.40 Page 18 and dignity. Staff complete induction and foundation training as well as NVQ and other relevant courses. Staff meetings take place on a regular basis and the communication between staff and service users is good. The home has a clear recruitment and selection process. The files of the two most recently employed staff were inspected. The references on one of these files were not detailed and therefore not very helpful and a recommendation has been made in this area. The application form did not ask for a full work history of the applicant and a recommendation has been made in this area. Glenholme Residential I55 s49178 Glenholme v246923 AN 181005(4).doc Version 1.40 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 and 42 Service users feel that their views are listened to and influence the service that is provided. The health and safety of service users is promoted and protected within the home. EVIDENCE: The home is continually monitoring its services and receiving feedback from service users. Audits are completed in different areas. So far the home has not published all of these findings and the inspector will look at this area in further detail at the next inspection. Staff working in the home receives training relating to moving people, first aid, food hygiene and fire safety. Glenholme Residential I55 s49178 Glenholme v246923 AN 181005(4).doc Version 1.40 Page 20 Risk assessments are completed and reviewed with regard environmental and individual risks and these were seen on the day of inspection. All services and equipment in the home are serviced on a regular basis. All staff receive induction and foundation training and evidence of this was seen on staff files. Standard 42.4 was not fully inspected as the inspector does not feel competent to inspect in this area but from discussion with the manager believes that this standard is met. Glenholme Residential I55 s49178 Glenholme v246923 AN 181005(4).doc Version 1.40 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 4 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x x 3 Standard No 31 32 33 34 35 36 Score x 3 3 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Glenholme Residential Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x I55 s49178 Glenholme v246923 AN 181005(4).doc Version 1.40 Page 22 No 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 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. 1. Refer to Standard 34 Good Practice Recommendations It would be good practice to ensure that references from previous employers were reasonably comprehensive and that if they gave little or no information this matter would be further pursued. It would be good practice to include a full employment history within the staff application form. It would be good practice to ensure that any certificates for formal qualifications are seen at the time of interview. 2. 3. 34 34 Glenholme Residential I55 s49178 Glenholme v246923 AN 181005(4).doc Version 1.40 Page 23 Commission for Social Care Inspection 3rd Floor Cavell House St Crispins Road Norwich NR3 1YF 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 Glenholme Residential I55 s49178 Glenholme v246923 AN 181005(4).doc Version 1.40 Page 24 - 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. 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