Inspection on 05/05/05 for Glenhomes Residential Home

This inspection was carried out on 5th May 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

Glenhomes Residential Home 27/02/07

Glenhomes Residential Home 09/02/06

Glenhomes Residential Home 16/11/04

Glenhomes Residential Home 30/07/04

Glenhomes Residential Home 10/03/04

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

CARE HOMES FOR OLDER PEOPLE Glenhomes Residential Home Greenmount Lane Heaton Bolton, Lancashire BL1 5JF Lead Inspector Keith Savery Announced 05 May 2005 09:30 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 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. Glenhomes Residential Home F56 F06 S9286 Glenhomes V215166 050505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Glenbank Care Homes Ltd,Greenmount Residential Home 9 Greenmount Lane Heaton Bolton Lancashire BL1 5JF 01204 841988 01204 843854 glenyshughes@hotmail.com Mr David Anthony Hughes Address 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) Mr David Anthony Hughes CRH Care Home 21 Category(ies) of DE Dementia - 1 registration, with number OP Old Age - 20 of places Glenhomes Residential Home F56 F06 S9286 Glenhomes V215166 050505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection 16 November 2004 Brief Description of the Service: Glenhomes Residential Home is a care home providing personal (‘residential’) care for older people. It is a large converted, semi-detached building, built on four floors (the fourth floor is not used by residents), with a passenger lift provided. There is a lawned area with mature borders and a patio area to the front of the building and parking space at the rear entrance to the home.The home has 21 places. There are seventeen single bedrooms and two double bedrooms (one of which has en-suite facilities). The home has 2 comfortable lounge areas with separate dining room facilities. Mr & Mrs Hughes owns the home. Mr Hughes is nurse qualified holding both the RGN and RMN nursing qualifications and also NVQ 4Care Managers Award and is the registered manager and works in the home on a daily basis. Mrs Hughes is also nurse qualified (RGN). Mr & Mrs Hughes owns a second care home for older people in Bolton, Glenbank Residential Home. Glenhomes Residential Home F56 F06 S9286 Glenhomes V215166 050505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was a planned announced inspection and the home was inspected against the National Minimum Standards for Older People over a period of one full day. Before the inspection took place letters were sent to the Chief Environmental Health Officer and The Chief Fire Officer (Bolton) in order to ascertain if Glenhomes currently meets their requirements regarding safety in the home. Social Workers who currently have residents living at the home were also written to seek their views/opinions on the quality of the service offered at the home. Views on quality of service within the home were also sought from doctors who visit residents at the home and Bolton Social Services Placement Officer. Questionnaires were also sent out to seek the views of residents and their relatives who visit the home of which 10 were returned. A tour of the building was undertaken to examine physical standards provided in the home. In order to obtain a broad opinion regarding the services and care offered, discussions took place with the following people: - 7 residents were spoken to individually and all of the homes residents were seen, 3 care staff, a visiting Chiropodist, the manager and deputy manager, the homes cook and the crafts activity organiser. A selection of resident’s care records were examined and various records and policies were looked at. What the service does well: Glenhomes has a very welcoming and friendly atmosphere that is evident on entering. Relationships between staff, residents, and their visitors are very good, confirmed in discussion and observation at this inspection. Residents are provided with a stimulating and varied life at the home, within their individual capabilities and expressed choices. They receive good meals, visitors are made welcome and there is lots of friendly but respectful chatter between staff and residents. The staff group is well trained and able to meet the needs of residents. The home has many strengths and there is very positive leadership demonstrated in the home, which values residents opinions in all aspects of the running of Glenhomes Residential Home F56 F06 S9286 Glenhomes V215166 050505 Stage 4.doc Version 1.30 Page 6 the home, in an effort to continually improve the service, professionalism and facilities for residents and their families. The standard of care at the home is good and residents and visitors are very happy and contented with the manner in which the home runs on a daily basis. What has improved since the last inspection? What they could do better: The level of involvement, information and consultation of residents, their visitors and staff coupled with very good polices/procedures and management of the home resulted in no requirements being imposed at this inspection and only one good practice recommendation. The National Minimum Standards (NMS) were all met. Glenhomes Residential Home F56 F06 S9286 Glenhomes V215166 050505 Stage 4.doc Version 1.30 Page 7 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. Glenhomes Residential Home F56 F06 S9286 Glenhomes V215166 050505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Glenhomes Residential Home F56 F06 S9286 Glenhomes V215166 050505 Stage 4.doc Version 1.30 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 standard(s) 1,2,3,4, and 5. Standard 6 is not applicable as the home does not provide intermediate care. The Statement of Purpose and Service User Guide provides all the information/ details to residents and prospective residents regarding the services provided enabling an informed decision to be made about coming to live at the home. Admission procedure ensures that all prospective residents receive a proper assessment prior to moving into the home in order to ensure that their care needs have been fully identified/ assessed and that the home is capable of meeting those identified needs. EVIDENCE: Glenhomes has a clear and detailed Statement of Purpose and service-user guide that was recently updated three weeks ago, copies of which were available in each resident’s bedroom. Discussion with four residents indicated that they were happy with their choice of home and the standard of care they are in receipt of and found the service-user guide informative and useful. Glenhomes Residential Home F56 F06 S9286 Glenhomes V215166 050505 Stage 4.doc Version 1.30 Page 10 The admission procedure is sufficiently detailed to guide staff on the actions to be taken to ensure that new residents needs are properly assessed and planned for. The Social Services Department assesses most of the residents prior to admission but examination of individual records also evidenced that self funding residents (4 examined) had undergone a full needs assessment by the home prior to their admission. It is standard practice at Glenhomes that prospective residents and their relatives are given the opportunity to visit the home prior to admission whenever possible, and the homes manager undertakes hospital/home visits as appropriate. Inspection of the contract of terms and conditions issued to residents by the home indicated that this document was appropriate and was signed by either the resident or their advocate indicating their agreement to the homes terms and conditions. Glenhomes Residential Home F56 F06 S9286 Glenhomes V215166 050505 Stage 4.doc Version 1.30 Page 11 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 standard(s) 7,8,9,10 and 11 The health and personal care need of residents continues to be assessed and addressed appropriately. The health needs of residents are well met, with evidence of good multi- disciplinary working taking place on a regular basis. The arrangement for the management of resident’s medicines was found to be safe. Staff was observed to interact and assist residents sensitively and appropriately. EVIDENCE: Individual care plans, complete with life histories were made available for inspection. Examination of a number of these indicated that all aspects of resident’s health, personal and social care needs appear to be planned for. The home has also used dementia-mapping techniques to assist with the onset of dementia. Four individual care plans were selected for detailed examination and were found to be up to date and reviewed on a monthly basis by the homes manager or sooner should a new need become apparent. Either the resident or their advocate had signed all care plans examined evidencing their agreement and involvement in care plan construction. Glenhomes Residential Home F56 F06 S9286 Glenhomes V215166 050505 Stage 4.doc Version 1.30 Page 12 There was clear evidence, recorded on individual professional visitors sheets, of access to community services such as the residents doctor, Chiropody (3 monthly, or sooner if urgent treatment is needed) This was confirmed in discussion with the homes visiting Chiropodist, who was very complimentary about the home and the way it accesses services on behalf of its residents. There was also evidence of regular residents eye testing and access to District Nursing support, advice and ongoing treatment and aids and adaptations that maintain the quality of life for residents. Appropriate risk assessments, which seek to protect resident’s health and safety, were also recorded in respect of resident’s risk of pressure sores, mobility, and nutrition (including weight monitoring) and other relevant areas. This was confirmed in discussion with residents one of whom stated,” you have to watch how much weight you put on living here”. The arrangements for resident’s medicines were secure and appropriately documented. These arrangements are operated by senior staff at the home all of who have undergone training in the management and administration of medicines. It was noted during this inspection that 90 of the homes residents were undertaking Osteoporosis treatment as a preventative measure against injury from falls and brittle bones, for which the home is to be commended in its proactive care of its residents. Further evidence was provided in the form of the homes last independent pharmacy audit undertaken on the 11/04/05 and no problems were identified. Observation during this inspection showed that staffs have a good awareness of how to protect resident’s dignity and privacy. They were seen to knock on resident’s bedroom doors and wait for a response before entering. They were also seen to deal with individual residents in a supportive manner, i.e. doing things with them and not for them when appropriate. The home has a good record of providing sensitive and respectful care to previous residents and their families surrounding a resident’s death, illustrated in thank you messages to the home and has trained 2 members of its staff in Palliative care in a continued effort to provide a good standard of care at these difficult times, to residents and their families. Glenhomes Residential Home F56 F06 S9286 Glenhomes V215166 050505 Stage 4.doc Version 1.30 Page 13 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 standard(s) 12,13,14 and 15. Residents are able to exercise as much personal freedom and choice as possible within a risk assessed framework and within the confines of the residents expressed interests, capabilities and choice. The routines of daily living appeared to be as flexible as possible in a communal living setting. Dietary needs of residents are well catered for with a balanced and varied selection of food available that meets resident’s tastes and expressed choices. Dining areas within the home were clean, comfortable and attractively laid out and furnished providing a pleasant environment for residents at mealtimes. A programme of activities was prominently displayed in the home so that residents and visitors to the home can see what is available and can chose what to take part in or not, and organise their day. This programme of activities is supplemented by a variety of entertainers coming to the home or trips out to maintain links with the community. EVIDENCE: Staff undertake activities with residents both individually and as a group, and they record who takes part. A full programme of activities and entertainments is organised with full details posted in the homes hallway for all to see what goes on in the home. During this inspection 5 residents were observed taking part in Crafts activities, which they stated they enjoyed. One resident who was Glenhomes Residential Home F56 F06 S9286 Glenhomes V215166 050505 Stage 4.doc Version 1.30 Page 14 not actually undertaking any activities, by choice, liked to just sit and watch others and join in the general chat. The crafts activity co-ordinator stated that she enjoyed coming to the home and that she felt that residents of Glenhomes where well cared for and content. The home employs an aerobics instructor who assesses each resident’s needs and abilities and records outcomes from each session of “Sit me Fit”. The providers encouraged service users to maintain contact with family and friends and a number of residents do go out into the community independently to socialise at local pubs or shop for their personal items. Menus were inspected and were found to be balanced and interesting with alternative menu choice for both lunch and tea. All residents spoken to comment favourably on the quality of the food served. The homes cook is very knowledgeable regarding resident’s likes and dislikes which are displayed in the homes kitchen. Detailed records are kept that indicate resident’s choice of meal is followed. Residents are consulted each day on their choice for lunch and evening meal that day. Special therapeutic diets are provided for and currently include provision for diabetics. Mealtimes were observed and good practices found. Residents were not rushed at meals and staffs were seen to offer appropriate and sensitive assistance as required. Fresh fruit is provided in each lounge area for residents. As at previous inspections the majority of residents prefer to eat in the dining room, which is maintained to a high standard and is comfortable and welcoming to residents. Tablecloths, cloth napkins were provided. Comfortable padded chairs that have arms for support and designed for easy movement (gliders) purchased by the home ensure residents are comfortable and staff moving and handling tasks are conducted safely. The homes kitchen area was clean and tidy. There are adequate equipment/food stocks for a home of this size. There has been no recent Food Hygiene inspection since the homes last Food Hygiene inspection conducted on 17 August 2004 and all requirements have been complied with. Fridge /freezer and food temperature recordings were up to date indicating a safe environment for all. Visiting arrangements are completely open and residents spoken to confirm that visitors were free to call at any reasonable time and no visiting restrictions were imposed, unfortunately no visitors called during the inspection despite the fact that this was an announced inspection. A number of residents have their own phone in their room, and all residents have access to the phone in the hallway of the home with which they can use to contact family and friends in the community. Glenhomes Residential Home F56 F06 S9286 Glenhomes V215166 050505 Stage 4.doc Version 1.30 Page 15 Glenhomes Residential Home F56 F06 S9286 Glenhomes V215166 050505 Stage 4.doc Version 1.30 Page 16 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 standard(s) 16,17 and 18. Staff have a good working knowledge and understanding of Adult Protection issues. Arrangements/policies in place to prevent possible risk or harm of abuse to residents are satisfactory at this inspection. EVIDENCE: A written complaints procedure that was included in the service user guide is displayed clearly within the home. No complaint has been received by CSCI or the home since the previous inspection. Residents appeared very happy with the overall care and spoke very highly of the management and staff. Making such comments as “ It’s a home from home here” “They will do anything you ask them to” “ the staff are as good as gold” Similar opinions were also expressed in responses received via the homes recently completed Quality Assurance Survey. Residents at this inspection made no complaints or described any areas of dissatisfaction with the level of service provision they are in receipt of and were confident to chat in the presence of staff. One area of expressed dissatisfaction concerning a laundry issue received via a relative questionnaire was discussed with the homes manager and satisfactorily resolved at this time. Policy and procedure is available for staff guidance when responding to allegations of abuse and the homes manager is aware of his responsibilities regarding POVA. Glenhomes Residential Home F56 F06 S9286 Glenhomes V215166 050505 Stage 4.doc Version 1.30 Page 17 Staff at the home have benefited from independent training sessions on Adult Abuse issues and via their NVQ training which has heightened their awareness of the different types of abuse, how to recognise and report such issues and how this fits together with the policies and procedure arrangements the home has in place, to protect residents from abuse. Due to the recent recruitment of new staff a number (6) need to undertake Abuse Training as soon as it can be organised, which the homes manager is in the process of arranging. Glenhomes Residential Home F56 F06 S9286 Glenhomes V215166 050505 Stage 4.doc Version 1.30 Page 18 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 standard(s) 19,20,21,22,23,24,25, and 26. A comfortable and safe standard of accommodation is provided for the residents. EVIDENCE: Residents spoken to talked about being happy with their bedrooms and communal areas of the home. They have been encouraged to bring in items of furniture, ornaments etc to personalise their rooms. Some residents have their own preferential places to go and sit around the home. A homely and comfortable standard of décor and furnishings is evident throughout. Evidence of ongoing refurbishment and a programme of routine maintenance included redecoration of bedrooms and communal areas. All areas of the home designated for resident’s use was accessible to them. Grab rails, ramps, and a passenger lift are provided internally to maintain residents independence for as long as possible. Glenhomes Residential Home F56 F06 S9286 Glenhomes V215166 050505 Stage 4.doc Version 1.30 Page 19 Residents with walking aids were able to move freely around the home. Toilets are accessible and clearly marked close to communal and private spaces. Residents have sufficient toilet, washing and bathing facilities to meet their needs, confirmed in discussion with them. A call system is provided in each room that residents can use to summon help in an emergency and was in working order on the day of the inspection. Residents have private space in their own rooms and a number have asked for and got locks and keys to their rooms for additional privacy. The home continues to provide sufficient sitting, recreational and dining space in the form of 2 communal lounge areas and a separate dining room. Furnishings of communal rooms are domestic in character and were suitable for the range of interests and activities preferred by residents at the time of this inspection. To help residents find their way around the home, where appropriate, bedroom doors had large, attractive photographs and nameplates attached. Toilets and bathrooms were clearly identified with nameplates. Radiators were fitted with guards throughout the home to prevent accidental scalding. Radiators could be individually controlled in resident’s bedrooms so they can control their heating. Hot water is stored and distributed at the correct temperatures and thermostatic mixer valves are centrally fitted to regulate the safety of hot water temperatures to prevent accidental scalding. Lighting in resident’s accommodation meets recognised standards enabling residents to read adequately and is domestic in character and emergency lighting is provided throughout the home in case of an emergency power failure. Staff wore different coloured disposable aprons when assisting resident’s in the dining room and when assisting with personal care tasks in line with good infection control practice. Liquid soap and paper towels were provided in communal toilets to encourage good personal hygiene. Laundry facilities within the home remain sited away from areas where food is stored, prepared cooked or eaten and do not intrude on residents. Resident’s laundry is individually marked and appears to be washed and cared for appropriately. All residents looked visually well cared for. The home was exceptionally clean and tidy on the day of the inspection. All recommendations made by the Greater Manchester Fire Service have been complied with since the previous inspection, to protect residents and staff of the home from the risk of fire. Glenhomes Residential Home F56 F06 S9286 Glenhomes V215166 050505 Stage 4.doc Version 1.30 Page 20 Glenhomes Residential Home F56 F06 S9286 Glenhomes V215166 050505 Stage 4.doc Version 1.30 Page 21 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29 and 30. Care staff and managers are enthusiastic and work positively with the homes residents to maintain and improve their quality of life. Staff was subject to an appropriate recruitment process operated by the home that provides the necessary safeguards to protect residents living at the home. It was evident staff received a wide range of appropriate training – including NVQ training and are sufficiently skilled and in such numbers to meet the needs of the homes residents at this time EVIDENCE: Staff state they feel valued and supported by the management of the Home and they enjoy a good working relationship within the Home. This is indicated by low staff turnover and sickness indicating a happy work environment. The homes continued commitment to training its entire staff indicates that the work force is a valued asset and the role staff plays in consistently providing a good standard of care to residents is recognised. In discussion with staff it is clearly evident that they enjoy working at the home. Training records indicate that staff members have the requisite skills and experience to fulfil their roles with over 50 of the care team trained to a recognised standard of care provision (NVQ 2 AND 3) The home remains committed to having 90 of its staff qualified to NVQ level 2. Staffing levels exceed those recommended minimum levels made by the “Residential Forum”(358 care hrs) currently 427 care hours are provided that Glenhomes Residential Home F56 F06 S9286 Glenhomes V215166 050505 Stage 4.doc Version 1.30 Page 22 ensures that sufficient staff are on duty to ensure residents are well cared for and time is available for staff to sit and talk to residents, which was witnessed at this inspection. Random inspection of the most recently employed staff members personnel file revealed that these contained an application form, 2 written references, a Criminal Records Bureau check (including a ‘POVA first’ check) and evidence of induction training. The home maintains very clear and precise employee records. The home’s training induction booklet for the new carer recently employed was examined. This was a comprehensive induction programme that had been linked to the TOPPS national occupational induction standards. Where necessary, new starters also attended the local BARCH induction-training course. With regard to training for existing staff, moving and handling, food hygiene, first aid and medication training was fully provided and up to date. Individual staffs training forms were in place and all staffs are encouraged to undertake further training and development; this includes in house and external training. All staffs receive at least three days paid training per year. Glenhomes Residential Home F56 F06 S9286 Glenhomes V215166 050505 Stage 4.doc Version 1.30 Page 23 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36,37 and 38. The manager is well supported by the senior staff and provides clear leadership to all staff demonstrating an awareness of their individual roles and responsibilities in a continuous effort to maintain high Standards of care to residents.. There is a clear development plan and vision for the home, which the homes manager effectively communicates to residents, staff and relatives. The systems for residents/relatives consultation are good and their opinions are sought and acted upon. EVIDENCE: The manager is a doubly qualified nurse (general and mental health) and has a diploma in Management Studies that he utilises when implementing appropriate care strategies for residents and in his liaison with visiting doctors, Glenhomes Residential Home F56 F06 S9286 Glenhomes V215166 050505 Stage 4.doc Version 1.30 Page 24 nurses and other professionals. The manager is well qualified, competent and experienced in his management duties. As further evidence of his committement to his own development the manager has completed the Registered Managers (Adults) award. Opinions are actively sought from residents through residents meetings, user satisfaction questionnaires and day-to-day communication. Examination of the results of the most recent questionnaire, complete with actions taken in response to suggestions/information obtained gave examples of the ways that residents/relatives have been involved and consulted in all aspects of the day to day running of their home. The proprietors monitor the business assets on a regular basis and a business plan is available for examination. An accountant audits financial records annually plus accounts are provided to the Local Authority to demonstrate financial viability. The home operates on a sound financial basis. Staff records were seen in respect of formal supervision and appraisal. The home continues with its formalised supervision system. The home administers a number of personal allowances of which an income/expenditure sheet with running total is maintained for each resident. Monies are kept separate and are securely stored. Secure facilities are provided for the safe keeping of resident’s monies and valuables. Accidents that occur in the home were appropriately recorded and have been appropriately managed following examination of the homes accident-recording book. One resident stated that she felt” very safe” since coming to live at the home. The following safety/servicing certificates were examined and found to be up to date; Yearly gas safety certificate, 5 yearly electrical safety certificate, Passenger lift servicing agreement, Fire Alarm and Emergency lighting, hoist servicing, Water (legionella checks). Resident’s records and Home records were kept securely and were up to date and in good order. Glenhomes Residential Home F56 F06 S9286 Glenhomes V215166 050505 Stage 4.doc Version 1.30 Page 25 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 3 3 3 3 3 Glenhomes Residential Home F56 F06 S9286 Glenhomes V215166 050505 Stage 4.doc Version 1.30 Page 26 None 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 No Requirements were made at this inspection. 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 16 Good Practice Recommendations That arrangements are made as soon as possible for the remaining staff to attend Adult Abuse Awareness training, as discussed at this inspection. Glenhomes Residential Home F56 F06 S9286 Glenhomes V215166 050505 Stage 4.doc Version 1.30 Page 27 Commission for Social Care Inspection Turton Suite, Paragon Business Park Chorley New Road Horwich Bolton, BL6 6HG 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 Glenhomes Residential Home F56 F06 S9286 Glenhomes V215166 050505 Stage 4.doc Version 1.30 Page 28 - 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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