Inspection on 07/02/06 for Glenmoor House Nursing Home

This inspection was carried out on 7th February 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

Glenmoor House Nursing Home 26/11/08

Glenmoor House Nursing Home 11/12/07

Glenmoor House Nursing Home 14/12/06

Glenmoor House Nursing Home 27/10/04

Glenmoor House Nursing Home 16/06/04

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

CARE HOMES FOR OLDER PEOPLE Glenmoor House Nursing Home Rockingham Road Corby Northants NN17 1AD Lead Inspector Mrs Moira Mosley Unannounced Inspection 7th February 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 Glenmoor House Nursing Home DS0000012617.V282708.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. Glenmoor House Nursing Home DS0000012617.V282708.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Glenmoor House Nursing Home Address Rockingham Road Corby Northants NN17 1AD 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) 01536 205255 01536 262662 Southern Cross Healthcare Services Limited Vacant Care Home 59 Category(ies) of Dementia - over 65 years of age (21), Old age, registration, with number not falling within any other category (37), of places Physical disability (20) Glenmoor House Nursing Home DS0000012617.V282708.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 7. 8. The Total number of service users accommodated in the home must not exceed 59 No one falling within the category of OP may be admitted into the home where there are 37 persons of category OP already accommodated in the home. No one falling within the category of PD may be admitted into the home where there are 20 persons of category PD already accommodated in the home. No one falling within the category of DE(E) may be admitted into the home where there are 21 persons of category DE(E)already accommodated in the home No one requiring nursing care may be admitted into the home where there are 48 persons requiring nursing care already accommodated in the home. The service users admitted to the home who fall within the category of DE(E) may only be accommodated on the first floor. To be able to admit the one named service user who is 64 years of age as outlined in variation application number V000021343 dated 08/06/05 To be able to admit the one named service user who is 64 years of age as outlined in variation application number V000023824 dated 16/08/05 25th July 2005 Date of last inspection Brief Description of the Service: Southern Cross Healthcare owns Glenmoor House Nursing Home. It is a 59bedded care home with a registration for 48 nursing care beds. It provides care to elderly people (over 65 years of age) and has a further registration category for caring for elderly people with dementia related illnesses and younger adults with a physical disability. The home is a purpose built building and is situated on a main route within Corby. It is well situated to access local facilities and amenities with a complex of shops close by and it is on a local bus route. The accomodatin offers a range of communal areas including lounges and dining areas on both floors.All bedrooms are single and the majority have ensuite facilities. Glenmoor House Nursing Home DS0000012617.V282708.R01.S.doc Version 5.1 Page 5 Level access to the home is via the main entrance and there are stairs and a passenger lift for access to the first floor. Glenmoor House Nursing Home DS0000012617.V282708.R01.S.doc Version 5.1 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This was a statutory unannounced inspection by one inspector, two hours were spent gathering information and planning for the inspection and 3.5 hours were spent in the home. The care of three residents was reviewed to include care plans, risk assessments, and other records. In addition discussions were held with three residents, four members of staff and two visitors to the home and a period of observation on both floors undertaken. Since the last statutory inspection on the 25/07/05 the CSCI has further inspected this home on the 20/09/05; 06/10/05; 11/11/05; 28/11/05; 04/01/06 and 19/01/06. These additional inspections included an investigation into a complaint and ongoing monitoring of the compliance with requirements made. At the last statutory inspection on the 25/07/05 six requirements were made. One of these re dementia training for staff was met on the subsequent monitoring visit on the 06/10/05 however the remaining five were restated. These five requirements were for care plans to be developed for resident needs, healthcare assessments to be actioned, an audit trail of medication to be developed, staff to be on every shift with first aid training and accident records to be accurately completed. Further requirements were made during the monitoring visits regarding staffing levels, money management, laundry procedures, moving and handling and personal care. It was of serious concern to the CSCI that on the inspection of the 04/01/06 ten requirements were still outstanding and prosecution was considered. It is acknowledged that the home has undergone a period of difficulty and the management structure has been significantly changed. Following meetings with the registered provider, action plans were developed and a further period of two weeks were given to meet all outstanding requirements. At the last monitoring inspection on the 19/01/06 there were notable improvements and all outstanding requirements were fully met. What the service does well: The residents spoken to were very happy with the home and the levels of care they receive. Glenmoor House Nursing Home DS0000012617.V282708.R01.S.doc Version 5.1 Page 7 There was good evidence in the care plans of clear guidelines for staff to meet resident needs and for one resident who has very specific cultural needs the level of detail in the records was excellent and the home had taken great care to address these. Two visitors to the home stated they were happy with the home and both residents and visitors were positive about the staff. Residents are able to make choices about their daily activities and both the food and activities provided were praised. 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. Glenmoor House Nursing Home DS0000012617.V282708.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 Glenmoor House Nursing Home DS0000012617.V282708.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): 4 Staff training and understanding is ensuring that resident needs are being met. EVIDENCE: At the last statutory inspection a requirement was made in regard to the needs of residents with dementia and this was addressed with a programme of dementia training being provided with a number of staff having attended Dementia awareness training with further dates booked. Staff spoken to demonstrate an understanding of the needs of the residents with dementia and observations showed positive interactions with the residents being relaxed and settled within the unit. Glenmoor House Nursing Home DS0000012617.V282708.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): 7, 8, 9, 10 and 11. Care plans and assessments identify resident needs and the overall care planning system provides a consistent approach, this along with the medication procedures now in place ensure that resident needs are being met. EVIDENCE: There are care plans available for most assessed needs and written in sufficient detail to ensure staff are able to provide care in a consistent manner. Healthcare assessments including pressure ulcer and nutritional assessments are fully documented with evidence of referral to other professionals when required. Medication procedures have been assessed on the monitoring inspections and there is a clear procedure in place for the storage, administration, and disposal of medication and the medication administration records were documented and completed appropriately. Glenmoor House Nursing Home DS0000012617.V282708.R01.S.doc Version 5.1 Page 11 Resident records include where possible information about their choices in the event of death, for one resident with specific religious requirements this included information about very specific requirements and although further work was recommended to ensure the plan fully complies with religious requirements the level of information and obvious respect for his needs was commendable. Glenmoor House Nursing Home DS0000012617.V282708.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): 12, 14 and 15. Residents are supported to make choices and the food preparation is to a high standard. Further advice re nutrition for older people would further enhance the service. EVIDENCE: Observations within the dementia unit showed positive interactions between the staff and the residents and they were being encouraged to join in with the conversations and many were thoroughly enjoying the music that was being played. The activities organiser has a full activity plan and organises a range of activities, it is intended that she receives training specifically on the needs of resident s with dementia to further enhance the service. The residents spoken to stated they were able to make choices about their daily activities and one of the residents whose care was tracked had detailed care plans to ensure his cultural and religious needs have been fully explored. The residents said the food was very good and the lunchtime meal looked appetising with choices available. The kitchen was clean and well organised and the staff demonstrated a good understanding of the residents’ nutritional needs, likes and dislikes. Glenmoor House Nursing Home DS0000012617.V282708.R01.S.doc Version 5.1 Page 13 The kitchen staff have received no training in the preparation of liquidised food and the nutritional content of these, there is a reliance on using supplements rather than boosting the nutrition of the meals and dietetic advice is advised. Glenmoor House Nursing Home DS0000012617.V282708.R01.S.doc Version 5.1 Page 14 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): EVIDENCE: These standards were not assessed on this inspection. Glenmoor House Nursing Home DS0000012617.V282708.R01.S.doc Version 5.1 Page 15 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,and 26 A safe environment is provided for the residents. EVIDENCE: The home was clean and tidy and domestic staff are employed to maintain cleanliness. The home has recently undergone a programme of redecoration and refurbishment with new carpets fitted to many areas. One of the visitors to the home raised concerns about the amount of laundry in the resident’s bedroom and about the lighting levels, the acting manager agreed to address these concerns. The residents spoken to were happy with the environment and liked the improvements to the décor. Glenmoor House Nursing Home DS0000012617.V282708.R01.S.doc Version 5.1 Page 16 The last fire officer’s report raised concerns about some of the fire procedures and these have now been fully addressed. The Environmental Health Officer inspected the home in 2005 and there were no serious issues of concern. Glenmoor House Nursing Home DS0000012617.V282708.R01.S.doc Version 5.1 Page 17 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): 30 Staff training needs to be reviewed to ensure all staff are fully up to date with training needs. EVIDENCE: National Minimum Standard 27 was not reviewed on this inspection, as there is a requirement in place from the monitoring inspection on the 19/01/06, the requirement has a completion date of the 01/03/06 and will be reviewed after this time. The staff training matrix was not up to date and the acting manager has begun to address the issues and develop a plan to ensure all staff are up to date with required training. Glenmoor House Nursing Home DS0000012617.V282708.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): 31, 33, 35 and 38. There is a pro-active system in place to address the issues identified for staff training and procedures to safeguard the health and safety of the residents. EVIDENCE: There is currently an acting manager in position who has been at the home since December 2005 following the recent management changes. The acting manager confirmed she intends to shortly apply for registration with the CSCI. She has previous management experience of working within this resident group and is a registered nurse. The Quality Assurance system includes a detailed monthly audit of the home by the companies representative and the manager of the home with an action plan identified to address any shortfalls, the acting manager confirmed she intends to develop questionnaires to send to the residents, their families and other stakeholders to assess their satisfaction with the service provided. Glenmoor House Nursing Home DS0000012617.V282708.R01.S.doc Version 5.1 Page 19 Residents’ monies were reviewed on the monitoring inspections and there is now an effective system in place to ensure the safe handling of the monies in the home. Fire records were reviewed where it was identified that not all weekly checks are being fully documented, however this is being actioned by the acting manager. Staff spoken to had not received all of their statutory training and as discussed within National Minimum Standard 30 the acting manager is addressing these issues. There were no further health and safety concerns identified on this inspection. Glenmoor House Nursing Home DS0000012617.V282708.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 X 3 X X 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 X 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Glenmoor House Nursing Home DS0000012617.V282708.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP27 Regulation 12(1) (a&b) 18(1)(a) Requirement A full review of staffing levels must be carried out and sufficient staff provided to meet the assessed needs of residents at all times. This requirement has been carried forward from the last inspection, as the timescale is not up. Timescale for action 01/03/06 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 3 Refer to Standard OP15 OP30 OP33 Good Practice Recommendations Guidance and training should be sought for the provision of liquidised meals. Staff training files should be up to date and accurate to evidence the staff training being provided. The Quality Assurance system should include the seeking of views of the residents, relatives and stakeholders about the service provided. Glenmoor House Nursing Home DS0000012617.V282708.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Glenmoor House Nursing Home DS0000012617.V282708.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. Re-publishing this information is in breach of the terms of use of that website. 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