Inspection on 25/03/06 for Glenroyd House

This inspection was carried out on 25th March 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Glenroyd House 22/01/08

Glenroyd House 15/02/07

Glenroyd House 13/07/06

Glenroyd House 10/05/05

Glenroyd House 14/03/05

Glenroyd House 16/09/04

Glenroyd House 10/02/04

Glenroyd House 21/05/03

Glenroyd House 17/12/02

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

CARE HOME ADULTS 18-65 Glenroyd House Glenroyd House 26 High Road North Laindon Basildon Essex SS15 4DP Lead Inspector Claire Brookes - Nandara Unannounced Inspection 25 March 2006 11:00 th Glenroyd House DS0000032135.V278863.R01.S.doc Version 5.1 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 Glenroyd House DS0000032135.V278863.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 Adults 18-65. 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. Glenroyd House DS0000032135.V278863.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Glenroyd House Address 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) Glenroyd House 26 High Road North Laindon Basildon Essex SS15 4DP 01268 541333 01268 541333 cushti@blueyonder.co.uk Glenroyd House Ltd Manager post vacant Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Glenroyd House DS0000032135.V278863.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th May 2005 Brief Description of the Service: Glenroyd House provides accomodation and personal care for eight adults over the age of eighteen with learning disabilities. The home is situated in a residential area, close to local amenities. Each resident is provided with their own single room within this two storey detached house. There is a large garden to the rear of the property, and a parking area for vehicles at the front. The home has its own mini bus which takes the residents to and from their community based activities and leisure pursuits. Residents also have the opportunity to attend college, and pursue hobbies if they so wish. Glenroyd House DS0000032135.V278863.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection occurred in March 2006. During the course of the inspection a tour of the premises and garden took place, and the inspector spent time around the home observing the residents everyday living and their interaction with the staff and their peers. Four residents, a support worker and one member of senior staff were spoken to. What the service does well: What has improved since the last inspection? The home has undertaken a major review of its record keeping methods. The content of the care plans has significantly improved, and records kept up-todate and well organised. Glenroyd House DS0000032135.V278863.R01.S.doc Version 5.1 Page 6 The homes’ living areas have been rearranged, and necessary repairs have been undertaken, making the appearance of the shared areas considerably more homely and comfortable. The residents’ bedrooms have been redecorated and refurbished to a high standard. The design of each room is different, and reflects the preferences of the individuals. A new kitchen has been fitted, and a good stock of food is now kept within the home. 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. Glenroyd House DS0000032135.V278863.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Glenroyd House DS0000032135.V278863.R01.S.doc Version 5.1 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 the following standard(s): 2 The home assesses the resident’s individual aspirations and needs in a thoughtful and thorough way. EVIDENCE: Prior to a new resident being accepted into Glenroyd House, the home undertakes detailed checks into the suitability of the placement for both parties. Meetings with the resident allowing them to spend time visiting the home take place, and staff liaise with the individual’s previous carers and family, to compile a report regarding the person’s specific needs. This information is brought together along with accounts from other professionals (such as health care and mental health), to form a thorough assessment of the resident’s needs, before a decision is made. Included in the new resident’s care plan is a “Pen Portrait”, (which details their personal history, preferences, hobbies and general character), and “Life Picture” (that uses a pictorial format to give an insight into the resident’s daily life, and those involved in it). Glenroyd House DS0000032135.V278863.R01.S.doc Version 5.1 Page 9 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 the following standard(s): 6&9 The residents of Glenroyd house know that their assessed and changing needs and personal goals are reflected in their care plans. The residents are supported to take risks as part of an independent lifestyle. EVIDENCE: The residents are encouraged to provide input into their own care plans. Their files are regularly reviewed with them, to ensure that their changing needs are being taken into account. Each plan has a table of weekly activities included, which records the activities made available to that person. These can include; Social clubs/groups, trips to the pub, health care appointments, education, listening to music and watching TV. One resident particularly enjoys listening to music and quizzing staff on their knowledge of different artists. There for it is important to him that time is made available for him to listen to music as an activity, whilst interacting with staff. Residents’ health needs are assessed, and any allergies or special dietary requirements are recorded and planned for. Strategies for supporting the residents’ psychological, mental health and emotional needs are put in place, to help staff know the most effective methods that work for that person. Glenroyd House DS0000032135.V278863.R01.S.doc Version 5.1 Page 10 The residents’ relationship and sexual needs are assessed, and their self care / living skills are documented along with pictures. This is used as an aid for the residents (as well as information to staff), to guide them through their daily routines. Along with the above information, detailed risk assessments are carried out to enable the residents to be as independent as possible throughout their every day lives. Risk assessments include; carrying out personal care independently, making own drinks, preparing food and managing own monies. Staff sign to acknowledge that these evaluations have been carried out. These assessments are compiled with the help of the residents themselves, and reviewed regularly. Each resident acknowledges their plan of care by signing and dating it. Glenroyd House DS0000032135.V278863.R01.S.doc Version 5.1 Page 11 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 the following standard(s): 15, 16 & 17 Glenroyd House is good at ensuring that the residents have appropriate relationships. The residents’ rights are properly respected and their responsibilities are included the homes’ daily routine. The residents are offered a wide variety of healthy and nutritious snacks and meals. EVIDENCE: The relatives and friends of the residents are encouraged to visit the home as much as possible. Seating is provided in the residents’ rooms and quiet space is made available as necessary for any guests who may visit. Staff will also facilitate family contact outside of the home should it be requested. The residents’ are encouraged to socialise with their peers, and to make friends outside of the home. The home works along side their Community Nurse, who teaches the residents’ Sex Education when required. Social Skills training is also made available when necessary. The care plan includes each individual’s responsibilities as part of their weekly activities. For example, a resident might be asked to help prepare the homes’ evening meal, tidy their bedroom or lay the table at lunch time. The residents’ menus offer a choice of meals and meal alternatives, which are nutritionally balanced and healthy. Menus are planned in advance and Glenroyd House DS0000032135.V278863.R01.S.doc Version 5.1 Page 12 groceries are well stocked to ensure good organisation. There was evidence of plenty of food and nutritious snacks being kept in the home, and all food was stored in a suitable and hygienic way. Glenroyd House DS0000032135.V278863.R01.S.doc Version 5.1 Page 13 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 the following standard(s): 19 & 20 The home ensures that the residents’ physical and emotional health needs are well taken care of, and the home displays good working practices when administering medication. EVIDENCE: The residents are all encouraged to be as independent as possible with their personal care, whilst being supported by staff. Staff work closely with the residents in order to meet their physical and emotional needs. Key workers review the residents’ progress within the home on a monthly basis; a personcentred approach is used. The residents’ Medication Administration Records (MAR sheets) are kept in a folder. Each resident has their own section which contains a recent photo, a medication profile (which clearly details any allergies the person may have, and what medications must not be administered), a list of their current medications, the dosage, when it was introduced, any possible side effects and precautions to be taken. The MAR sheets were all up-to-date with no omissions, and the file has been kept neat, orderly and clean. A copy of The Royal Pharmaceutical Society guide lines is included with the medication file, and the staff who have been trained to administer medications have signed to acknowledge the guidance. Glenroyd House DS0000032135.V278863.R01.S.doc Version 5.1 Page 14 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 the following standard(s): 23 The home was unable to offer sufficient evidence that they are meeting this standard. EVIDENCE: Records of staff training are kept in a locked filing cabinet. The manager of the home was not present, and had not left the key to the cabinet available. The senior member of staff present was unable to evidence that staff have had any mandatory training or that they are aware of the homes’ policies and procedures. However, care plans contain risk assessments that are carried out to enable the residents to be kept safe whilst carrying out activities within their every day lives. Glenroyd House DS0000032135.V278863.R01.S.doc Version 5.1 Page 15 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 the following standard(s): 24, 25, 26, 27,28 & 30 The home provides its residents with a comfortable and safe environment. The residents’ bedrooms are beautifully maintained, and shared areas are spacious and nicely decorated. EVIDENCE: The individual bedrooms within the home are well decorated and comfortable. The residents have been able to personalise their rooms with their own belongings. Their rooms are suitable for their individual needs and lifestyles, and promote their independence. For example, one resident can become quite anxious about his daily routine. So a member of staff has made him a chart for his wall with interchangeable photographs. These can be stuck on the chart to show the resident what he can expect to happen that day, for instance a picture of staff and the homes’ mini-bus, would indicate that he can expect to be going out in the bus with a certain set of staff. The toilets and bathrooms are clean and well maintained, and provide sufficient privacy for the individuals who use them. Shared areas are spacious, clean and well looked after, and complement the residents’ own private rooms. Glenroyd House DS0000032135.V278863.R01.S.doc Version 5.1 Page 16 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 The home was unable to evidence that they are meeting this standard. EVIDENCE: Staff training records are kept in a locked cabinet. The key to this cabinet was not available at the time of inspection. The senior member of staff on duty did not have access to any other form of evidence, which could show that training needs are being met. Glenroyd House DS0000032135.V278863.R01.S.doc Version 5.1 Page 17 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 & 42 The residents can be confident that their views underpin all self-monitoring, review and development within the home. The health, safety and welfare of the residents is not always being sufficiently protected. EVIDENCE: The home gives quality assurance questionnaires to its residents, the outside professionals involved in the home and its staff members. They compile the results into a report that is kept within the home, and create their own action plan to help meet any needs identified from the surveys. Overall the home has received good feedback. The Health and Safety file includes water temperature checks for all outlets in the house, a certificate from Pathology Services to confirm that checks for Legionella in the water have been undertaken and boiler maintenance check. The home’s gas safety record was overdue, and no up-to-date electrical appliance checks could be evidenced. Glenroyd House DS0000032135.V278863.R01.S.doc Version 5.1 Page 18 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 1 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 1 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 X X X 3 X X 2 X Glenroyd House DS0000032135.V278863.R01.S.doc Version 5.1 Page 19 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 YA42 Regulation Requirement Timescale for action 15/06/06 2 YA23 2 YA35 Reg13(4)(a) The registered person must ensure that all parts of the home to which service users have access are so far as reasonably practicable free from avoidable risks; this refers to all domestic appliance checks being kept up-to-date and evidenced. Sch 4 Reg The registered person must 15/06/06 17(2) maintain in the care home the records specified in schedule 4, and make them accessible for inspection. Sch 4 Reg The registered person must 15/06/06 17(2) maintain in the care home the records specified in schedule 4, and make them accessible for inspection. Glenroyd House DS0000032135.V278863.R01.S.doc Version 5.1 Page 20 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 Glenroyd House DS0000032135.V278863.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Glenroyd House DS0000032135.V278863.R01.S.doc Version 5.1 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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