Inspection on 11/04/07 for Glenside Residential Care Home

This inspection was carried out on 11th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Glenside Residential Care Home 30/09/05

Glenside Residential Care Home 07/04/05

Glenside Residential Care Home 21/10/04

Glenside Residential Care Home 14/05/04

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

CARE HOMES FOR OLDER PEOPLE Glenside Residential Care Home 179-181 Weedon Road Northampton Northants NN5 5DA Lead Inspector Irene Miller Unannounced Inspection 11 April 2007 09:00 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 Glenside Residential Care Home DS0000012787.V329441.R01.S.doc Version 5.2 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. Glenside Residential Care Home DS0000012787.V329441.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glenside Residential Care Home Address 179-181 Weedon Road Northampton Northants NN5 5DA 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) 01604 753104 01604 750760 enquiries@glensidecarehome.com Glenside Care Home Limited Mrs Sandra Elaine Gamble Care Home 30 Category(ies) of Dementia - over 65 years of age (30) registration, with number of places Glenside Residential Care Home DS0000012787.V329441.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 5 service users within the category of OP may be cared for. Date of last inspection 30th September 2005 Brief Description of the Service: Glenside is a residential care home that provides care and accommodation for 30 older people over the age of 65 with dementia. It is owned by Glenside Care Home Ltd, directors Mr T and Mrs S Hutchinson. The home is located in a suburb of Northampton, close to the St James shopping centre, public houses, post office and other amenities the town centre and amenities are close by, the home is easily accessible by public transport. The premises consist of a large extended detached house, which is setback from a main road and to the rear of the property there is a large conservatory that overlooks a pleasant paved patio area and a landscaped fully enclosed garden. To the front of the property there is a private car park that has disabled access to the home. The current range of weekly fees is between £410 for a shared bedroom and £435 for a single bedroom no en-suite facilities are provided. Additional charges are required for hairdressing and chiropody treatments and toiletries can be provided for an additional cost of £5.00 per month. Glenside Residential Care Home DS0000012787.V329441.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is based upon outcomes for service users and their views of the service provided. This inspection was a ‘Key Inspection’ that focused on the key standards under the National Minimum Standards, the Care Standards Act 2000 and the Care Homes Regulations 2001 for homes providing care for older people. The inspection took place over a period of approximately nine hours during which time the inspector spent two hours observing the care of five residents. The period of observation was carried out between 12:25 pm to 14:25 pm. within one of the communal lounges. In addition the care of three residents was looked at in depth, which involved viewing care records in particular the care plans (a care plan sets out how the home aims to meet the, personal, health, social and emotional needs of the resident). Discussions took place with residents, staff and the registered providers Mr and Mrs Hutchinson and Sandra Gamble the registered manager. General care practices were observed and policies, procedures and records in relation to staffing recruitment and training, concerns and complaints, medication management, and general maintenance and upkeep of the home were viewed. The inspector spent approximately three hours planning the areas to focus on at this inspection, based upon information gained from reviewing the homes previous inspection reports and other information relating to the home. What the service does well: There is a high commitment to ensuring that the home fully complies with the National Minimum Standards and Care Standards Act 2000, and there is a high commitment to staff training. Regular audits take place on the homes management and administration systems, health and safety systems and the day-to-day record keeping policies and procedures. Glenside Residential Care Home DS0000012787.V329441.R01.S.doc Version 5.2 Page 6 The home is flexible with the admission procedure the management seek to work closely with relatives. The information provided for prospective residents and their representative’s enables them to make a decision as to whether the home can meet their needs. Residents are encouraged to be as independent as possible the written care plans fully identify each residents needs and abilities. There is a proactive approach to risk management written risk assessments were detailed and regularly reviewed Medication is well managed which ensures that residents receive their medication safely. 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. The summary of this inspection report can be made available in other formats on request. Glenside Residential Care Home DS0000012787.V329441.R01.S.doc Version 5.2 Page 7 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 Glenside Residential Care Home DS0000012787.V329441.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3 (standard 6 is not applicable to this home) Quality in this outcome area is excellent. Detailed information is provided to prospective service users and their representatives to enable them to make a fully informed choice as to whether the home can meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The homes statement of purpose and service users guide is given to all prospective residents and their representatives to enable them to make an informed choice as to whether the home can meets their needs. Comprehensive pre assessments are conducted for each prospective resident to ensure that the home can fully meet their needs. Glenside Residential Care Home DS0000012787.V329441.R01.S.doc Version 5.2 Page 9 The home is flexible with the admission procedure; prospective residents are encouraged to visit the home prior to moving in, the home recognises that for some people living with dementia this may be traumatic, therefore each admission is tailored to meet individual needs. Each resident has a written contract of residency that fulfils all of the contract specification criteria. Glenside Residential Care Home DS0000012787.V329441.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9 & 10 Quality in this outcome area is excellent Resident’s health and personal care needs are fully met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans and the risk assessments viewed were very detailed, and had full information and instruction for staff to follow on the unique needs of each resident. Where there is a risk of challenging physical and verbal behaviour, there was detailed instruction for staff to follow to enable them to firstly recognise the triggers and strategies to help defuse the behaviour. The home had a proactive approach to the management of falls, risk assessments were detailed and regularly reviewed Glenside Residential Care Home DS0000012787.V329441.R01.S.doc Version 5.2 Page 11 The medication storage and administration records were viewed and were well managed. Resident’s medication profiles were available which give clear instructions regarding the use of “as required medication”, as many of the residents were unable to verbalise when in pain or distress. The homes medication policy fully addressed the protocol to follow where residents lack the capacity to give informed consent for receiving their medication. Where a decision had been reached to administer essential medication covertly there was records of the involvement of the resident’s relatives, general practitioner, and other healthcare professionals involved in their care and there were detailed records available as to the method on how medication was to be given to ensure that the pharmaceutical properties of the medicines were not altered. Staff spoken to who administer medication confirmed that they had received medication training and this was also documented by training records held within the home. The registered manager carries out weekly monitoring checks of the homes medication storage and administration records. Staff were observed to call residents by their preferred name and to knock on doors when entering bedrooms, within the shared bedrooms there was privacy screens available. Glenside Residential Care Home DS0000012787.V329441.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14 & 15 Quality in this outcome area is good. The lifestyle in the home meets the resident’s needs and expectations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans viewed contained detailed information on each resident’s individual preferences in relation to resident’s previous occupations, hobbies and interests. There was a plan of organised activities to include visiting entertainers and those who specialise in providing therapeutic activities for people living with dementia, such as a person that visited the home to do reminiscence therapy, and a regular visitor from the pets for active therapy (PAT) dog scheme. Recently residents had been involved in Easter celebrations making Easter cards and egg painting; there were photographs available on a notice board adjacent to the downstairs office of residents taking part in this activity and of residents celebrating special occasions such as birthdays. Staff spoken with said that they spend time with residents chatting and playing board games. Glenside Residential Care Home DS0000012787.V329441.R01.S.doc Version 5.2 Page 13 Visits within the local community had included visits to the local pet shop, ten pin bowling, a canal boat trip was planned to take place in July. Between 12.25pm to 14.25pm the inspector observed five residents within the Oakham Lounge and the adjacent dining room next to the lounge. The purpose of the two-hour observation was to assess how residents occupied their time, and the level of interaction they had with staff and other residents around them. One resident was observed to enjoy listening to Max Bygraves music that was being played within the lounge, tapping their feet in time to the music another resident was observed to be quietly singing to the music and another had a reminiscence book on the table in front of them, although the resident did not appear to be aware that the book was there and their was no engagement observed with it. At one point up to four staff were observed socialising with the residents in the lounge opposite the Oakham lounge, one member of staff was observed to give a resident with a doll, this engagement was excellent the resident, smiled and clearly gained some comfort from holding the doll, and the staff member was attentive to the feeling of comfort that the presence of the doll gave to the individual resident. Staff to resident engagement was fleeting during the two hours of observation, however the engagements that were observed to take place were positive with staff demonstrating that they had an understanding of how to communicate with residents living with dementia who have limited verbal communication skills. Within the lounge where the observation took place it was noted that thirteen residents were within the lounge, all of the armchairs were occupied and no armchairs were available to allow for staff to sit beside and socialise with residents. Feedback on the observations was given to the registered provider and the registered manager, who confirmed that they would treat the findings as a matter of high priority, to ensure that staff are deployed equally throughout the home, and available to engage with residents. Residents were observed receiving the lunchtime meal, which was beef stew, mashed potatoes and mixed vegetables, the meal was unhurried and residents were observed to receive assistance from staff where they had problems in feeding themselves. Assistance was provided with sensitivity and residents remaining independence and capabilities encouraged. Menu records held within the kitchen demonstrated that resident’s preferences in relation to food were accommodated for and that alternative meals were provided. One resident was observed to decline the hot meal provided and was offered an alternative of sandwiches that they accepted. Glenside Residential Care Home DS0000012787.V329441.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 & 18 Quality in this outcome area is excellent. Residents and their representatives can be assured that any concerns or complaints they may have will be listened to and acted upon, and their rights are protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information on how to raise any concerns or complaints was available within the homes statement of purpose and service users guides, which are provided to all residents and their representatives upon admission into the home. Should relatives need to refer to the complaints policy at any time a copy was on display within the entrance lobby of the home. No complaints had been received by the home or by the Commission for Social Care Inspection since the last inspection visit taking place. The registered provider has trained with Action for Elder Abuse as an accredited trainer and provides in house training for staff on abuse awareness, there was records available of staff training that had taken place and dates for future abuse awareness training. Glenside Residential Care Home DS0000012787.V329441.R01.S.doc Version 5.2 Page 15 There was an abuse policy in place and in addition the home had the local Northamptonshire County Council and Multi Agency Policy on the Protection of Vulnerable Adults available for guidance and reference, should there be any suspected or actual abuse reported. In discussion with staff they demonstrated that they had knowledge of what action they would take in ensuring that residents were protected at all times from being subject to any abuse. Glenside Residential Care Home DS0000012787.V329441.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19,20 & 26 Quality in this outcome area is good. Residents living at the home are provided with a homely environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A limited tour of the building was conducted and all residents rooms viewed, had privacy locks available and in all shared bedrooms privacy screens where available. There was a small number of residents who have the capacity to hold their own bedroom keys and were possible this facility was provided. Records in relation to the building upkeep and maintenance of equipment such as fire safety equipment, water, gas and electrical systems all records were up to date and well managed. Glenside Residential Care Home DS0000012787.V329441.R01.S.doc Version 5.2 Page 17 The home was clean and tidy, and there was systems in place to prevent the risk of cross infection, hand sanitiser was available within the entrance and exit of the home and also within high risk areas such as bathrooms, toilets and the laundry. The kitchen was viewed which was seen to be clean and tidy, with food safety policies and procedures followed, staff that work within the kitchen environment had received appropriate training. There were general risk assessments in place that identified common environmental and occupational hazards and there was individual risk assessments in place that had identified specific hazards to individual residents. The registered manager had acted swiftly in reviewing the risk assessment on the compatibility of using bedside rails for one individual resident who was at risk of falling out of bed, an incident had occurred where the resident had attempted to climb over the rails, through using the latest guidance on risk assessing the use of bedside rails the registered manager had taken the decision to cease using this equipment as the risk of the resident coming to harm from having the equipment fitted to their bed was far greater than the risk of falling out of bed. Glenside Residential Care Home DS0000012787.V329441.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29 & 30 Quality in this outcome area is good. The staff team have the skills and competence to ensure that they can fully meet the needs of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staffing levels on the day of inspection were sufficient to meet the current needs of the residents, and copies of staff rotas viewed demonstrated that the staffing levels are consistent. However during the two hour observation there was inequality of staffing resources within the home, this was fed back to the registered manager and the registered provider during the inspection, who confirmed that they would treat the findings of the observation as a high priority to ensure that staff are available within all areas of the home to engage with residents. The level of detail within the care plans and risk assessments provides the staff with full information to ensure that all the residents’ needs are identified and can be met. There were staff signature sheets available within the care plans to evidence that staff had read the care plans and risk assessments. Three staff recruitment files were viewed and the information contained within the files demonstrated that there was robust recruitment and selection Glenside Residential Care Home DS0000012787.V329441.R01.S.doc Version 5.2 Page 19 procedures in place to include clearances through the criminal Records Bureau and the protection of vulnerable adults register (POVA 1st). Staff training records evidenced that staff receive mandatory induction training on moving and handling, food hygiene, fire procedure, health and safety and first aid. Staff had received specialist dementia care training and training in relation to meeting the needs of residents individual heath care had been provided. Many of the staff had achieved the National Vocational Qualification (NVQ) levels 2 and 3 in care and in discussion with staff it was evidenced that staff are encouraged to undertaking the qualification. The home has exceeded the National Minimum Standards target of 50 of the staff being qualified to an NVQ 2 level . Glenside Residential Care Home DS0000012787.V329441.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33,35 & 38 Quality in this outcome area is excellent. The leadership of the home promotes a consistency of high quality care, which safeguards the service users health, safety and welfare. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager and the registered providers have a high commitment to ensuring that the home fully complies with the National Minimum Standards and Care Standards Act 2000, and endeavour to achieve this through regular audits taking place on the homes management and administration systems, health and safety systems and on day-to-day record keeping policies and procedures. Glenside Residential Care Home DS0000012787.V329441.R01.S.doc Version 5.2 Page 21 Monthly audits were available to view in which the home in recent months had used new assessment tools that had been published on the Commission for Social Care Inspections Care Providers website, these tools were the Annual Quality Assurance Assessment (AQAA) and the Key Lines of Regulatory Assessment (KLORA). In addition the home seeks formal feedback from residents and their representatives on how the service can be improved and records of annual satisfaction surveys were available to view. The management and administration systems were well managed, all records viewed during the inspection were up to date and accurate. Staff spoken with confirmed that the registered manager was open and approachable, that regular staff supervision and support was available and that there were good opportunities for further training, all staff spoken with expressed enjoyment with working at the home. There is a high commitment to staff training, the registered manager has achieved the registered managers award and the National Vocational Qualification (NVQ) Level 4 in Care Management and has the experience and the skills necessary to fulfil her role. The registered providers Mr and Mrs Hutchinson are fully involved in the dayto-day management and administration of the home, Mrs S Hutchinson (Director) also holds the NVQ level 4 in Care Management and the Registered Managers Award. The home subscribes to dementia specific journals to remain abreast of current good practice in caring for people living with dementia, which ensures that resident’s individual rights are promoted and protected. Glenside Residential Care Home DS0000012787.V329441.R01.S.doc Version 5.2 Page 22 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 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 3 4 4 Glenside Residential Care Home DS0000012787.V329441.R01.S.doc Version 5.2 Page 23 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. 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. Refer to Standard Good Practice Recommendations Glenside Residential Care Home DS0000012787.V329441.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Text phone: 0845 015 2255 or 0191 233 3588 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 Glenside Residential Care Home DS0000012787.V329441.R01.S.doc Version 5.2 Page 25 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!