Inspection on 30/09/05 for Glenside Residential Care Home

This inspection was carried out on 30th September 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

Glenside Residential Care Home 11/04/07

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 30th September 2005 3:00 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.V255231.R01.S.doc Version 5.0 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.V255231.R01.S.doc Version 5.0 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 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.V255231.R01.S.doc Version 5.0 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 7th April 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 and is easily accessible by public transport. The town centre and its amenities are close by. The home was opened in April 2000. The premises consist of a large extended detached house with a large conservatory to the rear, setback from a main road. There are gardens to the front and rear and parking is provided. Glenside Residential Care Home DS0000012787.V255231.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The primary method of inspection used was ‘case tracking’ which involved tracking the care of three residents, through a review of their records and discussion with them where possible. Observation of care practices, discussion with the registered person and the registered manager, residents, staff and a limited tour of the building. The inspection took place over a period of three and a half hours following a period of one hours preparation, which included reviewing previous inspection reports, comment cards received from residents and visitors and other documentation. What the service does well: Full pre assessments are conducted for each prospective resident to ensure that the home can fully meet their needs. The home is flexible with the admission procedure; prospective residents are encouraged to visit the home prior to moving in, however the home recognises that for some people living with dementia this may be traumatic, therefore each admission is tailored to the individuals needs. Each resident has a written contract of residency that fulfils all of the contract specification criteria. The care plans are very comprehensive, containing an in depth insight into the full range of the health, emotional and personal care needs of each individual. The home facilitates residents in pursue their own interests. Residents are encouraged to participate in basic food preparation with staff support to maintain existing skills and provide meaningful activities. There is a commitment to working with the care plans and risk assessments that provides consistency of care. In addition to the mandatory training staff, there is specialist training to meet the needs of the residents. The leadership of the home promotes a consistency of high quality care, which safeguards the service users health, safety and welfare. Glenside Residential Care Home DS0000012787.V255231.R01.S.doc Version 5.0 Page 6 The home has an enthusiastic interest with the Alzheimer’s society and subscribes to dementia specific journals to remain abreast of current good practice in dementia care. 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. Glenside Residential Care Home DS0000012787.V255231.R01.S.doc Version 5.0 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.V255231.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 & 5 Standard 6 does not apply to this home. Information is available to enable service users to make an informed choice before being admitted to the home. EVIDENCE: The homes statement of purpose and service users guide is given to all prospective residents and their residents to enable them to make an informed choice as to whether the home can meets their needs. Full pre assessments are conducted for each prospective resident to ensure that the home can fully meet their needs. The home is flexible with the admission procedure; prospective residents are encouraged to visit the home prior to moving in, however the home recognises that for some people living with dementia this may be traumatic, therefore each admission is tailored to the individuals needs. Glenside Residential Care Home DS0000012787.V255231.R01.S.doc Version 5.0 Page 9 Each resident has a written contract of residency that fulfils all of the contract specification criteria. Glenside Residential Care Home DS0000012787.V255231.R01.S.doc Version 5.0 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 & 11 The care plans capture the uniqueness of each individual’s emotional, physical and spiritual needs. EVIDENCE: The care plans and risk assessments looked at were very comprehensive, containing an in depth insight into the full range of the health and personal care needs of each individual. Where resident’s display challenging physical and verbal behaviour, there was full instructions for staff to follow to assist in defusing the behaviour to ensure that the resident’s personal care needs are met safely. Residents are unable to manage their own medication; the medication records looked at were satisfactory. Staff spoken to who administer medication confirmed that they had received appropriate training from the pharmacy who supplying the prescribed medications to the home. Glenside Residential Care Home DS0000012787.V255231.R01.S.doc Version 5.0 Page 11 Medication profiles are available which give clear instructions regarding the use of “as required medication”, especially as many of the residents are unable to verbalise when they have pain. There are residents, who require their medication to be administered through covert methods, where this is necessary the correct protocols are followed with records maintained of the health professionals and families involvement in reaching the decision. In all cases the decision to give medication by covert methods is in the best interests of the residents health and emotional well being. A limited tour of the building was conducted all residents rooms viewed, had privacy locks and in all shared rooms screens where available. Resident’s wishes in the even of death are recorded in the care plans. Staff were observed caring for residents with compassion dignity and respect. Glenside Residential Care Home DS0000012787.V255231.R01.S.doc Version 5.0 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): 12,13,14 & 15 The lifestyle in the home meets the residents needs and expectations. EVIDENCE: The care plans contain detailed information on each resident’s individual preferences in relation to daily living activities. There is a plan of organised activities to include visiting entertainers and those who specialise in providing therapeutic activities for people living with dementia. The home facilitates residents in pursue their own interests. Residents are encouraged to participate in basic food preparation with staff support to maintain existing skills and provide meaningful activities. Residents were observed receiving the evening meal, which was a selection of sandwiches and cakes, the meal was unhurried and residents were able to choose whether they had their meal within the dining room or in the lounge. Residents preferences in relation to food was recorded within their care plans. Glenside Residential Care Home DS0000012787.V255231.R01.S.doc Version 5.0 Page 13 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): 16 & 18 The complaints procedure is available to all residents and their representatives EVIDENCE: The complaints procedure is contained within the service users guide that is made available to all prospective residents, there is also a copy on display on the notice board outside the senior staff office. Staff training records demonstrated that training is provided on recognising and reporting abuse, the home has the local protection of vulnerable adults guidance available for reference. Glenside Residential Care Home DS0000012787.V255231.R01.S.doc Version 5.0 Page 14 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): 19,20,21,22,23,24,25 & 26 Residents living at the home are provided with a homely environment. EVIDENCE: There has been extensive building works undertaken which has provided extra space in the home to include a large conservatory/function room, extra bedrooms, lavatories and bathrooms. A limited tour of the building was conducted; the home was clean and tidy, the décor was bright and cheerful There are separate lounge and dining room areas for residents to spend their time if they choose. An open timber fenced trail was in the process of being constructed within the garden with the aim of providing a path for residents to follow so whole of the garden can be safely accessed. Glenside Residential Care Home DS0000012787.V255231.R01.S.doc Version 5.0 Page 15 Residents bedrooms viewed had been personalised with small items of furniture, pictures and ornaments. Within one residents rooms there was denture cleaning tablets which posed a potential hazard for the resident occupying the room. There is a central lift for residents to access the 1st floor. Glenside Residential Care Home DS0000012787.V255231.R01.S.doc Version 5.0 Page 16 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): 27,28,29 & 30 There is a committed staff team which ensures that residents receive consistency of care. EVIDENCE: Staffing levels are sufficient to meet the current needs of the residents. There is a commitment to working with the care plans and risk assessments that provides consistency of care. Within the care plans there was staff signature sheets to evidence that they have read the care plan and risk assessments. Staff recruitment files looked at contained records of interviews, application forms, written references proof of identification, Criminal Records Bureau clearance and employment contracts. Staff training records evidenced that staff receive mandatory induction training on moving and handling, food hygiene, fire procedure, health and safety and first aid. In addition to the mandatory training staff, there is specialist training to meet the needs of the residents. There is a commitment to staff achieving the National Vocational Qualification levels 2 and 3 in care. The registered manager is working towards completing the registered managers award. Glenside Residential Care Home DS0000012787.V255231.R01.S.doc Version 5.0 Page 17 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): 31,32,33,35,36,37 & 38 The leadership of the home promotes a consistency of high quality care, which safeguards the service users health, safety and welfare. EVIDENCE: The registered manager is experienced and competent and upholds the values of person centred care, through discussion with the Registered Manager it is evident that she has in-depth knowledge of the needs of people with dementia. The registered manager has achieved the National Vocational Qualification Level 4 in Management and is working towards the Registered Managers Award. The Registered Manager was observed to have a good rapport with residents and staff commented that the Registered Manager is open and approachable. Glenside Residential Care Home DS0000012787.V255231.R01.S.doc Version 5.0 Page 18 A variety of records were viewed during the inspection and these were seen to be well maintained, up to date and accurate. Communication memos displayed on the staff-training notice board contained information on in house training events and health and safety information. There was also a notice board outside the senior staff office that displayed information for residents and their representatives. The home conducts annual quality reviews to gain feedback from residents and their representatives on how the home can improve the service provided. The home has an enthusiastic interest with the Alzheimer’s society and subscribes to dementia specific journals to remain abreast of current good practice in dementia care. Staff records evidenced that individual and group supervision takes place, staff spoken to said that they are well supported and are happy working at the home. Glenside Residential Care Home DS0000012787.V255231.R01.S.doc Version 5.0 Page 19 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 3 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 4 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 Standard No Score 16 3 17 X 18 3 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 3 3 3 X 3 3 3 3 Glenside Residential Care Home DS0000012787.V255231.R01.S.doc Version 5.0 Page 20 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard 38 Good Practice Recommendations Denture cleaning tablets should be stored securely. Glenside Residential Care Home DS0000012787.V255231.R01.S.doc Version 5.0 Page 21 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 Glenside Residential Care Home DS0000012787.V255231.R01.S.doc Version 5.0 Page 22 - 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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