Inspection on 07/04/05 for Glenside Residential Care Home

This inspection was carried out on 7th April 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 30/09/05

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 Linda Preen Unannounced 7th April 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Glenside Residential Care Home Version 1.10 Page 3 SERVICE INFORMATION Name of service Glenside Residential Care Home Address 179-181 Weedon Road Northampton Northants NN5 5DA 01604 753104 01604 750760 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Glenside Care Home Limited Mrs S Gamble Care Home 30 Category(ies) of DE(E) Dementia - Over 65 (30) registration, with number of places Glenside Residential Care Home Version 1.10 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 21st October 2004 Brief Description of the Service: Glenside is a Care Home providing personal care and accommodation for 30 older people 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 consists of a large detached House with an extension, set back from a main road. There are gardens to the front and rear and parking is provided. Glenside Residential Care Home Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 3 ¾ hours and was the first statutory inspection for this year. A limited tour of the environment took place and staff, care records and other records within the home were inspected. Three staff members, three service users and one relative were spoken to on this occasion. What the service does well: 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Glenside Residential Care Home Version 1.10 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Glenside Residential Care Home Version 1.10 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 3 and 5. Standard 6 does not apply in this home. Information is available to enable service users to make an informed choice before being admitted to the home. EVIDENCE: A Statement of Purpose and a copy of the Service User Guide were seen and these contained the required elements. The relatives of a prospective service user were present in the home at the time the inspection and were given the opportunity for a tour around the home in order to inform their decision. The Registered Manager arranged to visit the prospective service user in their own home during the following day, to carry out a pre-admission assessment. Glenside Residential Care Home Version 1.10 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10 and 11. The healthcare needs of the service users are met, using up-to-date research based models of care. EVIDENCE: Excellent detailed individual care plans were available in order to guide staff to meet the individual needs of service users. These care plans are formulated following an initial assessment and risk assessments are available to ensure that service users continue to be as independent as possible. For example: one service user who attempted to leave the home on a daily basis in order to attend a cleaning job has been provided with an apron and risk- assessed cleaning materials in order that she may occupy herself within the home. Records of service users attendance at General Practitioner surgeries and also their treatment by chiropodists and dentists were available in the files seen. Systems are in place to ensure the safe administration of medication within the home. Medication profiles are available. In addition to these, clear instruction is available concerning the use of ” as required” medication. This is to be commended, as many of the service users within the home are unable to verbalise when they have pain etc. Glenside Residential Care Home Version 1.10 Page 9 Service users spoken to confirmed that they are treated with respect and that their privacy is respected. Permission was asked of the service users before their individual rooms were shown to the inspector. Privacy screens were available in shared rooms. Relatives of the service user who had died on the day prior to the inspection congratulated staff on the care and attention that both the service user and they had received over this difficult period. Records of service users wishes following death were available in the files seen. Glenside Residential Care Home Version 1.10 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15. Social interaction and meals are both well managed, and provide daily variation and interest for people living in the home. EVIDENCE: Service users spoken to stated that a variety of activities were available in the home. One gentleman enjoyed watching sport on television and a lady had enjoyed a reminiscence session held during the previous few days and also stated that she enjoyed walking to the shops with carers. Visitors are welcome in the home at any time and one service user stated that she had enjoyed a visit from some of her old neighbours on the previous day. Records of service users preferences concerning activities of daily living were available. Service users were observed to be sitting in their own rooms or in the communal areas according to individual choice. Meals are served in the dining room or on individual trays as requested. Fresh fruit and vegetables are delivered twice a week and other groceries on a weekly basis. A set menu is provided at lunchtime, although both the cook and service users confirmed that alternatives are provided for those who do not like what is on offer. The cook was aware of individual service users likes and dislikes and catered for their needs. Glenside Residential Care Home Version 1.10 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 Service users are protected, by staff, from abuse in the home. EVIDENCE: Staff training records demonstrated that training had been provided on the subject of abuse. This had been provided by the community psychiatric nurse. Staff spoken to confirmed that they had received this training, and in questioning demonstrated their awareness of the different types of possible abuse and of their responsibility in reporting this. The local Protection of Vulnerable Adults guidance document was available for reference. Glenside Residential Care Home Version 1.10 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,23,24.25 and 26. Service users are provided with safe and comfortable surroundings suitable to their individual needs. . EVIDENCE: Extensive building works are currently being undertaken and risk assessments for both communal and individual risks are available to ensure the safety of service users during this work. A limited tour of the environment was undertaken. This demonstrated that the home was clean and tidy. Service user rooms showed evidence of personalisation with small items of individual furniture pictures and ornaments on display. In addition to pleasant lounge areas, a large garden is available for use when the weather permits. Glenside Residential Care Home Version 1.10 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29 and 30. Procedures for the recruitment of staff are not followed and do not therefore provide the safeguards to offer protection to people living within the home. Staff training is provided in order to ensure that service users needs may be met. EVIDENCE: Duty rotas demonstrated that staffing levels are sufficient to meet the current needs of the service users within the home. Staff training records demonstrated that in addition to statutory training, specialist training to meet the particular needs of the service users within this home is provided. There is a commitment to providing National Vocational Qualification to carers within the home and several members of staff have achieved, are or are working towards, this qualification. Glenside Residential Care Home Version 1.10 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 36 and 38. The home is run by an experienced and competent manager who promotes and safeguards the health, safety on welfare of the people living in the home. EVIDENCE: The registered manager demonstrated her commitment to ensuring that the service users welfare was a priority in the home by her conversation and her record keeping. As stated earlier records guiding staff in the care of the service users are extremely comprehensive and individualised. Service users, staff and relatives spoken to expressed their satisfaction with the management of the home and stated that they felt able to speak to the manager with any concerns. Staff spoken to confirmed that they receive regular supervision, which is carried out either by the provider or by the registered manager. Glenside Residential Care Home Version 1.10 Page 15 A maintenance person is employed for four hours a day, and records of testing of fire alarms and emergency lighting were seen and found to be up-to-date. Health and Safety and Control of Substances Hazardous to Health information were in evidence within the home. Glenside Residential Care Home Version 1.10 Page 16 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x 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 3 3 x x 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 3 3 3 x x 3 x 3 Glenside Residential Care Home Version 1.10 Page 17 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. 1. 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 Good Practice Recommendations Glenside Residential Care Home Version 1.10 Page 18 Commission for Social Care Inspection 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. 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