Inspection on 01/08/06 for Glenthorne Rest Home

This inspection was carried out on 1st August 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Glenthorne Rest Home 31/10/07

Glenthorne Rest Home 14/11/05

Glenthorne Rest Home 07/06/05

Glenthorne Rest Home 18/10/04

Glenthorne Rest Home 11/05/04

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

CARE HOMES FOR OLDER PEOPLE Glenthorne Rest Home 126/128 Reads Avenue Blackpool Lancashire FY1 4JJ Lead Inspector Mr Wesley Cornwell Unannounced Inspection 1st August 2006 09:30 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 Glenthorne Rest Home DS0000009759.V301473.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. Glenthorne Rest Home DS0000009759.V301473.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glenthorne Rest Home Address 126/128 Reads Avenue Blackpool Lancashire FY1 4JJ 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) 01253 626722 Miss Valerie Tyler Mrs Elsie Armstrong Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Glenthorne Rest Home DS0000009759.V301473.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th November 2005 Brief Description of the Service: Glenthorne Residential Care Home is registered to provide personal care for 18 people of both sexes over the age of 65 years. The home is situated close to the town centre and comprises of the following accommodation. The ground floor comprises of a dining room at the front of the home and a large lounge leading into a conservatory at the rear of the home. Resident accommodation is located on the ground and first floors and comprises of fifteen single bedrooms. En suite facilities are available in fourteen rooms. A chairlift facilitates access between the ground and first floor. Services provided by the home include a laundry service and social activities to provide motivation and stimulation. The home has a Statement of Purpose and Service User Guide providing information about the care provided, the qualifications and experience of the owners and staff and the services residents can expect if they choose to live at the home. A copy of the Service User Guide and most recent inspection report is issued to all prospective residents and their relatives/representatives to help them make an informed choice whether to move into the home. The range of fees at the home are £291.00 to £340.40 covering all aspects of care, food and accommodation. The owner provided this information on the 1st August 2006. Glenthorne Rest Home DS0000009759.V301473.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit was unannounced and started at 9.30 am and took place over 4 hours. The Inspector spoke to two staff members, two residents, two healthcare professionals and the owner of the home. Comment cards were completed by the relatives of four residents and three General Practitioners providing their views about the home. Staff, care, maintenance and financial records were also examined. A full tour of the premises was undertaken with the manager of the home. What the service does well: This is a care home where residents are well looked after. The staff team work well together and show a good understanding of the needs of the people living at the home. Those residents spoken to said they liked living at the home and felt they were being well cared for by the staff. One resident said, “I haven’t lived here very long but I am settled and very happy with my care. I looked around a number of homes before I decided on this one and I am happy with my choice”. The relative of one resident said, “ My relative spent some time in another care home after being discharged from hospital. She was very unhappy there and the experience was probably useful in comparing the care being provided at Glenthorne where she has been happy and well looked after for several years now”. Staffing levels were sufficient for the number of residents living at the home. Staff members seen said they were happy with their workload and were well supported by the owner of the home. Observation of care plans confirmed equality and diversity is promoted. This was being achieved by staff members supporting residents to maintain their individuality. Discussion with one resident confirmed the support being provided by the home enabled them to pursue hobbies and interests and maintain an independent lifestyle. The home is well maintained and was clean and tidy. Glenthorne Rest Home DS0000009759.V301473.R01.S.doc Version 5.2 Page 6 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. Glenthorne Rest Home DS0000009759.V301473.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 Glenthorne Rest Home DS0000009759.V301473.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission and assessment procedures were clear to ensure the care needs of residents are met. EVIDENCE: The care plan records of one resident recently admitted to the home had full assessment information. Staff members confirmed they had access to this information and could describe in detail the care needs of the resident. Staff responsible for the preparation of meals said they were informed about residents who had special dietary needs and these are always accommodated. The resident confirmed they had been involved in their assessment and was happy that their needs were being met by the home. This home does not provide intermediate care. Glenthorne Rest Home DS0000009759.V301473.R01.S.doc Version 5.2 Page 9 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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Promotion of health is taken seriously. Resident’s welfare is closely monitored and health needs were met. Residents feel respected by the staff team and their right to privacy is upheld. EVIDENCE: Individual records are kept for each resident with a plan of care setting out in detail the action that needed to be taken by staff to ensure all aspects of health, personal and social care needs of the residents were met. Significant events had been recorded and daily entries made setting out the care given. One resident recently admitted to the home confirmed they had been involved in the preparation of their care plan and were fully aware entries are recorded on the care plan by staff when they complete their care tasks. The records of three residents were looked at and these clearly described their healthcare needs. Discussion with staff members confirmed they were fully Glenthorne Rest Home DS0000009759.V301473.R01.S.doc Version 5.2 Page 10 aware of the healthcare needs of residents and these are monitored and kept under review. Entries made on care plans showed good communication between the home and healthcare professionals. The records of one resident confirmed a healthcare problem had been identified and appropriate action had been taken by the home. The records of all three residents confirmed appropriate action had been taken during the recent heat wave with plenty of fluids and light clothing being encouraged. Two healthcare professional’s visiting the home said staff communicate clearly and work in partnership with them and are able to demonstrate a clear understanding of the care needs of residents. One healthcare worker said, “ I have been visiting this home for a number of years and have always found the staff to be very caring. The residents are always clean and well presented”. The relative of one resident said, “The standard of care provided by the home is excellent. My relative requires a high level of support and I am satisfied their needs are being met”. Care plan records confirm the home are promoting equality by treating residents as individuals and ensuring people with diverse needs are having these met. Discussion with one resident confirmed the support being provided by the home enabled them to pursue hobbies and interests and maintain an independent lifestyle. Residents spoken to said the staff at the home were polite, kind, caring and supportive and had the skills and competence required to meet their needs. Medication practices observed were safe and good records had been maintained. Residents spoken to said the staff team respected their privacy and they could spend time on their own if that was their wish. Glenthorne Rest Home DS0000009759.V301473.R01.S.doc Version 5.2 Page 11 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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes procedures enable residents to exercise choice and control over their lives. Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: Residents spoken to said routines within the home were flexible and they were able to make their own decisions about how to live their lives. One resident said, “ This place is home from home. The staff are very caring and friendly. They are very respectful and allow me to make my own decisions. I come and go as I please and like to get out most days”. Residents spoken to said they were happy with arrangements in place for receiving their visitors. The relatives of two residents said they were always made welcome by the staff when they visited the home and found the staff friendly and approachable. Glenthorne Rest Home DS0000009759.V301473.R01.S.doc Version 5.2 Page 12 Residents spoken to confirmed they enjoyed the food provided by the home. One resident said, “ I really enjoy the food and get plenty to eat. I have a cooked breakfast every day, a light lunch and my main meal in the evening, as I like to go out most days. The staff are very accommodating”. The relatives of four residents said they were happy with food being provided by the home. Meal times were served in a relaxed and unhurried manner. Staff members were observed being very attentive to residents needs. Residents spoken to were very happy with the arrangements in place for social activities. One staff member had a keen interest in arranging activities for residents. These were varied and arranged individually and in groups. Glenthorne Rest Home DS0000009759.V301473.R01.S.doc Version 5.2 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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. Procedures for dealing with and reporting abuse were satisfactory ensuring people are adequately protected. EVIDENCE: The home has a detailed complaints procedure, which is made available to all residents on admission to the home. Residents spoken to were aware of how to make a complaint and felt these would be listened to and acted upon. The relatives of four residents also said they were aware of the complaints procedure but hadn’t had any cause to make a complaint about the home. The home has a procedure in place for dealing with allegations of abuse. The manager and staff spoken to had a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect. Staff members on duty informed the Inspectors abusive practices and how to recognise these had been covered during their National Care training. Glenthorne Rest Home DS0000009759.V301473.R01.S.doc Version 5.2 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, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a planned maintenance and renewal programme for the redecoration and refurbishment of the home to ensure residents live in a comfortable, homely and safe environment. EVIDENCE: The home has been well maintained and decorated for the comfort of residents. Since the last inspection two bedrooms had been redecorated and had a new carpets fitted. A new central heating boiler has been fitted and lockable cupboards fitted in all residents bedrooms to store money, valuables and medicines for those residents who wish administer their own medication. A tour of the building confirmed resident bedrooms had been personalised with their own belongings. One resident recently admitted to the home said they Glenthorne Rest Home DS0000009759.V301473.R01.S.doc Version 5.2 Page 15 were very happy with their room and could spend as much time in their room as they wanted without being disturbed by the staff. A recommendation from previous inspections was for the home to provide at least two accessible double electric sockets in all residents bedrooms. The owner of the home said there were no immediate plans to implement this work. Discussion with residents confirmed they were satisfied with the electrical sockets provided by the home. The owner said she would provide additional sockets if these were required for individual residents. Hot water temperatures throughout the home were checked and found to deliver water at a safe temperature in line with health and safety guidelines. A recommendation from previous inspections was for the owner to ensure a hand washing facility is prominently sited in the laundry area for staff members who have handled infected material and/or clinical waste. This work still hasn’t been implemented. It was observed during the visit the home was clean and hygienic. Glenthorne Rest Home DS0000009759.V301473.R01.S.doc Version 5.2 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The deployment of staff throughout the day is sufficient to meet the needs of residents. Staff are trained and competent to do their jobs. The homes recruitment procedures are not robust and these potentially place residents at risk. EVIDENCE: Staffing levels were sufficient for the number of residents living at the home. Residents said they were happy with the care they receive from the home and were well treated by the staff. One resident said, “I feel very safe. The staff are wonderful”. Another resident said, “The staff are very kind and I can’t find fault with any of them”. Staff spoken to said they were clear about their role and work well as a team to ensure the individual and collective needs of residents are met. Records show five staff members have achieved National Care Qualifications. Discussion with staff and examination of records confirmed training had been provided for staff members to ensure they had a clear understanding of the specific care needs of residents accommodated at the home. Glenthorne Rest Home DS0000009759.V301473.R01.S.doc Version 5.2 Page 17 One area of concern identified was the homes recruitment procedures. Examination of staff records showed one staff member had been recruited before their Criminal Record Bureau (CRB) clearance had been received. The owner said she was aware this was against protocol and had reviewed the homes procedures to ensure they are robust. Records were available to confirm two staff members recently interviewed were having all appropriate checks made before they commenced employment at the home. Glenthorne Rest Home DS0000009759.V301473.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of residents. The homes financial records are well maintained ensuring residents financial interests are safeguarded. The home has policies and procedures in place to ensure the health and safety of residents and staff are promoted and protected. EVIDENCE: The owner of the home has many years experience in caring for the elderly and recently completed a national care qualification. The owner said she was hoping to start working towards a recognised management qualification later in the year. Glenthorne Rest Home DS0000009759.V301473.R01.S.doc Version 5.2 Page 19 Residents and healthcare professionals spoken to were very positive in their comments about the owner who was described as being friendly, approachable, very helpful and professional. Quality assurance systems are in place to gather the views of residents and keep them informed about events being organised by the home. Inspection of records for residents finances were well maintained and up to date ensuring residents interests are safeguarded. Staff spoken to had a clear understanding of their role and what is expected of them during their shift. Inspection of maintenance records confirmed facilities and equipment was being maintained as required by health and safety legislation to provide a safe environment for residents and staff. The owner was reminded of her responsibility to inform the Commission in writing of all notifiable incidents as required by regulation 37. These should include the death of any resident, the outbreak of any infectious disease and any serious injury to a resident. Glenthorne Rest Home DS0000009759.V301473.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 2 X 2 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 Glenthorne Rest Home DS0000009759.V301473.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 OP29 Regulation 19 Requirement Timescale for action 01/08/06 2. OP38 37 The home must ensure all information and documentation required by regulation in respect of any person managing or working at a care home has been obtained prior to appointment. Previous timescale of 14/11/05 not met The registered manager must 01/08/06 ensure the Commission is informed in writing of all notifiable incidents that occur within the home. 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 OP26 Good Practice Recommendations The registered proprietor should ensure a hand washing facility is prominently sited in the laundry area for staff members who have handled infected material and/or clinical waste. Glenthorne Rest Home DS0000009759.V301473.R01.S.doc Version 5.2 Page 22 3. 4. OP28 OP31 50 of the care staff team should achieve NVQ qualifications The registered manager should achieve an NVQ level 4 qualification in management. Glenthorne Rest Home DS0000009759.V301473.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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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