Inspection on 31/07/08 for Glenwood House

This inspection was carried out on 31st July 2008.

CSCI found this care home to be providing an Good service.

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

Glenwood House 08/08/06

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Hillview Farm

Dalewood Respite Care

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOME ADULTS 18-65 Glenwood House 68 Titchfield Park Road Titchfield Fareham Hampshire PO15 5RN Lead Inspector Craig Willis Unannounced Inspection 31st July 2008 9:30 Glenwood House DS0000067287.V369156.R01.S.doc Version 5.2 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 Glenwood House DS0000067287.V369156.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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Glenwood House DS0000067287.V369156.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glenwood House Address 68 Titchfield Park Road Titchfield Fareham Hampshire PO15 5RN 01489 588701 01489 588701 a.woodman@nhs.net www.hantspt.nhs.uk Hampshire Partnership NHS Trust 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) Ms Anjie Woodman Care Home 6 Category(ies) of Learning disability (0) registration, with number of places Glenwood House DS0000067287.V369156.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning disability (LD). The maximum number of service users to be accommodated is 6. Date of last inspection 8th August 2006 Brief Description of the Service: Glenwood House is a care home registered to provide residential accommodation for up to six adults with a learning disability. The home is owned by Downland Housing Association, with care and support provided by Hampshire Partnership NHS Trust. The home is situated in a residential area, approximately four miles from Fareham town centre and one and a half miles from the M27, allowing quick and easy access to both Portsmouth and Southampton. Individual accommodation is arranged over two floors, with stairs and a passenger lift to access the first floor. The property is set within a large pleasant garden, screened by trees and fencing. The manager reported that there were no fees for the service as it is provided under a block contract with Hampshire County Council. Glenwood House DS0000067287.V369156.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The evidence used to write this report was gained from a review of the information the provider sent to us since the last visit and the previous inspection report. This information included incident reports and an annual quality assurance assessment. A site visit to the home was made on 31 July 2008. During the visit we spoke with three people who live in the home and observed other people interacting with staff. We also spoke with the manager and staff on duty. The communal areas of the building were viewed and documents relating to the running of the home were inspected during the visit. We received surveys from two people who live in the home and five staff. What the service does well: There are good systems to assess people’s needs before they move into the home. This reassures people that the home will be able to meet their needs. There are good care planning and risk assessment systems. This means people are involved in making decisions about their lives. The home provides good support for people to take part in a range of activities, to maintain contact with family and friends and to maintain a healthy diet. People’s personal and health care is well met by staff who know their needs. There is a good system to safely store and administer people’s medication. There are good systems for dealing with complaints and responding to allegations of abuse. This gives people confidence that any complaints will be taken seriously and responded to. Staff are well trained, which helps to ensure they can meet people’s needs. There are good systems to check staff before they work in the home, which helps to keep people safe. There are good systems to make improvements to the service based on the views of people who live there. Glenwood House DS0000067287.V369156.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. The summary of this inspection report can be made available in other formats on request. Glenwood House DS0000067287.V369156.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Glenwood House DS0000067287.V369156.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good systems to assess people’s needs before they move into the home. This reassures people that the home will be able to meet their needs. EVIDENCE: The manager reported that no one has moved into the home since the last inspection. The records of three people were inspected during the visit and demonstrated that there was a comprehensive assessment of their needs before they moved into the home, which is regularly reviewed to ensure they remain accurate. The trust has procedures in place to assess people’s needs before they move into the home and support the person to settle into their new home. There is a guide to the services that are provided in the home that is available in an accessible version, with pictures and symbols to aid understanding. Glenwood House DS0000067287.V369156.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good care planning and risk assessment systems, which involve people in making decisions about their lives and helps staff to provide the support that people need. EVIDENCE: The records of three people who live in the home were inspected during the visit. People had a care and support plan, which set out how their assessed needs should be met. The plans seen contained detailed information about how staff should provide support to meet people’s needs and aspirations. Plans are reviewed every two months and there was evidence that plans had been amended where people’s needs have changed. People who live in the home are involved in the process of developing and reviewing their plans and they are able to invite other people to planning meetings for support. Details of how people should be supported to make decisions are set out in the care and support plans. People spoken with said they were able to make Glenwood House DS0000067287.V369156.R01.S.doc Version 5.2 Page 10 decisions about their lives and felt well supported by staff. One person said he wanted to move out of the home and staff were helping him to discuss this with his care manager. Risk assessments have been completed for all people living in the home and include clear information about how to minimise the identified hazards. These assessments are reviewed as part of the care planning meetings and had been amended where assessed as necessary. The manager demonstrated a good understanding of the need to take risks to support people to develop, but ensuring that the identified hazards are reduced where possible and staff are aware of when to intervene. Staff spoken with demonstrated a good understanding of people’s needs and the importance of supporting people to make decisions about their lives. Glenwood House DS0000067287.V369156.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides good support for people to take part in a range of activities, to maintain contact with family and friends and to maintain a healthy diet. EVIDENCE: People are supported to take part in a wide range of activities, including day services, visits to the local pub, shopping and cinema. People have an individual programme of activities, which is based on their needs and wishes. On the day of the visit one person was celebrating their birthday by having a meal with other people who live in the home and was expecting a visit from a relative later in the day. Another person was going out to visit a relative for the day. The home has a minibus that is used to support people to travel to their activities. People are supported to maintain contact with their friends and family, with staff providing support for people to visit family where necessary. Glenwood House DS0000067287.V369156.R01.S.doc Version 5.2 Page 12 People are supported to take part in household activities, with details of the support they need in their support plans. During the visit, one person was supported to clear the table and the kitchen after a meal. The home has a planned menu which people are encouraged to participate in developing. Staff support people to plan a balanced menu during residents meetings. The known likes and dislikes of people who do not contribute to the meetings are taken into account. The kitchen was well stocked and alternative meals are available if people do not like what is on the menu. Mealtimes are flexible to fit round activities and snacks are available at any time. People spoken with said they like the food. Glenwood House DS0000067287.V369156.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s personal and health care is well met by staff who know their needs. There is a good system to safely store and administer people’s medication. EVIDENCE: Care plans contain details of the personal care support people need and how it should be provided. People spoken with said staff treat them well and provide the support they need. Both of the people who live in the home who completed a survey for us said staff always treat them well, listen to them and act on what they say. People are supported to attend a range of health services, including GP, nurse, dentist, chiropodist and optician. Details of consultations are recorded, including any advice given by the practitioner. One person uses a PEJ (percutaneous endoscopic jujunostomy) feed to take their nutrition and medication. This person’s care plan contained detailed guidance about the PEJ Glenwood House DS0000067287.V369156.R01.S.doc Version 5.2 Page 14 and staff have received training from the health professionals involved in the person’s care. Staff spoken with said they were confident about providing this care and said they received good support from the health services. All people who live in the home have been supported to complete a health action plan that assesses whether they are receiving the health services they need. Medication is securely stored in a locked cupboard in each person’s bedroom or in a locked cabinet in the kitchen and most tablets are supplied in a monitored dosage system. A record is kept of medication coming into the home and returned to the pharmacist for disposal. The medication administration record for the current month was inspected and had been fully completed. A record is available of medication that is returned to the pharmacist for disposal. All staff administering medication have received training. Where people have been prescribed medication to be taken ‘as required’ there are clear guidelines in place stating under what circumstances the medication should be administered. The manager reported that none of the people who live in the home are currently able to manage their own medication. Glenwood House DS0000067287.V369156.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good systems for dealing with complaints and responding to allegations of abuse. This gives people confidence that any complaints will be taken seriously and responded to. EVIDENCE: The home has a complaints procedure, which is provided to all people living at the home in a pictorial format to make it more accessible. People spoken with during the visit said they would speak to staff if they wanted to complain. Both people who live in the home who completed a survey said they know who to talk to if they are not happy. The manager reported that the home has not received any formal complaints in the last year, although a number of concerns have been raised by one person’s family. A record of these concerns and the action taken in response to them was available. We have not received any complaints about the home since the last inspection. Staff have completed training in safeguarding adults. Staff spoken with demonstrated a good understanding of the action they should take if abuse is witnessed, reported or suspected. There is a policy and procedure on safeguarding adults and the prevention of abuse. Glenwood House DS0000067287.V369156.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained and provides a clean, comfortable and safe environment for people. EVIDENCE: All of the home’s communal areas were viewed during the visit. The home is maintained to a high standard, with good quality domestic furniture and fittings. People living in the home have access to a lounge / dining room, kitchen and garden. There is a planned maintenance and renewal programme. Staff reported that there have been some problems getting outstanding work completed following the refurbishment of the home but that most of this has now been resolved. The manager has regular meetings with the housing association to resolve any problems. There are three bathrooms in the home, two of which are accessible to people with mobility difficulties. There is a garden to the rear and side of the home. One person has been supported to grow tomatoes and some flowers in an area of garden by his bedroom window. The manager reported that funding has been agreed to build an area of raised Glenwood House DS0000067287.V369156.R01.S.doc Version 5.2 Page 17 decking by the lounge, which can be accessed through patio doors. Since the last inspection action has been taken to fit a lock to the laundry room door and clear rubbish from the garden. The manager reported that the carpet in the dining area has been replaced with vinyl to enable it to be cleaned more effectively. The home has a separate laundry room that is fitted with machines capable of washing soiled clothing. The home is clean throughout. Hand washing facilities are suitably situated in the kitchen, laundry, toilets and bathrooms. The home has infection control procedures and staff have received infection control training. Both people who completed a survey for us said the home is always clean and fresh. Glenwood House DS0000067287.V369156.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are well trained and there are good systems to check staff before they work in the home. This helps to keep people safe and ensure staff can meet their needs. EVIDENCE: The manager reported that seven of the nine staff have achieved the National Vocational Qualification (NVQ) at level 3 or above and two are currently completing the award. Staff members were observed spending time listening to people who live in the home and responding to requests for support. People spoken with said they felt there were enough staff to provide the support they need. All five staff who completed a survey for us said they thought there were enough staff to meet people’s needs. The manager reported in the annual quality assurance assessment that all staff who have worked in the home over the last twelve months have had satisfactory pre-employment checks. The file of one member of staff who started working in the home since our last visit was inspected. This person’s file had written references, confirmation that a Criminal Records Bureau (CRB) Glenwood House DS0000067287.V369156.R01.S.doc Version 5.2 Page 19 disclosure had been obtained and that the person was not on the protection of vulnerable adults list. The home has an on-going training programme and staff reported that they receive good training, which helps them meet people’s needs. Staff training records indicated people had completed an induction and courses including medication administration, first aid, safeguarding adults, food hygiene, prevention and positive management of aggression, moving and handling, fire safety, dementia and working with dignity. All five staff who completed a survey for us said they received training which is relevant to their role, helps them meet people’s individual needs and keeps them up-to-date with new ways of working. The manager has identified where there are gaps in people’s training and planned courses throughout the year. Glenwood House DS0000067287.V369156.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed, which helps to keep people safe and there are good systems to make improvements to the service based on the views of people who live there. EVIDENCE: The manager has completed the NVQ 4 in care and the registered manager’s award. Staff spoken with said they thought the manager was very supportive. During the visit the manager demonstrated her desire to learn more and update her skills so that the service could improve. The manager has clear Glenwood House DS0000067287.V369156.R01.S.doc Version 5.2 Page 21 ideas about how the home should be run and the improvements that she would like to make. A locality manager visits the home every month and assesses the quality of the service that is being provided. Reports of these visits are made and sent to the manager and the responsible individual in the Trust. The reports contain a list of any actions that are needed and an update of actions that were required in the previous report. There are regular audits of the service, including a ‘property hazard report’ and the self-assessment the manager completed for us. The manager of a different service completes an annual survey of people who live in the home, staff and other stakeholders. The responses to these surveys are collated and used to plan improvements to the service. The home has an annual development plan, which has three areas for improvement and sets out how to measure whether the improvements have been successful. In addition to these local improvement plans, the Trust has a strategic plan to improve the quality of the service provided. Records of the servicing and testing of the fire alarm, fire fighting equipment, hoists, lift and gas system were inspected and found to be up to date. Workplace risk assessments are completed and regularly reviewed, including action necessary to minimise the identified hazards. Glenwood House DS0000067287.V369156.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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 4 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 4 X X 3 X Glenwood House DS0000067287.V369156.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 Glenwood House DS0000067287.V369156.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 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. 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