Inspection on 08/08/06 for Glenwood House

This inspection was carried out on 8th 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 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 31/07/08

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Glenwood House 68 Titchfield Park Road Titchfield Fareham Hampshire PO15 5RN Lead Inspector Pat Griffiths Unannounced Inspection 8th August 2006 09:30 Glenwood House DS0000067287.V303789.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.V303789.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.V303789.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 023 8087 4300 023 8087 4301 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) www.hantspt.nhs.uk Hampshire Partnership NHS Trust Anjie Woodman Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Glenwood House DS0000067287.V303789.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26/4/05 and 30/12/05 - the home was empty on day of visit due to building work 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 leased by Downland Nursing Association, with care and support for the service users provided by the Hants 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 upper floor. The property is set within a large pleasant garden, screened by trees and fencing. Glenwood House DS0000067287.V303789.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit was the first for the year April 2006 to March 2007. All key standards were inspected during the visit, which lasted seven hours. The registered manager supported the inspector throughout the visit, members of staff and service users spoke to the inspector at different times during the day and the inspector had the opportunity to meet the responsible individual and the team manager when they visited the home. A tour of the house and garden was undertaken, and documents such as staff files, rotas and care records were sampled. The home has been closed temporarily for major refurbishment, following the discovery of subsidence in the property. The residents were accommodated at two other homes in the area whilst Glenwood was closed. The manager said that the staff and residents have been back in the refurbished house for a month and were slowly making it ‘home’ again. On the day of the visit two immediate requirements were made regarding matters that affected the health and safety of the service users. The first was regarding the laundry room, which was open, and the hazards that were apparent, including cleaning materials left out on the floor, exposed boiler and pipe-work and the accessible gas and electricity cut off/safety handles, the second was regarding the rubbish in the garden. The manager telephoned the inspector the following day to say that a lock had been fitted to the laundry door, advice was being sought regarding the other hazards in the laundry room and the rubbish had been cleared from the garden. As these matter were addressed in less than forty-eight hours following the inspection, they have not appeared as requirements in the report. The fees are arranged individually and privately, after financial assessments by social services who confirm the weekly charges. The service users’ contribution is £94.45 per week towards the cost of their care, which is based on the income they receive from sources such as pensions and benefits. Service users pay separately for items such as hairdressing, toiletries, papers and sweets. What the service does well: Good relationships are evident between the staff and the service users. The service communicates well with other agencies involved in the service users care and makes prompt referral to other specialist professionals when required. The home is well managed and the staff well trained and the service users that were able to confirmed that their needs are met. Glenwood House DS0000067287.V303789.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. Glenwood House DS0000067287.V303789.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.V303789.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. Arrangements ensure that prospective residents needs are assessed before a place in the home is offered. EVIDENCE: The home has recently reopened following a protracted refurbishment programme. One new service user has been admitted, who spoke very briefly to the inspector and acknowledged that they were happy with life in the home. The inspector was able to see that a comprehensive initial assessment had been completed before the service user was admitted. This contained information about the service user, such as details about their family, religious and spiritual needs, communication skills, social and leisure activities, daily living skills, physical needs and a behaviour profile. The assessment also included completed risk assessments for challenging behaviour, mobility and continence and generic ‘action plans’ were in place to reduce risks in these areas. Assessments of care needs were also in place, having been completed by staff in the previous home, which also contained personal support guidelines for the service user. A service user referral form had been completed by the team manager, which contained information about the service users housing needs. These Glenwood House DS0000067287.V303789.R01.S.doc Version 5.2 Page 9 assessments identified a need for twenty-four hour support, with waking night staff, which Glenwood could provide. Communication with the service users was sometimes difficult, but most made it clear to the inspector that they were happy living at Glenwood and with the care and support that the staff provided. Glenwood House DS0000067287.V303789.R01.S.doc Version 5.2 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. Arrangements ensure that service users are aware of their care plans, which are available in appropriate language, signs or pictures. Service users are supported to make decisions about their lives, and are encouraged to participate in the home and to live as independently as they are able. EVIDENCE: Each service user has a personal care file, which provides staff with detailed information about the service user, covering all aspects of their daily life and plans for the future. This included pages titled ‘what I like to do’, ‘things about me’ and ‘what I do’ as well as a record of significant dates and events. The care plans are now well organised and contain relevant information such as personal and care needs, risk assessments, evaluations and reviews. Records of their weight, medication and a summary of their daily activities were also seen. The daily activities log is well written and provides a good picture of the service users activities during the day and the night. Glenwood House DS0000067287.V303789.R01.S.doc Version 5.2 Page 11 Information from visiting healthcare professionals is also contained in the care plans. This includes visits from the continence advisor and dietician. Correspondence between the service and the resident and next of kin demonstrate that consultation has taken place, although it can be difficult to assess the level of understanding by the service user. All correspondence with residents is in appropriate formats, such as large print or pictures. Service user meetings are held in the home to discuss topics such as the menu, décor, the garden, social events as well as day-to-day events and service users are encouraged to say what has gone well or not so well in the home. The manager said that the service users are encouraged to make their own decisions and were observed being encouraged to participate in daily living tasks, as much as they are able. None of the service users manages their own finances, but some keep very small amounts of pocket money in their purses. Glenwood House DS0000067287.V303789.R01.S.doc Version 5.2 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 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 the home. Service users diet, social contacts and variety of daytime activities are appropriate, and well catered for, demonstrating choice and preference. EVIDENCE: The care plans seen by the inspector showed that service users are consulted about appropriate activities to meet their needs and preferences. Evidence of a weekly activity plans was seen and the manager said that it could change daily, according to the preferences of the service users. Sometimes service users go out for the ride when another service user is going to the day centre or for a hospital appointment. Several of the service users were attending a day centre on the day of the visit and told the inspector that they visit the centre several times a week. Other service users may decide to clean their bedrooms and then go out shopping and for coffee with a member of the care staff. A popular trip is visiting the garden centre for coffee and cakes. The home is in a residential area and not far from most amenities. The manager said that the service users like to get out and about locally and visit Glenwood House DS0000067287.V303789.R01.S.doc Version 5.2 Page 13 the local cinema as well as concerts and shows, they also like the local market, fetes and car boot sales. A visit to the library is also popular as there are CD’s and DVD’s on loan. The manager said that the staff work flexible shift patterns to ensure that there are enough staff in the home when some of the service users are out with other members of staff. Staff told the inspector that families are encouraged to visit the service users and the home has an open visiting policy. There is a visitors room available on the first floor and the manager confirmed that service users can refuse to see visitors if they wish. The manager said that the service users rights are respected and encouraged. All have registered to vote, but none choose to do so. There are locks on the bedroom doors, but most prefer not to use them. The home does not have pets because the service users have said that they don’t like animals in the house. The manager said the service users have meeting every three to six months to discuss menu planning, where they make suggestions and requests and ideas are discussed. The service users like traditional foods and fruit and vegetables, which are bought fresh from the local shops and supermarkets. The staff do the shopping and cooking, with some assistance from the service users, and ensure that a well balanced diet is provided. Snacks are available during the day and service users are encouraged to drink extra milk. A dietician is available for advice as one of the service users has specialist liquid tube-feeding (parenteral feeding) overnight. Training and support is available for all staff, from the nutritional advisor that supplies the special feeds, and is included in the in-house induction training. Staff said that they were happy with the training and support that had been provided and felt confident about their skills in providing the specialist care that this service user needed. Glenwood House DS0000067287.V303789.R01.S.doc Version 5.2 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. Arrangements ensure that the service users physical, emotional and health support needs are well managed. Appropriate systems are in place to support service users medication. EVIDENCE: The service user’s preference in how they prefer support to be delivered is well documented within the files sampled. It was noted that one female service user prefers not to have male carers and this choice is respected. The care plans also indicated that services users decided what time they would get up and go to bed and which activities they chose to do each day. The manager said that they are encouraged and supported by the staff when making daily choices such as which clothes to wear, a service user who spoke to the inspector confirmed this. The care plans also demonstrate that advice and consultation with other health care professionals is sought promptly when required. The care plans seen also included details of ‘well-person’ clinics that had been attended, annual health checks and medication reviews by the GP and hospital consultants. Glenwood House DS0000067287.V303789.R01.S.doc Version 5.2 Page 15 The manager said that none of the service users administer their own medication. Currently the drugs are kept in a locked metal trolley in a cupboard, but it is planned that they will be kept in locked cupboards in each service users bedroom. Medication stocks and records were sampled and found to be well maintained. The home has policies and procedures for the administration of medication and staff have received training before being allowed to administer medication. The manager said that staff have had three training sessions and annual updates. The staff members confirmed they had received training and felt confident about administering medication. Glenwood House DS0000067287.V303789.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. The complaints procedure is available in a pictorial format to meet the needs of service users. Arrangements ensure that service users are protected from abuse. EVIDENCE: The home has policies and procedures in place for dealing with complaints and concerns and copies of the procedure are available in a pictorial format appropriate to the service user group. Communication difficulties made it difficult for the inspector to ascertain their level of understanding of this procedure. The manager had a complaints log, and no complaints have been made since the last inspection. The manager confirmed that staff had received adult protection training within the last year. The home has NHS polices and procedures in place as well as the Hampshire Abuse procedure and the manager confirmed that she was aware of the need to follow the Hampshire procedures if abuse was suspected in the home. Staff that spoke to the inspector confirmed that they understood the procedures for reporting abuse, and that they had received appropriate training. The manager has a secure safe in her office and personal allowances for the service users, as well as items such as passports, are kept there. The inspector sampled three account records, which were found to be well maintained and accurate. Glenwood House DS0000067287.V303789.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. Service users live in a clean and comfortable home, arrangements are being made to ensure that it is safe and homely. EVIDENCE: The home has recently re-opened following an eighteen month rebuilding and refurbishment programme, which included a substantial upgrade in the facilities for the service users. The inspector was able to tour the home and saw several bedrooms, the dining/sitting room, kitchen and utility/laundry room as well as the gardens. The bedrooms have been decorated and refurbished to a high standard. The manager said that service users provide most of their own furniture and had chosen the colours they wanted their rooms to be painted. The manager said that the service users were waiting for shelves and picture hooks to be fitted so that the rooms could be personalised and made homely with pictures, televisions, music centres and other personal items. The sitting room is light and bright and comfortably furnished, with enough settees and armchairs for Glenwood House DS0000067287.V303789.R01.S.doc Version 5.2 Page 18 the service users. The home has three bathrooms, which have also been decorated and the manager said that they would also be made more homely with pictures and tile transfers. It was noted at the inspection in April 2005 that the boiler was housed within the laundry facility, which was left unlocked, and that the exposed hot water pipes were a potential risk to service users. As the home was due to close for the building work a requirement was not made. The inspector noted during this visit that the utility/laundry room was still open and accessible to service users. It was also noted that the internal door did not have a lock. There is a very small hand basin, but no domestic sink for washing clothes by hand or filling buckets. A bucket of laundry powder, fabric conditioners and cleaning agents were seen standing on the floor, the boiler and associated pipe work, as well as the various cut-off/safety handles for the gas and electricity, whilst lagged, were accessible and presented a hazard to the safety of the service users. The ‘gas-stop’ knob is in a position where it is easily knocked, so has been covered by a small cardboard box. An extension lead was being used, which was plugged into a wall socket and then stretched around the room, across the external doorframe and then connected to the freezer. An immediate requirement was made during the inspection to fit a lock to the door and for advice to be sought to reduce the hazards within the utility/laundry room. The manager telephoned the inspector the following day to say that a lock had been fitted to the door and advice was being sought regarding the other hazards in the room. The large garden is accessible to the service users, with ramps and steps from several doors. There are trees and shrubs, a large lawn, paths and a patio area for sitting out. During a tour of the garden the inspector noted that rubbish from the home and the recent building work had been left in areas that are accessible to the service users. The rubbish included a lawn mower, broken kitchen cupboards, light fittings and a bathroom cupboard with mirrors. An immediate requirement was made during the inspection for this rubbish to be removed and the garden made safe for the service users. The manager telephoned the inspector the following day to say that all of the rubbish had been removed and the garden was now safe. The home was clean, with no malodours on the day of the visit. Protective clothing such as aprons and gloves are available for the staff. The home has an infection control link worker who attends meetings within the Trust and ensures that staff in the home are kept up-to-date with any infection control issues. Glenwood House DS0000067287.V303789.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. Service users are supported by suitable numbers of well-trained staff. The recruitment practices protect the service users. EVIDENCE: The staff team comprises six full time and three part time support workers and the manager, with one staff vacancy. There are always two members of staff on duty during the day, with extra staff available for mealtimes or outings. There is one waking member of staff on duty at night. All staff members that spoke with the inspector have a good understanding of the resident’s needs, and confirmed they feel confident that they have the appropriate skills to meet any eventuality. Appropriate interaction between service users and staff was observed, and good communication procedures exist between staff members. The inspector looked at three staff files and all indicated that suitable recruitment procedures had been followed, except for the inclusion of a photograph of each staff member. Application forms had been completed and relevant checks, such as references and Criminal Records Bureau checks (CRB), had been made before employment started in the home. Each file contained a checklist, which ensured that all documentation had been completed and the CRB disclosure date and number was recorded. The Glenwood House DS0000067287.V303789.R01.S.doc Version 5.2 Page 20 manager confirmed that staff do not have a staff handbook, but terms and conditions of employment are provided. The manager said that the induction training for new staff was ‘in-house’, but the home has not recruited new staff for some time as staff have transferred from other homes in the Trust. The manager and inspector discussed the new ‘Skills for Care’ training and the need for a robust induction training programme for new staff to be used in conjunction with the in-house training. The training and development programme for staff is comprehensive, all have completed fire safety and food hygiene and are due to update their manual handling training soon. The manager said that there is also client-specific training available, such as Makaton and dementia awareness. Five of the staff have completed an NVQ at level 3 in care and one person is currently working toward the qualification. (National Vocational Qualification) Glenwood House DS0000067287.V303789.R01.S.doc Version 5.2 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. Arrangements ensure the home is well managed, for the benefit of the service users. Arrangements do not always ensure the health, safety and welfare of the service users and staff. EVIDENCE: The manager has been in post for several years and knows the staff and service users very well. Her qualifications include an NVQ 4 in care and management and a Healthcare Supervisory certificate. The home is one of several in the Trust and is part of the larger audit trail of service provision, but also conducts an internal audit of the service. A service user survey was completed last year across twenty-three of the homes in the Trust and seventy five service users were asked to express their views. The inspector saw the survey results and noted that of the 75 only 43 were keen to answer the questions. The results were provided in an easy to Glenwood House DS0000067287.V303789.R01.S.doc Version 5.2 Page 22 read format that also included appropriate pictures. Fifty of the service users thought their homes were comfortable, twenty-five did not answer, forty-seven thought the food was good and the staff polite and friendly. The responsible individual said that as a result of the survey the Trust are reviewing the way they seek service users views and will also try to involve them in the staff selection process. The manager said that the home is regarded as a ‘professional service’ by other healthcare providers, such as the local GP’s surgery. The manager said that a risk assessment has been completed for the building, the service users and the staff. Following the recent building work all safety checks have been completed and are satisfactory. Policies and procedures are in place and available for staff to read. There are policies in place to ensure the home is secured at night, once the day staff have left the building, all external doors are locked. The manager said that the home is also locked up if everyone is out for the day. Glenwood House DS0000067287.V303789.R01.S.doc Version 5.2 Page 23 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 3 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 3 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 3 X X 3 X Glenwood House DS0000067287.V303789.R01.S.doc Version 5.2 Page 24 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. Refer to Standard Good Practice Recommendations Glenwood House DS0000067287.V303789.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Glenwood House DS0000067287.V303789.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!