Inspection on 24/08/07 for Great Glens Facility Limited

This inspection was carried out on 24th August 2007.

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

Great Glens Facility Limited 05/06/09

Great Glens Facility Limited 13/06/06

Great Glens Facility Limited 10/02/06

Great Glens Facility Limited 18/01/05

Great Glens Facility Limited 26/08/04

Great Glens Facility Limited 29/01/04

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

CARE HOME ADULTS 18-65 Great Glens Facility Limited 149/151 Midland Road Wellingborough Northants NN8 1NB Lead Inspector Bhavna Keane-Rao Key Unannounced Inspection 24th August 2007 10:30 Great Glens Facility Limited DS0000012789.V340062.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 Great Glens Facility Limited DS0000012789.V340062.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. Great Glens Facility Limited DS0000012789.V340062.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Great Glens Facility Limited Address 149/151 Midland Road Wellingborough Northants NN8 1NB 01933 274570 01933 224729 darrylfoulds@greatglens.co.uk 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) Mr Frank Leslie Foulds Mr Darryl Foulds Mr Darryl Foulds Care Home 22 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (22) of places Great Glens Facility Limited DS0000012789.V340062.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To accommodate18 service users at 149/151 Midland Road, Wellingborough, NN8 1NB, PC by reason of mental disorder for the age of 25 years and over To accommodate 4 service users at 153a and 153b Midland Rd, Wellingborough in need of PC by reason of mental disorder, for the age of 25 years & over 13th June 2006 Date of last inspection Brief Description of the Service: Great Glen is a Home providing personal care for up to twenty-two young adult residents who have long-term mental health needs and have ongoing involvement with community based psychiatric support services. Accommodation is provided in the main building on two floors, all in single bedrooms, each with an en-suite facility, and in two separate semi-detached houses next door, providing two single bedrooms each, for the more independent residents. Great Glen is registered as a main property with another property few doors away. Both houses managed by Mr Foulds and registered as one. Facilities in both properties include recreation lounges, communal living rooms on both floors, with facilities for making hot drinks. There are limited adapted facilities to cater for physical disability, although currently the category of registration is only for residents with mental health needs with no physical disability needs. Externally, there are landscaped gardens with a large patio area. Great Glen is also well situated in a relatively quiet residential street not far from the centre of Wellingborough. Great Glens Facility Limited DS0000012789.V340062.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process consisted of pre-planning the inspection, which included viewing the last Inspection Report, reviewing of the pre-inspection questionnaire, the service history of significant events since the last inspection and Comment Cards sent to residents from the Commission for Social Care Inspection. The unannounced site visit commenced on the 24th August 2007 and lasted six hours. The focus of the inspection is based upon the outcomes for the residents. Which means, for example, do the residents feel happy with the service they get and do they feel involved in decisions made about their lives. The method of inspection was ‘case tracking’. This method involves identifying individuals who currently live at the home and tracking the experiences of the care and support they received during the time they have lived there. Since there are 22 residents who live at this home, four of these were selected and discussions were held with them. The method of case tracking included the review of residents’ individual care records, discussions with provider/manager with various responsibilities within the home and reviewing the records that were available. The inspection was also used to check that information provided by the manager matched the individual experiences of residents. This was achieved by speaking with residents, provider/ manager and other staff who were on duty whilst observing day to day care practice. Commission for Social Care Inspection (CSCI) sent out four Comment Cards called “Have your Say about…” to residents and also to their relatives. This is a way of collecting views from people who use the services. The cards were sent to both the residents and their relatives. Fifteen cards were sent out to residents. Nine were sent back to the CSCI office by the time this report was written. Fifteen comment cards were also sent out to resident’s relatives/advocate. Three were sent back to the CSCI office by the time this report was written. The comments made by residents and their relatives/advocate have been incorporated into the main body of this report. On 24th August 2007 the registered provider/manager confirmed the Fees for the service provided at the home were between £600 and £1400 per week per person. Great Glens Facility Limited DS0000012789.V340062.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The 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. Great Glens Facility Limited DS0000012789.V340062.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 Great Glens Facility Limited DS0000012789.V340062.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): Standards 2 and 5. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The owner/manager ensures that new residents needs and aspirations are assessed before admission to the home, to meet their individual care needs. EVIDENCE: Residents have access to a Statement of Purpose, which outlines the role of the care home, providing additional information as to the home’s aims and objectives, information for relatives, policy on referral and admission, services offered, the accommodation and information on other policies and procedures. In addition the home has a web page on the Internet that provides information to residents, prospective residents, their families and other health care professionals. There have been four new admissions to this home over the last year. A recently admitted resident, was case tracked and their records viewed. This demonstrated that there is a set admissions procedure. This procedure is very flexible and informal to ensure that prospective residents are not over whelmed by it all. Great Glens Facility Limited DS0000012789.V340062.R01.S.doc Version 5.2 Page 9 At the point of admission residents are given all relevant information. The statement of Purpose was reviewed in April 2005. The manager has stated he will be reviewing all the documentation again by the end of 2007. A statement of Purpose was viewed during the visit. This means that people have all the information about the service provided by this home and how much it will cost Great Glens Facility Limited DS0000012789.V340062.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. 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. Resident’s independence is promoted, whilst they are supported to make decisions affecting all aspects of their lives. EVIDENCE: One Care plan was reviewed with the resident who was aware of what was in his records The care plans gave information where appropriate as to how the care needs of the residents affected their day-to-day lives, and the nature of the support they required, in order to lead the lifestyle of their choice. There are two computers in the home specifically for residents use. The care plans are written from the resident’s perspective and reflect their wishes and preferences. Great Glens Facility Limited DS0000012789.V340062.R01.S.doc Version 5.2 Page 11 All except one resident spoken with were able to demonstrate how their individual care needs are met. One resident stated, “ I like to go out to the pub everyday to meet my friends, I tell the staff as I go out so they know”. Comment cards completed by residents prior to the site visit reveal that they feel that they make decisions about what they do each day. Weekly records, which contain details of daily activities, were viewed. Care Plans are supported by risk assessments, which support residents to take risks as part of their lifestyle choices, areas which were risk assessed including, personal care, accessing transport, attending activities and household tasks. Staff demonstrated through their conversation and interaction with residents, a clear understanding of their role in offering support and guidance, and awareness as to the rights of residents to express opinions and make decisions, residents have a wide range of needs, all of which are met by staff. Great Glens Facility Limited DS0000012789.V340062.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to make choices about how they wish to lead their lives. EVIDENCE: Responses to questions in the comment cards and discussions indicated that residents were happy with the care they receive, and that they are supported to make decisions and have an active part within the community engaging in recreational and leisure activities. One resident stated: “ I like to go to the gym” Great Glens Facility Limited DS0000012789.V340062.R01.S.doc Version 5.2 Page 13 The registered manager stated that a number of residents like to attend the gym and this is encouraged and facilitated. Great Glens has membership at the local gym. Another person stated that he has learned to cook so that “I can start to take care of myself and then maybe get my own place.” This is incorporated in to his care plan as a goal. The information provided by the manager before the inspection demonstrates that there is a programme provided by the home which includes computing, Art and Craft, Exercise to music, Cookery, Gardening, Literacy and Pottery. There is also outside activities such as teamwork, Bannatynes Gym, Bowling, County Parks and Castle Theatre. One person stated that the “ food is really nice but I wish they would make more junk food!” One person stated that until he came to this home “I had never been on a holiday. The next big holiday is to Paris in France.” The manager and some of the residents had banter about getting their passports up to date. Everyone stated that most of their favourite food was provided for them on regular basis. The interaction between the residents, the staff and the provider was very positive. The atmosphere was very relaxed. Great Glens Facility Limited DS0000012789.V340062.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. 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. Resident’s health, emotional and personal care needs are met in line with their individual wishes. EVIDENCE: At present six people are able to look after their own medication. This is assisted by staff who discreetly and sensitively monitor this. For other people who have to take medication the home looks after this for them. The records were viewed and these were accurate and up to date. Records viewed demonstrated that resident’s health care needs were met. All appointments to any health care professionals were noted. Residents have a choice as to who provides them with personal support since there are both male and female staff are employed. Upon discussions with residents it was obvious that they felt very familiar and comfortable with all the members of staff. Great Glens Facility Limited DS0000012789.V340062.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. Residents are safe and protected from abuse. EVIDENCE: Information submitted by the manager before the site visit detailed that there had been one complaint, with regards to the service, which was resolved satisfactorily. The CSCI has not received any concerns or complaints since the last Inspection Residents who were spoken with stated they felt very safe and comfortable at the home. They all stated they knew who to go to if they had any concerns. Mr Foulds was aware of safe guarding policy and procedure. All the staff employed by the home have been provided with and successfully completed their training on safe guarding vulnerable adults Discussion with staff demonstrated that they were aware of their responsibilities to ensure that residents were safe. Great Glens Facility Limited DS0000012789.V340062.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, 25, 26, 27, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with a warm, safe, clean, comfortable and wellmaintained environment suitable for their needs. EVIDENCE: Great Glens is a large detached property, set within a residential area and benefits from local services and amenities; access to the ground floor via the front is via a level access, which leads into the hallway. The ground floor consists of two lounges, a dining/activities area, kitchen area and staff room, a kitchenette and office. There are a number of bedrooms and a utility room on this floor. Access to the first floor is via the stairwell, where there are a number of bedrooms, bathroom, a lounge, staff accommodation, another kitchenette and another office. Resident’s bedrooms, which were viewed, were highly personalised and showed individual tastes and interests. Great Glens Facility Limited DS0000012789.V340062.R01.S.doc Version 5.2 Page 17 All bedrooms had a call bell system in case of an emergency. Residents were observed moving around the home without restrictions. Part of the Great Glens accommodation is one separate unit, which accommodate more able individual residents. The units was visited and the residents took pride in showing the inspector ‘their home’. Both properties have very large gardens with vegetable patch. Residents spoken with were very proud of the vegetables they had grown. A resident stated: “I really enjoy living here, it is my home” Great Glens Facility Limited DS0000012789.V340062.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. There are enough staff to ensure that residents’ care and social needs are individually, collectively and safely met. EVIDENCE: On the morning of the site visit there were three members of staff on duty, one person had worked the previous night. The staff who were spoken with stated that they had regular staff meetings and supervisions. There are no formal agendas for supervision and there are no records kept of these meetings unless any particular issues of concerns are raised. Discussion was held with the manager who agreed that the supervision procedure should be done more formally. Great Glens Facility Limited DS0000012789.V340062.R01.S.doc Version 5.2 Page 19 Staffing recruitment records were viewed, there have been four new staff recruited. As part of case tracking one of the newly recruited member of staff’s records was viewed. The existing members of staff have all had relevant checks and a completed application along with two satisfactory references. Three Staff records were viewed and found satisfactory. One resident said “ Daryl knows what he is doing when he employs his staff, they are all fantastic.” Another resident stated, “I really like the staff here. We have key workers who spend time with us.” Great Glens Facility Limited DS0000012789.V340062.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. There is a committed registered manager who understands the needs of individual residents. EVIDENCE: Three members of staff were spoken with. They were very positive about working at the home. They felt supported by the owner/manager. A member of staff stated: “there is clear leadership and support for me.” There are formal residents meetings but also there are regular ‘chats’ held collectively and individually. Residents who were spoken with stated that they felt they were involved in the running of the home. Great Glens Facility Limited DS0000012789.V340062.R01.S.doc Version 5.2 Page 21 Mr Flouds has a very ‘hands on approach’, which residents were observed to respond to positively. There was light banter and relaxed atmosphere. All staff are provided with all mandatory and other external training to enable them to provide appropriate care. Residents are independent and mobile and do not require specialities aids or adaptations. Great Glens Facility Limited DS0000012789.V340062.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 3 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 3 26 3 27 3 28 X 29 3 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 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X X 3 3 X X 3 X Great Glens Facility Limited DS0000012789.V340062.R01.S.doc Version 5.2 Page 23 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 Great Glens Facility Limited DS0000012789.V340062.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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. Extracts may not be used or reproduced without the express permission of CSCI Great Glens Facility Limited DS0000012789.V340062.R01.S.doc Version 5.2 Page 25 - 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. 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