Inspection on 02/08/05 for Gwenlyn Guest House

This inspection was carried out on 2nd August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Gwenlyn Guest House 03/04/07

Gwenlyn Guest House 06/02/06

Gwenlyn Guest House 17/01/05

Gwenlyn Guest House 19/07/04

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

CARE HOME ADULTS 18-65 Gwenyln House 17 Chesterfield Road Blackpool Lancashire FY1 2PP Lead Inspector Ruth Edgington Announced 02 August 2005 9.30am The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Gwenyln House F57 F09 S10016 Gwenlyn Guest House V185641 020805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Gwenlyn Guest House Address 17 Chesterfield Road Blackpool Lancashire FY1 2PP 01253 26342 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Elizabeth Greaves Care Home (CRH) 3 Category(ies) of Mental Disorder (MD) (3) registration, with number of places Gwenyln House F57 F09 S10016 Gwenlyn Guest House V185641 020805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. That service user accommodation shall be restricted to the ground floor and first floor of the Gwenlyn House only. Date of last inspection 17/01/05 Brief Description of the Service: Gwenlyn House is a Care Home for Younger Adults and is registered to accommodate 3 persons of either sex, whom have mental health problems. The home is situated in the North Shore area of Blackpool, within easy reach of local amenities. The residents each have a single bedroom and there are sufficient bathing and toilet facilties to meet their needs. The communal areas comprise of a large lounge and dining room in which residents can undertaking the daily activites of their choice. The home does not have any special equiptment or aids as the residents are independent and require no assistance. Gwenyln House F57 F09 S10016 Gwenlyn Guest House V185641 020805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection that took place over 1 ½ hours. The Inspector spoke to the homeowner and the 3 residents. The Inspector also spoke to the homeowner’s daughter who was present at that time and offers her mother support when needed. Conversation with the residents was very limited due to the fact that they consider the inspection to be in invasion of their privacy. The residents presently accommodated have lived together in the home, which operates as an extended family unit, for approximately 21years. The home is very much domestic in nature and the residents are encouraged to be as independent as their abilities allow. In the event of any of the existing residents no longer residing in the home, the homeowner has no intention of offering accommodation to any other persons in the future. The Inspector examined the records kept for each resident and looked around the home. What the service does well: The residents in this home are well cared for, protected and encouraged to be independent within their capabilities and wishes. The home is run as a small family unit and the residents clearly see themselves as part of this family. Members of the homeowner’s family give assistance and support when required and the holidays that residents take are with these family members. Gwenyln House F57 F09 S10016 Gwenlyn Guest House V185641 020805 Stage 4.doc Version 1.40 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. Gwenyln House F57 F09 S10016 Gwenlyn Guest House V185641 020805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Gwenyln House F57 F09 S10016 Gwenlyn Guest House V185641 020805 Stage 4.doc Version 1.40 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 standard(s) 5 Each resident has a copy of the terms and conditions of residence, which confirms the service provided by the home to meet their needs. EVIDENCE: The residents chose to live in the home over 21 years ago, which was before there was any requirement for the home to be registered and therefore there was no assessment and admission procedures carried out at that time. The Inspector noted that residents had a signed copy of the home’s terms and conditions on their file wich is important as this ensures they are then aware of their rights. Gwenyln House F57 F09 S10016 Gwenlyn Guest House V185641 020805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9 and 10. There is a clear and consistent care planning system in place, which ensures that the resident’s needs, aspirations and goals are met. EVIDENCE: The residents are fully involved in every aspect that affects their lives. The Inspector examined the care plans that had been developed for each of them and was able to evidence their involvement and that they had signed to confirm that they agreed and understood the contents. The information covers all aspects of their individual needs, risk assessments, physical, mental, emotional, spiritual and social needs. The information is reviewed by the homeowner as necessary and at least every 6 months. Information that is recorded on each individual resident is kept secure, and shared only on a need to know basis with appropriate persons. Gwenyln House F57 F09 S10016 Gwenlyn Guest House V185641 020805 Stage 4.doc Version 1.40 Page 10 Each file also contained a comprehensive care plan, which is done on a yearly basis by the Social Services who are responsible for funding the residents in the home. Regular meeting are held with the residents and the Inspector noted that at the most meeting they were informed of the date and time of this inspection Gwenyln House F57 F09 S10016 Gwenlyn Guest House V185641 020805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15, 16 and 17. The support provided to residents enables them to maintain their choice of lifestyles in and outside the home. The meals provided offer a balanced and varied diet to meet individual tastes and choices. EVIDENCE: The residents have a range of activities available to them, which they enjoy. These include a variety of board games and at the time of the inspection they were playing dominoes. They each have a television in their room in addition to the television in the lounge. Information that they have written in their daily activities record confirms that they enjoy music, reading, the cinema and swimming. Gwenyln House F57 F09 S10016 Gwenlyn Guest House V185641 020805 Stage 4.doc Version 1.40 Page 12 One of the residents has taken this recording very seriously recording the route that they take on their daily walk and has even made a map of the area. The Inspector discussed these records with the residents and found that one of the residents was assisted by the others to record their activities. On arrival at the home the Inspector was met by one of the residents that had been out for a newspaper. Although the residents may go out alone to the local shops, in the main they choice to go out as a group and support each other. The residents do not have any family links or external friendships and are very dependent on the homeowner. The involvement of a social worker in the reassessment of the residents needs has introduced another person into their lives, however the residents suspect any involvement by outside agencies and will take time to build up their trust, if at all. The Inspector is well aware of their feelings and conducts the Inspection as unintrusive as possible. Conversation with the residents is dependent on the degree that they wish to communicate and on what subjects. Through comments made and observations during the inspection there was no evidence to indicate any cause for concern. The residents and homeowner have their meals together and over the years have become accustomed to the types of meals preferred. The residents enjoy having meals out which is another activity that they do as a group Gwenyln House F57 F09 S10016 Gwenlyn Guest House V185641 020805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20 and 21 Promotion of resident’s health, personal and social care is taken seriously and closely monitored to ensure they are met. EVIDENCE: The residents in this home do not require any assistance with their personal care needs. They are very independent and require only gentle reminders in relation to personal hygiene. On examination of the residents’ individual files the Inspector found that a record was kept of every time the resident was seen by their GP and all appointments with other health care professions. Two of the residents are on medication and self-administer this. The homeowner maintains a record of the medication prescribed and any changes made. The Inspector noted that the residents had clearly indicated on their individual file, their wishes in relation to ageing, illness and death. The homeowner had obtained this information in a sensitive and respectful manner. Gwenyln House F57 F09 S10016 Gwenlyn Guest House V185641 020805 Stage 4.doc Version 1.40 Page 14 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 standard(s) These standards were not assessed EVIDENCE: Gwenyln House F57 F09 S10016 Gwenlyn Guest House V185641 020805 Stage 4.doc Version 1.40 Page 15 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 standard(s) 24,25and 30 The home is redecorated, refurbished and well maintained to provide the residents with a safe, comfortable and homely environment. EVIDENCE: Observations made during the inspection confirmed that the home was meeting the needs of the residents. The home is very much domestic in character and in keeping with the local community. The Inspector found the home to be warm, clean and free from any offensive odours and the homeowner ensures that standards remain high by undertaking a continual programme of upgrading and refurbishment, to which the residents are involved. A recent inspection by the Fire Department had identified changes that were required to the fire alarm system. The Inspector was informed that this work had been carried out and that the Fire Department had been informed. Gwenyln House F57 F09 S10016 Gwenlyn Guest House V185641 020805 Stage 4.doc Version 1.40 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) The above standards were not assessed. EVIDENCE: The home does not employ any staff and therefore the above standards do not apply. Gwenyln House F57 F09 S10016 Gwenlyn Guest House V185641 020805 Stage 4.doc Version 1.40 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39 and 42 The home is well managed and run in the best interest of the residents. EVIDENCE: The provider is a competent person who has provided the residents with a home and the support that they require for the past 21 years. The Inspector was able to evidence through discussions, examination of records and observations made, that the residents are able to make their views known and are involved in all decisions that affect them. As there are no staff employed in the home the requirement of a management qualification is not seen to be appropriate, however the provider was reminded of the need to undertake relevant training to ensure that the needs of the residents continue to be met. This includes obtaining a Level 4 NVQ and a qualification in First Aid. Gwenyln House F57 F09 S10016 Gwenlyn Guest House V185641 020805 Stage 4.doc Version 1.40 Page 18 Inspection of maintenance records confirmed that facilities and equipment was being maintained as required. Gwenyln House F57 F09 S10016 Gwenlyn Guest House V185641 020805 Stage 4.doc Version 1.40 Page 19 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x 3 Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Gwenyln House Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 2 x 3 x x 2 x F57 F09 S10016 Gwenlyn Guest House V185641 020805 Stage 4.doc Version 1.40 Page 20 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA 37 YA 42 Good Practice Recommendations The registered provider should enrol and be working towards achieving Level4 NVQ by 31st December 2005 The registered provider should undertake an appropriate first aid course. Gwenyln House F57 F09 S10016 Gwenlyn Guest House V185641 020805 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Unit 1, Tustin Court Portway Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Gwenyln House F57 F09 S10016 Gwenlyn Guest House V185641 020805 Stage 4.doc Version 1.40 Page 22 - 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. 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