Inspection on 03/04/07 for Gwenlyn Guest House

This inspection was carried out on 3rd April 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Gwenlyn Guest House 06/02/06

Gwenlyn Guest House 02/08/05

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 Gwenlyn Guest House 17 Chesterfield Road Blackpool Lancashire FY1 2PP Lead Inspector Mrs Ruth Edgington Unannounced Inspection 3rd April 2007 09:30 Gwenlyn Guest House DS0000010016.V330633.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 Gwenlyn Guest House DS0000010016.V330633.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. Gwenlyn Guest House DS0000010016.V330633.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gwenlyn Guest House Address 17 Chesterfield Road Blackpool Lancashire FY1 2PP 01253 626342 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) Mrs Elizabeth Greaves *** Post Vacant *** Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places Gwenlyn Guest House DS0000010016.V330633.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That Service User Accommodation shall be restricted to the ground and first floor of the Gwenlyn House only. 6th February 2006 Date of last inspection 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 facilities to meet their needs. There is a large lounge and dining room in which residents can undertake daily activities of their choice. The home does not have any special equipment or aids as the residents are independent and currently require no assistance with personal care. The home has a Statement of Purpose, which is kept in the lounge for the residents to read if they wish and they each have a copy of the Service User Guide. The residents moved into the home before there was any requirement for the home to be registered and any written information to be given to them, however the documentation they now have confirms their rights, the service provided and the level of care that they can expect to receive if required. Information received at the time of the visit from the homeowner showed that the fees were £284.0 per week. The residents receive their full personal allowance to spend as they, whilst the homeowner pays for all their requirements including, holidays, their choice of clothing and toiletries etc. Gwenlyn Guest House DS0000010016.V330633.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit was undertaken as part of the home’s Key Inspection. The site visit commenced at 9.30 am and took place over 2.00 hours. The residents have lived together in the home for over 20years and see themselves as part of the family unit and in the event of any of the residents no longer residing in the home, the homeowner has no intention of offering accommodation to any other persons. None of the residents requires any assistance with their personal care at this time. Prior to the visit the homeowner completed a pre-inspection questionnaire, which provided information about the residents and other information, which assisted in assessing how the home was meeting the National Minimum Standards. During the visit the three residents were spoken to and a tour of the home was carried out. The residents’ records and a random selection of administrative records were looked at and discussions took place with the homeowner. Since the previous inspection visit to the home an additional visit has been made to look into concerns that had been received by the Commission for Social Care Inspection (CSCI). The result of which was that the concerns were not up held. From observations made, comments received and written documentation examined, the information has been put together to produce this report. What the service does well: The home is run as a small family unit and as already stated the residents clearly see themselves as part of this family. The residents are well cared for, protected and encouraged to be independent within their capabilities and wishes. They are involved in all aspects of their lifestyle, which ensures that their needs continue to be met. The residents have previously seen any official visit as an intrusion into their home, however on this visit they were very relaxed and happy to join in conversation. The information gained through the discussions confirmed that they continue to live as they wish, they are well supported and their individual and group needs are being met. Gwenlyn Guest House DS0000010016.V330633.R01.S.doc Version 5.2 Page 6 One of the residents said that whilst they had been in hospital the other residents and members of the homeowner’s family had visited very often. They said that they were kept up to date with everything and did not feel left out. 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. Gwenlyn Guest House DS0000010016.V330633.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 Gwenlyn Guest House DS0000010016.V330633.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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The individual assessments carried out retrospectively confirmed that needs and aspirations of the residents were being met by the home. EVIDENCE: The residents chose to live in the home over 20 years ago, which at that time operated as a guesthouse. Following registration in 1992, a social work assessment was carried out for each resident to ensure that their needs were being met by the home and to provide the appropriate funding. Evidence was seen confirming that each resident had been given a copy of the home’s terms and conditions informing them of their rights. The homeowner does not intend to offer any other person accommodation in the future. Gwenlyn Guest House DS0000010016.V330633.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): 6,7&9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning system in place ensures that the residents’ needs, aspirations and goals are met. EVIDENCE: The residents are fully involved in every aspect that affects their lives. A care plan has been developed for each resident, which they have been involved in and signed to indicate that they agree with 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 each year their care plan is reviewed by their social worker to ensure that the home continues to meet their needs. The information seen confirmed that the residents did not currently require any assistance with their personal care needs and observations made confirmed that they remained independent within their capabilities. Gwenlyn Guest House DS0000010016.V330633.R01.S.doc Version 5.2 Page 10 All appointments to the health care professionals such as the doctor, district nurse or in the case of one of the residents a visit by a physiotherapist, are recorded on their file confirming that the healthcare needs of the residents were being identified and met. The information recorded on each resident is kept secure and shared only on a need to know basis with the appropriate person in order to ensure confidentiality. Gwenlyn Guest House DS0000010016.V330633.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): 12,13,15,16 &17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The support provided to residents enables them to maintain their choice of lifestyles in and outside of the home. EVIDENCE: The residents continue to live as a family unit and spend the majority of their time together. Two of the residents go out together on a daily basis to the shops or local amenities. The residents have a range of activities available to them, which they enjoy and include a variety of board games; music, television and they have also begun to take an interest in gardening. They go away as a family group on holiday with the homeowner and on occasions with members of her family. The residents respect each others individual space and do not go into each other’s room unless invited. This was confirmed through observations and their permission was asked before a tour of the home took place. Gwenlyn Guest House DS0000010016.V330633.R01.S.doc Version 5.2 Page 12 On the day of the visit one resident went out to the shop to purchase protective gloves as they were all going to clean the brasses in the home. They all help with the daily household tasks and each has their own designated responsibility. From comments the residents made, evidence was found that they undertake these tasks readily and enjoy keeping their home looking clean and tidy. The residents do not have any family links or external friendships and are very much dependent on the homeowner and her family. The annual involvement of a social worker in the review of their individual needs has introduced another person into their lives, providing an overview of their care and current needs. The residents and the homeowner have their meals together and although none of the residents has any specific dietary needs, their preferences, which have changed over the years, are taken onto consideration when meals are being prepared. The residents enjoy having meals out, which is another activity that they do as a group. Gwenlyn Guest House DS0000010016.V330633.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): 18,19 &20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that residents receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: The residents in this home do not currently require any assistance with their personal care needs. They are independent and require only gentle reminders in relation to their personal hygiene. Observations made during the visit confirmed that the residents are given their privacy, dignity and their independence is encouraged. Examination of the residents’ individual files showed that a record was kept of every time the resident was seen by their doctor and other health care professionals. Since the last visit one resident has been in hospital due to an accident, which occurred when out of the home. The homeowner had informed CSCI (Commission for Social Care Inspection) at the time. Examination of the resident’s file indicated that on discharge from hospital they had received a visit from a physiotherapist, however through the determination of the Gwenlyn Guest House DS0000010016.V330633.R01.S.doc Version 5.2 Page 14 resident to regain their independence no intervention was necessary. The resident was very eager to demonstrate the daily exercises that they undertake to keep mobile. They said that they had received visits from the other residents, the homeowner and her family throughout their stay in hospital and had been very glad to come home. The homeowner confirmed that the resident did require assistance to get and out of the bath at first but now required no assistance at all. Two of the residents take daily medication and they collect their own prescriptions from the doctors and chemist and take responsibility for taking their medication. The homeowner maintains a record of the medication prescribed and any changes made. The residents keep their medication secure in their own bedrooms. Gwenlyn Guest House DS0000010016.V330633.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): 22&23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures that the residents are aware of their rights and have a complaints procedure. Systems are in place to safeguard the people living in the home. EVIDENCE: The residents have been made aware of the complaints procedure, which to date they have not needed to use. Comments made by the residents confirmed that they were confident to speak their minds if the situation arose. The resident have available to them contact numbers and addresses of outside agencies if they have any problems to discuss that cannot be settled by the homeowner. Through discussions and observations evidence was gained to confirm that every effort was taken to protect the residents from abuse, neglect and selfharm. One resident goes out with the homeowner partly from choice but also from an identified risk factor due to the area in which the home is situated. Since the last visit a complaint was made to CSCI, which was not upheld. Gwenlyn Guest House DS0000010016.V330633.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): 24 &30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a homely, comfortable environment. EVIDENCE: The home is very much domestic in character and in keeping with the local community. Residents were happy for a tour of the home to take place, which confirmed that the home was warm, clean and fresh smelling. Each resident’s bedroom is decorated and furnished to meet their own preferences. There is a continual programme of upgrading and refurbishment carried out to ensure that standards remain high and the residents confirmed that they are involved in any choices made. There are no aids or adaptations around the home has these are not required at this time to assist with the independence of the residents. Gwenlyn Guest House DS0000010016.V330633.R01.S.doc Version 5.2 Page 17 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): The home does not employ any staff therefore the quality in this outcome area could not be assessed. This judgement has been made using available evidence including a visit to this service. The residents do not require the assistance of staff to meet their needs at this time. EVIDENCE: The home does not employ any staff therefore these standards could not be assessed Gwenlyn Guest House DS0000010016.V330633.R01.S.doc Version 5.2 Page 18 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): 37,39 & 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 run in the best interests of the residents, however shortfalls in the fire safety precautions and maintenance of electrical systems and equipment could potentially affect the health and safety of the residents. EVIDENCE: The homeowner has provided the residents with a home and the support they require for over 20 years. As there are no staff employed in the home the requirement of a management qualification is not seen to be appropriate, however the homeowner was advised on previous inspections to undertake relevant training to ensure that the needs of the residents continued to be Gwenlyn Guest House DS0000010016.V330633.R01.S.doc Version 5.2 Page 19 met. From discussions with the homeowner it was clear that she does not feel able to undertake any further training, but recognises that the time may come when the needs of the residents may require the situation to be reviewed and appropriate steps taken for the benefit of the residents. The residents on this visit were much more open and willing to join in than on previous visits to the home when they had made it very clear that they found such visits an intrusion into their home. From their comments and observations made it was evident that they are able to make their views known and are involved in all decisions that affect them as individuals and as a group to ensure that their needs continue to be identified and met. Information received through the pre-inspection questionnaire completed by the homeowner indicated that inspections had been undertaken by other agencies in relation to services within the home. However in relation to the report issued by the Fire Department following their visit in July 2006 there were still some matters outstanding. These included the hard wiring of all smoke detectors and the requirement of new legislation by the fire service from October 1st 2006 to have a fire risk assessment. The homeowner is presently consulting the fire authority for further advice. The homeowner was unable to locate a copy of the current electrical wiring certificate, however the homeowner confirmed that she would look for this document and provide a copy for CSCI. There was no evidence to confirm that the portable electrical equipment in the home was being tested on a regular basis. In order to ensure the safety of the residents this equipment should be tested on an annual basis by a competent person using the correct equipment to undertake this task. The homeowner agreed to resolve this situation without delay. Gwenlyn Guest House DS0000010016.V330633.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 x 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 x 33 x 34 x 35 x 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 2 x Gwenlyn Guest House DS0000010016.V330633.R01.S.doc Version 5.2 Page 21 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 YA41 Regulation Requirement Timescale for action 30/06/07 2 YA42 1 YA42 17(3)(a)(b) The provider must confirm that certification relating to the maintenance and safety of electrical systems is currently available in order that the health and safety of the residents can be assured. 13(4)(a) In order to ensure the health 30/06/07 and safety of the residents the provider must ensure that the portable electrical equipment in the home is maintained by a competent person qualified to do so. 23(4)(a) The provider must comply fully 30/06/07 with the requirements of the fire service report dated 06/07/07,in order that the residents are protected. 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 Gwenlyn Guest House DS0000010016.V330633.R01.S.doc Version 5.2 Page 22 1. YA37 The registered provider should enrol and work towards achieving Level4 NVQ in care. Gwenlyn Guest House DS0000010016.V330633.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 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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