Inspection on 15/11/07 for Honeysuckle House

This inspection was carried out on 15th November 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

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

CARE HOMES FOR OLDER PEOPLE Glengarry Rest Home 10/12 Greystoke Place New South Promenade Blackpool Lancashire FY4 1NR Lead Inspector Mr Kevan Royston Unannounced Inspection 15th November 2007 09:30 X10015.doc Version 1.40 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 Glengarry Rest Home DS0000070345.V350572.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 Older People. 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. Glengarry Rest Home DS0000070345.V350572.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glengarry Rest Home Address 10/12 Greystoke Place New South Promenade Blackpool Lancashire FY4 1NR 01253 729635 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) Sheridan Care Limited Mrs Mary Dianna Petersen Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Glengarry Rest Home DS0000070345.V350572.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only. Care home only - code PC, to people of the following gender:- Either. Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP. The maximum number of people who can be accommodated is: 25 Date of last inspection 10/01/07 Brief Description of the Service: Glengarry rest home is registered to accommodate twenty-five older persons It is situated in close proximity of Blackpool promenade and local facilities such as shops, tram routes and other community facilities. The home provides two lounges. There is a large separate dining room, and parking spaces for approximately three cars are available at the front of the building. There is limited garden space although there is a small yard area at the rear. The home has a passenger lift, and provides laundry service for the residents. The home has twenty-one single bedrooms, four of which have en-suite and there are two double bedrooms. There are five bathing shower facilities in the home. There is a statement of Purpose/Service user Guide, which is given to all prospective residents. This written information explains the care service that is offered, who the owners and staff are and what the resident can expect if he or she decides to live at the home. The fees for the home range from are £285.04 - £366.00 per week. Extra charges at the home are for hairdressing, toiletries and chiropody, which vary. Glengarry Rest Home DS0000070345.V350572.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit that took place on 15/11/07 as part of the inspection process. We spoke to the home owner, senior carers, staff members, three residents and briefly to a group of residents in the lounges to get their views of the home. As part of the inspection process we talked to people using the service and asked staff about those peoples needs. We also looked at their rooms, care plans, care records and daily notes this is called case tracking. Other residents were invited to pass their opinions to us if they wish. We had responses from surveys/questionnaires sent to relatives, residents and one from a Doctor (GP) for their views on how the home is run. Comments were positive and some are included in this report. Every year the person in charge or manager is asked to provide us with written information about the quality of the service they provide, and to make an assessment of the quality of their service. We use this information, in part, to focus our inspection activity. We looked at recruitment and training records of staff members. We also walked around the building and watched people living and working to see how everyone supported and talked to each other. What the service does well: Surveys sent to residents, relatives and staff for comments on how the home is run were all positive. One resident wrote, “I am very satisfied with the care I receive”. A relative commented, “Very good staff”. We also spoke to residents in private and one spoken to said, “I am very happy here they cannot do enough for me”. There has been no new staff employed since the new owners have taken over and the home continues to have a settled staff team with little change in staffing since the previous inspection. This enables relationships to develop between staff and residents and provide a better understanding of resident’s wishes and needs. One staff member spoken to said, “The change has been good most of us have been here a while and we get to know what the resident’s needs are which helps when there is a problem”. Glengarry Rest Home DS0000070345.V350572.R01.S.doc Version 5.2 Page 6 We looked at training records and talked with staff and the home owner and found there are good training opportunities for all staff to attend and access courses in relation to their job role. This ensures the development of all personnel and provides the skills and competencies required to support and provide good care for the residents. One staff member said, “We are at present updating all moving and handling for staff”. One resident spoken to said, “The staff are caring and appear to know what they are doing”. What has improved since the last inspection? What they could do better: The recruitment procedures for staff should be updated so application forms for potential staff ask for a full employment history with any gaps explained to ensure suitable personnel are employed to work. We looked at care plans of residents and found they should be reviewed at least once a month, recorded and updated to reflect any changes in health or personal care. Resident’s bedrooms should continue to be refurbished as planned so people live in comfortable pleasant surroundings. Potential risk of accidents to residents would be reduced if risk assessments were reviewed more regularly. This relates in particular to the environment due to the refurbishment taking place in order to keep residents safe. Please contact the provider for advice of actions taken in response to this Glengarry Rest Home DS0000070345.V350572.R01.S.doc Version 5.2 Page 7 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. Glengarry Rest Home DS0000070345.V350572.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Glengarry Rest Home DS0000070345.V350572.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission and assessment procedures were clear to ensure the care needs of residents are met. EVIDENCE: We looked at records of two residents admitted to the home and found they had full assessment information including the religious/cultural and relationship needs of residents. These assessments had been completed by qualified staff members ensuring all the information is recorded so the manager is able to make sure they can meet the resident’s needs .One member of staff spoken to said, “Seniors and the owner only assess the residents”. Social Services assessment for resident’s had been obtained prior to them moving in the home. Care plans had been signed by the residents or their relatives confirming they had been involved in the assessment process and agreed with the care to be provided. Staff members confirmed they had access to this information and could describe in detail the care needs of the residents. Glengarry Rest Home DS0000070345.V350572.R01.S.doc Version 5.2 Page 10 Residents admitted into the home confirmed they had been involved in their assessment and were happy their care needs were being met. One spoken to said, “I was involved in the beginning with the owner going through my health problems and what I liked and disliked. This home does not provide intermediate care. Glengarry Rest Home DS0000070345.V350572.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Promotion of health is taken seriously. Resident’s welfare is closely monitored and health needs are identified and met. EVIDENCE: Records of resident’s looked at, were accurate and had good information about their health, welfare and social care needs that supported the staff to maintain and promote each individuals daily needs. Significant events had been recorded and daily entries made setting out the care given. Reviews of care plans are being undertaken however they should be looked at monthly and any changes updated to ensure residents health and welfare needs are being continuously monitored. Risk assessments have been completed for all residents. At the time of the site visit each risk assessment for moving and handling for the residents and rooms occupied were being reviewed. With alterations taking place in the building it would benefit residents to have risk assessments reviewed more often to ensure their safety is maintained and Glengarry Rest Home DS0000070345.V350572.R01.S.doc Version 5.2 Page 12 reduce the risk of accidents. One member of staff spoken to said, “We are looking at moving and handling today for new equipment to support the residents” We looked at medication with a senior carer and observed medicines administered at lunchtime. Records of residents examined accurately reflected their medication being given out. The carer spoken to said, “Only seniors, the manager and owner who are trained administer medication ”. Residents spoken to said the staff team respected their privacy and they could spend time on their own if that was their wish. One resident said, “The staff are so nice to talk to”. A relative wrote, “Very attentive, respectful staff”. Glengarry Rest Home DS0000070345.V350572.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: At the time of the site visit the kitchen was being refurbished and the meals were being prepared at another home within the organisation in the area and sent by transport. The home owner had sought the advice from the environmental health whilst alterations were taking place. There was evidence of fresh fruit food to prepare snacks and sandwiches. Residents spoken to did not have a problem with the system in place in the short term. Comments included, “ The food is ok despite it being fetched from the other home”. And, “Yes the meals are hot and enough for me”. One staff member said, “Residents have been consulted about the food and suggestions made by the residents have been implemented”. One resident spoken to said, “We are aware of the kitchen situation and held a residents meeting to discuss it we don’t have a problem with the food”. Glengarry Rest Home DS0000070345.V350572.R01.S.doc Version 5.2 Page 14 Activities are centred on each individuals preferences ensuring flexibility and residents can enjoy their own personal interests, which are recorded on their care plan. Residents spoken to were very happy with the arrangements in place for social activities. These were varied and arranged individually and in groups. One resident spoken to said, “I sometimes join in if anything is going on”. Another said, “I like to go out in my wheelchair when the weather is good the staff are very nice and will take me out”. Routines within the home were flexible and residents were able to make their own decisions about how to live their lives. One resident wrote, “I like to be on my own and watch TV in my room sometimes”. There is a visitor’s policy, which allows friends and relatives to come and go any time of the day. One relative wrote, “I come and go as I please the staff are always nice”. We looked into some resident’s rooms and found personal belongings including family photographs, ornaments and some furniture. A member of staff said, “Not a problem residents can bring their own belongings in, it makes them feel better”. One resident spoken to in her own room said, “I like my family photos around the place”. Glengarry Rest Home DS0000070345.V350572.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are handled well and taken seriously ensuring people feel listened to. Staff have a good knowledge and understanding of safeguarding issues which ensures any allegations, suspicions or allegations are effectively managed. EVIDENCE: There is a detailed complaints procedure, which is made available to all residents on admission and written in the Statement of Purpose and Service User Guide. Residents and relatives in surveys returned confirmed they are aware of the complaints procedure and who to complain to. One relative wrote, “I have had no need to complain but would know what to do and who to speak to”. A resident spoken about complaints said, “Yes don’t worry I know what to do”. We looked at records and found there is a procedure and policy for dealing with allegations of abuse and safeguarding adults to protect people living at the home. As a course of good practice each new member of staff employed has to complete an “Abuse Awareness form” and go through the procedure with the home owner. One member of staff spoken to said, “I have learned about abuse issues during my National Vocational Qualification (NVQ) training. Glengarry Rest Home DS0000070345.V350572.R01.S.doc Version 5.2 Page 16 Glengarry Rest Home DS0000070345.V350572.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The environment is clean and maintained. However some parts of the building would look better redecorated and refurbished to make sure the residents are safe and live in pleasant surroundings. EVIDENCE: We had a walk around the building and found it to be clean, tidy and free from offensive odours. There is a lot of redecoration and refurbishment taking place with plans for the building work and alterations to be completed. The owner outlined in the Annual Quality Assurance Assessment (AQAA) document which she completed, the details of the improvements to be made. Plans include a new kitchen, new heating system, new windows and total redecoration of the resident’s rooms planned for the coming year. One resident spoken to said, “It Glengarry Rest Home DS0000070345.V350572.R01.S.doc Version 5.2 Page 18 will be a new home when it is finished”. The owner spoken to said, “We are taking our time with as little disruption as possible for the residents”. At present the building is in need of updating and should be well furnished, decorated and pleasant to provide a safe and comfortable environment for the residents. Hot water temperatures throughout the building and in resident’s rooms were checked and found to deliver water at a safe temperature in line with health and safety guidelines. There are policies and guidance for laundry processes and for the control of infection ensuring the home is kept clean, pleasant and hygienic. There is a system for washing and cleaning clothes, new equipment is needed to ensure clothing and bedding is kept clean and there is no risk of infection. Part of the refurbishment is for an enlarged laundry area with new machines to cope with the demand for more residents living at the home. One member of staff spoken to said, “When the laundry is re- furbished it will be bigger and provide new washing machines”. Glengarry Rest Home DS0000070345.V350572.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The procedures for the recruitment of staff are good ensuring suitable staff are employed. The deployment of a well-trained staff team throughout the day is sufficient to meet the needs of residents. EVIDENCE: We looked at rotas for working, and discussion with the home owner and staff confirmed there were sufficient numbers on duty to ensure the resident’s needs are being met. Staff members spoken to said although they were busy they were happy with their workload and were satisfied they were meeting the needs of the residents. One member of staff spoken to said, “ We always have enough on duty”. Another spoken to said, “The other home is around the corner if we have staffing problems”. Residents spoken to confirmed this and one said, “There always seems staff around if I need them”. Staff records have been improved and an employment checklist is now in place to ensure the correct documentation has been obtained prior to staff starting work. This ensures as far as possible that only suitable staff are employed to work at the home. The application form for employment should however be amended to request a full employment history with any gaps explained. Glengarry Rest Home DS0000070345.V350572.R01.S.doc Version 5.2 Page 20 Staff surveys returned and staff spoken to said they were clear about their role and work well as a team to ensure the individual and collective needs of residents are met. Records show all staff members have access to a structured training and development programme ensuring the residents are being cared for by a well trained and competent staff team. Comments included from staff, “Training for me is good the owner is supportive”. And, “There is always some course or training event put on for us”. In addition over 50 of care staff have completed National Vocational Qualifications (NVQ) to a level 2 standard ensuring the residents are in the safe hands of competent staff. Glengarry Rest Home DS0000070345.V350572.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed well, with systems and policies in place for the protection and safety of staff and residents. EVIDENCE: The manager has the necessary skills, qualifications and experience required to support the staff and residents and enable the home to meet its stated aims, purpose and objectives. The manager is supported by the home owner who is highly qualified and experienced in caring for this resident group. One staff member wrote, “Our manager is very good and supportive”. One resident spoken to said, “The manager is very nice and caring”. Glengarry Rest Home DS0000070345.V350572.R01.S.doc Version 5.2 Page 22 The home has in place quality assurance systems to gather the views of residents/relatives and keep them informed about events being organised and how the alterations are being completed. We looked at resident and staff meetings records which take place on a regular basis. Residents spoken confirmed they are consulted about any changes taking place within the home and kept fully informed, One spoken to said, “We had a meeting about the food and gave our suggestions to the manager which is now in place”. The owner spoken to said, “The residents call their own meetings to discuss the changes and what we could do to improve things”. We looked at records and found regular tests to emergency lighting, fire procedures, electrical appliances, the lift and fire extinguishers had been carried out ensuring the safety of residents and staff is maintained. Glengarry Rest Home DS0000070345.V350572.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 Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Glengarry Rest Home DS0000070345.V350572.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No. STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP7 OP19 OP29 Good Practice Recommendations The care plans of residents should be reviewed at least once a month and updated to reflect any changes in health or personal care. To ensure people living at the home live in comfortable surroundings the refurbishment and redecoration programme should continue. Application employment forms for staff should request a full employment history with any gaps explained. Glengarry Rest Home DS0000070345.V350572.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway 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. Extracts may not be used or reproduced without the express permission of CSCI Glengarry Rest Home DS0000070345.V350572.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!