Inspection on 14/11/05 for The Glynn Residential Home

This inspection was carried out on 14th November 2005.

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

The Glynn Residential Home 09/01/07

The Glynn Residential Home 16/06/05

The Glynn Residential Home 09/09/04

The Glynn Residential Home 25/05/04

Similar services:

Snydale Care Home

Abbey The

Whiteley House

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE The Glynn Residential Home 167 - 171 Bradford Road Wakefield WF1 2AS Lead Inspector Gillian Walsh Unannounced Inspection 14th November 2005 10:00 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 The Glynn Residential Home DS0000039806.V253801.R01.S.doc Version 5.0 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. The Glynn Residential Home DS0000039806.V253801.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Glynn Residential Home Address 167 - 171 Bradford Road Wakefield WF1 2AS 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) 01924 386004 01924 386004 The Glynn Residential Home Limited Ms Claire Marie Falvey Care Home 38 Category(ies) of Dementia - over 65 years of age (38), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (38), Old age, not falling within any other category (38) The Glynn Residential Home DS0000039806.V253801.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. To care for one named person with category MD (under 65 years of age) 16th June 2005 Date of last inspection Brief Description of the Service: The home is registered to admit people over the age of 65 years, some of whom may be diagnosed as having dementia or a mental disorder. The Glynn offers accommodation for up to 38 older people in mainly single rooms with 17 of these bedrooms having en suite facilities. The home is situated in a pleasant residential area of Wakefield, not far from the city centre by bus. Buses to Leeds and Bradford stop regularly near the home. The home is in two wings, converted from private residences and includes a small coach house to the rear, providing accommodation for two people within the total registered numbers. The aforementioned coach house stands in a large back yard for the use of all residents, this includes a lawn and garden bench and is secure, to prevent those residents who experience confusion from wandering into the road. The home distributes Social Activities Questionnaires in order to determine the variety of activities needed to suit residents preferences and capacities. Activities include gentle exercise and quizzes. Leisure activities include theatre trips, visits to the local pub, shopping trips, bingo and dominoes. The mobile Library Service calls at the home. The home has a policy on maintaining contact with relatives and friends. The Glynn Residential Home DS0000039806.V253801.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection made on 14th November 2005 and lasting for two and a half hours. Time was spent speaking with residents, staff and the home’s manager, reviewing documentation and taking a short tour of the building. The inspector would like to thank residents and staff for their time, assistance and hospitality during the visit. 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 Glynn Residential Home DS0000039806.V253801.R01.S.doc Version 5.0 Page 6 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 The Glynn Residential Home DS0000039806.V253801.R01.S.doc Version 5.0 Page 7 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 The home’s admission procedures ensure that residents do not move into the home without an assessment of their needs and confirmation that these needs can be met. EVIDENCE: The manager said that either herself or a senior member of staff from the home assesses all prospective residents, prior to admission and completed preadmission assessments were seen within resident’s files. As part of the assessment a “primary care plan” is completed, which details the individuals likes, dislikes and personal preferences with regard to their lifestyle and care. The Glynn Residential Home DS0000039806.V253801.R01.S.doc Version 5.0 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 10. All residents have a care plan which sets out their health and personal care needs; care plans are reviewed on a monthly basis. Residents feel that they are treated with respect and their privacy needs are met. EVIDENCE: All residents have a care plan, which covers their needs and how these needs are to be met. A file seen for a new resident also included a “primary care plan” which detailed their likes and dislikes and preferences with regard to daily living. The manager said that she plans to include a primary care plan in each residents file to ensure that staff maintain an awareness of individual preferences. All of the care plans seen had been reviewed on a monthly basis and wherever possible residents or their representatives had signed to say they had read their care plan. All of the residents spoken with said that staff treated them with respect and kindness. One person who has lived at the home for a number of years said, “it’s my home and I love it, I couldn’t be happier” Another person who had only recently moved in said that they would “recommend it”. Staff were The Glynn Residential Home DS0000039806.V253801.R01.S.doc Version 5.0 Page 9 observed to knock on residents bedroom doors and request their permission to enter the room. The Glynn Residential Home DS0000039806.V253801.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 Residents are very happy that the lifestyle at the home meets their expectations. EVIDENCE: Residents said that they choose what they would like to do with their time and make their own decisions about when to get up and go to bed and how they wish to spend their time. One person said how staff arrange for the mobile library to visit as their main hobby is reading and another said that they choose not to join in with organised activity but were supported to pursue their own interests and preferences for leisure activities. Two people said that that they sometimes felt bored but did enjoy the activities when they were available. One person said that they particularly enjoyed the quizzes and armchair exercises organised by a visiting activities company on a weekly basis. Two people said that they enjoyed watching the television but sometimes found difficulty with this due to the distance of the chairs from the television, the noise made by other residents and the fact that people had to pass in front of the television to access the toilet. The manager said that she would look at ways in which furniture could possibly be rearranged to create smaller areas for residents to sit in and enjoy television programmes without interruption. The Glynn Residential Home DS0000039806.V253801.R01.S.doc Version 5.0 Page 11 The manager said that she was always looking at improving the provision of activities in the home and asked residents by way of a questionnaire for ideas and suggestions. She said that recently a group of people had visited the home to give a slide show and talk about history within the local area which residents had very much enjoyed. The home does not employ a dedicated activities organiser although care staff do try to engage residents in activities whenever they have time. The registered person may wish to consider either employing an activities organiser or giving care staff dedicated hours to facilitate activities. The Glynn Residential Home DS0000039806.V253801.R01.S.doc Version 5.0 Page 12 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Residents are protected from abuse through staff training and the homes own policies and procedures. EVIDENCE: The manager said that all of the staff have recently undertaken training supplied by Wakefield Metropolitan District Council in matters relating to protection of vulnerable adults. The manager is also looking to do the more in depth training offered by WMDC to develop her understanding of local policies and procedures. The Glynn Residential Home DS0000039806.V253801.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 25 and 26. The home is maintained to a standard which promotes residents safety. Despite the short-term problems, standards of hygiene are being maintained to an acceptable level. EVIDENCE: Some redecoration has taken place in the hallway and in some bedrooms since the last inspection. The manager said that this programme of redecoration is being continued and decorators are booked. Priority should be given to the bedrooms, one bathroom and some of the communal areas identified during the inspection as looking worn and in need of attention. The floor coverings in some communal areas are also showing signs of wear and may be in need of replacement in the near future. There were no maintenance issues identified which could be a risk to the safety of residents. Generally the home offers a very comfortable environment but one problem was noticed in that the door used by staff to exit the home to go outside to the laundry is situated in one of the popular sitting areas. Each time this door was The Glynn Residential Home DS0000039806.V253801.R01.S.doc Version 5.0 Page 14 opened a blast of cold air came into the room and caused several residents to comment about the cold. This situation was discussed with staff with regard to the comfort of residents during the cold and wet weather. The manager said that due to sickness, current domestic cover at the home was reduced. Care staff are available in sufficient numbers to undertake some domestic duties but it was evident that the usual high standards of cleanliness at the home were not being fully maintained. The manager recognised this and was in the process of making further arrangements to provide domestic cover. She was also in the process of recruiting staff to additional cleaning hours. The Glynn Residential Home DS0000039806.V253801.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 Residents are happy that their needs are met by staff at the home. EVIDENCE: The manager said that despite problems with long-term sickness, maternity leave and some recent staff changes, she is managing to maintain usual staffing levels which meet with the needs of residents. All of the residents spoken with said that they were very happy with the staff at the home with one person saying, “they are marvellous, they can’t do enough for us”. The Glynn Residential Home DS0000039806.V253801.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 and 38. Resident’s financial interests are safeguarded. Systems in place at the home protect the health, safety and welfare of residents and staff. EVIDENCE: The manager said that she is not responsible for any of the resident’s money. However, she does keep small amounts of resident’s money, at their request, in the home’s safe. A selection of the balances of this money and the related documentation was checked and found to be correct. The home has a health and safety policy for all staff to work to. Some of the documentation within the health and safety file, particularly environmental risk assessments, was out dated and in need of review and development. Documentation in relation to health and safety was seen. This included PAT testing records; lift maintenance, fire safety checks and training and water The Glynn Residential Home DS0000039806.V253801.R01.S.doc Version 5.0 Page 17 chlorination and testing for legionella. The water checks were out of date but the manager was in the process of organising for these to be done. The Glynn Residential Home DS0000039806.V253801.R01.S.doc Version 5.0 Page 18 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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 3 The Glynn Residential Home DS0000039806.V253801.R01.S.doc Version 5.0 Page 19 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 Refer to Standard OP12 OP25 Good Practice Recommendations To prevent residents feeling bored, the registered person should consider either employing an activities organiser or giving care staff dedicated hours to facilitate activities. Consideration should be given to how staff could exit the home to go to the laundry without residents being affected by the cold caused by the door being opened within their sitting area. Areas identified during the inspection should be prioritised as part of the programme for redecoration and renewal. Relevant water system safety and maintenance checks should be made without delay. 3 4 OP19 OP38 The Glynn Residential Home DS0000039806.V253801.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 The Glynn Residential Home DS0000039806.V253801.R01.S.doc Version 5.0 Page 21 - 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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