Inspection on 16/06/05 for The Glynn Residential Home

This inspection was carried out on 16th June 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 14/11/05

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 167-171 Bradford Road Wakefield WF1 2AS Lead Inspector Gillian Walsh Unannounced 16 June 2005 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 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 J51J01_s39806_The Glynn_v233636_160605.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Glynn Address 167-161 Bradford Road Wakefield WF1 2AS 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) 01924 386004 01924 386004 The Glynn Residential Home Ltd Ms Claire Marie Falvey Care Home for over 65 38 Category(ies) of Mental Disorder - over 65 - 38 places registration, with number Dementia - over 65 - 38 places of places Old age - 38 Places The Glynn J51J01_s39806_The Glynn_v233636_160605.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Conditions of this registration are listed on the registration certificate displayed at the service. Date of last inspection 09.09.04 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 J51J01_s39806_The Glynn_v233636_160605.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection made on 16 June 2005 lasting five hours. The homes manager was not available but the deputy manager and the registered person were both available to speak with the inspector. During the course of this inspection, the inspector spoke with the staff and residents, looked around the home and examined records. An anonymous letter which raised concerns about the home had been received by the commission was also looked into. No evidence to substantiate any of the concerns was found. The inspector would like to thank residents and staff for their time and assistance during the inspection. 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 J51J01_s39806_The Glynn_v233636_160605.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection The Glynn J51J01_s39806_The Glynn_v233636_160605.doc Version 1.30 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 standard(s) 2,3,4 and 6 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. The home does not offer intermediate care (standard 6) EVIDENCE: The deputy manager said that 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. During the inspection a referral was made to the home for an emergency admission, but staff still made arrangements to go out and make an assessment before making an offer of a place at the home. After assessments have been completed the homes manager or the registered person writes to the prospective resident to confirm that the home will be able to meet with their assessed needs. On admission each resident is provided with a statement of terms and conditions. The Glynn J51J01_s39806_The Glynn_v233636_160605.doc Version 1.30 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 standard(s) 7,8,9 and 10 All residents have a care plan but they are not all reviewed on a monthly basis. Resident’s healthcare needs are fully met and medication systems at the home are safe. Residents 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 recently admitted resident had a “primary care plan” which detailed all their likes and dislikes but the deputy manager said that these are taken out when a full care plan is compiled. Two of the care plans seen had not been reviewed for over 6 months, which meant that the care plan may not reflect resident’s current needs. Efforts are being made by the home to involve the resident or their representative in the care planning process. Daily records showed that resident’s healthcare needs are addressed with referrals made to GP’s, district nurses etc as and when required. Medication systems were checked and generally a safe system is in operation at the home although there were instances where staff had used an incorrect recording code on the MAR (Medication Administration Record) sheets. Several residents said that staff are very kind in their approach and that they are treated with respect. The Glynn J51J01_s39806_The Glynn_v233636_160605.doc Version 1.30 Page 9 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 standard(s) 12 and 13 Residents find the routines within the home are flexible and meet with their personal preferences. Arrangements for residents to maintain contact with friends and relatives are good and facilities within the local community are used as required. 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. Some personal preferences are recorded within the care plan and discussion took place about how staff may wish to retain the “primary care plan” within the file to give more detail of residents likes and dislikes. One resident said how staff arrange for the mobile library to visit as their main hobby is reading. Some residents said that that they did not have enough to do and sometimes felt bored. On the morning of the inspection residents were sat either watching television or just sitting without engaging in any visible activity. The inspector asked what they would like to be doing but nobody could think of anything. The deputy manager said that care staff run activities on a daily basis after asking residents what they would like to do, but it was often difficult persuading residents to get involved in any form of activity. One resident said how they enjoyed the social evenings organised at the home and did not feel the need for any more organised activity. The Glynn J51J01_s39806_The Glynn_v233636_160605.doc Version 1.30 Page 10 The deputy manager said that visitors are welcomed to the home and several residents said that their friends and family visit often. The Glynn J51J01_s39806_The Glynn_v233636_160605.doc Version 1.30 Page 11 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 standard(s) 16 and 18 Residents are confident that any complaints or concerns they have will be looked into and acted upon. Residents are protected from abuse through staff training and the homes own policies and procedures. EVIDENCE: The home has complaints procedure, which is made available to residents and visitors via the service user guide and notice boards within the home. During this visit the inspector looked into an anonymous complaint, which had been received by the commission. Through discussion with residents and staff the inspector was unable to find any evidence to support the claims made in the complaint. The home has not received any complaints since the last inspection. Staff said that they had received training in protection of vulnerable adults and demonstrated an awareness of what to do in the event of suspected abuse. The Glynn J51J01_s39806_The Glynn_v233636_160605.doc Version 1.30 Page 12 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 standard(s) 19, 21,24, 25 and 26 Residents live in a safe, comfortable, well maintained and homely environment which meets their individual needs. EVIDENCE: A tour of the home took place and it was found that all areas of the home seen were clean, tidy and well maintained. One of the sluice rooms did not have a light but the deputy manager said that a new light fitting had been ordered. Bedrooms had been personalised to suit the needs of the occupant and all looked comfortable and homely. Toilets and bathrooms are available in sufficient number and location to meet the needs of residents and these were clean and well maintained. As part of the investigation into the anonymous complaint, water temperatures were checked. The water in one bath was very hot and there was a loud knocking in the pipes when water was run in the communal toilets off the lounge area. A plumber was called and arrived before the inspection was completed to rectify these problems. The communal areas were comfortable, homely and spacious. The Glynn J51J01_s39806_The Glynn_v233636_160605.doc Version 1.30 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 29 Staff are available in sufficient numbers to meet the needs of residents. The recruitment procedures at the home ensure the safety of residents. EVIDENCE: Staff said that there are always enough staff on duty, including a senior, to meet the needs of residents and they never feel overworked or rushed. The registered person said that even though there are resident vacancies at the moment the staffing levels have not dropped. A selection of staff personnel files were seen and contained all of the information necessary to ensure the protection of residents. The Glynn J51J01_s39806_The Glynn_v233636_160605.doc Version 1.30 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 36 Systems employed ensure that the home is run in the best interests of residents. Staff receive appropriate support and supervision. EVIDENCE: The deputy manager showed the inspector a number of questionnaires, which had been distributed to residents and relatives to give them the opportunity to comment on the care and services offered at the home. The homes manager has produced the results of the questionnaires in a report. The deputy manager said that all staff receive formal supervision approximately every two months and staff said that they felt supported in their work. The Glynn J51J01_s39806_The Glynn_v233636_160605.doc Version 1.30 Page 15 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 3 x 2 x x 3 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x x 3 x x The Glynn J51J01_s39806_The Glynn_v233636_160605.doc Version 1.30 Page 16 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 None 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 OP9 OP21 Good Practice Recommendations Care plans should be reviewed on a monthly basis. Staff should make sure that correct recording codes are used on MAR (Medication Administration Record) sheets. Water temperatures should be kept under close review to ensure that water is delivered at the appropriate temperature. The Glynn J51J01_s39806_The Glynn_v233636_160605.doc Version 1.30 Page 17 Commission for Social Care Inspection 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 J51J01_s39806_The Glynn_v233636_160605.doc Version 1.30 Page 18 - 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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