Inspection on 09/01/07 for The Glynn Residential Home

This inspection was carried out on 9th January 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 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 14/11/05

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 Kathleen Firth Key Unannounced Inspection 9th January 2007 10.30 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 The Glynn Residential Home DS0000039806.V326022.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. The Glynn Residential Home DS0000039806.V326022.R01.S.doc Version 5.2 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.V326022.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To care for one named person with category MD (under 65 years of age) 14th November 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. Fees at the home are £359.00 per week at the time of this inspection. This includes everything except individual newspapers and hairdressing. The manager of the home gave this information during the inspection. Residents and relatives are kept informed of CSCI involvement at the home and information re reports is displayed on the notice board in the home’s entrance. The Glynn Residential Home DS0000039806.V326022.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 9th January 2006 over five and three quarter hours by one inspector. It included discussions with the manager, deputy, staff, visitors, looking at care plans of five residents and walking around the building. Records were checked and other relevant information looked at including staff rotas, files and menus. The manager said that she would distribute the comment cards when she received them from the Commission and return the completed ones. The inspector would like to thank the residents, manager, deputy, staff and visitors for their help and cooperation throughout the inspection. What the service does well: The Manager and staff team are committed and caring people who create a warm, homely and safe atmosphere that the residents appreciate. They all show a good awareness of the residents’ needs and a good knowledge of the people they are caring for. Good interactions were seen between the manager, staff, residents and visitors during the day and everyone at the home seemed comfortable and relaxed. All of the residents have a comprehensive care plan in place and all documentation looked at was correctly maintained and up to date. When case tracking it was easy to find all the necessary information. Residents spoken to were happy at the home and some of the comments made were, “the food is always good”, “you can go to bed and get up when you choose”, “staff really care for you” and “nothing is too much trouble”. Visitors said they are always made welcome and that they are kept informed of anything to do with their relative. All of them said that the would speak to staff if they had any concerns about anything and find staff very approachable. Record keeping at the home is good and there is an excellent commitment to staff training. Recruitment procedures in place try to make sure that only suitable staff are employed at the home. Regular staff supervision takes place and staff are encouraged to make contributions to the running of the home. Residents are asked for their views and ideas and see that these are listened to and acted on. The manager has made sure that one resident of a different nationality has her views listened to and her needs met through the use of an interpreter on a daily basis. The interpreter said that life would be very difficult for this particular resident if he was not available to her. She had lived at various homes before coming to this one. Residents’ spiritual needs are catered for at the home. The Glynn Residential Home DS0000039806.V326022.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Glynn Residential Home DS0000039806.V326022.R01.S.doc Version 5.2 Page 7 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.V326022.R01.S.doc Version 5.2 Page 8 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): 1,2,3,4,5. (Standard 6 does not apply to this home.) The quality in this outcome area is good. This judgement has been made by using available evidence including a visit to the service. People have sufficient information about the home before they decide if they want to live there. All prospective residents are assessed to determine their level of need before admission is agreed and they and/or their relatives are invited to look around the home. EVIDENCE: The Service User Guide and Statement of Purpose was read and was found to contain useful information about the home. The manager said an audiotape of this information is available if required. Together with this and the knowledge people gain from visiting the home they are able to gather enough information to make an informed decision about living at the home. The manager said everyone has his or her own copies of The Glynn Residential Home DS0000039806.V326022.R01.S.doc Version 5.2 Page 9 these documents, and this was confirmed by one service user and visitor spoken with. Anyone interested at living at The Glynn is assessed to find their level of need and a decision about whether their needs can be met is made at this time. The manager and her deputy both said that if they are not sure that someone’s needs can be met at the home an admission will not be agreed. There was evidence in the residents’ files that any resident who is admitted to hospital is also reassessed before coming back to the home. When looking at files it was observed that this practise is also carried out with anyone coming to the home for respite care. As they have an assessment of need prior to an admission being agreed they can be sure that their needs will be met at the home. Every resident has a contract spelling out the terms and conditions of the home and these were seen during the inspection. This tells residents what they can expect from the home and what is expected from them. The contract is for a particular room at the home. The manager said that before admission people are encouraged to visit the home if possible, staying for a meal and meeting staff and other residents. Where this is not possible someone is invited to visit on their behalf. Some people spoken to said that they had visited the home prior to living there and had found this very helpful in making their decision. One man had met someone he had known years before and so knew he had a “friend” when he moved in. The Glynn Residential Home DS0000039806.V326022.R01.S.doc Version 5.2 Page 10 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, 10, 11. The quality in this outcome area has been assessed as good. This judgement has been made using available evidence including a visit to this service. All residents have comprehensive care plans in place detailing their needs alongside tasks required to meet these needs. The home has a medication policy and procedure in place. Residents’ dignity and privacy are upheld and their wishes following death carried out. EVIDENCE: The five care plans looked at during case tracking contained the needs of the residents and what tasks were required to be done in order for staff to meet these. The plans were clear, concise, easily understood and contained healthcare, social and spiritual needs. Staff spoken to during the inspection all said that they used the plans and found them extremely easy to use and helpful. There is a photograph of the resident in their file with permission for this to be taken. There are good life histories of the residents and these contained some interesting and relevant information. Evidence was seen that the plans are reviewed on a regular basis and the residents are consulted where possible about what is in their plan. Risk assessments along with the coping strategies are in place where required. Relatives are kept informed of The Glynn Residential Home DS0000039806.V326022.R01.S.doc Version 5.2 Page 11 any changes in a resident’s health and of any visits by their G.P. One relative spoken to confirmed that this was normal practice and that she was kept well informed of her mother’s wellbeing. Throughout the inspection staff were observed to treat residents with respect and they all knocked on bedroom doors before entering. All residents spoken to said that staff treat them very well, nothing is too much trouble and that they feel nothing is too much trouble. Where possible residents keep their own GP resulting in the home having care from six different Health Practices. The manager said that there is only one team of District nurses and this helps with continuity of care. Staff write requests for the nurses to see individual residents in a book that the inspector saw during the visit. They visit twice per week and see any residents requiring their service. They can be contacted in an emergency and the nurses help with training within the home. The nurses are able to access any specialised equipment and services including mattresses. There is one specialised mattress being used for a resident at this time. The manager receives good support from the majority of the GPs involved at the home. One lady administers her own insulin that is drawn up by the District Nurses and stored in a container in the fridge clearly labelled. None of the other residents are able to manage their own medication but the home has a good medication policy and procedure in place. Medication was seen to be stored in a lockable cupboard within a locked room. Staff were observed to administer the medication in a correct manner. The manager said that the responsibility for returning unused medication is hers. This is recorded and signed, however the record book had been returned along with unwanted stock to the pharmacist on the day before the inspection as an order for new medication had been placed. The manager and staff said that people are able to stay at The Glynn until their death if staff are able to meet their increased needs. Families, GPs and any other Healthcare professionals are involved in this decision making along with the resident and home staff. Some of the residents’ wishes following their death are recorded and the manager undertook to make sure that this is recorded in all cases. If they choose the manager said that relatives and friends are able to stay with the resident as much as they choose during any illness. The Glynn Residential Home DS0000039806.V326022.R01.S.doc Version 5.2 Page 12 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, 14,15. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to be part of the decision-making process and make choices about their lifestyle. They are able to maintain contact with family and friends who are welcomed at the home. A good, varied and nutritious diet, taking into account individual choices, is provided. EVIDENCE: Throughout the visit staff were seen talking to residents and participating in several different activities. One group particularly seemed to be enjoying a type of netball whist, others were happy to read or watch T.V. The manager said staff try hard to make sure that all residents are invited to take part in activities. Residents said that enjoy “sing a longs” and that entertainers had visited the home over the Christmas period. Local children also visited to sing Christmas Carols and the residents had enjoyed this. When speaking with the residents they said that they enjoy the Reminiscence therapy game and when staff arrange this there is no shortage of people wanting to join in. One lady said that she enjoys living at the home because she is able to go out as she chooses as per the agreement in her care plan. Staff spoken to during the visit said that the residents value the local vicar The Glynn Residential Home DS0000039806.V326022.R01.S.doc Version 5.2 Page 13 coming to hold a Communion Service each month. The Catholic priest and Methodist minister visit members of their faith. The manager was able to show the advert she is using to try and recruit An Activities Organiser but this is proving difficult. She realises the value of this post but the person that was in post left and she is keen to replace her. Minutes of awareness meetings that are held on a regular basis were seen at the visit and it was at one of these where adopting a new smoking policy was agreed. The manager has recently been asking for ideas for the redecorating within the home and as new TVs are required she has asked residents what colour schemes they would like. The home operates a four weekly menu and residents are asked to contribute to these. From looking at these menus, speaking to residents and seeing the meal prepared on the day of the inspection it was found that the homes serves good nutritious food and varies this according to individual preferences. There is always an alternate available if a resident does not like what is being served and residents spoken to all commented about how good the food is. One man said if he asks he is offered an alternative. Residents were observed to sit comfortably to eat their meals and help given to enable them to be as independent as possible. The kitchen was seen to be clean, tidy and well-organised and fresh food was seen being used during the visit. One lady is unable to communicate due to language difficulties and the manager has been successful in obtaining an interpreter to visit her every day. He was spoken to during the inspection and said the resident was settled at the home and as happy as she could be away from her own country. Evidence was seen in her file that she had stayed at other homes and the interpreter said that she had been to one where her language was spoken. It was felt by the Social Worker involved with the resident’s assessment that this would be suitable but she did not like it there. Her dietary needs are met at the home and the interpreter takes her for meals reflecting her cultural preferences. He has helped staff to learn about the lady’s cultural needs and said that the manager had worked very hard to obtain and keep his services for the resident. Through the interpreter the resident confirmed that she was happy at the home and understood the reasons for the inspection. The Glynn Residential Home DS0000039806.V326022.R01.S.doc Version 5.2 Page 14 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, 17, 18. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are systems in place to make sure that complaints are listened to and dealt with appropriately. Residents have their rights protected. Systems are in place to safeguard the residents from abuse. EVIDENCE: A copy of the home’s Complaints policy is visible in each bedroom. The manager commented that she is very happy with The Commission’s policy in dealing with ensuring where possible the Provider, or placing local authority, respond to complaints. The complaint’s register was seen and the way these were dealt with was satisfactory with all parties agreeing to the outcome. Staff are trained in Adult Protection and are aware of what to do if they suspect any type of abuse. The staff spoken to confirmed this. An Adult Protection course will be held early next month. All new staff and any others who require an update are due to attend. Confirmation of this was seen. There are two incidents of alleged Financial Abuse being investigated at present. One of these involved a member of staff, who subsequently left the home. The manager’s referral to the POVA (Protection of Vulnerable Adults) list has occurred when required. The other case does not involve any staff, but by a relative. Staff are supporting the resident through the investigation. Police are involved in both cases and the manager is working closely with them. The Local Authority are also involved in the second case. The Glynn Residential Home DS0000039806.V326022.R01.S.doc Version 5.2 Page 15 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, 20, 21, 22, 24, 25, 26. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers a safe, well-maintained environment to the residents and provides appropriate bathing and toilet facilities. EVIDENCE: There is an ongoing refurbishment and redecorating programme in place. New carpets had been fitted the day before the inspection. Residents said that they have been included in the choice of carpets and decorations. The lounge areas are nicely furnished and offer comfortable spaces for the residents to relax and take part in activities. There is one smoking area within the home where a notice is displayed stating that only two residents may smoke at any one time. This was discussed and agreed at a residents’ meeting and appeared to work well during the visit. Staff are always present to supervise residents when they are smoking. The residents spoken to who smoke were happy with the arrangements and staff said that it kept everyone happy. There is always sufficient staff on duty so someone observing residents smoking does not cause any problems. Most of the people choosing to sit in this area are The Glynn Residential Home DS0000039806.V326022.R01.S.doc Version 5.2 Page 16 smokers although there are two or three that do not smoke but prefer to sit there. The room was not unpleasant at the time of the inspection although there was no extractor fan fitted. The manager discussed the new no smoking laws coming into force this year and said that the home’s policy on this issue may need to be reviewed. All areas of the home were clean and tidy at the time of inspection. Residents’ bedrooms are of a good size and are personalised with their own possessions. Some people have their own TV set along with precious photographs and ornaments they have brought from home. All of the bedrooms are decorated differently and floor covering is chosen to meet individual needs. There is a call system fitted throughout the home for residents to summon help when they require. Evidence of the call system being used was heard during the visit and staff seen to respond appropriately. The manager said that specialised equipment can be accessed for residents and one lady has the use of a special mattress at present. There are two specialised baths at the home and the bathrooms are of a size to make sure that staff and residents have sufficient space to safely use the baths. There are enough toilets near the communal areas of the home to make sure that people have easy access. There is only one bedroom in the main building that does not have an en-suite toilet and this is next to a toilet. All of the toilets are big enough to allow for the use of walking aids or a member of staff to help a resident. Residents are able to access all areas of the home via passenger lifts if required and people spoken to said they have no problems getting around the home. There is a ramped access to the outside garden area from the lounge area in the annexe. The gardens are enclosed and offer a safe outside space residents’ use in good weather. The Glynn Residential Home DS0000039806.V326022.R01.S.doc Version 5.2 Page 17 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, 30. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing numbers and skill mix make sure that the residents’ needs can be met. Residents are supported and protected by the recruitment procedures that are in place. EVIDENCE: Staff numbers and mix of experience were appropriate at the time of the inspection. Residents and staff were able to confirm that this was normal practice. Rotas covering a number of weeks were seen and confirmed the numbers of staff normally on duty. When speaking with staff they said that they felt numbers and skill mix matched the residents’ needs. Staff also confirmed that they are able to call on team members in the case of sickness/absence. The manager is registered with an agency if she needs to access extra staff but has not needed to use this. The home shows an excellent commitment to training and staff are able to access any relevant courses. All staff undergo induction training that includes them working through a workbook and shadowing senior staff. Work shadowing lasts as long as the senior care worker feels is necessary and new staff are not allowed to work alone until they are felt to be competent to do so. More than 50 of the staff team have achieved NVQ (National Vocational Qualification) Level 2 and all staff working on awards at various levels. Domestic staff are starting to work towards an NVQ in Housekeeping. All staff have recently attended training including Safe handling, Medication, Infection Control, First Aid and Food Hygiene training. The Medication and Infection The Glynn Residential Home DS0000039806.V326022.R01.S.doc Version 5.2 Page 18 Control were distance-learning courses. One staff member said that she found this training method particularly useful. The four staff files looked at were correctly maintained and contained the required information although photographs need to be put into all of them. Information contained in the files included conditions of employment, proof of satisfactory POVA, (Protection of Vulnerable Adults), CRB (Criminal Records Bureau) checks, references, training records and application forms containing employment history. The manager said that she looks at any gaps in employment history and asks for reasons. Staff spoken to all said that they were happy working at the home and that it is a good place to work. They said that they have good access to training and one person said that if someone wanted training in an area not normally covered the manager will always try and find something suitable. Staff showed a good awareness of residents’ needs and a good team spirit was seen. Communication within the staff team is good and they were seen to have a verbal handover at the start of the shift that covered that shift plus the previous one. All staff spoken with said that they receive excellent support from the Manager and her Deputy and feel they are valued. Staff commented that they find care plans very useful in helping them provide the correct level of care and all staff have input into the care planning process. Senior staff said that they are able to assist and encourage newer staff to write monthly reports about residents for who they are the key worker. The staff spoken with said that all levels of staff are expected and encouraged to report anything that may result in changes needed in the care plans. The Glynn Residential Home DS0000039806.V326022.R01.S.doc Version 5.2 Page 19 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, 32, 33, 34, 35, 36, 37, 38 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed, and the interests and safety of the residents are seen as very important to the manager and staff. EVIDENCE: The Manager has worked at the home for fourteen years and holds the Registered Manager’s Award as well as NVQ Levels 2,3,and 4 in care and a qualification in Management Supervision. Good interactions were seen between her, staff and residents throughout the inspection. She was able to delegate work to her Deputy during the inspection and this appeared to be normal practice. The manager showed a very good knowledge of the residents and an awareness of their needs. She also showed a good understanding of the staff team and provides supervision on a monthly basis with written records. During her time as Manager she said that she has built up a good The Glynn Residential Home DS0000039806.V326022.R01.S.doc Version 5.2 Page 20 relationship with the Healthcare Teams who serve the home and is able to contact them whenever she requires help. The manager also tries to make sure that the Local Authority completes an annual review of care and evidence of these were seen during the visit. Fire alarm bells are tested on a weekly basis and these records were seen. The fire service visit annually and the manager said they set a fire outside so that staff can practise putting out fires using equipment. The Manager arranges regular fire drills for staff and residents. Water, fridge and freezer temperatures are checked and records of these were all maintained correctly. Accident records were seen in individual residents files. A water safety test certificate was seen along with other maintenance records. Nothing was seen during the inspection that could cause a hazard to residents, visitors or staff. The home does not deal with residents’ main finances but does look after some personal allowances. Records of these were looked at and receipts seen. Random ones were checked and all were correctly maintained. The manager said she now keeps two copies of financial records, as there was a break in to the office and the safe where they were stored stolen. Restitution was made to all residents. Bars have been fitted to the window. A Quality Assurance System is in place with questionnaires sent out on a quarterly basis to residents, relatives, staff and visiting Health and Social care professionals. The Manager then collates the results and produces a report. Results of the last questionnaires were seen included suggested menus from the residents that have now been implemented. The Glynn Residential Home DS0000039806.V326022.R01.S.doc Version 5.2 Page 21 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 18 3 3 3 3 3 X 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 The Glynn Residential Home DS0000039806.V326022.R01.S.doc Version 5.2 Page 22 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. 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. Refer to Standard OP12 Good Practice Recommendations To prevent residents feeling bored, the registered person should continue to either try and employ another activities organiser or give 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. 2. OP25 The Glynn Residential Home DS0000039806.V326022.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 The Glynn Residential Home DS0000039806.V326022.R01.S.doc Version 5.2 Page 24 - 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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