Inspection on 18/09/05 for The Old Galleries

This inspection was carried out on 18th September 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 Old Galleries 13/03/09

The Old Galleries 14/03/07

The Old Galleries 22/02/06

The Old Galleries 15/03/05

The Old Galleries 13/08/04

The Old Galleries 15/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 The Old Galleries High Street Bideford Devon Ex39 3AA Lead Inspector Susan Taylor Unannounced 18 September 2005 11:30 th 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 Old Galleries D54-D07 S22115 Old Galleries V233037 180905 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Old Galleries Address High Street Bideford Devon EX39 3AA 01237 478466 01237 425842 simon.haywood@virgin.net Mrs Barbara M Haywood 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) Mrs Barbara M Haywood Care Home 8 Category(ies) of Learning Disability (8) registration, with number of places The Old Galleries D54-D07 S22115 Old Galleries V233037 180905 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: This variation allows three named persons, in the category of MD Mental Disorder to remain in the home The maximum number of placements, including that of the named persons, will remain at 8 On the termination of the placement of the named persons, the registered person will notify the Commission in writing and the particulars and conditions of this registration will revert to15/3/2005 the category LD Learning Disability only Date of last inspection 15/3/2005 Brief Description of the Service: The Old Galleries has provided 24-hour care for 8 adults under 60/65 years of age with mental health and associated problems. The home is a listed building, situated in the main High Street of Bideford and is surrounded by shops and other businesses and has recently been totally refurbished. Service users have single rooms, with five having en suite facilities. To the rear of the property, there is an enclosed garden. There are no parking facilities at the home, but it is within easy walking distance of a number of street parking bays and public car parks. Laundry facilities are situated in an adjacent utility room. The Old Galleries D54-D07 S22115 Old Galleries V233037 180905 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Old Galleries was unannounced and carried out on a Sunday. The main purpose of the inspection was to determine whether weekend staffing levels met the needs of residents, and what activities were available to them. On arrival, inspectors were unable to get a response to the doorbell, and therefore were unable to access the home. As a result of this, the inspectors travelled to the other home owned by Mr. & Mrs Haywood – Bidna House – and met one resident there who normally resided at Old Galleries. That person had chosen to spend a few days staying with friends at Bidna House. Due to the recent refurbishment of Old Galleries, only two resident’s were permanently residing at the home at the time of the inspection. The other person was said to be staying with a relative. As the staff team work across both homes, the inspectors were therefore able to cover some standards that focussed on staffing levels at the Old Galleries. Staffing records were inspected, which included duty rosters. In addition to this, the inspectors received feedback from staff and a resident about opportunities that covered lifestyle issues. Inspectors were told that people living at Old Galleries prefer to be referred to as residents. Therefore this term is used throughout the report. What the service does well: It is clear that this home provides an individual service for the residents. There is a stable team of staff that work across both homes – Old Galleries and Bidna House. Residents are treated with dignity and respect. They are actively encouraged to voice their views about how they wish to spend their lives, safe in the knowledge that their needs and desires will be respected. Good links with the community were evident. These included attendance at the local church, fetes, carnivals and shows. Inspectors were told that there are “few rules” at Old Galleries, and that relationships with family and friends are encouraged. The Old Galleries D54-D07 S22115 Old Galleries V233037 180905 Stage 4.doc Version 1.30 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 Old Galleries D54-D07 S22115 Old Galleries V233037 180905 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection The Old Galleries D54-D07 S22115 Old Galleries V233037 180905 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None EVIDENCE: The Old Galleries D54-D07 S22115 Old Galleries V233037 180905 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 Residents make decisions about their lives with the full support of the team. EVIDENCE: A resident, who normally resides at Old Galleries, told inspectors that they were actively encouraged to make decisions about their life at the home. Examples given related to meal choices, outings, and management of their own finances. The Old Galleries D54-D07 S22115 Old Galleries V233037 180905 Stage 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15,16,17 Resident’s are enabled to live their lives as they wish to. There are few restrictions at Old Galleries. Staff enable residents to maintain close links with their families and friends. Meals are varied, appetising and provide residents with plenty of choice. EVIDENCE: Staff told inspectors that an important part of their role was to enable residents to gain independent living skills. A resident verified this, saying “we do our own washing and sort out our rooms with some help from the staff”. Inspectors observed a group of residents from Bidna House and Old Galleries as they returned from church. Other activities that were reported to inspectors included trips out to the cinema, carnivals, and shows. A holiday had taken place in May to Seaton, which a resident said they enjoyed. Inspectors were told that another holiday to Weymouth had been planned. The Old Galleries D54-D07 S22115 Old Galleries V233037 180905 Stage 4.doc Version 1.30 Page 11 One resident who normally resides at Old Galleries had gone to stay with their family for a few days. Inspectors were told that there a “no rules about when family can visit, it’s encouraged”. A resident told the inspectors that they had “lovely food” and that there is “always plenty of choice” available at mealtimes. The Old Galleries D54-D07 S22115 Old Galleries V233037 180905 Stage 4.doc Version 1.30 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None EVIDENCE: The Old Galleries D54-D07 S22115 Old Galleries V233037 180905 Stage 4.doc Version 1.30 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None EVIDENCE: The Old Galleries D54-D07 S22115 Old Galleries V233037 180905 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None EVIDENCE: The Old Galleries D54-D07 S22115 Old Galleries V233037 180905 Stage 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34, 35 Duty rosters do not adequately demonstrate that staff are in sufficient numbers to meet the needs of residents. Recruitment procedures are robust, and therefore protect residents. There is a training and development culture within the home, which ensures that residents are cared for by properly qualified and experienced staff. EVIDENCE: The duty roster for September 2005 did not demonstrate when the manager of the home planned to be on duty. This was discussed with the manager, and advice given as to how the requirement might be met. A record of duties worked was kept in a diary. A resident spoke highly of the staff. Two personnel records were audited. The home had obtained satisfactory references including CRB and POVA checks as required. Certificates were seen on both files, which demonstrated that an excellent level of training covering appropriate subjects had been provided. Both staff were in the process of doing the NVQ level 3 – Promoting Independence. The manager told inspectors that that three out of four staff currently working at Old Galleries are in the process of doing this award. Supervision records were not kept in personnel files, and therefore not available for inspection. These should be kept with personnel files for future inspection. The Old Galleries D54-D07 S22115 Old Galleries V233037 180905 Stage 4.doc Version 1.30 Page 16 The Old Galleries D54-D07 S22115 Old Galleries V233037 180905 Stage 4.doc Version 1.30 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None EVIDENCE: The Old Galleries D54-D07 S22115 Old Galleries V233037 180905 Stage 4.doc Version 1.30 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x 2 3 4 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Old Galleries Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x D54-D07 S22115 Old Galleries V233037 180905 Stage 4.doc Version 1.30 Page 19 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 33 Regulation 17(2) Schedule 4.7 Requirement The registered person shall maintain in the care home the records specified in Schedule 4 A copy of the duty roster of persons working at the care home, and a record of whether the roster was actually worked. Timescale for action By 31/12/05 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 35 Good Practice Recommendations A record of supervision should be kept with personnel files, and be available for inspection The Old Galleries D54-D07 S22115 Old Galleries V233037 180905 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Old Galleries D54-D07 S22115 Old Galleries V233037 180905 Stage 4.doc Version 1.30 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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