Care Home: Galteemore Rest Home

What the care home does well Galteemore provides the people living there with a home that they like living in and are proud of. People are supported to choose how to spend their time, to engage in their hobbies and feel fully involved in the every day running of their home. They know their choices and opinions will be listened to and respected. Support to become involved in everyday tasks and hobbies helps to provide people with interesting and varied lives and to ensure they have a sense of achievement. There are sufficient staff working at Galteemore to support the people living there and to meet their needs and choices. The people living there have confidence in the staff team and the support they provide. What the care home could do better: The way in which the staff rota is written needs to be clearer. It should include the actual hours planned for people to work and record the hours they actually work. It should also include the full name and role of staff. This will help to provide an accurate record that can be clearly audited at a later date. A full risk assessment must be carried out for the practice of staff children being on thepremises whilst the member of staff is working. This must include any risks that may arise from accident, incident or fire. Once completed action must be taken to implement measures to minimise any risks identified. This will help to ensure the people living there are fully and safely supported at all times. Random inspection report Care homes for adults (18-65 years) Name: Address: Galteemore Rest Home 12 Bank Square Southport Merseyside PR9 0DG two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Lorraine Farrar Date: 1 0 0 7 2 0 1 0 Information about the care home Name of care home: Address: Galteemore Rest Home 12 Bank Square Southport Merseyside PR9 0DG 01704538983 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Elaine Bridget Bennett Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr John Campbell,Mrs Ellen Mary Campbell care home 15 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 15 The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 15 Date of last inspection Brief description of the care home Galteemore provides support and accommodation for up to 15 adults who have a learning disability. It is owned by Mr John Campbell and managed by Mrs Elaine Bennet. Located in a quiet square off the Promenade in Southport it is very close to the town centre, shops, amusements and facilities. The building is a large converted house with bedrooms and bathrooms are located over four floors. No lift is available to the Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home upper three floors. There is seating to the front of the property and a small patio to the rear which the people living there enjoy using. Parking is available but is a pay & display service. Care Homes for Adults (18-65 years) Page 3 of 10 What we found: We gathered information for this inspection in a number of different ways. Before we visited we reviewed any information we had received about the home including concerns that had been raised with us. This included concerns raised regarding staffing levels, staff training in medication and staff bringing their children to work. Concerns were also raised about the involvement of the people living there in household tasks and the disposable of rubbish and recycling. On Saturday 9th July 2010 we visited the home unannounced for three hours. We had discussions with nine of the people who live there. We also spoke with the owner and with three members of staff including the manager. We spent time looking at the way the people living there participate in households tasks and the choices that they have. We also looked at samples of records, including care records, staff training and the staff rota. The staff rota showed that there are two staff working at Galteemore from early morning until 11pm. At night there is a member of staff sleeping on the premises and a member of staff awake. Staff explained that most of the people living there do not need support with personal care and can go out and about without staff support. They told us that there are enough staff to provide the support that people need. The people living there agreed with this view. They told us that they always get the support they need, including at night times. Their comments included, If you want anything they oblige. I like them thats the main thing and always someone when you want them, If you come down at night you get a cup of tea. The home owner visits daily as he has for a number of years. He is visiting in his capacity as owner and the rota showed that there are sufficient staff working in the home and he is not included in staffing levels. We did find that the rota was not always easy to understand. It does not always list staff full names or the role they are fulfilling throughout the day. For example whether they are cooking or providing care. In addition although the fact that the manager is working from 8.30am is recorded the rota does not record her actual hours or finishing time. This could make it difficult to audit staffing and who is working the premises at a later date. A member of staff we spoke with confirmed that they had received training in medication and felt confident in dealing with peoples medication. We looked at the staff training record and a sample of certificates and found that the vast majority of staff had had medication training. The manager advised that the two staff who had not undertaken training do not deal with medication. The rota confirmed that they are always on duty with staff who have undertaken this training. The people living there and staff we spoke with confirmed that at times staff do bring their children to work for a shift. The people living there told us that they are happy with this practice telling us, it is very good and I dont mind that. No risk assessment had been formally completed for this although the manager and a member of staff confirmed it was always with management agreement. However this practice could pose a health and safety risk to the people living there, particularly in the event of an incident, accident or fire. A full risk assessment would establish any associated risks and the action needed to minimise them. Care Homes for Adults (18-65 years) Page 4 of 10 During our visit we talked in depth to the people living there about their involvement in household tasks. They were clear that this was either their hobby or part of everyday life looking after your home. Two of the men living at Galteemore go to a local allotment with the owner. They explained that they have done this for a number of years. In discussions with one man his face lit up whilst talking about this work and it was clear that he enjoys it immensely telling us, I like it. I like gardening. Both men were clear they want to carry on doing this with one man explaining, we choose to go. We ask to go. Both were clear that they did not have to go and did not have to work harder than they choose to. It was very clear that this is their hobby and how they choose to spend their time. Another man explained that he takes recycling to the local supermarket. Again this is his choice and he does not have to do it. He explained, I do it myself I thought I would do it. I love it. We looked at facilities for rubbish disposal and discussed this with staff and the manager. It was evident that the home has sufficient arrangements in place to dispose of rubbish correctly without the people living there having to take it elsewhere. The people living there told us that they do household tasks as part of looking after their home. They were clear that this is their choice and they are not told what to do. Everyone we spoke with told us they like living there with one person explaining, this is our home and another, I am very happy here. With regard to household tasks comments we received included, we help to keep the house and keep it clean. I achieve a lot out of it and we are happy with what we do. It was again clear from our discussions that Galteemore provides the people living there with a real opportunity to take as active a part in the day to day running of their home and every day lives as possible. This is in keeping with good practice guidance for supporting younger adults to lead as ordinary a lifestyle as possible. What the care home does well: What they could do better: The way in which the staff rota is written needs to be clearer. It should include the actual hours planned for people to work and record the hours they actually work. It should also include the full name and role of staff. This will help to provide an accurate record that can be clearly audited at a later date. A full risk assessment must be carried out for the practice of staff children being on the Care Homes for Adults (18-65 years) Page 5 of 10 premises whilst the member of staff is working. This must include any risks that may arise from accident, incident or fire. Once completed action must be taken to implement measures to minimise any risks identified. This will help to ensure the people living there are fully and safely supported at all times. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 6 of 10 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 10 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 33 13 A comprehensive risk 13/08/2010 assessment must be completed with regards to staff children being on the premises whilst that member of staff is working. This must include identifying potential risks in the event of fire, accident and incident. Once completed action must be taken to minimise any risks identified. If children are to remain on the premesis for the duration of a shift then a policy and training must be provided to staff in child protection. This will help to ensure the safety and welfare of service users at all times. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 33 The staff rota should include full names of staff, the times Page 8 of 10 Care Homes for Adults (18-65 years) Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations they are planned to and actually work and the role they are undertaking. This will help to provide a clear audit trail in the future. Care Homes for Adults (18-65 years) Page 9 of 10 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 10 of 10 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!