Care Home: Gilling Reane

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What the care home does well This was a short focused inspection undertaken as part of a complaint / safeguarding matter, and we did not examine other areas of the service. What the care home could do better: Those people who choose to be up and dressed very early in the morning should have this information clearly recorded in their care plan. People should not be woken early for the convenience of staff and smooth running of the home. This was not a full inspection, and the findings of this visit will be looked at further by the safeguarding team. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Gilling Reane Gilling Reane Gillinggate Kendal Cumbria LA9 4JB The quality rating for this care home is: The rating was made on: two star good service 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Jenny Donnelly Date: 1 9 0 9 2 0 0 8 Information about the care home Name of care home: Address: Gilling Reane Gilling Reane Gillinggate Kendal Cumbria LA9 4JB 01539731040 01539721281 gillingreane@hotmail.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Julie Ann Smith Type of registration: Number of places registered: Pearl care (Kendal) Ltd care home 33 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category 0 1 0 Over 65 11 0 33 Conditions of registration: The home is registered for a maximum of 33 service users to include: up to 33 service users in the category of OP (Older people) up to 11 service users in the category of DE(E) (Dementia over 65 years of age) one named service user under sixty five years of age in the category of MD (Mental disorder) The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Sufficient staff must be on duty at all times to meet the specialist needs of service users in the categories identified. Care Homes for Older People Page 2 of 8 Date of last inspection Brief description of the care home Gilling Reane is a residential care home for thirty-three older people, eleven of whom may have dementia. Pearl Care operates the home and the responsible individual is a Mrs Whitehead. The registered manager for the home is Ms Julie Smith. The home is situated in a quiet residential area of Kendal, within walking distance of the amenities of the town centre. The home has a mini-bus to meet its transport needs. The home is set back off the road in its own grounds. There is car parking to the front of the building, which is bordered by well-kept flowerbeds. There is a large fenced, private garden to the rear, which is accessed by a ramp from the conservatory. In addition there is a pleasant patio area with seating. Accommodation is provided on two floors, the second floor being accessed by two staircases or a passenger lift. The home has a number of lounges and seated areas including a conservatory and dining area. It has an innovative approach to supporting people with dementia by fully integrating them in all aspects of home life. Suitable information about the running of the home and the terms and conditions of staying there are provided in the service user guide, which is given to all new or current residents. The range of fees charged by the home is from #432.00 to #494.00 per week according to the bedroom occupied. Care Homes for Older People Page 3 of 8 What we found: We (the commission) received a complaint from an agency worker that night staff started getting people up at 04.40 on the morning of 16th September, and that this was regular practice. Jenny Donnelly, inspector, made a visit to the home at 05.30 on 19th September. By the time we gained entry to the home at 05.45, three residents were up, washed and fully dressed. By 06.20 another three people were also up and dressed, and staff were busy assisting others. We looked at some records including peoples care plans and the list of instructions for night staff. Some of the people up and dressed did not have a valid reason, or clear expression of choice recorded in their care plan, to explain why staff were getting them up so early. Some plans simply stated night staff to assist in the morning. The night staff said they got people up in accordance with the written list of instructions and gave them breakfast at 07.00. We contacted the registered manager later in the day by telephone to tell her the reason for our early morning visit. We also explained the complaint had been referred to the Adult Social Care as a safeguarding referral. The manager told us she had been made aware of the agency workers complaint by one of her own night staff. The manager said she had spoken with night staff about this and thought they had been anxious about getting all the work done because they had an agency worker with them. What the care home does well: What they could do better: 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 Older People Page 4 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 5 of 8 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, Care Homes 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 12 15 People must not be woken up 07/11/2008 very early in the morning unless this is at their specific request. People should be able to sleep in bed until they are ready to get up. 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 7 If people choose to, or have a specific care need, to be up washed and dressed very early in the morning, this should be clearly recorded in their care plan. It is recommended that the practice of locking bedroom and bathroom doors be reconsidered so people can have free access to their own bedrooms and toilets. It is recommended that a full program of refurbishment be planned and implemented to improve the physical environment for people. This should include improving the flow of fresh air, so as to reduce bad smells. It is recommended that the provision of seating be upgraded to provide supportive and comfortable seating for people that can easily be cleaned. It is recommended that better signage, including pictures Page 6 of 8 2 14 3 19 4 22 5 22 Care Homes for Older People and symbols, be provided around the home to help people find their way around. 6 26 It is recommended that the laundry service be improved so peoples clothing can be ironed. Care Homes for Older People Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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 Older People 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: 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 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. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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