Care Home: Glebefields Resource Centre

What the care home does well The home is comfortable, homely and clean. People told us that they are happy living at Glebefieds Resource Centre, they told us: " I like it here and am lucky to be here." and "I love it, I have my own chair and I love it." People`s needs are assessed before they come to live at the home. Assessment of peoples` needs, gives confidence that staff are aware of their needs are and will be able to meet them. People are encouraged to visit the home prior to them deciding to come and live there. People receive a good standard of care and support which meets their individual needs and choices. Activities take place several times a day and trips outside the home are also arranged regularly. Activities are based on "cognitive stimulation" and have been proved to be effective to improve people`s memory, health and wellbeing and quality of life. Healthcare needs are met by the home. People told us that the food is good and that they always have a choice available. The Home has an experienced Manager who provides appropriate and effective leadership. The manager and staff act on any concerns that are made, giving confidence that people are listened to and will feel safe living at the home. The homes has robust staff recruitment and selection, which minimises the risk of unsuitable people working at the home and protects people living there. Knowledgeable and friendly staff provide care at the home. What has improved since the last inspection? The homes have introduced research based activities "cognitive therapy" which has been designed and developed for people with dementia to improve their memory. The ongoing refurbishment of the home has continued and is almost complete. The home is homely and a pleasant place to live. The home now have a "bar" where they can spend relaxing evenings and are also able to watch films there on the large viewing screen. A new shower that people with mobility difficulties can be wheeled into is also now available. The home has a very pleasant garden. A vegetable plot has been developed and organic vegetables have been grown by and for people living at the home. New care plans that are "person centred" and more fully represent the people`s needs, choices and capabilities have been implemented. The new care plans were found to comprehensively identify all people`s needs. What the care home could do better: We have not made any requirements or recommendations as a result of this inspection. The Home Manager has identified areas that she would like to develop in the next twelve months. Areas identified for development include staff training in the new legislation that will be introduced in 2009 for the deprivation of liberties and additional staff training on equality and diversity issues. The Manager has also told us that they will be purchasing further activities for use with cognitive therapy following the success that the home have aready had to improve peoples memory and quality oflife. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Glebefields Resource Centre Strathmore Road Tipton West Midlands DY4 0TD     The quality rating for this care home is:   three star excellent 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. Lead inspector: Amanda Hennessy     Date: 2 9 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) 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. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Glebefields Resource Centre Strathmore Road Tipton West Midlands DY4 0TD 01215695940 01215577438 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Avril Nott Type of registration: Number of places registered: Sandwell Metropolitan Borough Council care home 19 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia Additional conditions: All requirements contained within the registration report of 22 January 2003 are met within the timescales contained within the action plan agreed between Sandwell Metropolitan Borough Council and the National Care Standards Day care provision must not encroach on the facilities, staffing and services provided to residential service users. Date of last inspection Brief description of the care home Glebefields is owned and managed by Sandwell Council. It is registered to provide care to a maximum of nineteen older people who have been diagnosed as having dementia. Glebefields is located in a residential area of Tipton. Local amenities are close by which include; a fish and chip shop, small shops and a library. Adjacent to the home are playing fields. The home has gardens to the front and the rear. Car parking space is available at the front of the home. The home comprises of two floors. Both floors are accessible via stairs or the passenger lift. Communal areas, offices, the laundry, Care Homes for Older People Page 4 of 27 Over 65 19 0 Brief description of the care home kitchen, and toilets are located on the ground floor. All bedrooms are single occupancy and are situated on the first floor. The service user guide seen at the time of the inspection identified that fees are 500 pounds per week. The reader is also advised to contact the service for up to date information on fees that the home charges. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 3 stars. The means the people who use this service experience excellent quality outcomes. This unannounced inspection was carried out over one day by one Inspector – Mrs Amanda Hennessy. Time spent visiting the service was seven and a half hours. As it was unannounced neither the service or the provider knew we were going. The home’s manager was present throughout the majority inspection. Information for the report was gathered from a number of sources: a questionnaire- Annual Quality Assurance Assessment (AQAA) was completed by the homes manager and sent to us; We looked at the Care Homes for Older People Page 6 of 27 premises, records and documents. We had discussions with the manager and care staff and people who live at the home to gain their views on what it is like to live in and receive care at the home. We looked at how the service has responded to any concerns, how it protects people from abuse and how staff are recruited and trained. We also looked at the number of staff available to care for people at the home. Two people who live in the home were ‘case tracked’ this process involves establishing people’s experiences of living in the care home by meeting or observing them, discussing their care with staff, looking at care files, and focusing on outcomes of the care that they receive. Tracking peoples’ care helps us understand the experience of people who use the service. What the care home does well: What has improved since the last inspection? What they could do better: We have not made any requirements or recommendations as a result of this inspection. The Home Manager has identified areas that she would like to develop in the next twelve months. Areas identified for development include staff training in the new legislation that will be introduced in 2009 for the deprivation of liberties and additional staff training on equality and diversity issues. The Manager has also told us that they will be purchasing further activities for use with cognitive therapy following the success that the home have aready had to improve peoples memory and quality of Care Homes for Older People Page 8 of 27 life. 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have their needs assessed and required information about the home to enable them to make the decision that the home is suitable to meet their needs. Evidence: The home provides required information about the services they offer. The statement of purpose and service user have been recently been updated and are in both large print and pictorial format. The manager told us that the new format will be available for all people both currently living at the home or wishing to come and live at the home. People have an assessment of their needs carried out by either the Manager or another senior member of staff. We looked at these assessments and found that they provide good information about peoples needs and were comprehensively completed. There were letters in peoples care records confirming that following an assessment, their Care Homes for Older People Page 11 of 27 Evidence: needs could be met by the home. People are encouraged to visit the home before they make the decision that the home would be suitable for them. The Manager told us that due to the peoples dementia it is frequently their family who visit on their behalf. The home does not provide intermediate care. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are identified and met and their wellbeing is promoted by the home and its staff. Evidence: All people have a comprehensive plan of care that details their individual needs, choices and capabilities. The home ensures that support is provided based upon peoples rights of dignity, equality, fairness, autonomy and respect. We call this individual approach to care planning as person centred care. Care records include excellent information about the persons life and preferences which is detailed within their map of life. All information gathered about the person assists staff to get to know the person, understand their needs and assist them to lead a life that meets their needs, choices and capabilities. Staff were very knowledgeable about not only peoples care needs but their previous life. Staff spend dedicated time with people talking about their life to stimulate their memory and slow down mental decline, referred to as cognitive therapy. Staff have been able to prove that due to this therapy peoples memory has improved- this will be explained in greater detail within Care Homes for Older People Page 13 of 27 Evidence: the daily life and social activities section of this report. We saw records that demonstrate that people have access to a wide variety of healthcare professionals such as Doctors, District Nurses, Opticians and Dentists according to their needs. We also found that people are weighed regularly and have their diet and fluids monitored to enable staff to take appropriate and timely actions should there be any concern about their wellbeing. The storage and administration of medicines is undertaken safely and appropriately. Only staff who have had training and have successfully completed an assessment of their practice in the safe handling of medicines are responsible for medicines. All requirements and recommendations made at the previous inspection have been addressed. We saw staff calling people by their preferred name and there was good and respectful interaction between people living at the home and the staff. Toilets are identified as male and female and all bedrooms are single occupancy. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have the opportunity to make choices about their life at the home, maintain relationships with friends and relatives and can take part in meaningful ativities which enhance their wellbeing. Evidence: Peoples interests and choices are recorded within their care records. Staff work with the person and their family to identify their life history, this gives staff a good insight their life and preferences. People are able to choose how they spend their day in addition to activities that take place. Staff told us that the new activity programme has been so succesful that people are more alert, stay up later and as a consequence their sleep pattern is improved and there are fewer incidents of challenging behaviour. They did tell us that one person does like to go to bed early and goes up to bed around eight o clock. People are also able to get up when they wish to. The home have explored the provision of meaningful activities for people with dementia and as a result have activities that centre around the research based Care Homes for Older People Page 15 of 27 Evidence: cognitive therapy . The cognitive therapy activities have been devised by Doctor Spectre from the College of Oxford in London. Activities are structured and used to stimulate and retain peoples memory. Activities include musical bingo, memory games, thinking cards, postcard remincence, to name just a few. On the day of the visit people were involved in painting characters for their Haloween party, whilst also talking about how things were when they were young. When we asked people how they had had been spending their day they told us: Oh doing the cards, and Chatting, I like chatting. Activities take place at times when it has been proven to best stimulate peoples memory, at 11.30- 12.30, 15.30-16.30. The bar is also open for people to have a drink in between 19.00hrs and 21.00hrs. It is very positive that staff have been able to demonstrate how peoples memory has improved since commencing the cognitive therapy. Other regular activities include singalongs and visits to the cinema within the bar to watch films. The home has a lovely garden that includes a sensory garden. This year a vegetable garden has been planted producing peas, beans and cauliflowers. The garden has been so successful that there are plans to extend the garden for next year so that they can grow more. Regular trips out are arranged with visits to the Black Country Museum, Safari Park, Haden Hill Museum and in August the majority of people went on a barge trip. Visitors as able to visit the home at any reasonable time of day. A church group also visit the home regularly with one person also going out to church. A hairdresser also comes every week. The home has a four-week rolling menu which is changed with the seasons. There are at least three choices available at each mealtime. Staff also said that if people do not like any of the choices available an alternative is offered. Snacks are available throughout the day with packets of crisps, fruit and cold drinks available in all the lounges. A cooked breakfast is available everyday. Those people who like to get up early can have tea, toast cereals and other snacks upstairs when they like or throughout the night if they feel hungry. When we asked people about the food they told us: The food is very good from what I have had. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are listened to and can feel assured that the home will act in their best interests and will protect them from harm. Evidence: The home has a complaints procedure which is available within the home. We asked people living at the home what they would do if they were not happy.Comments included; I would go to the office. Im not unhappy. and I aint got no grumbles, them all good very good. There is a record of compliments given to the home and some of those seen were; thanks for the superb care given to my mum. I would like to thank staff as nothing is too much trouble. The home has had no complaints in the last year. The manager told us that there are appropriate systems in place should any complaints be made. All concerns would be recorded to and responded to as the complaints policy. The Commission for Social Care Inspection have not received any complaints about the home in the last twelve months. Staff we spoke to said that they would highlight any concerns to whoever is incharge of the shift or the Home Manager. It is positive that staff have had Adult Protection Awareness training and had an awareness of what constitutes abuse. Care Homes for Older People Page 17 of 27 Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well maintained, clean, homely and a comfortable place to live. Evidence: The home is homely and furnished with comfortable furniture that is domestic in style. The refurbishment of the home has almost been completed with just bedrooms and bathroom of one wing left to be refurbished. New furniture is available throughout the remainder of the home. The downstairs mainly consists of living space with the home having four lounges and one dining room downstairs. In addition downstairs there is a bar which is open in the evening and is used for activities during the day. The home also has a hairdressing room downstairs. Upstairs mainly consists of peoples bedrooms and bathrooms although there is another lounge upstairs and a small kitchenette where drinks and snacks can also be prepared during the night. The home does not have ensuite bedrooms but toilets and bathrooms are located close to peoples bedrooms and have adaptations suitable for people living at the home. All bedrooms are single occupancy. We found bedrooms to be clean and tidy and free from offensive odour. Bedrooms seen were mostly adorned with peoples treasured items such as photographs and pictures. The home has a range of aids and adaptations to assist people. There is a staff call system throughout the home and a passenger lift. Care Homes for Older People Page 19 of 27 Evidence: The home is clean. There are good arrangments in place with the provision of gloves, aprons, liquid soap and paper towels to minimise the risk of cross infection . Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has knowledgeable staff who understand and meet peoples needs. recruitment and selection processes protect people who live at the home. Evidence: We found that the home is staffed with sufficient staff who have training to meet peoples needs. The home does have one agency carer but this person has been working at the home for some time on a semi permanent basis. We also found that the home has additional domestic, laundry and kitchen staff on duty to support care staff. Staff we met spoke positively about working at the home and the support and training that they receive. Typical comments were: its the best place I have worked. and I love it here. We observed good interaction between staff and people living at the home. We asked people living at the home about the staff, comments made were: Them are a nice crowd, They are very good people nothing is too much trouble for them. and Them are all good, very good. The home has sixteen of its nineteen care staff with a care qualification (minimum of National Vocational Qualification level 2). This gives confidence that staff are knowledgeable and understand peoples needs. Care Homes for Older People Page 21 of 27 Evidence: Staff recruitment is completed to the required standard. The files of staff employed since the previous inspection were checked and showed that staff do not start working at the home before all required checks are undertaken. The manger told us that all new staff have induction training and we saw evidence of it in the files that we looked at. Induction training meets the Skills for Care standards. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has effective leadership that has enabled it to develop a specialism in the provision of dementia care. There are appropriate health and safety practices to keep people safe and well. Evidence: The home has an experienced Manager who has been in post for a number of years. We found the Manager to be knowledgeable about peoples needs and passionate about providing excellent care for people with dementia. The Manager provided good information and awareness about equality opportunities issues and the development and implementation of the services policies and procedures. She also demonstrated that she has good people skills, strong leadership of staff and is responsive to the needs of people living at the home. The home has an effective quality assurance programme and has achieved ISO 9002. This quality award is externally accredited and have given excellent feedback about Care Homes for Older People Page 23 of 27 Evidence: the home. Regular audits are undertaken by the home manager of a variety of areas within the home including medicines, care planning, accidents and the cleanliness of the home. When needed an action plan is identified to address any shortfalls found. The homes Annual Quality Assurance Assessment (AQAA) was sent to us when we asked for it. The AQAA gave us a good account of the services that the home provides ( which were also evidenced during our visit) and identified areas for further development. The home does not act as appointee for people living at the home. There are appropriate arrangements in place when people request that the home look after small amounts of money on their behalf for services such as hairdressing and chiropody. There are records are all transactions and receipts are available to confirm the transaction. Staff told us that they have regular supervision and there were records to confirm this. Records of supervision seen showed us that it covers all aspects of practice. The home has an up to date health and safety policy for safe working practice. Required risk assessments are available that highlight risk and actions that to be taken to minimise any risk. Staff receive training and regular updates in all mandatory training. The Home Manager confirmed in the AQAA that all maintenance contracts are up to date, we were able to confirm this with those checked during the inspection. Care Homes for Older People Page 24 of 27 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, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 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 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 Care Homes for Older People Page 26 of 27 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. Care Homes for Older People Page 27 of 27 - 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!