Care Home: Glebelands

What the care home does well Glebelands provides plenty of information for people who live, or may wish to live, at the home and people`s needs are individually assessed prior to them being offered a place, to ensure the home can meet their needs. People benefit from having their care and support needs identified and met in ways that promote and support their individual independence and respect their dignity. They enjoy the lifestyle of the home which supports people in a wide range of hobbies and activities. Their wishes are respected and daily activities promote choice and independence in a diverse and stimulating environment. People living at Glebelands are able to make complaints and they know that they will be taken seriously and dealt with appropriately. They are safeguarded from possible abuse. The home provides a very comfortable, clean and safe environment. It is decorated and maintained to a very high standard. People are very well supported by a wide range of skilled and qualified staff who have been appropriately recruited. These include nursing staff, care staff, domestic staff, catering staff, maintenance staff and activities staff. The home is very well managed, people`s views are sought in a variety of ways so that they can have input in to the running of the home and their health and safety is protected and promoted. What has improved since the last inspection? The home has completed a major programme of expansion and refurbishment since our last inspection and currently provides very well appointed accommodation and excellent facilities. What the care home could do better: No requirements have been made as a result of this inspection. We discussed with the manager his plans to further improve Glebelands which include a fuller development of an annual development plan and we have commented in this report that it would be of benefit to provide more information in the Annual Quality Assurance Assessment (AQAA). Key inspection report Care homes for older people Name: Address: Glebelands Woolf Drive Glebelands Road Wokingham Berkshire RG40 1DU     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Amanda Longman     Date: 0 8 1 0 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. that people have said are important to them: They reflect the things 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. Care Homes for Older People Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Glebelands Woolf Drive Glebelands Road Wokingham Berkshire RG40 1DU 01189790669 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): glebelands@ctbf.co.uk Cinema & Television Benevolent Fund The registered provider is responsible for running the service care home 41 Name of registered manager (if applicable): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 41. The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age- not falling within any other category - (OP). Date of last inspection Brief description of the care home Glebelands is a care home providing nursing care, personal care and accommodation for up to 41 older people, the majority of whom have worked in the cinema and television business. It has been in operation since 1936, and is owned by the Cinema and Television Benevolent Fund. Glebelands is a large converted house dating from Care Homes for Older People Page 4 of 27 0 Over 65 41 Brief description of the care home 1897, and is located within the remaining eight acres of a previously larger estate. The house has been extended over the years and has recently been subject to extensive re-furbishment. It is within a short distance of the shops and other amenities of Wokingham town centre. 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: This inspection of the service was an unannounced key inspection. It was a thorough look at how well the service is doing. We, the commission, received detailed information from the service in the form of an annual quality assurance assessment, the AQAA. This gave us information about current care provided, and some plans for the future, It provided details of staff and resident numbers, qualifications and training of staff, and information about the health and safety of the home. A site visit was undertaken by Amanda Longman, regulatory inspector on 8 October 2009. During this site visit we looked around the home, observed care practices and chatted with people living, visiting and working at Glebelands. We also examined a selection of care records and staff records. Glebelands has in place policies and procedures relating to equality and diversity and there was evidence that they could meet a range of different needs and choices. Care Homes for Older People Page 6 of 27 The home was last inspected by us on 30 October 2007. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 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 9 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. The home provides plenty of information to people who live, or may wish to live, at Glebelands and peoples needs are individually assessed prior to them being offerred a place, to ensure the home can meet their needs. Evidence: Glebelands provides a variety of information for people who live at the home, or who may be considering moving in to the home. There is a Mission Statement which was reviewed in 2008 and includes a commitment to improving and developing the quality of care they provide and recognising and respecting individuality; a Statement of Purpose, also reviewed in 2008, and a detailed document covering the Aims and Objectives of the home which was reviewed in 2009. The Aims and Objectives detail all the information required including details about the home and its facilities, the staff and the complaints procedure. In addition to these documents a residents guide is provided and a copy of our latest inspection report is available for people to read. People we spoke to during our visit to the home said they had plenty of information Care Homes for Older People Page 10 of 27 Evidence: about the home. Glebelands has an assessment procedure whereby peoples needs are assessed to ensure the home can meet them prior to being offered a place. The home is owned and operated by the Cinema and Television Benevolent Fund and approximately 60 of its places are allocated to people from this background. The home changed in 2008 from being a care home to being a care home with nursing. The registered manager is not a qualified nurse but the deputy manager is a qualified nurse, as is the matron. These people undertake assessments of peoples individual nursing needs. While undertaking our visit to Glebelands we looked at four care records. All of these showed that people had had their needs for care and support fully assessed, to ensure the home could meet them, before being offered a place at the home. Care Homes for Older People Page 11 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. People living at Glebelands benefit from having their care and support needs identified and met in ways that promote and support their individual independence and respect their dignity. Evidence: While we were visiting Glebelands we looked at the plans for care for four people. These were detailed and laid out in such a way that they related to each area of assessed need. For example, covering personal care needs such as hygiene, continence and mobility, individual diverse needs such as social interests, hobbies, spiritual needs and expressing sexuality, and healthcare needs such as pain management, breathing and medication. They identified clear goals or desired outcomes and we could see that they were reviewed monthly. Staff we spoke with were knowledgeable about peoples care needs. Handover meetings are held at the beginning of each new shift and we observed part of a regular staff meeting were issues relating to peoples care can be discussed. As stated, peoples healthcare needs, and how they are to be met are detailed in their Care Homes for Older People Page 12 of 27 Evidence: plans for care. These plans also contain information relating to medical appointments and treatments. People can be taken to hospital appointments by the homes own transport and are accompanied by a staff member at no extra charge. We spoke with several people who live at Glebelands and some visiting relatives, throughout our day, who all stated peoples needs are very well met by the home. One person we spoke with said I always wanted to come here. One relative commented specifically on how much more confident and independent their relative had become since moving in to Glebelands. The plans for care that we looked at all contained detailed risk assessments for relevant aspects of care, such as moving and handling, pressure sores and nutrition, and activities such as falls and using their zimmer frame. There were also individual risk assessments as appropriate, for example smoking. We could see from the records we looked at that all the risk assessments were reviewed on a monthly basis. Glebelands has policies and procedures in place to ensure people are treated with dignity and that there privacy is respected. We observed interactions between staff and individuals and saw that people are spoken to in a friendly and respectful way. Individuals spoken with confirmed that they are always treated with dignity and respect. Staff knock on doors and provide assistance in a timely manner. They are respectful of peoples dignity when assisting with personal care. Care plans contain information regarding their preferred form of address. Care plans also detail any individual needs relating to religion or culture. Currently the home does not have any residents who follow any religions other than Christian. However, we discussed with the manager how the home would meet any such needs. The manager was confident that needs could be met. They have previously provided care to people from different religions. In these cases the manager has ensured staff knowledge in relevant religious and/or cultural care practices, including, for example near death and after death customs. There was a very warm and welcoming atmosphere in the home. Glebelands has an appropriate policy and procedure in place regarding medication. This includes an initial assessment for confirming self medication for those that wish. We observed medication being administered during our visit and saw that appropriate procedures are followed. Most medication is administered from pre-loaded dossette boxes. Where this is not possible, for example because the medication is in liquid form or is a new prescription, these are clearly marked with the name and dose. Medication is securely stored. The home was subject to a pharmacy inspection by West Berkshire Primary Care Trust in December 2008. We saw a copy of this inspection report which showed medication standards were met and no actions were required. Care Homes for Older People Page 13 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 who live at Glebelands enjoy the lifestyle of the home. Their wishes are respected and daily activities promote choice and independence and a diverse and stimulating environment. Evidence: At the previous inspection activites were seen to be a particular strength of the home. This was confirmed during our visit to the home for this inspection. Glebelands employs five activities organisers, one full time and four who work 30 hours each. The manager explained that this resource enables a lot of different activites to be organised and there are usually at least three organised actvities each day. The home has an actvities/craft room where resources for various crafts are stored. It also has a large lounge with a raised area which is used for entertainments. On the day of our visit there was a craft session for people who wanted to make Christmas cards. There was also an exercise class in the afternoon and a group of visiting players were putting on an old time musical in the evening. Glebelands is owned by the Cinema and Television Benevolent Fund and as such has many links to the film and television industry. Regular trips are organised to Pinewood Studios, with whom they have close links, and twice weekly cinema evenings are held in the homes Care Homes for Older People Page 14 of 27 Evidence: large lounge, using a large pull down screen. Regular outings and activites also include shopping trips, visits to local places of interest, craft sessions, board games, baking, gardening and carpet bowls. The home recently hired a canal boat for a week and took a number of residents on day trips there. The home has a well stocked library and a bar and the activities team organise a mobile shop which they take round three times per week. Because of the resource of the activities team people who are too ill, or not wanting to join in group activities, benefit from one to one time for such activities as chatting, reading and reminiscing. We spoke with the manager and the activites co-ordinator about how they ensure that individuals particular hobbies or interests are addressed. The assessment process identifies peoples interests and hobbies and a member of the activites team will talk to new residents to ascertain what type of actvities they may be interested in taking part in. The manager stated that they will always try to enable people to keep up their hobbies and interests. For example one former resident was a Reading football fan and staff were able to take him to see Reading matches. The home enjoys good contact with the local community and groups such as the drama group performing on the day of our visit, visit frequently. Visitors are welcomed in to the home and can be entertained in residents own rooms or in a private room available. Overnight accommodation is also available. Relatives visiting on the day of our site visit confirmed that they were always made most welcome. The home caters for the religious needs of its current residents through a regular Sunday service and a monthly Holy Communion service. The local Roman Catholic priest will visit the home at anytime if people want him to hear confession. Residents, staff and visitors we spoke with during the course of our visit all stated that the lifestyle of the home is extremely enjoyable and that there are always lots of things going on. The manager stated that the home tries to support peoples individual choices and autonomy. People we spoke with stated they can get up and go to bed when they wish and can spend their time how they choose. Some people manage their own money and some have help from families. The home will look after small amounts of pocket money for individuals. We saw that this is stored securely and recorded appropriately. We talked to the administrator about the need to ensure these records are regularly audited and she will ensure this is done. While we were looking round the home we were invited to view several peoples rooms. This showed us people can bring personal possessions to the home and people we spoke with confirmed this. Care Homes for Older People Page 15 of 27 Evidence: The home has had a new chef since our previous inspection and people we spoke with confirmed that the food had improved and was generally very good. We spoke with the chef who explained there is a five week menu cycle. The main meal is usually served a lunch time but arrangements have been made to accommodate people who wish to eat their main meal later. Alternatives such as omelettes or jacket potato are always available. Breakfast is served from a hot and cold buffet and the evening meal is a cooked supper dish. Snacks and drinks are available throughout the day. Special diets are catered for. We observed supper on the day of our visit. The dining room is large and well furnished. There were plenty of staff on hand to assist people who required it. People were chatting and there appeared to be a very friendly, happy atmosphere. The kitchen had an inspection in September 2009 by the local environmental health department and received four out of a possible five stars. 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. The people who live at Glebelands are able to make complaints that will be dealt with appropriately and they are protected from abuse. Evidence: The home has a detailed policy and procedure in place for safeguarding vulnerable adults which was reviewed in May 2008. This is mainly in line with the locally agreed inter-agency protocols. However, we confirmed with the manager that all allegations of abuse must be reported to the local social services department at the time they are made so that a decision as to how to proceed can be made. People who live at Glebelands are protected by the homes recruitment and training procedures. Clearance for all staff is obtained from the Criminal Records Bureau and training is provided in the protection of vulnerable adults, both as part of the induction training and via a subsequent, more detailed, course. The staff we spoke with during our visit demonstrated an appropriate understanding of the relevant procedures. The home has an appropriate complaints procedure in place which is given to everyone who moves in to the home. People who live at Glebelands, whom we spoke with during our visit felt that they were treated with dignity and respect and felt they would be able to speak with someone if they were not happy about anything or wanted to make a complaint. Comments included the fact that they didnt have any complaints and how very apporachable the manager is. The home receives few complaints and very many complimentary comments. Only one complaint had been Care Homes for Older People Page 17 of 27 Evidence: received in the year prior to our site visit. Complaints are logged and dealt with appropriately. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Glebelands enjoy a very comfortable, clean and safe environment. Evidence: The home was in the process of being re-furbished last time we visited to complete an inspection. This process is now complete. The home is very comfortably furnished. Bedrooms are ensuite and the people we spoke with confirmed they are happy with how comfortably furnished they are, and that they can bring their own possessions when they move in to the home. The communal areas consist of two large rooms, a smaller room and a conservatory. All of these rooms are very comfortably furnished and people we spoke with were very happy with the high quality and comfort of the sorroundings and furnishings provided in the home. The home and grounds are very well maintained. Two full time maintenance people are employed and a programme of regular maintenance is undertaken. Grounds staff are also employed. As we looked round the home on the day of our site visit we could see that the home is fresh and clean, we observed that there were several people undertaking domestic and cleaning tasks and everyone we spoke to said the home is always very clean. The home has a suitably equiped laundry. The home has a programme in place for the control of infection. However, in the information we received from the manager prior to our site visit we saw that not all staff had received training in infection control. However, when we spoke with the training manager she was able to demonstrate that Care Homes for Older People Page 19 of 27 Evidence: this training is covered in the induction training provided to all staff and was able to show us evidence that there is an on-going programme of more detailed training which more staff have received, and others continue to receive. The home recently had to deal with the threat of an infection which was brought in to the home. All the relevant procedures were followed and the infection did not spread. Staff we spoke with demonstrated appropriate knowledge of infection control procedures. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Glebelands are very well supported by a range of skilled and qualified staff who have been appropriately recruited. Evidence: Since the previous inspection the home has re-registered to provide care with nursing and the staff compliment includes registered nurses. We reviewed the staffing rotas which showed that staff work in three shifts (and time is allowed for handovers). From 7.30am until 2.00pm there are three nurses on duty and 11 care workers, from 2.00pm until 8.00pm there are three nusrses on duty and eight care workers, and from 8.00pm there are two nurses and four care workers. During the day time staff are generally assigned to assist people on one of the three floors. We asked people living there whether there were enough staff on duty to meet there needs and they confirmed there were. We asked whether they could choose what time they got up or went to bed and whether staff were available to help them when they wished. People told us that staff were generally always available when they needed them. Occassionally they would have to wait if all the staff were busy, but that this was acceptable. People spoke very highly of the staff working at Glebelands, saying they were kind, helpful and friendly and that there were plenty of them. Staff we spoke with also felt there were enough staff on duty to enable them to meet peoples needs as they wish them to be met, they also informed us that turnover is low because people like working at Glebelands. The manager confirmed that agency staff are very Care Homes for Older People Page 21 of 27 Evidence: rarely used. If they need an agency person they use one particular agency where two of the staff know the home very well. We saw evidence that a senior member of staff is always on call. This includes the manager, who lives on site and will come in whenever needed. In addition to care and nursing staff, the home employs domestic staff, maintenance staff, activities staff, catering staff and dinning room assistants. We were present when the eveing meal was served and observed plenty of staff to assist people. Throughout or visit we observed staff being kind and courteous. The home has an appropriate recruitment procedure in place which includes all relevant checks to protect the people who live there, including references and clearance from the criminal records bureau. We looked at the recruitment records for the two most recently recruited members of staff and confrimed that the appropriate procedures had been followed. Applicants are interviewed by two senior members of staff and the records showed that all appropriate areas are explored at interview. Once recruited, staff follow an induction programme which is line with that recommended by Skills for Care. We discussed training with the Matron for the home, who is responsible for training. All staff receive training in mandatory subjects, including for example, fire safety, manual handling, first aid and the protection of vulnerable adults. Infection control training updates are currently being provided through a distance learning book, which includes a competence assessment which the Matron then evaluates. Additional training courses have been provided in a variety of relevant subjects, for example paliative care, mental capacity and Parkinsons disease. We observed part of a staff meeting when training was being discussed. Future training plans include epilepsy and dementia care. Staff we spoke with said the training provided was very good and people living at the home that we spoke with said staff appeared to be very well trained. Records showed that over 75 of care staff are qualified to at least NVQ level 2, with over 25 qualified to NVQ level 3. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live at Glebelands benefit from the home being well managed. Their views are sought in a variety of ways so that they can have input in to the running of the home and their health and safety is protected and promoted. Evidence: Glebelands manager is qualified and experienced and is registered with us to manage the home. Since our last inspection the home has changed its registration with us so that it is able to provide nursing cae. The manager is not a qualified nurse but both the deputy manager and the matron, who supervise the nursing care, are qualified and experienced nurses. Everyone we spoke with during the course of our inspection, residents, relatives and staff all spoke very highly of the manager, praising his commitment and openess. During our visit we observed that the manager obviously knew all of the residents well and he interacted with them in a friendly and respectful manner. The manager has developed several methods in which to seek the views of the people Care Homes for Older People Page 23 of 27 Evidence: who live at the home, and those other interested parties. We saw evidence that both residents and relatives meetings are held regularly and points for action are minuted. Peoples care plans are reviewed monthly to ensure they continue to meet their needs, and individual meetings are held with residents and relatives periodically to discuss their needs. One such meeting was occuring on the day of our site visit and we spoke afterwards with the person concerned and their relatives, who confirmed that the home was doing everything to ensure that their individual needs and preferences were being met. In addition, activites staff talk to individuals about what sort of hobbies and past times they are interested in. An annual quality assurance questionnaire is distributed to residents and the results of this are reported to the trustees of the charity. The Annual Quality Assurance Assessment completed by the manager prior to our visit did not contain very detailed information and the manager informed us that the home does not have a current annual development plan. However, the home has recently undergone a long period of development in terms of building and refurbishment work and the change to providing nursing care. People we spoke with, including residents and staff assured us this process had been very well managed. The home does look after small ammounts of pocket money on behalf of some of the people who live there. We saw that this is securely stored and that accurate records are maintained. We discussed the benefit of regularly auditing these records and the manager will take this forward. During our inspection we saw that Glebelands has an appropriate range of health and safety policies and procedures in place which were reviewed in September 2009. All staff, including maintenance and housekeeping staff recieve training in health and safety, including moving and handling and fire safety. Relevant staff receive training in first aid, food hygeine and infection control. Relevant health and safety matters are discussed at the heads of departments meetings. Information received prior to our site visit showed that electrical, fire and other equipment are maintained in line with manufacturers recommendations. 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: 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. Copyright © (2009) Care Quality Commission (CQC). 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. 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