Care Home: Glendale House

What the care home does well Each person who lives at the home has had their needs assessed to make sure the home can give them the care and support they need. All of the people have care plans which give information to staff about how to support them and meet their needs. Care is planned with the people in a way that they prefer andin a sensitive manner. (The care plans format is currently under review). The staff team at the home recognise the differing needs of the people who live there and make sure that they are aware of each person`s preferences. They treat the people as individuals and support them to live the life they choose as much as possible, so they will have new experiences and know that their opinions are valued. People who live at the home experience a variety of activities. This gives them choice, as well as building their self-esteem and confidence. The staff team make sure that the home is clean, warm and attractively furnished so the people who live at the home have a comfortable place to live. Overall, the home is maintained to a very high standard. Staff support the people to use local services so they are part of the community. The staff make sure the people`s health care needs are met so they remain in good health. All of the people who live at the home have risk assessments. This is so staff have the information they need to support each person and keep them safe. The home has procedures for staff for the administration and recording of medication, which is adhered to. This is to make sure the people who live at the home receive their medication when they need it and at the correct times. The home has procedures for dealing with complaints and protecting the people who live there from abuse. This means that the people who live at the home feel safe, know they can talk to the staff and that their views are listened to. The home provides a valuable service to the local community: there is a daycare service, community chiropodist service, and an independent daycare service for people with Alzheimer`s. What the care home could do better: Following this inspection visit, no requirements or recommendations were identified. Random inspection report Care homes for older people Name: Address: Glendale House Rose Avenue Blackhall Hartlepool TS27 4JQ 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: Jim Lamb Date: 0 7 0 6 2 0 1 0 Information about the care home Name of care home: Address: Glendale House Rose Avenue Blackhall Hartlepool TS27 4JQ 01915871188 01915871188 mary.gibson@durham.gov.uk www.durham.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Catherine Mary Gibson Type of registration: Number of places registered: Conditions of registration: Category(ies) : Durham County Council care home 32 Number of places (if applicable): Under 65 Over 65 32 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 Glendale House provides residential care services for up to 32 people in the Category of Older Persons OP. The home is owned by Durham County Council and managed on their behalf by Adult and Community Services. Glendale House is located in a residential area of Blackhall, close to local amenities. It is a large two-storey unitised building with the benefit of a passenger lift to the first-floor. All bedrooms are single accommodation without the benefit of en suite facilities. There are a number of different communal lounges and dining areas throughout the home. The home has a secure and well-kept garden area for the use of residents and visitors. Car parking spaces are located at the front and side of the home for relatives and visitors. Care Homes for Older People Page 2 of 11 What we found: We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. During this inspection visit, no requirements or recommendations were identified. The quality rating for this service is 2 stars. This means that the people who use the service experience good quality outcomes. How the random inspection was carried out. Before the visit we looked at information we have received since the last visit, how the service dealt with any complaints and concerns since the last visit, any changes to how the home is run, the providers view of how well they care for people, and the views of people who use the service and their relatives, staff and other professionals. During the visit we talked with people who use the service, relatives, staff, the manager, and visitors, looked at information about the people who use the service and how well their needs are met, looked at other records which must be kept, checked that staff had the knowledge, skills and training to meet the needs of the people they care for, looked around the building/parts of the building to make sure it was clean, safe and comfortable, and checked what improvements had been made since the last visit. We told the manager/provider what we found. Choice of home: The home has a Statement of Purpose and Service Users Guide that gives clear information about the service. These include good details of the accommodation for the people who have moved here. The service users guide is available in a range of formats and languages. This is good practice. There is comprehensive assessment process that includes the input of the prospective service user, their relatives, social worker/ care manager. This ensures that the needs of each prospective service user are fully assessed before a decision is made about whether the service can meet their individual needs. The pre-assessment information in the home gives very clear details of service users specific needs. All the people who live here have contracts that outline their rights and responsibilities whilst living here. These are kept in their care files which they can access, with support if necessary. The contracts also include details of the individual fees for each service user and their contribution. Care Homes for Older People Page 3 of 11 Intermediate care is not provided. Health and Personal Care: There are a range of assessments in the service users care plans. There is also a comprehensive risk assessment of service users. There are advocacy arrangements, as well as family input to represent service users. Care plans are drawn up with service users and their relatives. Plans are amended and reviewed on a regular basis. The plans are not fully person centred or based on activities of daily living. However, a working party has been established, the aim is to review the care plan format used, and introduce a person centred care plan format. However, the care staff had very good knowledge of the service users care needs. Several service users spoke highly of the staff and the very good care that they receive. One person said, this place is marvelous, the care i receive is second to none, the staff are just wonderful. One relative said, It is so good here, i want to book a place for myself . Another relative said, The home is beautiful, always fresh and clean. A key worker system was in operation and this allowed staff to work more closely with some people whilst also contributing to the care of all living at the home. In each persons care records, comprehensive risk assessment information was available. For example, risk assessments covering the following areas had been completed: nutrition, falls, mobility, skin care and living independently. Pressure area care assessments are completed if necessary. No limitations had been placed on service users right to make decisions and choices about how they lived their lives. The home had a medication policy that was available in the main office. The medicines trolley was clean, tidy and it was easy to identify what medication belonged to which person. Only limited stocks of medication were kept at the home. Photos to identify each person were in their medication records. There were records covering the ordering, administration and disposal of medication within the home. All staff administering medication had received accredited training. No incidents concerning the misadministration of medication had been reported to the Commission. Staff are fully aware of the need to treat people living at the home with respect and dignity when providing support and personal care. Service users said that they were happy with the way that staff cared for them. Staff were observed caring in a way that respected their right to privacy. Daily Activities: There is a relaxed, informal and friendly atmosphere in the home. Routines are flexible and allow the people living at the home to make decisions about everyday things such as when to rise and retire to bed. Care plans and conversation with service users showed how people are encouraged and supported to be as independent as possible, subject to Care Homes for Older People Page 4 of 11 their individual plan and risk assessments. Meals are served at set times although there is a great deal of flexibility to suit individual needs and wishes. Records of food served show a varied and balanced diet is provided with alternatives always being available should someone wish not to have the dish of the day. People living in the home said the food is very good, they said they were often consulted about menus. Menus have been devised with the support from Newcastle University, the menus are varied, balanced and nutritious. People living in the home are encouraged and supported to lead meaningful and stimulating lives and are offered a range of activities: bingo. board games, film nights, handicrafts, gardening, trips out e.g. shopping and visits to local places of interests. The service users make good use of the superb landscaped gardens, there are sitting areas that are frequently used during the summer months. One service user has their own vegetable garden. Photographs of events and outing are displayed throughout the home. The views of people living in the home are sought on a daily basis through informal conversation and at regular service users meetings, during which people are consulted about the general running of the home, and suggestions for improvements are sought. Service users told the inspector they are happy living here and commented about the friendly and homely atmosphere. They made many very positive comments about the staff and said they were always helpful and kind. Two visitors spoke to the inspector: each made very positive comments about the home and expressed very high satisfaction with the way that their relative was being cared for. Complaints and protection: There is a complaints procedure. The procedure is written in a way that ensures service users fully understand its contents. Two service users said that she had been given a copy of the procedure and that staff always listened to any concerns and always dealt with them fairly. The home keeps a record of complaints. The home has a Whistle Blowing policy, the Local Authorities Vulnerable Adults procedures, and a copy of the Department of Healths document, NO SECRETS. Staff are aware of these procedures and have easy access to them. Since the last inspection visit, there have been one complaint received, and this is currently being investigated. Safeguarding adults training is ongoing for all staff. Service users can deposit cash for safe keeping and records are kept of accounts. A sample of personal finances records was examined. Transactions were appropriately Care Homes for Older People Page 5 of 11 recorded. There was plenty of evidence of personal spending. Receipts are obtained for purchases and numbered to cross-reference to the transaction. Weekly checks of balances and cash are carried out. Environment: The premises maintain a very pleasant and homely atmosphere. All parts of the building seen were very clean and suitably equipped. The communal areas including all service users bedrooms, have been decorated to a high standard, and this makes these areas very homely and attractive. There is an ongoing programme of decoration and refurbishment. During the last year, most parts of the home have been refurbished to a very high standard creating a very attractive and safe place to live. New dining room furniture has been purchased. Most areas throughout the home have new soft furnishings, curtains, lighting and framed wall art. The laundry provides very good facilities. All equipment was in good working order. Hygiene control was exceptional throughout the home. The grounds are well maintained, professionally landscaped and are used regularly by service users. Service users spoke positively about the accommodation, all were very happy about the redecoration programme, and how nice the home looked. Overall, this is now a highly attractive environment that provides a comfortable and safe place for service users, and other community groups that use various designated areas of the home. The home has policies and procedures on hygiene and control of infection. Staff receive infection control training. There is suitable hand washing facilities throughout the building. Disposable gloves and aprons are provided for staff use. Staffing: The home currently has 14 service users and 1 respite service user. There are more than enough staff employed to meet the service users holistic needs. The personnel records of two staff were examined. Both had completed application forms, the dates of employment were clear, making it easy to follow a clear employment audit trail. There is an audit check list and this ensures that all the necessary checks have been completed prior to commencing employment. Care Homes for Older People Page 6 of 11 Both had the required two work references, (crb) criminal record bureau check, documentary evidence of identity, induction and training and development information. The manager confirmed that, the staff turnover is very low, most staff have worked at the home for several years. The Local Authority has a training and development department, and all staff have an annual training matrix drawn up, this covers all mandatory training needs, and other core training needs, such as control of infection, mental capacity and deprivation of liberty and Adult Protection. Individual staff members have his or her individual training needs analysis on their personal file. 100 of staff have acheived NVQ level 2/3, this is very good practice. Management: The registered manager has the required qualifications and experience to run the home. There is a range of quality systems in the home. There is an annual survey of the views of the service users and their families. The findings are collated and an action plan drawn up to address any areas of concern. There are also regular meetings held with both the service user groups and with the staff group. These are minuted and action points listed. Both individual and central supervision records were studied. These records show an appropriate bi-monthly pattern of supervision, with an annual work performance appraisal. All staff receive annual health and safety training. This is good practice. Checks of the fire log book showed that all the required checks and tests of equipment and systems take place at the proper intervals, as does fire safety training. The homes accident book is kept up to date and information is fully recorded. Each accident is reviewed after 24 hours to check the outcomes of the accident and any treatment given. There is a monthly audit of accidents, and a detailed audit of all falls. Servicing and maintenance records are comprehensive and well maintained. What the care home does well: Each person who lives at the home has had their needs assessed to make sure the home can give them the care and support they need. All of the people have care plans which give information to staff about how to support them and meet their needs. Care is planned with the people in a way that they prefer and Care Homes for Older People Page 7 of 11 in a sensitive manner. (The care plans format is currently under review). The staff team at the home recognise the differing needs of the people who live there and make sure that they are aware of each persons preferences. They treat the people as individuals and support them to live the life they choose as much as possible, so they will have new experiences and know that their opinions are valued. People who live at the home experience a variety of activities. This gives them choice, as well as building their self-esteem and confidence. The staff team make sure that the home is clean, warm and attractively furnished so the people who live at the home have a comfortable place to live. Overall, the home is maintained to a very high standard. Staff support the people to use local services so they are part of the community. The staff make sure the peoples health care needs are met so they remain in good health. All of the people who live at the home have risk assessments. This is so staff have the information they need to support each person and keep them safe. The home has procedures for staff for the administration and recording of medication, which is adhered to. This is to make sure the people who live at the home receive their medication when they need it and at the correct times. The home has procedures for dealing with complaints and protecting the people who live there from abuse. This means that the people who live at the home feel safe, know they can talk to the staff and that their views are listened to. The home provides a valuable service to the local community: there is a daycare service, community chiropodist service, and an independent daycare service for people with Alzheimers. 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 8 of 11 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 Older People Page 9 of 11 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 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 10 of 11 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 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. 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