Care Home: Glengariff

Annual service review Name of Service: Glengariff The quality rating for this care home is: The rating was made on: two star good service 1 6 1 0 2 0 0 8 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Ram Sooriah Date of this annual service review: 1 0 1 2 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 59 Moss Lane Pinner Middlesex HA5 3AZ 02088665804 02084262257 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Mr & Mrs D.E Spanswick-Smith Number of places (if applicable): Under 65 Over 65 0 16 The maximum number of service users who can be accommodated is: 16 The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: We have not been informed of any changes in registration. 1 6 1 0 2 0 0 8 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Glengariff is a registered care home providing personal care for up to 16 older people. Residents at the time of the inspection were mostly female although the home is registered for residents of mixed gender. The home is a family-run business, having been established by the owners in the 1960s. The manager is the daughter of the owners. She has been much involved in the Annual Service Review Page 2 of 7 business over a number of years, and became the homes registered manager in 1995. The family owns a similar care home, Abbotsford, at 53 Moss Lane. The home is situated in a quiet residential area of Pinner. It is fifteen minutes walk from local shops and public transport links. The forecourt has parking for about 4-5 cars. The building has two floors with access to the first floor by passenger lift or stairs. Accommodation of residents is on both floors in fully furnished bedrooms. The home has two communal bathrooms, both of which have facilities to support residents with getting in and out of the bath. There are four toilets in the home for use by residents. The home has a large lounge that offers three interconnected areas, one of which doubles as the dining area. The home also has a paved garden to the rear. The home charges 597.23 pounds weekly per resident. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? This annual service review included a review of information that the Commission has received about the home since the previous key standards inspection on the 16th October 2008. We reviewed the information that are sent to us about serious occurrences and events that happen in care homes, as the care homes are legally required to do. These are called notifications. The manager of the home completed an Annual Quality Assurance Assessment (AQAA) on the 25th September 2009 and this was forwarded to the Commission. The AQAA is a self-assessment tool for the home to use to evaluate how well outcomes for residents are being met. It also gives us some numerical information about the service. We looked at the requirements that were imposed on the home following the last unannounced inspection that took place in October 2008. There has not been other regulatory activity by the Commission with the service, apart from monitoring the service with the information that is received from notifications, from people who use the service and from social and healthcare professionals. We received two satisfaction questionnaires from residents, one from staff and two from healthcare professionals to get feedback about the service. What has this told us about the service? Five requirements were imposed on the home during the last inspection. These were about making sure that a plan of action was in place when risk assessments were drawn, ensuring robust recruitment of staff, ensuring appropriate training of staff, making sure that the home has a quality assurance system and for all windows to have appropriate restrictors to ensure that residents are not placed at risk of falls. Our records have shown that the home has sent us a few notifications since the last inspection. Two of the notifications have been about the expected death of residents. The home has during the last key inspection, been assessed as providing good outcomes for people in relation to end of life care. The AQAA has informed us that the manager planned to arrange training for staff on end of life care. Another notification was to inform us about a resident sustaining a fall and needing admission to hospital. We noted that appropriate action was taken by the home in this case. The AQAA has been informative and has provided information about progress that the home has been making since the last inspection, areas where the home has improved, and areas where the home plans further improvement. The two questionnaires received from healthcare professionals were positive about the standard of care and support that residents receive in the home. The residents Annual Service Review Page 4 of 7 questionnaires also told us that on the whole residents were happy with the service that they receive from the home. One visitor said in a resident questionnaire that staff always appear to have the welfare of residents in mind and that the resident that they visit is always clean, tidy and well dressed. The AQAA told us that there has not been any complaint or referral to the safeguarding adult team of the Local Authority during the last twelve months prior to the AQAA being completed. There has been ongoing redecoration in the home. The manager states in the AQAA that carpets have been replaced in all communal areas, there have been refurbishment of residents bedrooms, replacement of worn furniture and improvement of cleaning schedules. The manager rates the staff highly. She says in the AQAA We enjoy the benefits of a very stable staff group, something which has continued over the last year and hugely benefits the residents at Glengariff. She reports that the manager understands the necessity for correct recruitment procedures and these are carried out and that Staff are well trained and are motivated to undertake any necessary training, they appreciate how training benefits them as individuals and improves their work performance. Staff have undergone training in fire safety, moving and handling, abuse and PoVA awareness, basic First Aid, continence training, basic food hygiene, managing medicines safely, induction training, interpersonal and communication skills, NVQ 2.3, and 4. This therefore shows that she has made attempts to meet the requirements about recruitment and training that were imposed during the last inspection. The manager seems proud of her efforts in improving the provision of activities in the home and mentioned the benefit of having a person responsible for organising activities twice weekly in the home. She notes that staff appreciate the importance of activity provision and the work satisfaction that it provides, and that family members sometimes join residents and staff for these sessions. She reports that there have been a number of events and parties for residents and their relatives to enjoy. The management of the home has not changed and the registered manager remains in post. The barrier to improvement during the past year as identified by the manager, has been the lower occupancy that the home has experienced, which she attributes to the credit crunch. She said that she has tried to mitigate the effects of this by carefully managing resources. She hopes that as the economy improves so will the occupancy of the home. The questionnaires that we received did not contain any significant area that the home could improve. With regards to what the home could do better the AQAA states that the home aims to provide updated First Aid training, updated Infection Control training, continue to develop supervision, ongoing refurbishment, update the call bell system, increase the visits of the activity lady, continue to develop care records and records keeping, develop quality assurance and policies and procedures and to provide a dementia awareness session for families and friends of residents. What are we going to do as a result of this annual service review? Annual Service Review Page 5 of 7 The service review has shown that the home is able to carry out a self-assessment to monitor the quality of the service that it provides. The AQAA has been completed to a good standard and has been informative. Information in the AQAA and feedback about the service from questionnaires suggest that residents who live in the home continue to have their needs met, whilst their rights to make choices about their daily lives, are promoted. The home should continue looking at whether past requirements have been met appropriately. We are not going to change our inspection plan and will plan a key inspection by 16th October 2011. However, we can inspect the service at any time if we have concerns about the quality of the service or the safety of people using the service. An inspection could also be brought forward in cases when there has been a change in provider. We would like to thank all people who took the time to send us their completed questionnaires. The information was useful in giving us a view about the service that is provided by the home. 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