Care Home: Glenholme

Similar services:

• Larch Avenue
• Alderson Road 12
• Cranworth Close Registered Care Home
• The Cornerstone
• John Street Nursing Home
• Pennine Camphill
• Whitwood House
• Whitwood Hall

What the care home does well The person centered approach to the way admissions take place makes sure that that people`s care and support needs are assessed before a decision is made as whether they can move in. People`s individual needs are met, and people are given opportunities to express choices. This could be further improved by the use of recognized person centered planning methods. People`s social needs are well met, and the meals on offer to people meet their dietary needs. People`s health and personal care needs are met. People`s concerns and complaints are dealt with effectively and there is good awareness by staff in relation to safeguarding issues. People live in a clean and tidy home that suits their needs. People`s needs are consistently met by a well trained staff team. People are protected by the staff recruitment procedures, which ensure people are suitable for employment before they start work. The service is well run by a manager and management team that are approachable, and fully aware of the need to keep people safe. What has improved since the last inspection? The service user guide has now been updated. Standards have been maintained and built on with good planning systems, training for staff and management of the service. What the care home could do better: The contracts that people have with the service need to be updated so that people are made fully aware of their rights. The care planning system could be further improved by the use of recognized person centered planning methods. Key inspection report Care homes for adults (18-65 years) Name: Address: Glenholme 94 Green Lane West Vale Halifax HX4 8BL     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: Tony Brindle-Wills     Date: 1 5 0 7 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 Adults (18-65 years) Page 2 of 26 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 Adults (18-65 years) 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 Adults (18-65 years) Page 3 of 26 Information about the care home Name of care home: Address: Glenholme 94 Green Lane West Vale Halifax HX4 8BL 01422372985 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: karenp@st-annes.org.uk www.st-annes.org.uk St Anne`s Community Services care home 14 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: One named person over the age of 65 years of age named on variation dated 29th September 2006 may reside at the home. Date of last inspection Brief description of the care home Glenholme is a respite care centre offering short term breaks for younger adults with a learning difficulty. It is a large house providing single bedroom accommodation for fourteen men and women. Ten of the bedrooms have en suite facilities. There are two large lounges and a comfortable seating area in the hallway. There is a separate kitchen for guests to use if they wish. The house is on a bus route and there is ample parking at the rear of the building. From the outside, there is level access into the house and passenger lifts inside make all the rooms accessible. The fees are paid by Social Services. There is a charge of 55p per mile for use of the Care Homes for Adults (18-65 years) Page 4 of 26 Over 65 0 14 Brief description of the care home centres vehicle. Care Homes for Adults (18-65 years) Page 5 of 26 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. Our visit was unannounced and last approximately six hours. Prior to this visit, the registered manager sent us her Annual Quality Assurance Assessment (AQAA - a self assessment form completed by the provider). It was detailed, and of a high standard. Questionnaires were sent out prior to our site visit, and many were returned. The comments we received about the service were all positive. We looked at the following records; care assessments and care plan files, care reviews, personnel and training records, staff meeting minutes, health and safety records. We talked to people who live at the home. We also spoke to the staff who work there. We watched how the staff interacted and supported people living at the home. Care Homes for Adults (18-65 years) Page 6 of 26 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 Adults (18-65 years) Page 7 of 26 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 26 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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. Peoples care and support needs are assessed before a decision is made as whether they can move in. The contracts that people have with the service need to be updated so that people are made fully aware of their rights. Evidence: The registered manager explained in detail the admission process at the home which involves obtaining a local authority care needs assessment if one is available; meeting with the potential new person and their family; completion of the services own detailed assessment document; visits to the service by the prospective new person and over night stays if appropriate; and observation of the person by the staff when they visit in order to obtain further information which is used to support the admission assessment. Feedback from people who completed our survey showed that they were very satisfied by the way admissions took place at the home, with one relative saying, the process for starting to use the service went well, and as a family we were really happy. Care Homes for Adults (18-65 years) Page 9 of 26 Evidence: The detailed records belonging to one new person were looked at, and the information contained within them confirmed that the staff at the home had undertaken a comprehensive assessment of this persons needs prior to admission. The evidence showed that this had been undertaken in a person centered manner, with the person themselves leading much of the work carried out by the staff team. Each person is given a written contract with the home. We looked at the terms and conditions of residency of the home, and found that they needed to be updated as they were not in an accessible format, and did not contain all the information recommended by the National Minimum Standards. The service user guide has now been updated. Care Homes for Adults (18-65 years) Page 10 of 26 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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 individual needs are met, and people are given opportunities to express choices. This could be further improved by the use of recognized person centered planning methods. Evidence: The registered manager told us the process of planning that is undertaken in relation to the care and support people receive. This involves consideration of the full assessment and risk assessment carried out before admission to the home; discussion with the person about their care needs; their short and long term goals; their aspirations, skills, abilities and healthcare needs. We found that sometimes that this information has been obtained using recognized person centered planning techniques. We discussed the use of recognized person centered planning methods for the people who use the service, and the registered manager agreed that in some circumstances, these would be useful. We looked at the very detailed, up to date and accurate records of two people living at Care Homes for Adults (18-65 years) Page 11 of 26 Evidence: the home. We found that the staff have an excellent written record of the care and support needs of the people they are working with. The information was written in a person centered manner; individualized; from the persons perspective; promoting choice and independence. We found up to date and detailed risk assessments that related to various tasks and activities that people take part in. The details showed that information about risks is given to people so that informed choices can be made. When a person is unable to fully understand the information or risks presented to them, then the records show that appropriate considerations are made and discussions take place with the relevant third parties, regarding any restrictions placed upon individuals so as to promote their health and welfare. Feedback supplied by people who completed our survey showed that they were satisfied with the way peoples health and person care needs were met. One relative said, The staff are very good at helping my relative with their personal care, and always make sure they do the right thing for them. People confirmed that the staff talk to them them about how they would like to be cared for and supported. One person said, the staff talk to me about how I liked to be helped. Care Homes for Adults (18-65 years) Page 12 of 26 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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 social needs are well met, and the meals on offer to people meet their dietary needs. Evidence: The registered manager told us that people take part in a variety of activities both inside and outside of the house. These include craft work; cooking; meals out and leisure pursuits. The accurate and detailed records showed that people take part in a variety of community based and in-house activities linked to their individual needs and interests. The menus were seen to offer people a variety of meals, with a good nutritional balance. Staff confirmed that people do take part in meal prepartion, and people told us that they can access the kitchen at all times, with help if needed. The records show that any restrictions placed on people in relation to access to the kitchen is well Care Homes for Adults (18-65 years) Page 13 of 26 Evidence: documented and all relevant thrid parties have been informed. Feedback from people our survey showed that they believed there to be a wide range of activities on offer to people, with one saying, My relative gets to go out and do so much. People told us that they take part in activities that are based on their personal interests and needs, with one person saying, I go out and do the things i want to do. Care Homes for Adults (18-65 years) Page 14 of 26 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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 health and personal care needs are met. Evidence: The registered manager told us that peoples individual personal and healthcare needs are well documented within the care plan records and risk assessments. A look at a selection of these confirmed this. She said that people are supported to attend healthcare appointments with their local GP, or other healthcare professionals. The staff said that people are supported with their individual medication requirements, by way of ordering medication on their behalf, keeping it safely on the premises and dispensing it appropriately. The detailed training records show that staff who work with medication have had relevant training. The care plan files of two people showed there is comprehensive record of peoples personal and healthcare needs, that is clearly presented, in a person centred, positive and detailed way. We talked to the staff about peoples needs, and they showed a thorough awareness of peoples individual needs and requirements. We saw that the staff respond to people in a sensitive and responsive manner, showing them respect and enabling them to take the lead in the care and support they receive. Care Homes for Adults (18-65 years) Page 15 of 26 Evidence: People who completed our survey said that they are very satisfied with the way people are supported with their healthcare needs. One person said, The staff are very good at helping me to go to the doctors. They always help me with my tablets so that I get them at the right time. Care Homes for Adults (18-65 years) Page 16 of 26 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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. Peoples concerns and complaints are dealt with effectively and there is good awareness by staff in relation to safeguarding issues. Evidence: People who completed our survey said that they fully understood the complaints procedure. A relatives who was spoken with gave details of how they would complain and to whom. The registered manager told us that the procedure for complaining is displayed in the home, and is given to people within the homes Service User Guide. She said that efforts are being made to put the procedure into an easy read format. If people made a request, it could quite easily be put on an audio tape. The complaints records were seen and were in good order. The registered manager explained that for some people, complaining may be difficult due to either a reluctance to do so, or a lack of capability. She told us that the staff are trained to look for signs of when people are feeling uncomfortable or worried, unsettled or upset. She said that staff would try and discuss issues with people and deal with their problems. They would also make efforts to access relevant agencies such as advocacy services, or the persons social worker. The detailed adult safeguarding procedures were found to be satisfactory, and the staff training records show that staff have had training in safeguarding, and other training training such as de-escalation techniques when dealing with people who Care Homes for Adults (18-65 years) Page 17 of 26 Evidence: challenge the service. One staff member gave a clear and detailed explaination of what to do if they suspected abuse or if it were alledged that someone had been abused. People at the home said that felt safe living there. Care Homes for Adults (18-65 years) Page 18 of 26 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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 live in a clean and tidy home that suits their needs. Evidence: People living at the home said that it was comfortable, clean and tidy. A look around the building confirmed this. The registered manager explained that there is a programme of refurbishment and redecoration that is followed through the course of the year. We found appropriate infection control measures in place such as handwashing and laundry facilities. One person let us have a look in their bedroom which was found to be personalized. The registered manager explained that people can access the kitchen, and get involved in meal preparation. This was confirmed by people living at the home who said that they enjoyed cooking. Care Homes for Adults (18-65 years) Page 19 of 26 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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 consistently met by a well trained staff team. People are protected by the staff recruitment procedures, which ensure people are suitable for employment before they start work. Evidence: The detailed, accurate and up to date recruitment files of 3 staff working at the home were seen to be satisfactory. The registered manager explained the recruitment procedure in detail, indicating that not only is she and her management team involved in accessing a persons suitability to work in the home, but the people living in the home get involved also. People living at the home confirmed this. Information contained within the detailed personnel records confirmed that people undertake an induction when they start work, and are on probation for 6 months to access their suitability for the job. Prior to starting work, the registered manager explained that employment checks are undertaken such as a criminal records bureau check and a check against the Protection of Vulnerable Adults List. Records relating these were seen and found to be satisfactory. The staff rotas showed that the staffing levels are very good, and this was confirmed through observations made on the day. People who completed our survey said that Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: they believed there to be a very high ratio of staff to people living at the home. Relatives and social workers see this as positive as it means that a number of opportunities can be created to support people with activities. The detailed personnel files show that the staff have been involved in a number of training courses specific to the work they do. The staff who were spoken with confirmed that they received formal supervision on a two monthly basis, and this was confirmed with information contained within peoples personnel records. The registered manager explained that more than half the staff staff have a relevant NVQ II qualification in care, and that several staff members have started work on achieving this award. . People living at the home had nothing but praise for the staff team. This was supported with comments made by people who completed our survey. These included: the staff are great the staff always want to do their best for people the staff always doing training there are always enough staff on duty. Care Homes for Adults (18-65 years) Page 21 of 26 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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 service is well run by a manager and management team that are approachable, and fully aware of the need to keep people safe. Evidence: The manager of the home is registered with the Commission and has the appropriate qualifications and experience required by those who manage a service. She told us that she is involved in the financial management of the home, and has control and access to an appropriate budget. Staff working at the home explained that the manager gives effectively leadership to the team by her example and what she says. This is done through training, supervision and one to one work where she shows people in what direction she would like to service move. People said that she does work with them on values and visions, such as promoting peoples rights and encouraging their involvement in decision making about their lives and life in the home. Information contained within the staff meeting minutes, training records and supervision records confirmed this. The detailed and up to date records shows that there are effective quality assurance Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: systems in place for auditing and monitoring the work undertaken at the home by the staff. The registered manager explained that alongside these, she undertakes spot checks on medication, care plans, money and the food prepared in the home. Staff also explained that the registered manager and her team often undertaken observations of care practice in order to give feedback on the work they are doing. The Annual Quality Assurance Assessment document we received from the home was detailed and contained good levels of information that we able to cross reference with evidence in the home. The accurate and up to date records showed us that appropriate health and safety checks are undertaken by staff at the home, and any issues that arise as a result of these are dealt with appropriately. The personnel and training records showed us that staff undertake relevant health and safety, and fire training. When asked about the management of the home, people living there said, the manager is great. People who completed our survey said that the service was well run, with one relative saying, the management team are good, and they are always ready to help you out if theres a problem. A social worker said,this service is well run, and the management team are very approachable. Care Homes for Adults (18-65 years) Page 23 of 26 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 Adults (18-65 years) Page 24 of 26 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 1 3 The terms and conditions of residency of the service should to be updated as they were not in an accessible format, and did not contain all the information recommended by the National Minimum Standards. The use of recognized person centered planning methods should further enhance the ways in which care planning is undertaken by looking at peoples goals and aspirations and what is essential to them throughout the day. 2 6 Care Homes for Adults (18-65 years) Page 25 of 26 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. 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. Care Homes for Adults (18-65 years) Page 26 of 26 - 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!