Care Home: Glenside (10)

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What the care home does well Since the last inspection there has been a change in the senior management structure that has had a positive impact on the organisation, which in turn has improved outcomes for the people who live in the home. Staff are good at responding to the needs of the people who live there and provide a person centred approach to their care. What has improved since the last inspection? Previous issues identified at the last inspection have been met. Improvements to the environment mean that people live in a safer and more comfortable home. People have had access to use community facilities so participating within the local area they live in and having positive experiences. CARE HOME ADULTS 18-65 Glenside (10) 10 Glenside Allerton Liverpool Merseyside L18 9UJ Lead Inspector Helen Carton Unannounced Inspection 13th May 2008 09:30 Glenside (10) DS0000025273.V363260.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Glenside (10) DS0000025273.V363260.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Glenside (10) DS0000025273.V363260.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glenside (10) Address 10 Glenside Allerton Liverpool Merseyside L18 9UJ 0151 724 5994 9999 H/O tel no - 0151 524 3606 No email Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) North West Community Services (Merseyside) Limited Amanda Susan Jones Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Glenside (10) DS0000025273.V363260.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th June 2007 Brief Description of the Service: 10 Glenside Close is registered to provide personal care to three people with learning disabilities. The home is a bungalow, with all bedrooms being single and on the ground floor. There is a large bathroom, a separate toilet and a large living room, kitchen and laundry room. There is a staff sleeping-in room, which is also used as a quiet area for service users and provides access to the garden. Bathing and mobility aids are provided. There is parking space to the front of the premises and a small garden area. The home is situated in a residential area of Mossley Hill and is close to the city centre. There are shops in close proximity to the home and a good size shopping centre close by. The residents have a minibus and some of the staff are designated drivers. There are good public transport services. Glenside (10) DS0000025273.V363260.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This unannounced ‘key’ inspection was carried out over two days. A tour of the premises took place and observations were made of the people who use the service. A selection of care, staff and service records were viewed and the Registered Provider, Registered Manager, care staff and people who use the service were either observed or spoken with during the visit. All the key standards were assessed and progress/action taken in response to the previous requirements and recommendations from the last key inspection was reviewed. What the service does well: What has improved since the last inspection? What they could do better: Discussed with senior management about the policies and procedures for the recruitment and selection of staff that need to be improved to ensure that people who live in the home are protected. Glenside (10) DS0000025273.V363260.R01.S.doc Version 5.2 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Glenside (10) DS0000025273.V363260.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Glenside (10) DS0000025273.V363260.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Prior to an offer of a placement being made people are assessed, resulting in them being confident that the service can meet their needs and lifestyle aspirations. EVIDENCE: The statement of purpose and service user guide provide good information about the type and level of service provided. The service user guide was seen in an easy read format and could be requested in other formats, such as Braille, audio and large print which will meet the capacity of the people who use the service. Admissions to the home would only take place if the service was confident staff have the skills and ability to meet the assessed needs of the prospective resident. The assessment would also involve gathering information from anybody who is involved in supporting that person to ensure the service can provide what the person requires. Glenside (10) DS0000025273.V363260.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Care planning and risk management strategies adopted by the service meet the holistic needs of the people, resulting in a person centred approach to care being provided and positive outcomes for the people who live there. EVIDENCE: Staff spoken with demonstrated a clear understanding of the people’s care, health and emotional needs. They were enthusiastic about how they supported people who lived in the service. Care plans are person centred. They include reference to equality and diversity and address needs identified in a person centred way. There is a range of information, including risk assessments, how to keep people safe, their goals and how they communicate. The manager has sought the services of an advocate to assist one person to enable work to be carried out on a communication diary. Glenside (10) DS0000025273.V363260.R01.S.doc Version 5.2 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. People’s views and wishes are valued and form the basis of social and leisure activities provided in the home, resulting in positive support for residents to maintain their emotional and mental wellbeing. EVIDENCE: Since the last inspection staff have made a strong commitment to ensure that people have been offered opportunities to access community facilities. On the day of the visit people were seen going to Southport for the day. The staff team help people with communication skills both within the service and in the community. Records indicate that people have attended a sensory impairment club and access church functions. Care staff are sensitive to the needs of those residents who need assistance with feeding. Advice and support are sought from specialist staff to ensure staff are able to meet the person’s needs. Glenside (10) DS0000025273.V363260.R01.S.doc Version 5.2 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. People receive personal support in a way that they prefer and what suits their lifestyle to enable them to live fulfilling lives. EVIDENCE: People receive personal and health care using a person centred approach. The care plans show the delivery of personal care is individual to that person. People are supported and helped to be independent. Staff listen and respond to individuals’ choices and decisions about what the person wants. Talking to staff they were able to clearly demonstrate incidents where they have clearly understood what people have wanted from them and also times when they have not fully understood their needs. At these times, the staff team have come together with the manager to discuss how they can learn to understand the person better. Glenside (10) DS0000025273.V363260.R01.S.doc Version 5.2 Page 12 The home has an efficient medication policy supported by procedures, which staff understand and follow. Medication records are completed and signed by staff. Staff have completed medication training and there is assessment of the staff team to ensure all have the necessary competencies to administer medication appropriately and safely. Glenside (10) DS0000025273.V363260.R01.S.doc Version 5.2 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. People are protected by the company’s policies and procedures and the care practices of the staff team from abuse, neglect and self-harm. EVIDENCE: There is a clear system for reporting complaints about the service. Information is available in an easy read format with different formats, such as braille, audio and pictorial, being available if a person required them. The home has a complaints logbook, which would record details of any issues raised. No complaints have been received since the last inspection. Training of staff in safeguarding people is arranged by the home and staff when talking to them, understood about different types of abuse and what to look out for. Staff knew when incidents needed reporting and to whom. Detailed records are kept of incidents , which are regularly audited by senior managers to look for any patterns that may need further exploration and discussion. Glenside (10) DS0000025273.V363260.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The service provides people with a comfortable, homely and safe environment in which to live. EVIDENCE: The home provides a physical environment that is appropriate to the needs of the people who live there. Improvements have been made to the environment: a new kitchen fitted, new central heating system installed, new carpets fitted throughout, replacement of fire in the lounge together with ongoing work on the garden area. Bedrooms are all personalised and reflect the interests and personalities of the people who live there. The home is well lit, clean and tidy and meets the needs of the people who live there. Glenside (10) DS0000025273.V363260.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Overall, people are being adequately protected by the company’s recruitment and selection procedures. EVIDENCE: The service has a recruitment procedure that is followed in practice. However, some shortfalls in the recording and process were evident and discussed with a senior manager who agreed to review the process and procedures. All staff were clear regarding their role and what was expected of them. The service recognises the importance of training. Staff stated “I have been on lots of training courses, including moving and handling and conflict resolution training”. Glenside (10) DS0000025273.V363260.R01.S.doc Version 5.2 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The management systems are continuing to improve, resulting in people receiving a more personalised service in a safe and comfortable environment. EVIDENCE: The AQAA contained relevant information that was supported by a range of evidence. A new senior management structure has had a positive impact on the organisation, resulting in positive outcomes for the people who live there. Staff stated, “I like the changes that have taken place, we’re more professional and focused on the residents. I feel supported and know we do a good job and the residents are at the centre of everything we do”. Glenside (10) DS0000025273.V363260.R01.S.doc Version 5.2 Page 17 There are sound policies and procedures, which are in line with current good practice. The manager ensures staff are aware of the policy and trained to put it into practice. Glenside (10) DS0000025273.V363260.R01.S.doc Version 5.2 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Glenside (10) DS0000025273.V363260.R01.S.doc Version 5.2 Page 19 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA34 Regulation 19 Requirement To ensure that all information about new staff is taken up before their employment and to review the policies and procedures to do with the recruitment and selection of staff. This will ensure that people who live in the home are protected. Timescale for action 31/08/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Glenside (10) DS0000025273.V363260.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Merseyside Area Office Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Glenside (10) DS0000025273.V363260.R01.S.doc Version 5.2 Page 21 - 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. 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