Care Home: The Glen Private Nursing Home

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What the care home does well People`s needs were known to the service prior to admission. The assessment although basic would contain information to assess if the service was able to make the person`s needs. Accurate care plans will contribute to the delivery of care. People were satisfied with the care they received. People and relatives expressed their views, during the inspection. Their opinions were: `Yes it`s very nice / good here`. `They are very good`. `The staff are very kind and caring`. `The staff are lovely`. `Most of them are very nice I know the ones (staff) I like`. Activities were organised and people were able to exercise their right of choice, therefore this provided stimulation and enhanced their quality of life. The general comments regarding the food were; `It`s very good`. `They give me too much`. `It`s always nicely served`. The service had minimal recorded complaints and the complaints procedure was acted upon according to company policy. Safeguarding adult training made staff aware of their responsibility regarding the protection of vulnerable adults. People lived in a home that had maintained to a good standard to provide a homely environment. The general comments were: `It`s lovely here`. `My room is nice and clean`.The manager was able to provide evidence that staff had received all the necessary training. This would reflect on the quality of care being delivered to the people. The staff recruitment process provided protection for the people. An experienced manager was in post. Both owners were present at the home. This contributed to the effective organisation and operation of the service. What has improved since the last inspection? This service had acted upon the requirements listed in the last inspection report. What the care home could do better: The service should continue to complete the redecoration and undertake the repairs to the window. Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Glen Private Nursing Home 224 Abbeydale Road South Dore Sheffield South Yorkshire S17 3LA     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Ivan Barker     Date: 2 8 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI 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: The Glen Private Nursing Home 224 Abbeydale Road South Dore Sheffield South Yorkshire S17 3LA 01142365580 01142363437 sallyandtoniglennursinghome.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Anthony Douglas Williams,Mrs Sally Williams care home 19 Number of places (if applicable): Under 65 Over 65 19 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 0 The Glen is a nursing home that provides care for up to 19 people. It is a converted house with a purpose built extension and conservatory. The home is situated within its own grounds within a residential area of Sheffield. The Glen is set within a woodland setting and is within easy access of the city centre and can be reached by bus, rail or car. Fees range from £600 to £900 per week. The fee includes hairdressing, chiropody, manicure, laundry, aromatherapy, telephone and social activities. Prospective residents and their families can get information about The Glen by contacting the manager. The home will also provide a copy of the statement of Care Homes for Older People Page 4 of 27 Brief description of the care home purpose and the latest inspection report. 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: two star good 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: 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 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. Only a limited number of the National Minimum Standards were examined at this inspection (with emphasis on the Key Standards), and the previous requirements. The persons present at the inspection were: Care Homes for Older People Page 6 of 27 Mr A Williams, owner. Mrs Christine Johnson, manager. Within this site visit, which occurred over a 5 and a half hour period, we toured the building, examined requirements relating to the previous inspection, case tracked 3 people (case tracked means looking at the care and service provided to specific people living at the home; checking records relating to their health and welfare, care plans and other records; by talking to the specific people; viewing their personal accommodation as well as communal living areas). Spoke with other people, relatives and also 3 staff and examined assessments, care plans, risk assessments, menus, complaints files, and staff files. The history of the service was examined prior to the site visit. This included the Annual Quality Assurance Assessment a self assessment document, telephone contacts, letters and notifications. People who use the service will be referred to within this report as people. What the care home does well: Peoples needs were known to the service prior to admission. The assessment although basic would contain information to assess if the service was able to make the persons needs. Accurate care plans will contribute to the delivery of care. People were satisfied with the care they received. People and relatives expressed their views, during the inspection. Their opinions were: Yes its very nice / good here. They are very good. The staff are very kind and caring. The staff are lovely. Most of them are very nice I know the ones (staff) I like. Activities were organised and people were able to exercise their right of choice, therefore this provided stimulation and enhanced their quality of life. The general comments regarding the food were; Its very good. They give me too much. Its always nicely served. The service had minimal recorded complaints and the complaints procedure was acted upon according to company policy. Safeguarding adult training made staff aware of their responsibility regarding the protection of vulnerable adults. People lived in a home that had maintained to a good standard to provide a homely environment. The general comments were: Its lovely here. My room is nice and clean. Care Homes for Older People Page 8 of 27 The manager was able to provide evidence that staff had received all the necessary training. This would reflect on the quality of care being delivered to the people. The staff recruitment process provided protection for the people. An experienced manager was in post. Both owners were present at the home. This contributed to the effective organisation and operation of the service. 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 set out 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 9 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 10 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. Peoples needs were known to the service prior to admission. The assessment although basic would contain information to assess if the service was able to make the persons needs. Evidence: On requesting to look at the care management assessment we were informed by the manager that all persons within the service were privately funded. Therefore a care management assessment was not necessary. An assessment of the person was undertaken by the manager prior to the person coming into the home. On examination of the assessment, it was found to be a basic assessment with minimal information. This was discussed with the manager who agreed it needed further development and would review the documentation. Care Homes for Older People Page 11 of 27 Evidence: The manager advised that intermediate care was not provided within the service. Care Homes for Older People Page 12 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Accurate care plans will contribute to the delivery of care. People were satisfied with the care they received. Evidence: On requesting to review the care plans, the manager advised that there were 2 documents. There was the daily report produced by the care staff. This report was to inform the qualified nurses what care had been delivered. The qualified nurses then wrote in the daily entry for the care plan. On examination of the care plans, from 3 people. It was established that all 3 care plans were up-to-date and had been evaluated on a monthly basis. Risk assessments were included within the documentation and included moving and handling, nutrition, skin integrity and other risk factors. It was discussed that some of the risk assessments and the care plans could be more clearer and more detailed in their instruction, so that all staff were aware of the expected care to be delivered. Care Homes for Older People Page 13 of 27 Evidence: People express their views, during the inspection. Their opinions were: Yes its very nice / good here. They are very good. The storage, ordering, administration and the disposal of medication was discussed with the manager. The procedures explained by the manager were satisfactory. The medication administration records were examined and these were found to be fully completed. Care Homes for Older People Page 14 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. Activities were organised and people were able to exercise their right of choice, therefore this provided stimulation and enhanced their quality of life. Evidence: The manager advised that there was a weekly timetable of events. On Monday and Wednesday there was an activities coordinator who would discuss with the residents what activities they would like to choose. The people played cards and dominoes and often visited the coffee shop in the local garden centre. On Tuesday morning there were chair exercises and walks around the home, organised by a physiotherapist. On Friday there was aromatherapy. This aromatherapy session was included as part of the fees. Entertainers were booked, every three months. There were several outings which had occurred. These included visits to Meadowhall and Dobbies garden centre. An outing to Chatsworth House was planned for June. Regarding the meals, the manager advised that although one meal was displayed on Care Homes for Older People Page 15 of 27 Evidence: the menu for the main meal of the day. The people did have a choice as alternatives would be made available. On visiting the kitchen there was evidence of an order sheet, which detailed the peoples requests for their meals. Therefore it was clear that should an individual not wish to have the main meal then alternatives were ordered and provided by the kitchen staff. The general comments regarding the food were; Its very good. They give me too much. Its always nicely served. 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 service had minimal recorded complaints and the complaints procedure was acted upon according to company policy. Safeguarding adults training made staff aware of their responsibility regarding the protection of vulnerable adults. Evidence: The complaints procedure was available within the Service User Guide, which was available at the entrance to the service. On discussing complaints with the manager, she produced the complaints file. Within the file there was 1 complaint in 2008 and 1 complaint in 2009. Both had been resolved. It was discussed with the manager that the complaints file could be more detailed and indicate the investigation, the outcome and the 28 day sign off period. The manager agreed to review the document. Regarding Safeguarding Adults, the service had the policies and procedures available in the managers and sisters office. The manager attended Safeguarding Adults training and obtained information from the Internet and Skills For Care. She then provided the in-house training for the staff. Care Homes for Older People Page 17 of 27 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People lived in a home that had maintained to a good standard to provide a homely environment. Evidence: On touring the building, it was found to be a very friendly and homely environment. Most of the areas were well decorated to a high standard. However there were areas on the corridor and within the lounge which required redecoration. The owner advised that he had obtained quotes for the work, but had no dates for the completion. The locks on the bedroom doors had mortise locks rather than locks that could be opened from the inside of the room, by a thumb turn mechanism. This was discussed with the manager and owner and we were informed that the locks had been added as part of the upgrade to meet the National Minimum Standards. The manager identified that part of the assessment on admission was regarding the persons ability and their request to have their own key. It was raised that the doors could be locked from the outside and should a person be in the room they would be unable to leave the room. The owner advised that he held all the keys to the rooms, some no one had access to the keys. It was agreed that if an individual wished to lock their door and the assessment indicated that they were capable of doing this, then the lock would be changed to provide a thumb turn mechanism. Care Homes for Older People Page 19 of 27 Evidence: Several areas of the service had sash windows. The rope mechanism on one of the windows had broken and the window was propped open by the use of a piece of wood. When the piece of wood was removed from the window, it quickly fell to the closed position, with the possibility of injuring people if they were not supporting the window with their other hand. The costs of repairing the window was discussed by the owner. It was agreed that he would review the safety of the window and change the holding mechanism, from that of a piece of wood. The general comments were: Its lovely here. My room is nice and clean. The peoples rooms had been personalised and contained photographs, personal belongings and items of furniture, which the individual or the family have provided. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager was able to provide evidence that staff had received all the necessary training. This would reflect on the quality of care being delivered to the people. The staff recruitment process provided protection for the people Evidence: On examination of the staff rotas and on examination of staff on duty, the following was established. A.M. shift. 1 qualified nurse and 4 care staff. P.M. shift. 1 qualified nurse and 3 care staff. Night shift. 1 qualified nurse and 1 care staff. Plus - manager, activities coordinator, 2 kitchen staff and 2 domestic staff. Caring for a present occupancy of 15 people. A full assessment of the dependency levels of the people was not undertaken and Care Homes for Older People Page 21 of 27 Evidence: compared with the indicators staffing levels. The care staff also undertook the laundry duties. Both the owners were on site on a daily basis and provided administration and other support. On examination of 3 staff files, all contained the required documentation, including the Criminal Records Bureau and POVA (Protection Of Vulnerable Adults) checks. However 1 of CRB checks was from when the individual worked for an agency. The portability of the CRB was discussed. The owner agreed to obtained a new Criminal Records Bureau check. We have been contacted since the inspection and advised that a new CRB had been obtained. On requesting to examine the staff training records, it was established that all staff had received moving and handling, fire, health and safety and food hygiene training. When discussing the content of the training we were advised that all 4 training areas were undertaken by staff watching the appropriate video and afterwards answering questions, and then their practices being monitored by the manager. We discussed the training methods with the manager and owner and raise the issue that the owner should ensure that the videos were up-to-date and provided accurate information. The comments from the people and relatives were: The staff are very kind and caring. The staff are lovely. Most of them are very nice I know the ones (staff) I like. 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. An experienced manager was in post. Both owners were present at the home. This contributed to the effective organisation and operation of the service. Evidence: There was a registered manager in post. The manager advised that she had 16 years experience in management and 33 years experience in the provision of care. Regarding Quality Assurance, we were advised that the relatives and people were surveyed in 2008 and the views were very positive. It also advised that they intended to undertake a new survey later in 2009. Regulation 26 documentation which are a record of the registered persons monthly visits were up to date. It was discussed that the owners may wish not to complete the Regulation 26 documentation as clearly they were regularly on-site. The owner identified that he was using the Regulation 26 documentation as a positive quality Care Homes for Older People Page 23 of 27 Evidence: monitoring tool. We agreed that it could have a positive outcome in using the documentation in this way. It was accepted that both the owners and the manager were on site and able to observe the care and service which had been delivered. Regulation 37 notices which are documents that are sent to the Commission regarding untoward occurrences, including falls, accidents etc; have been received. 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 1 19 23 The service must be kept in a good state of repair. Redecoration in some areas needs to occur and the window needs to be repaired, so as to operate safely. To maintain the building and a safe environment for the people. 30/06/2009 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 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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