Care Home: The Glynn Residential Home

Similar services:

• Snydale Care Home
• Abbey The
• Whiteley House
• Larchfield Manor
• Hawkhills
• Beeches The - North Yorkshire County Council
• Carentan House

What the care home does well The overall feedback from all interested parties was that the care delivered by staff at The Glynn was good. Individually: People`s comments included "Excellent home, can`t fault it" "I love every day here". Health professionals said that they felt the care delivered at The Glynn was "Exceptional". Overall we were very impressed with the professional yet friendly way in which staff assisted people in the home. A friendly, lively and welcoming feel was evident in The Glynn. People said that the home was "a friendly and happy place" this was evident on the day of our visit. All comments about the food were positive. People said the quality and choice of food served was very good. People said that the home was always kept "spotlessly" clean. Staff said training opportunities were excellent.Staff said that they really enjoyed working at the home and got a lot of job satisfaction. Staff, people and health professionals spoke very highly of the manager and said she was always available and very approachable. People who use the service and their families met with the management of the home on a regular basis. What has improved since the last inspection? There had been positive action on the requirements listed within the last inspection report. All requirements and recommendations had been acted upon and resolved. The gardens of the home have been landscaped and a new summerhouse has been erected in the gardens. Some areas of the home have been redecorated and new furniture has been purchased. What the care home could do better: Staff should ensure that all written entries they make in peoples care plans are dated, timed and signed. A more formalised risk assessment tool should be adopted at the service to monitor the risk of people developing pressure sores. Medication procedures employed by staff need to be safer. There needs to be more information displayed in the home that may help people with orientation. CARE HOMES FOR OLDER PEOPLE The Glynn Residential Home 167 - 171 Bradford Road Wakefield WF1 2AS Lead Inspector Michael O`Neil Key Unannounced Inspection 09:20 19th March 2009 X10015.doc Version 1.40 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 The Glynn Residential Home DS0000039806.V374520.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 Older People. 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. The Glynn Residential Home DS0000039806.V374520.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Glynn Residential Home Address 167 - 171 Bradford Road Wakefield WF1 2AS 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) 01924 386004 01924 386004 The Glynn Residential Home Limited Ms Claire Marie Falvey Care Home 38 Category(ies) of Dementia - over 65 years of age (38), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (38), Old age, not falling within any other category (38) The Glynn Residential Home DS0000039806.V374520.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To care for one named person with category MD (under 65 years of age) 16th January 2008 Date of last inspection Brief Description of the Service: The home is registered to admit people over the age of 65 years, some of whom may be diagnosed as having dementia or a mental disorder. The Glynn offers accommodation for up to 38 older people in mainly single rooms with 17 of these bedrooms having en suite facilities. The home is situated in a pleasant residential area of Wakefield, not far from the city centre by bus. Buses to Leeds and Bradford stop regularly near the home. The home is in two wings, converted from private residences. The Glynn Residential Home DS0000039806.V374520.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*. This means that the people who use this service experience good quality outcomes. This is what was used to write this report. Information about the home kept by the Commission for Social Care Inspection. Information returned to us by 10 people who live at The Glynn and 4 staff. Prior to the visit the service had submitted an Annual Quality Assurance Assessment (AQAA) which detailed what the service was doing well, what had improved since the last inspection and any plans for improving the service in the next twelve months. The AQAA also included data as to when utilities and equipment at the home was serviced. Information from the AQAA is included in the main body of the report. An unannounced visit to the home. This was carried out by Michael ONeil, regulation inspector on 19th March 2009 and included talking to 6 staff and Clare Falvey, registered home manager about their work and the training they have completed. And checking some of the records, policies and procedures the home has to keep. Some time was spent observing staff supporting people and talking with 14 people who live at The Glynn. We also spoke with a visiting health professional. We wish to thank the people living in the home and the staff for their time, friendliness and co-operation throughout the inspection process. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The Glynn Residential Home DS0000039806.V374520.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? There had been positive action on the requirements listed within the last inspection report. All requirements and recommendations had been acted upon and resolved. The gardens of the home have been landscaped and a new summerhouse has been erected in the gardens. Some areas of the home have been redecorated and new furniture has been purchased. The Glynn Residential Home DS0000039806.V374520.R01.S.doc Version 5.2 Page 7 What they could do better: 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. The Glynn Residential Home DS0000039806.V374520.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Glynn Residential Home DS0000039806.V374520.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People were individually assessed prior to admission to ensure their needs could and would be met. EVIDENCE: Three care plans checked showed that people within the service had been assessed before moving into the home. Risk assessments and a plan of care reflected any specialist interventions. The assessment forms checked were detailed and fully completed. The manager and staff liaised with professionals, the person and their families to find out about people’s needs. The Glynn Residential Home DS0000039806.V374520.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Peoples health is monitored and arrangements for dealing with health issues were met with support from health professionals. People were treated with respect and said they were very happy with the care they received. Medication policies and procedures were well managed ensuring the safe administration of medication. EVIDENCE: Three people’s care plans were checked. The care plans contained details about the persons biography, personality and their preferences and choices. Overall we felt the standard of the plans were good and they did focus on the individual person. The Glynn Residential Home DS0000039806.V374520.R01.S.doc Version 5.2 Page 11 Risk assessments were included within the documentation and included moving and handling and other risk factors. We would recommend that a more formalised risk assessment tool be adopted at the service to monitor the risk of people developing pressure sores. This may be the Waterlow or Norton or any other recognised tool. The use of these tools would enable staff to monitor risks of pressure sores more effectively. The manager and visiting health professional did confirm that no person at The Glynn has a pressure sore. The care plans identified that a range of health professionals visited the home to assist in maintaining people’s health care needs. People said they had regular contact with their GP and other health professionals such as district nurses. There was evidence recorded to show that people and/or their relatives were involved in drawing up and reviewing the care plans. There was one other issue within the care plan documentation that did require staff attention. Staff were failing to record times they made entries in the plans. Staff must be reminded that people’s care plans are a legal document and must always be signed, dated and timed. We did spend time talking with the manager and senior care staff about ways to improve the care plan documentation. It was pleasing to hear the enthusiasm from the staff who clearly wanted to improve the documentation as much as they could. People looked clean, well dressed and had received a good level of personal care. The overall feedback from all interested parties was that the care delivered by staff at The Glynn was good. Individually: Peoples comments included Its a good home, good care staff and an excellent manager The Glynn Residential Home DS0000039806.V374520.R01.S.doc Version 5.2 Page 12 I love it here, I cant wait to get up in the morning to see my friends and the staff Excellent home, cant fault it I love every day here. Health professionals said that they felt the care delivered at The Glynn was Exceptional. Medication was securely stored in locked cupboards in a locked room. Medication Administration Records (MAR) were up to date with no gaps. The Controlled Drugs Register was checked and this had been completed correctly with two signatures and a diminishing total. Staff said they had received medication training and records were seen of this training having taken place. We did find some handwritten MAR sheets did not contain General Practitioners or two members of staffs signatures alongside any directions regarding the dosage of the medication or the time the medication was to be given. This practice would help protect people and staff. People were treated with respect and dignity and addressed by their preferred name. Staff were observed interacting in a friendly and pleasant way. Staff took time to explain what task or support they were about to offer people. Overall we were very impressed with the professional yet friendly way in which staff assisted people in the home. The Glynn Residential Home DS0000039806.V374520.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People had a choice of lifestyle within the home and were able to maintain contact with family and friends ensuring that they continued to be involved in community life. People were able to make choices about daily living and be involved in some social activities. Meals served at the home were of a good quality and offered choice to ensure people receive a balanced diet. EVIDENCE: People said they were able to get up and go to bed when they chose and generally how they spent their day and evenings. They said they often went out with their families. The Glynn Residential Home DS0000039806.V374520.R01.S.doc Version 5.2 Page 14 A friendly, lively and welcoming feel was evident in The Glynn. People said that the home was a friendly and happy place this was evident on the day of our visit. Some people said they enjoyed the activities available at the home, whilst other people said that they chose not to join in with the activities arranged. Activities were advertised around the home. Activities that people had participated in were recorded in their care plans. Some ladies were enjoying having their nails manicured on the day of our visit. We spoke with the staff about providing activities and stimulation for people. We were impressed with their knowledge, enthusiasm and their endeavour to try and include as many people as possible in different types of activities. The door numbers on peoples bedrooms were very small and difficult to see this may cause difficulties for some people with orientation around the home. There were clocks around the home that showed the correct time. The boards in the corridors contained plenty of information about the home and the weekly meal menu. However, some people didnt know what was for lunch or the date. The displaying of colourful boards with information such as the menu for the actual day, the date, the weather or a news item would help some people with orientation to time and place. All comments about the food were positive. People said the quality and choice of food served was very good. Wakefield Metropolitan Borough Council have recently awarded the home a 5* excellent food safety award. The mealtime experience for people in the home was very positive. The tables were set nicely with place mats, condiments and matching crockery. The meals were served in a relaxed unhurried manner by staff. People said they were always offered a choice and asked what they wanted for their breakfast, lunch and teatime meals. People said they were offered drinks on a regular basis throughout the day. The Glynn Residential Home DS0000039806.V374520.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints procedures were in place and people and their relatives felt confident that any concerns they voiced would be listened to. Staff had an understanding of the procedures to be followed should they suspect any abuse at the home, so helping to ensure that people were protected from abuse. EVIDENCE: People had been provided with a copy of the home’s complaints procedure, which was also on display in the entrance hall and in peoples bedrooms. This contained details of who to speak to at the home and who to contact outside of the home to make a complaint should they wish to do so. People said that they felt very comfortable in going to the manager knowing that any concerns they may have would be addressed without delay. Regarding safeguarding adults, the safeguarding policies and procedures were available to the staff. Staff said they had undertaken Safeguarding Adults training, and the manager was able to evidence this by producing the training records. The Glynn Residential Home DS0000039806.V374520.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment within the home was well maintained and clean providing a comfortable, safe environment for people. EVIDENCE: The Glynn was clean and tidy and no unpleasant odours were noticeable. Lounge and dining areas were domestically furnished to a good standard. People said that the home was always kept spotlessly clean. Bedrooms checked were comfortable and homely. The Glynn Residential Home DS0000039806.V374520.R01.S.doc Version 5.2 Page 17 People said their beds were comfortable and bed linen checked was clean and in a good condition. The lounges for people to use were homely. They were small enough to give an intimate feel and allow conversations to take place across the rooms, between people. People liked this. The gardens were very pleasant. They had been recently landscaped and were accessible to people at the home. The Glynn Residential Home DS0000039806.V374520.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff were employed in sufficient numbers and recruitment procedures promoted the protection of people. People receive care from a well-trained staff team. EVIDENCE: People spoke highly of the staff team and said staff always listened and acted on what they said. People said that staff were always available when needed. Staff and the manager confirmed that staffing levels were adequate. Three staff files were checked at this visit. The files contained a range of information including two references and a declaration of health and identification. The staff had undertaken a criminal record bureau check (CRB), at the enhanced level. This confirmed thorough recruitment practices were in place, which was sufficient to safeguard people. The Glynn Residential Home DS0000039806.V374520.R01.S.doc Version 5.2 Page 19 Staff said that they really enjoyed working at the home and got a lot of job satisfaction. We found that the staff were very enthusiastic and keen to improve the service further. The staff training records and the AQAA provided the evidence that the staff have all of the training needed to make sure that they can care for people. This included all of the mandatory health and safety training specific to the needs of people at The Glynn. Staff were able to talk about the various training courses that they had attended. Staff said training opportunities were excellent. A sample of development and training records were checked. These records showed when staff had completed mandatory training and refresher training. The Glynn Residential Home DS0000039806.V374520.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The procedures and ethos of the home ensure that the home is run in the best interests of people who use the service. The home’s procedures promote the health, safety and welfare of people who use the service and the staff. EVIDENCE: Claire Falvey has many years experience within the caring profession. She has been registered manager of The Glynn for over 10 years. Claire has completed the Registered Managers Award. The Glynn Residential Home DS0000039806.V374520.R01.S.doc Version 5.2 Page 21 Staff, people and health professionals spoke very highly of the manager and said she was always available and very approachable. Comments included She is fantastic She runs this place really well. The manager and provider had ways in which to check out the quality of the service that they were providing. Regular staff meetings were arranged. The responsible individual visited the home on a regular basis, a report was written following the visits and any identified actions taken. People who use the service and their families met with the management of the home on a regular basis. Minutes of the last two meetings held in January and February 2009 were seen. The results of completed questionnaires returned from people and relatives had been collated to determine satisfaction ratings. A sample of monies that was looked after on behalf of people living at the home was checked. Records were kept and money tallied with the records. The AQAA provided information of the dates that equipment and systems within the home had been serviced and maintained. A fire risk assessment was in place at the home. The assessment however needs dating, signing and a review date needs to be highlighted. Staff said they had received recent fire safety and other health and safety training .A sample of records showed that staff were receiving this statutory training. At the time of the visit fire exits were clear and hazardous products were safely stored in the home. This will promote the safety and welfare of the people. Some of the windows on the first floor of the building were not restrained and so opened fully. This may have posed a risk of causing serious injury to some people should they be disorientated and fall. The manager immediately sort assistance from a joiner and restraints were fitted to the windows before we left the home. Despite this issue evidence shows that people at The Glynn experience good outcomes relating to the management of the home. The Glynn Residential Home DS0000039806.V374520.R01.S.doc Version 5.2 Page 22 This judgement is based on the evidence that the service has far more strengths than areas for improvement. The manager was also able to act promptly to address the issues in need of immediate improvement. The Glynn Residential Home DS0000039806.V374520.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Glynn Residential Home DS0000039806.V374520.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP7 OP8 OP9 Good Practice Recommendations Staff should ensure that all written entries they make in peoples care plans are dated, timed and signed. A more formalised risk assessment tool should be adopted at the service to monitor the risk of people developing pressure sores. The Medication Administration Records (MAR) should contain General Practitioners or two members of staffs signatures alongside any directions regarding the dosage of the medication or the time the medication is to be dispensed. Arrangements should be improved so that people can be orientated to date, time and place. The fire risk assessment should be dated, signed and a review date highlighted. 4. 5. OP12 OP38 The Glynn Residential Home DS0000039806.V374520.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 The Glynn Residential Home DS0000039806.V374520.R01.S.doc Version 5.2 Page 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!