Drumry House Care Home Service Adults 40 Kinfauns Drive Drumchapel Glasgow G15 7TS Telephone: 0141 276 1814 Inspected by: Julia Bowditch Type of inspection: Unannounced Inspection completed on: 30 July 2012 Inspection report continued Contents Page No Summary 3 1 About the service we inspected 5 2 How we inspected this service 7 3 The inspection 12 4 Other information 28 5 Summary of grades 29 6 Inspection and grading history 29 Service provided by: Glasgow City Council Service provider number: SP2003003390 Care service number: CS2003001030 Contact details for the inspector who inspected this service: Julia Bowditch Telephone 0141 843 6840 Email [email protected] Drumry House, page 2 of 31 Inspection report continued Summary This report and grades represent our assessment of the quality of the areas of performance which were examined during this inspection. Grades for this care service may change after this inspection following other regulatory activity. For example, if we have to take enforcement action to make the service improve, or if we investigate and agree with a complaint someone makes about the service. We gave the service these grades Quality of Care and Support 4 Good Quality of Environment 4 Good Quality of Staffing 5 Very Good Quality of Management and Leadership 5 Very Good What the service does well People who use this service and their carers are happy with the standard of care and speak highly of the staff who provide it. Staff are motivated and skilled and committed to providing good care to each service user. They know service users and their needs well and support them in a friendly and caring way. There are good systems in place to monitor quality in all areas of the service. What the service could do better The room for storing medicines must be kept at an appropriate temperature. The service needs to continue to consider ways to make the environment more suitable for people with dementia. What the service has done since the last inspection The service has worked to improve its approach to service user and carer participation since the last inspection. Regular service user and carers meetings are now being held. Staff are continuing to develop the new care plans introduced by the provider for all service users. Drumry House, page 3 of 31 Inspection report continued A new medication system has recently been introduced. Some improvements have been made to the garden and grounds of the home and funding has been secured to develop this further. Conclusion The changes that the temporary manager has made in this service since the last inspection have been positive for both staff and service users. Staff we spoke to feel that they are now being given more responsibility and more opportunities to develop professionally. Who did this inspection Julia Bowditch Drumry House, page 4 of 31 Inspection report continued 1 About the service we inspected The Care Inspectorate regulates care services in Scotland. Prior to 1 April 2011, this function was carried out by the Care Commission. Information in relation to all care services is available on our website at www.scswis.com. This service was previously registered with the Care Commission and transferred its registration to the Care Inspectorate on 1 April 2011. Requirements and recommendations If we are concerned about some aspect of a service, or think it needs to do more to improve, we may make a recommendation or requirement. - A recommendation is a statement that sets out actions the care service provider should take to improve or develop the quality of the service based on best practice or the National Care Standards. - A requirement is a statement which sets out what is required of a care service to comply with the Public Services Reform (Scotland) Act 2010 ("the Act") and secondary legislation made under the Act, or a condition of registration. Where there are breaches of Regulations, Orders or conditions, a requirement may be made. Requirements are legally enforceable at the discretion of the Care Inspectorate. Drumry House is a care home for older people. The service is provided by Glasgow City Council and provides care to a maximum of 41 frail older people and also houses a unit for up to 11 older people with dementia, three of whom are respite service users. During the inspection there were 48 people using the service. Accommodation is on two levels with a lift or stairs to access the upper floor and is purpose built as a care home. Service users have access to a large dining room, two small lounges, a smoking room, a patio area and a large garden. Smaller seating areas are located throughout the building. The dementia unit has a lounge with a small dining area situated just off the main lounge. The service aims, "to provide quality, personalised care in a warm homely environment, which promotes privacy, dignity, independence and choice". Before 1 April 2011 this service was registered with the Care Commission. On this date the new scrutiny body, Social Care and Social Work Improvement Scotland (Care Inspectorate), took over the work of the Care Commission, including the registration of care services. This means that from 1 April this service continued its registration under the new body, Care Inspectorate. Drumry House, page 5 of 31 Inspection report continued Based on the findings of this inspection this service has been awarded the following grades: Quality of Care and Support - Grade 4 - Good Quality of Environment - Grade 4 - Good Quality of Staffing - Grade 5 - Very Good Quality of Management and Leadership - Grade 5 - Very Good This report and grades represent our assessment of the quality of the areas of performance which were examined during this inspection. Grades for this care service may change following other regulatory activity. You can find the most up-to-date grades for this service by visiting our website www.careinspectorate.com or by calling us on 0845 600 9527 or visiting one of our offices. Drumry House, page 6 of 31 Inspection report continued 2 How we inspected this service The level of inspection we carried out In this service we carried out a low intensity inspection. We carry out these inspections when we are satisfied that services are working hard to provide consistently high standards of care. What we did during the inspection We wrote this report following an unannounced inspection. The inspection was carried out by one Inspector Julia Bowditch and was started on 4 July 2012 between the hours of 9:45 am and 4:00 pm. We visited between 7:00 pm and 11:40 pm on 17 July to meet night staff and completed the inspection on 26 July between 10:00 am and 4:30 pm. Feedback was given to the Manager and a Senior Social Care Worker on the final day. This report is a summary of the findings. As requested by us, the care service sent us an annual return. The manager also sent us a self assessment form during this inspection. In this inspection we gathered information from a number of sources, including the relevant sections of policies, procedures, records and other documents, including: * the service's most recent self assessment * care plans of people who use the service * minutes of reviews * minutes of service user meetings * minutes of carers' meetings * medication records * accident/incident records * complaints records * minutes of staff meetings * staff training records * quality assurance information * observation of the environment * discussions with various people including the manager, senior social care workers, social care workers, social care assistants, people who use the service and their relatives. Grading the service against quality themes and statements We inspect and grade elements of care that we call 'quality themes'. For example, one of the quality themes we might look at is 'Quality of care and support'. Under Drumry House, page 7 of 31 Inspection report continued each quality theme are 'quality statements' which describe what a service should be doing well for that theme. We grade how the service performs against the quality themes and statements. Details of what we found are in Section 3: The inspection Inspection Focus Areas (IFAs) In any year we may decide on specific aspects of care to focus on during our inspections. These are extra checks we make on top of all the normal ones we make during inspection. We do this to gather information about the quality of these aspects of care on a national basis. Where we have examined an inspection focus area we will clearly identify it under the relevant quality statement. Fire safety issues We do not regulate fire safety. Local fire and rescue services are responsible for checking services. However, where significant fire safety issues become apparent, we will alert the relevant fire and rescue services so they may consider what action to take. You can find out more about care services' responsibilities for fire safety at www.firelawscotland.org Drumry House, page 8 of 31 Inspection report continued What the service has done to meet any requirements we made at our last inspection The requirement The provider must ensure that the temperature of rooms in the home is monitored to ensure that they are adequately heated at all times. This is to comply with The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011, SSI 2011/210 Regulation 10(2) (c), a requirement whereby a provider must not use premises for the provision of care unless they are fit so to be used.Timescale: Immediately. What the service did to meet the requirement Improvements have been made to the heating system and the home is now a comfortable temperature.