Inspection report. Glenhelenbank Residential Home Care Home Service Adults. Main Road Luncarty Perth PH1 3EP (Care Commission officer)

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Transcription:

Inspection report Glenhelenbank Residential Home Care Home Service Adults Main Road Luncarty Perth PH1 3EP 01738 828591 Inspected by: (Care Commission officer) Jane Blair Type of inspection: Announced Inspection completed on: 27 April 2010

Contents Page Number Summary of this inspection report 3 Section 1: Introduction About the Care Commission 5 About the National Care Standards 6 What is inspection? 7 How we decided what to inspect 9 What is grading? 10 About the service we inspected? 11 How we inspected this service 12 Section 2: The inspection 14 Section 3: Other information Other Information 27 Summary of Grades 28 Terms we use in our reports and what they mean 30 How you can use this report 32 People who use care services, their relatives and carers 32 Service provided by: Glenhelenbank Residential Home Service provider number: SP2003002116 Care service number: CS2003009755 Contact details for the Care Commission officer who inspected this service: Jane Blair Telephone 01382 207200 Lo-Call: 0845 6008331 Email enquiries@carecommission.com Glenhelenbank Residential Home, page 2 of 33

Easy read summary of this inspection report There is a six point grading scale. Each of the Quality Themes we inspected, is graded using the following scale: We can choose from six grades: We gave the service these grades Quality of Care and Support Quality of Environment Quality of Staffing Quality of Management and Leadership Good Good Good Good This inspection report and grades are our assessment of the quality of how the service is performing in the areas we examined during this inspection. Grades for this care service may change after this inspection due to other regulatory activity; for example, if we have to take enforcement action to improve the service, or if we investigate and agree with a complaint someone makes about the service. What the service does well The service has a welcoming and homely environment. The home provides individual care and support to people using the service. The service has a well established staff team who work hard to create a caring environment. Glenhelenbank Residential Home, page 3 of 33

What the service could do better We found some areas for improvement regarding the involvement of service users and carers in assessing and improving the quality of the service provided. We also discussed some health and safety issues during the inspection, information about this is in the report. What the service has done since the last inspection The service had made improvements regarding the opportunities for meaningful activity and had employed an activity organiser who was enthusiastic and skilled in developing new ideas. Additional study and training in meaningful activity had been undertaken. Conclusion In conclusion, We found that care and support was being provided to a high standard. The environment was clean, hygienic and free from odours. The staff were enthusiastic and professional in their approach. The Management of the service was organised and professional. Who did this inspection Lead Care Commission Officer Jane Blair Other Care Commission Officers N/A Lay Assessor N/A Please read all of this report so that you can understand the full findings of this inspection. Glenhelenbank Residential Home, page 4 of 33

About the Care Commission We were set up in April 2002 to regulate and improve care services in Scotland. Regulation involves: registering new services inspecting services investigating complaints taking enforcement action, when necessary, to improve care services. We regulate around 15,000 services each year. Many are childminders, children's daycare services such as nurseries, and care home services. We regulate many other kinds of services, ranging from nurse agencies to independent healthcare such as hospices and private hospitals. We regulate services for the very young right through to those for the very old. Our work can, therefore, affect the lives of most people in Scotland. All our work is about improving the quality of care services. We produce thousands of inspection reports every year; all are published on our website: www.carecommission.com. Reports include any complaints we investigate and improvements that we ask services to make. The "Care services" area of our website also: allows you to search for information, such as reports, about the services we regulate has information for the people and organisations who provide care services has guidance on looking for and using care services in Scotland. You can also get in touch with us if you would like more detailed information. Glenhelenbank Residential Home, page 5 of 33

About the National Care Standards The National Care Standards (NCS) set out the standards that people who use care services in Scotland should expect. The aim is to make sure that you receive the same high quality of service no matter where you live. Different types of service have different National Care Standards. When we inspect a care service we take into account the National Care Standards that the service should provide. The Scottish Government publishes copies of the National Care Standards online at: www.scotland.gov.uk You can get printed copies free from: Booksource 50 Cambuslang Road Cambuslang Investment Park Glasgow G32 8NB Tel: 0845 370 0067 Fax: 0845 370 0068 Email: scottishgoverment@booksource.net Glenhelenbank Residential Home, page 6 of 33

What is inspection? Our inspectors, known as Care Commission Officers (CCOs), check care services regularly to make sure that they are meeting the needs of the people in their care. One of the ways we check on services is to carry out inspections. We may turn up without telling the service's staff in advance. This is so we can see how good the care is on a normal day. We inspect some types of services more often than others. When we inspect a service, typically we: talk to people who use the service, their carers and families, staff and managers talk to individuals and groups have a good look around and check what quality of care is being provided look at the activities happening on the day examine things like records and files, if we need to find out if people get choices, such as food, choosing a key worker and controlling their own spending money. We also use lay assessors during some inspections. These are volunteers who have used care services or have helped to care for someone who has used care services. We write out an inspection report after gathering the information. The report describes how things are and whether anything needs to change. Our work must reflect the following laws and guidelines: the Regulation of Care (Scotland) Act 2001 regulations made under this Act the National Care Standards, which set out standards of care that people should be able to expect to receive from a care service. This means that when we register or inspect a service we make sure it meets the requirements of the 2001 Act. We also take into account the National Care Standards that apply to it. If we find a service is not meeting these standards, the 2001 Act gives us powers that require the service to improve. Glenhelenbank Residential Home, page 7 of 33

Recommendations, requirements and complaints If we are concerned about some aspect of a service, or think it could do more to improve its service, we may make a requirement or recommendation. A recommendation is a statement that sets out actions the care service provider should take to improve or develop the quality of the service but where failure to do so will not directly result in enforcement. A requirement is a statement which sets out what is required of a care service to comply with the Act and Regulations or Orders made under the Act, or a condition of registration. Where there are breaches of the Regulations, Orders or conditions, a requirement must be made. Requirements are legally enforceable at the discretion of the Care Commission. Complaints: We have a complaints procedure for dealing with any complaint about a registered care service (or about us). Anyone can raise a concern with us - people using the service, their family and friends, carers and staff. We investigate all complaints. Depending on how complex it is, a complaint may be: upheld - where we agree there is a problem to be resolved not upheld - where we don't find a problem partially upheld - where we agree with some elements of the complaint but not all of them. Glenhelenbank Residential Home, page 8 of 33

How we decided what to inspect Why we have different levels of inspection We target our inspections. This means we spend less time with services we are satisfied are working hard to provide consistently high standards of care. We call these lowintensity inspections. Services where there is more concern receive more intense inspections. We call these medium or high intensity inspections. How we decide the level of inspection When planning an inspection, our inspectors, or Care Commission Officers (CCOs) carefully assess how intensively each service needs to be inspected. They do this by considering issues such as: complaints changes to how the service provides care any notifications the service has given us, such as the absence of a manager what action the service has taken in response to requirements we have made. The CCO will also consider how the service responded to situations and issues: for example how it deals with complaints, or notifies us about incidents such as the death of someone using the service. Our inspections take account of: areas of care that we are particularly interested in (these are called Inspection Focus Areas) the National Care Standards that the service should be providing recommendations and requirements that we made in earlier inspections any complaints and other regulatory activity, such as enforcement actions we have taken to improve the service. Glenhelenbank Residential Home, page 9 of 33

What is grading? We grade each service under Quality Themes which for most services are: Quality of Care and Support: how the service meets the needs of each individual in its care Quality of Environment: the environment within the service (for example, is the service clean, is it set out well, is it easy to access by people who use wheelchairs?); Quality of Staffing: the quality of the care staff, including their qualifications and training Quality of Management and Leadership: how the service is managed and how it develops to meet the needs of the people it cares for Quality of Information: this is how the service looks after information and manages record keeping safely. Each of the Quality Themes has a number of Quality Statements in it, which we grade. We grade each heading as follows: We do not give one overall grade. How grading works. Services assess themselves using guidance that we given them. Our inspectors take this into account when they inspect and grade the service. We have the final say on grading. The Quality Themes for this service type are explained in section 2 The Inspection. Glenhelenbank Residential Home, page 10 of 33

About the service we inspected Owned and managed by Mrs. Mary Greshon, Glenhelenbank Care Home has been registered with the Care Commission since 1 April 2002. This is a small family run, care home, situated in the village of Luncarty, three miles North of Perth. The Manager is responsible for the day to day running of the home and the supervision of staff with the support of the Deputy Manager. The home is able to accommodate a maximum of 13 older people and three day care places. All rooms are single with four having a toilet/washbasin en suite. The Service states that it aims to provide an environment where individuals are respected, honesty and trust are generated, loyalty is honoured, individuality and dignity are assured and privacy is respected with the mental and physical well being of the residents being of the utmost importance. Based on the findings of this inspection this service has been awarded the following grades: Quality of Care and Support Quality of Environment Quality of Staffing Quality of Management and Leadership This inspection report and grades are our assessment of the quality of how the service is performing in the areas we examined during this inspection. Grades for this care service may change after this inspection due to other regulatory activity; for example, if we have to take enforcement action to improve the service, or if we investigate and agree with a complaint someone makes about the service. You can use the "Care services" area of our website (www.carecommission.com) to find the most up-to-date grades for this service. Glenhelenbank Residential Home, page 11 of 33

How we inspected this service What level of inspection did we make this service 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 activities did we undertake during the inspection We inspected a range of records and documents, including: Personal Plans Staff training and recruitment files Audit records Activity Records Survey questionnaires. We also spoke with a range of people, including: The Assistant Manager Care Staff The Activity Organiser Service Users Relatives and friends of Service Users. We also observed staff practice and how they interacted with people using the service. Inspection Focus Areas (IFAs) Each year we identify an area, or areas, we want to focus on during our inspections. We still inspect all the normal areas of a care service; these are extra checks we make for a specific reason. For 2010/11 we will focus on: Quality assurance for care at home and combined care at home and housing support services. You can find out more about these from our website www.carecommission.com. Fire safety issues The Care Commission no longer reports on matters of fire safety as part of its regulatory function. Where significant fire safety issues become apparent, we will alert the relevant Fire and Rescue service to their existence in order that it may act as it considers appropriate. Care service providers can find more information about their legal responsibilities in this area at: www.infoscotland.com/firelaw Glenhelenbank Residential Home, page 12 of 33

The annual return We use annual returns (ARs) to: make sure we have up-to-date, accurate information about care services; and decide how we will inspect services. By law every registered care service must send us an annual return and provide us with the information we have requested. The relevant law is the Regulation of Care (Scotland) Act 2001, Section 25(1). These forms must be returned to us between 6 January and 15 February. Annual Return Received No Comments on Self Assessment A fully completed self assessment document was submitted as requested by the Care Commission. This showed where the service thought that they did well as well as areas for improvement. We discussed self assessment with the Assistant Manager and how it could be improved. Taking the views of people using the care service into account We received Four Care Standard Questionnaires from service users, their friends and family. The questionnaires showed that respondents were overall very happy with the service. People using the service expressed a high level of satisfaction with the care and support they receive. Taking carers' views into account We spoke with three visitors/carers to the service. All expressed a high level of satisfaction with the service, comments included: "This is a wonderful place, with wonderful staff" "They couldn't have done enough for mum" Glenhelenbank Residential Home, page 13 of 33

Quality Theme 1: Quality of Care and Support Grade awarded for this theme: Statement 1 We ensure that service users and carers participate in assessing and improving the quality of the care and support provided by the service. Service Strengths The services self assessment document showed that the service had developed methods to involve service users and carers in assessing and improving the quality of the care and support provided. These methods included: A participation strategy, satisfaction survey, menu planning and six monthly reviews. We found that the Participation Strategy (a description of how the service will involve service users and carers) described methods to involve service users and carers in assessing and improving the care and support provided. These methods included the development of a Participation Group and Newsletters. The Manager told us that she had daily informal discussions with service users and their carers. The service issued surveys to service users and carers about a number of decisions, for example, a survey was used to find out people's views regarding what should be purchased following a donation. Results from the survey showed that most people wanted a new T.V for the lounge and this was purchased. A meeting was held in May 2009, this showed that service users had made suggestions about the activities that they would like. Some service users said that they would like exercise and the service had arranged this as part of the activity programme. Six monthly reviews gave service users and their carers the opportunity to make suggestions and raise ideas about their care and support. The review form had a section to record any "Action Planned". We saw that reviews had involved the service user, carers (where applicable) and the Assistant Manager. Service users personal plans had been signed and agreed by either the service user or a representative/carer. Four of the five questionnaires "How satisfied are you with this Care Service" issued to service users, carers and families, either agreed or strongly agreed that the service asked for their opinions about how to improve the service. Glenhelenbank Residential Home, page 14 of 33

Areas for Improvement It was difficult to see how the outcomes of meetings and surveys had been recorded and what the service had done to make improvements. It was also unclear how these were fed back to service users and carers. We found that the service had not developed a "Participation Group" or Newsletters as planned. The Assistant Manager was keen to look into this further. The service had not made full use of the self assessment to show how they involved people in assessing and improving the quality of the service. The self assessment was also discussed with the Assistant Manager during the inspection. Grade awarded for this statement Number of Requirements 0 Number of Recommendations 0 Glenhelenbank Residential Home, page 15 of 33

Statement 3 We ensure that service user's health and wellbeing needs are met. Service Strengths The service's self assessment showed that a wide range of systems were in place to ensure the health and wellbeing needs of service users were met. We sampled four personal plans and found that the service had worked hard to record how service user's needs should be met. Plans were mostly "person centred" (a way of recording peoples needs, while taking personal preferences choices and lifestyle into account) The plans mainly showed how needs should be met in a clear and concise way. Each service user had their "Life History" recorded and the activity organiser explained how this information was used to plan activities. We found that the service had assessed the risk of falls, under nutrition and pressure damage. These assessments had been regularly completed and plans showed that any action needed was recorded in the "care plan". The service had developed a healthy and nutritious menu. We saw that meals were of a high standard, well presented and enjoyed by people using the service. There was a choice of steak or chicken at lunch time on the day of the inspection. Service users told us that they felt well looked after and that the staff were polite and caring. One visitor to the service commented very positively about the care of their relative and said that it was "first class". Areas for Improvement We found that, although personal plans were mainly "person centred" there were some broad statements which did not fully describe how needs should be met, such as "needs full assistance to bath" Medication administration records showed that there had been some gaps in recording. It is necessary to record when a medication has not been taken for any reason. (See requirement 1 quality statement 1.3) We pointed out that on two separate occasions a fire door was obstructed with equipment. This was immediately removed by the manager and discussed with staff. (See requirement 2 quality statement 1.3) Grade awarded for this statement Glenhelenbank Residential Home, page 16 of 33

Number of Requirements 2 Number of Recommendations 0 Requirements 1. 2. The provider must ensure that the recording of medication administration follows best practice guidance. This must include the correct recording of medication that has not been taken and the reason for this. This is in order to comply with: SSI 114 Regulation 4 (1) Welfare of Users (a) providers shall make proper provision for the health and welfare of service users; Timescale for completion: To commence immediately upon receipt of this report. The provider must at all times ensure that walkways and escape routes are free from any obstruction. This is in order to comply with: SSI 114 Regulation 4 (1) Welfare of Users (a) providers shall make proper provision for the health and welfare of service users; Timescale for completion: To commence immediately upon receipt of this report. Glenhelenbank Residential Home, page 17 of 33

Quality Theme 2: Quality of Environment Grade awarded for this theme: Statement 1 We ensure that service users and carers participate in assessing and improving the quality of the environment within the service. Service Strengths The services "self assessment" showed that the service had developed methods to involve service users and carers in assessing and improving the quality of the environment within the service. As previously discussed, the service had issued a number of small targeted questionnaires in order to ask for peoples views. These questionnaires had included those for the environment and entertainment/activities. Review records showed us that one service user had been having difficulties adapting to a single bed and the service arranged for a double bed to be tried. People using the service told us that they were happy with their bedrooms and that they knew who to speak to if they had any problems. For more strengths see quality statement 1.1 Areas for Improvement The services "self assessment" showed that they would like to develop action plans for the various questionnaires to show how work is being done to make improvements. The self assessment document did not clearly show how the service met this quality statement. For more areas for improvement, please see quality statement 1.1. Grade awarded for this statement Number of Requirements 0 Number of Recommendations 0 Glenhelenbank Residential Home, page 18 of 33

Statement 3 The environment allows service users to have as positive a quality of life as possible. Service Strengths We found that the home was clean, tidy and free from any unpleasant odours. Each area of the home was pleasantly decorated. The environment was very quiet and calming and people could move freely from one area to another. People using the service could choose from two lounges, one being quieter than the other. All bedrooms were single occupancy. During the inspection we saw that people using the service could bring their own belongings and items of furniture from home. People using the service told us that the staff were polite, helpful and caring. We saw that staff were attentive and had very good knowledge of the service users needs. We saw that many people using the service liked to go out for walks by themselves and people who could not manage this were assisted to go out by care staff. There were several visitors to the home during the inspection. We spoke with three visitors who all said that there were no restricted visiting times and that they were always made to feel welcome. All of the people who responded to the Care Commission questionnaire said that they either agreed or strongly agreed that the home was clean, hygienic and free from unpleasant odours. Some people using the service were enjoying playing a television quiz during the inspection. Areas for Improvement We discussed the need for a foot pedal operated bin in communal toilets to prevent the spread of infection. (See requirement 1 quality statement 2.3. Grade awarded for this statement 5 - Very Good Number of Requirements 1 Number of Recommendations 0 Glenhelenbank Residential Home, page 19 of 33

Requirements 1. The provider shall have appropriate procedures for the control of infection and the management of clinical waste. This must include the use of appropriate waste bins to prevent the spread of infection. This is in order to comply with: SSI 114 Regulation 4 (1) (d) Welfare of Users: Timescale for completion: to commence immediately upon receipt of this report. Glenhelenbank Residential Home, page 20 of 33

Quality Theme 3: Quality of Staffing Grade awarded for this theme: Statement 1 We ensure that service users and carers participate in assessing and improving the quality of staffing in the service. Service Strengths The services self assessment showed that they had considered methods to involve service users and carers in the assessment and improvement of staffing within the service. The service felt that having a "small home" and "informal hierarchy" made staff "more approachable" to service users and their carers. The service also identified that they made Care Commission reports accessible and that they announced forthcoming Care Commission inspections. We spoke with carers visiting the service who commented very positively regarding the staff within the service. They also said that they knew how to make a complaint and who they would speak to if they had any problems. For more information about this quality statement see quality statement 1.1 Areas for Improvement The service had not made full use of the self assessment document in explaining how it meets this quality statement. For areas for improvement see quality statement 1.1 Grade awarded for this statement Number of Requirements 0 Number of Recommendations 0 Glenhelenbank Residential Home, page 21 of 33

Statement 3 We have a professional, trained and motivated workforce which operates to National Care Standards, legislation and best practice. Service Strengths We found that the service had a system of staff training and development. Staff told us that they had access to a good range of training. Training needs were identified during staff supervision sessions. (a meeting where staff can discuss Best Practice with their line manager) Care and support staff were seen to be professional and caring throughout the inspection. As previously discussed the newly employed activity organiser had attended training about meaningful activity. Staff told us that they had copies of the National Care Standards and the Scottish Social Services Council Codes of Conduct. Staff meeting minutes showed that meetings were very informative. Staff had been informed and instructed about a range of best practice issues. We saw that all care staff were involved in recording daily progress notes. The manager confirmed that these notes were referred to during service users reviews. The Care Commission Care Standard Questionnaires showed that respondents either agreed or strongly agreed that they were confident that staff have the "knowledge and skills" to care for service users. Areas for Improvement It was difficult to see how staff had been involved in discussion about the quality of the service or their involvement in forming the agenda. Similarly staff supervision had limited evidence of the involvement of staff in deciding the agenda and discussion in best practice issues. The Assistant Manager acknowledged that the development of staff responsibilities and delegation of tasks was an area for development. Grade awarded for this statement 5 - Very Good Number of Requirements 0 Glenhelenbank Residential Home, page 22 of 33

Number of Recommendations 0 Glenhelenbank Residential Home, page 23 of 33

Quality Theme 4: Quality of Management and Leadership Grade awarded for this theme: Statement 1 We ensure that service users and carers participate in assessing and improving the quality of the management and leadership of the service. Service Strengths The services self assessment showed that the service had considered the "Participation strategy", satisfaction survey and staff supervision and appraisal to be strengths in this area. As previously highlighted, we saw that service users and carers had been consulted about a range of aspects of the service. This had been achieved by targeted survey questionnaires. We saw that the service was likely to respond to suggestions or comments, but had to record this in a clearer way. Four respondents to the Care Commission Questionnaire either agreed or strongly agreed that they were able to feed back their views or opinions and that the management would take these seriously. For more information about this quality statement see quality statement 1.1 Areas for Improvement The self assessment document failed to demonstrate how the service involved people in assessing and improving the management of the service. The service graded themselves a 6- Excellent but did not show how it reached this grade. For more areas for improvement see quality statement 1.1 Grade awarded for this statement Number of Requirements 0 Number of Recommendations 0 Glenhelenbank Residential Home, page 24 of 33

Statement 4 We use quality assurance systems and processes which involve service users, carers, staff and stakeholders to assess the quality of service we provide Service Strengths The services self assessment document had included information about how it assured quality. We saw that the service had developed a range of audits and checks both to assure quality and safety. The service showed us the audit tools that were used, these had included a "general Audit" that covered a range of areas, including: * Safer recruitment. * Environment * Food hygiene * Data Storage * Policies * Health and Safety This had been carried out on a six monthly basis by the Assistant manager. The Assistant Manager also audited the accident and incident records and this had led to additional risk assessments being carried out. The Assistant Manager confirmed that the service had valuable feedback from a number of external sources, including District Nurse, G.P's and social Workers. The service considered parts of the "Participation Strategy" such as, surveys and questionnaires as part of the quality assurance process. Areas for Improvement The services self assessment document was not clear in describing how other stakeholders, such as other professionals were involved in the quality assurance process. The Assistant Manager acknowledged that the feedback from external agencies was informal and not recorded. It was not always clear how issues raised by the audit system were followed up and addressed. Glenhelenbank Residential Home, page 25 of 33

Grade awarded for this statement Number of Requirements 0 Number of Recommendations 0 Glenhelenbank Residential Home, page 26 of 33

Other Information Complaints Enforcements Additional Information Action Plan Failure to submit an appropriate action plan within the required timescale, including any agreed extension, where requirements and recommendations have been made, will result in the Care Commission re-grading the Quality Statement within the Management and Leadership Theme as unsatisfactory (1). This will result in the Quality Theme for Management and Leadership being re-graded as Unsatisfactory (1). Glenhelenbank Residential Home, page 27 of 33

Summary of Grades Quality of Care and Support - Statement 1 Statement 3 Quality of Environment - Statement 1 Statement 3 5 - Very Good Quality of Staffing - Statement 1 Statement 3 5 - Very Good Quality of Management and Leadership - Statement 1 Statement 4 Inspection and Grading History Date Type Gradings 2 Jun 2009 Announced Care and support Environment Staffing Management and Leadership 31 Mar 2009 Unannounced Care and support Environment 5 - Very Good Staffing 3 - Adequate Management and Leadership 3 - Adequate Glenhelenbank Residential Home, page 28 of 33

16 Sep 2008 Announced Care and support Environment Staffing 3 - Adequate Management and Leadership 3 - Adequate Glenhelenbank Residential Home, page 29 of 33

Terms we use in our report and what they mean Action Plan - When we inspect a service, or investigate a complaint and the inspection report highlights an area for improvement; either through recommendations or requirements, the action plan sets out the actions the service will take in response. Best practice statements/guidelines - This describes practices that have been shown to work best and to be achievable in specific areas of care. They are intended to guide practice and promote a consistent and cohesive approach to care. Care Service - A service that provides care and is registered with us. Complaints - We have a complaints procedure for dealing with any complaint about a registered care service or about us. Anyone can raise a concern with us - people using the service, their family and friends, carers and staff. We investigate all complaints which can have more than one outcome. Depending on how complex the complaint is, the outcomes can be: upheld - where we agree there is a problem to be resolved not upheld - where we don't find a problem partially upheld - where we agree with some elements of the complaint but not all of them. Enforcement - To protect people who use care services, the Regulation of Care (Scotland) Act 2001 gives the Care Commission powers to enforce the law. This means we can vary or impose new conditions of registration, which may restrict how a service operates. We can also serve an improvement notice on a service provider to make them improve their service within a set timescale. If they do not make these improvements we could issue a cancellation notice and cancel their registration. Disclosure Scotland- Disclosure Scotland provides an accurate and responsive disclosure service to enhance security, public safety and protect the vulnerable in society. There are three types or levels of disclosure (i.e. criminal record check) available from Disclosure Scotland; basic, standard and enhanced. An enhanced check is required for people whose work regularly involves caring for, training, supervising or being in sole charge of children or adults at risk; or to register for child minding, day care and to act as foster parents or carers. Participation - This describes processes that allow individuals and groups to develop and agree programmes, policy and procedures. Glenhelenbank Residential Home, page 30 of 33

Personal Plan - This is a plan of how support and care will be provided. The plan is agreed between the person using the service (or their representative, or both of them) and the service provider. It is sometimes called a care plan mostly by local authorities or health boards when they commission care for people. Glenhelenbank Residential Home, page 31 of 33

How you can use this report Our inspection reports give care services detailed information about what they are doing well and not so well. We want them to use our reports to improve the services they provide if they need to. Care services should share our inspection reports with the people who use their service, their families and carers. They can do this in many ways, for example by discussing with them what they plan to do next or by making sure our report is easily available. People who use care services, their relatives and carers We encourage you to read this report and hope that you find the information helpful when making a decision on whether or not to use the care service we have inspected. If you, or a family member or friend, are already using a care service, it is important that you know we have inspected that service and what we found. You may find it helpful to read previous inspection reports about his service. Glenhelenbank Residential Home, page 32 of 33

The Care Commission We use the information we gather from all our inspections to report to Scottish Ministers on how well Scotland's care services are performing. This information helps us to influence important changes they may make about how care services are provided. Reader Information This inspection report is published by the Care Commission. It is for use by the general public. You can get more copies of this report and others by downloading it from our website www.carecommission.com or by telephoning 0845 603 0890. Translations and alternative formats Telephone: 0845 603 0890 Email: enquiries@carecommission.com Web: www.carecommission.com Glenhelenbank Residential Home, page 33 of 33