Care and Social Services Inspectorate Wales
Care Standards Act 2000
Inspection Report
Galltfaenan Hall
Trefnant
Denbigh
LL16 5AG
Type of Inspection – Focussed
Date(s) of inspection – 30/01/2014
Date of publication – 02/04/2014
You may reproduce this report in its entirety. You may not reproduce it in part or in any
abridged form and may only quote from it with the consent in writing of Welsh Ministers
Please contact CSSIW National Office for further information
Tel: 0300 062 8800
Email: [email protected]
www.cssiw.org.uk
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Summary
About the service
Galltfaenan Hall is a large country house situated in its own extensive grounds in a rural
area of Trefnant. It is registered to provide accommodation for up to thirty-seven younger
adults with learning disabilities. People living in the home may remain there when they
reach the age of sixty-five provided the home can continue to meet their needs.
Mrs E. Adey-Jones is the registered provider. The registered manager is Mrs Rachel
Jones.
What type of inspection was carried out?
A focussed unannounced inspection was carried out on 30th January 2014. During the
inspection relevant documentation was inspected, a tour of the premises was carried out
with the provider. Discussions took place with people using the service, members of staff
and interactions between staff and people were observed. Questionnaires were sent out
to people using the service, their relatives, professionals involved with the service and staff
members to obtain their views of the care and the services provided. All of the information
gathered has been referred to in the inspection report.
What has improved since the last inspection?
Radiator protectors fitted as required. New fire doors fitted to comply with fire safety
regulations.
What needs to be done to improve the service?
No non compliance issues.
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Quality of life
Overall, we (CSSIW) found that those who live here are provided with a comfortable,
homely environment where they are encouraged to be individuals with support from staff
as needed. Staff provide support in a caring and respectful manner. The standard of
food is good, healthy with sufficient choice and an emphasis on fresh food prepared
daily. People take part in a range of leisure activities which reflect their individual
interests.
People are helped to exercise choice and control over their lives. The people spoken
with confirmed that staff encourage them to do things for themselves. They find that their
lifestyle in the home matches their expectations and preferences, and satisfies their
social, cultural, religious, recreational interests and needs. People maintain contact with
family, friends, representatives and the local community as they wish. This is because
staff encourage contact with family members and friends, and visitors are made
welcome. One member of staff takes people out each day to access the local community
and people attend church or chapel in the local community according to their religious
beliefs. The questionnaires returned rated the home as good and contained a comment
that it is a ‘proper home’.
Peoples’ health care needs are fully met. This is because management promote and
maintains peoples’ health and ensure access to health care services to meet their
needs. Management ensure that professional advice is sought when the medical
condition of a person deteriorates. We saw that the condition of one person had
deteriorated and a referral to a mental health specialist has been made. Her bedroom
furniture is damaged and the curtains had been pulled off. It is advised that suitable
replacement curtains, such as curtains hung on magnetic rails and suitable furniture be
provided. People receive a wholesome, appealing, balanced diet at times convenient to
them. This is because the cook prepares meals with fresh food cooked on the premises
each day and the meal served at tea time looked nutritious and tasty. The people
spoken with and the questionnaires returned rated the food highly.
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Quality of staffing
CSSIW did not consider it necessary to look at the Quality of staffing on this occasion
because the details provided about the staff team shows that there is a low turnover of
staff and staff training is up dated as required. However, this theme will be considered
during future inspections.
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Quality of leadership and management
CSSIW did not consider it necessary to look at the Quality of leadership and
management on this occasion. The manager is qualified and registered with Care
Council for Wales as required. However, this theme will be considered during future
inspections.
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Quality of environment
CSSIW did not consider it necessary to look at the Quality of environment on this
occasion but some comments on the environment have been made in the Quality of life
section of this report. This theme will be considered during future inspections.
The home is well maintained and provides a homely and attractive environment with
plenty of communal space where people can spend their time.
The kitchen and food hygiene procedures have the highest rating of 5.
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How we inspect and report on services We conduct two types of inspection;
baseline and focussed. Both consider the experience of people using services.
Baseline inspections assess whether the registration of a service is justified and
whether the conditions of registration are appropriate. For most services, we carry out
these inspections every three years. Exceptions are registered child minders, out of
school care, sessional care, crèches and open access provision, which are every four
years.
At these inspections we check whether the service has a clear, effective Statement of
Purpose and whether the service delivers on the commitments set out in its Statement
of Purpose. In assessing whether registration is justified inspectors check that the
service can demonstrate a history of compliance with regulations.
Focussed inspections consider the experience of people using services and we will
look at compliance with regulations when poor outcomes for people using services are
identified. We carry out these inspections in between baseline inspections. Focussed
inspections will always consider the quality of life of people using services and may
look at other areas.
Baseline and focussed inspections may be scheduled or carried out in response to
concerns.
Inspectors use a variety of methods to gather information during inspections. These may
include;
Talking with people who use services and their representatives
Talking to staff and the manager
Looking at documentation
Observation of staff interactions with people and of the environment
Comments made within questionnaires returned from people who use services, staff
and health and social care professionals
We inspect and report our findings under ‘Quality Themes’. Those relevant to each type of
service are referred to within our inspection reports.
Further information about what we do can be found in our leaflet ‘Improving Care and
Social Services in Wales’. You can download this from our website, Improving Care and
Social Services in Wales or ask us to send you a copy by telephoning your local CSSIW
regional office.
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