Random inspection report
Care homes for adults (18-65 years)
Name: Address: Greens (The) The Greens 388 Chessington Road West Ewell Epsom Surrey KT19 9EG three star excellent service The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Kenneth Dunn Date: 2 7 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Greens (The) The Greens 388 Chessington Road West Ewell Epsom Surrey KT19 9EG 02083932450 02083932450 pakthyiendra@ntlworld.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Sharmini Pakthyiendra Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Sharmini Pakthyiendra,Mr Navaratnam Pakthyiendra care home 3 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 3 The maximum number of service users to be accommodated is 3 The registered person may provide the following category of service only: Care home only(PC) to service users of the folowing gender: Either whose primary care needs on admission to the home are within the following category: Learning disability (LD) Date of last inspection Brief description of the care home The home is registered to accommodate a maximum of three residents of either gender all of whom have learning disabilities. The registered age range of the residents
Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home accommodated is thirty to sixty five years, although registered provision is also made for one resident aged over sixty-five years. The home is privately owned and registered to Mr and Mrs Pakthyiendra. The home is a detached property set in a residential area off a main road and is close to local facilities and amenities. The home provides a caring and supportive service in a homely and comfortable environment. The home is decorated and furnished to a very good standard and has a large well maintained garden. The fees charged range from #900, to #1250 per week. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
This random inspection was undertaken as the Commission has risk assessed The Greens as a service, which continues to offer excellent care to the people who live there. The random site visit focused on two areas within the service firstly the complaints policy and procedures and secondly staffing. The inspection was undertaken between 12:30am to 14:00pm and was facilitated by the registered manager. The inspection involved discussion with a member of staff on duty, a review of the Annual Quality Assurance Assessment. (AQAA), sampling the complaints policy, complaints register, statement of purpose, policies and procedures and staff records. The AQAA stated that there has been no complaints made in the last 12 months. This was confirmed during the random site visit. The complaints log was sampled and supported the AQAA and the managers affirmation that no complaints had been received A review of the complaints policy demonstrated that the policy was not user friendly and only contained limited contact details of external agencies who could be contacted in the event that a complaint was to be made. In addition the policy showed no signs of review. This was discussed with the manager who stated that a full review of the complaints policy would be undertaken to ensure that it would fully comply with current legislation. The manager stated that the final reviewed and updated complaints policy would be made available to the people who live at the home and their families or representatives. In addition the policies and procedures were sampled during the visit, in general the service had a set of robust policies and procedures however they have not been consistently reviewed and updated and were stored in no user friendly way. This was discussed with the manger who stated that a full review of all policies and procedures to ensure that they were fully operational. In addition the manger stated that they would be made user friendly to allow ease of access. The service has enjoyed a very stable staff team with many staff members working at the home for a considerable time affording the service users consistency and continuity of care. A random sample of four staff files was undertaken as part of the random site visit. There was sufficient evidence to indicate that all the required staff check had been obtained by the home in order to safeguard the serve users. The sample of files demonstrated that the service users should be safeguarded by the homes recruitment procedures. It was noted however that in all four files gaps were identified in the educational and employment histories of the staff members. This was discussed with the manger who stated a full review of all staff files would be completed to ensure that if further gaps were highlighted they would be discussed with the member of staff and the details would be placed on the individuals file. In addition to the education and employment gaps there were issues with the references of three files, where it was unclear who had provided the reference especially in regards to the relationships with the staff member and as to whether or not the most recent employer had been asked to provide an reference. In addition it was not clear if the home had requested references from the previous care employers if the staff member had
Care Homes for Adults (18-65 years) Page 4 of 8 worked are as care worker previously to The Greens. The manger stated that as the staff had been employed for some considerable time there was some confusion on the part of the home in the requesting of references. The manager stated that a audit of staff files would be undertaken and where necessary the service would request additional references from appropriate individuals. What the care home does well: 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 2. Care Homes for Adults (18-65 years) Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 23 18(1) (c)(i) It is required that the registered manager attends the surrey County Council Multi-agency training in safeguarding Vulnerable Adults 18/08/2007 Care Homes for Adults (18-65 years) Page 6 of 8 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, 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 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 Adults (18-65 years) Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 8 of 8 - 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!
